Some book excerpts to tease you…

 

by Carolyn Thomas  @HeartSisters 

It’s been quite the ride since my book was published by Johns Hopkins University Press in 2017! When it was launched, A Woman’s Guide to Living with Heart Diseasebecame Amazon’s #1 New Release in the Medicine/Public Health category. The book is now in its second printing, and reviews have been truly wonderful – with one notable exception: an Australian reader named Robert who complained in his review that there was a bit too much emphasis on how women are neglected when it comes to heart disease” – and then added: “Happily for me, my doctors, nurses and physios did everything by the book.”

Thank you Robert, for helping to illustrate the cardiology gender gap so perfectly!

Here are some random excerpts from my book, gathered from each of the 10 chapters.
Continue reading “Some book excerpts to tease you…”

How a $5 Tim Hortons gift card changed my life

by Carolyn Thomas  @HeartSisters 

I settled in at the impressive boardroom table of a chic downtown ad agency, where I’d been invited to review a new patient website that this agency had created for its client, our provincial Ministry of Health.

This agency wanted to know if an average patient like me seeking online health information would be able to easily navigate this website while looking for answers to some common questions. My assignment as a Patient Voices Network member that morning was to noodle around the site in response to a dozen or so search prompts that the young agency hipsters seated around me would provide. When I hit the “Search Health Topics” tab, it revealed a pull-down menu with many diagnoses listed. But I noticed immediately that “heart disease” was oddly missing from the health topics pull-down. I did, however, see that the diagnosis of “hemorrhoids” was up there. What kind of health website for patients forgets to list our #1 killer? Continue reading “How a $5 Tim Hortons gift card changed my life”

“To just be a person, and not a patient anymore”

 

THIS Embroidery Tessa Perlow by Carolyn Thomas    @HeartSisters

New Jersey oncologist Dr. James Salwitz, in his blog post called Why Is The Doctor Angry?, tells the story of the day that one of his patients became very ill. Instead of calling Dr. Salwitz, however, his patient emailed a doctor 3,000 miles away in California as he became sicker and sicker. The California doctor forwarded the emails back to Dr. Salwitz, who immediately sent his patient to hospital with multiple system failures. Dr. S said that he felt angry about his patient’s behaviour, explaining:

“   Did I look him in the eye and tell him that I was upset, that he had neglected his own care by not reaching out and in doing so he violated the basic tenants of a relationship which said that he was the patient and I was the doctor?”

“Did I remind him what I expect from him and what he can expect from me?  You better believe it – I was really pissed!”

My own question to Dr. Salwitz was: “So did you ever find out from the patient WHY he did not reach out to you?”   Continue reading ““To just be a person, and not a patient anymore””

Dear Carolyn: “People can change for the better”

by Carolyn Thomas    @HeartSisters    October 28, 2018

We know now that childhood trauma is strongly associated with chronic illness later on, including heart disease. As I wrote in a recent blog post about ACE (Adverse Childhood Experiences), researchers warn us that scoring 4 or higher on the ACE test can predict a significantly higher risk of physical or mental illness as an adult. I was stunned when I took the test and saw that my own score was 4; I was well aware of my childhood experiences, of course, but I thought that only marginalized kids from desperately poor families were at high risk – and that wasn’t me! A history of psychological childhood abuse or neglect is not what we expect our doctors to ask us about – but this research suggests that maybe they should start.

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One response to that post really hit home for me. Marie (who prefers not to use her real name here) lives with a type of ischemic heart disease called coronary microvascular disease (as I do, too). With her kind permission, I’m sharing her childhood story with you as the latest guest post in my regular but very occasional series called Dear Carolyn“: