DAPT for heart patients (or why you should postpone that pedicure appointment)

by Carolyn Thomas    ♥  Heart Sisters on Blue Sky

Back in 2006, the New England Journal of Medicine published a study that compared ways to reduce the future risk of blocked coronary arteries in heart patients like me.(1)  In this randomized, double-blind, placebo-controlled clinical trial (translation: research that can produce reliably high-quality evidence), over 15,000 people from 32 countries were studied.

By the way, it’s worth pointing out a fun fact here:  the study published in the NEJM was a remarkable example of recruitment success. It turns out that up to 85% of all clinical trials in medicine fail to recruit or retain a sufficient sample size of participants, leading to “failure to meet research targets in 4 out of 5 trials” –  even though nearly $1.9 billion is spent on participant recruitment annually.(2) 
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Ups, downs, and going with the flow of diagnosis

by Carolyn Thomas    ♥  Heart Sisters on Blue Sky

Karen Salmansohn is the author of many books, including (2nd best title ever!) “HOW TO BE HAPPY, DAMMIT!”  – a book reviewed by one reader as “self-help for people who would never be caught dead doing self-help”).  In her regular  Psychology Today column, while going through a period of time she called her personal “Bucket List From Hell”, Karen made a profound observation that resonated with me – and may also do so with you if you’ve been freshly-diagnosed with heart disease (or any other bad thing you wish was not happening). As Karen wrote:     Continue reading “Ups, downs, and going with the flow of diagnosis”

Do patients have a “happiness set point?”

by Carolyn Thomas    ♥    @HeartSisters

How happy are you? Dr. Art Markman, a psychology professor at the University of Texas at Austin, wrote this in a Fast Company essay:

“People seem to have a happiness set point.(1)  Generally speaking, in the weeks and months after a significant positive or negative life event, you tend to return to roughly the level of happiness you had before that event – that’s the set point. It doesn’t mean that events can’t have a long-term influence on how happy you are – just that the best predictor of how happy you will be several months after either a major positive or negative event is how happy you were before it happened.”
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When patients worry about being judged

by Carolyn Thomas    ♥    @HeartSisters

I’ve been thinking about the time earlier this year when I (briefly) listed my condo for sale – before changing my mind about leaving this tiny perfect apartment. Basically, inviting prospective buyers into your home boils down to asking strangers to judge you.

In a way, that little real estate experience reminded me of what many patients living with a chronic yet invisible illness like heart disease share with my readers:  feeling judged by others.

Continue reading “When patients worry about being judged”