Which patients does the “patient voice” represent?

by Carolyn Thomas  ♥  @HeartSisters

There are patients. And then there are patients.  Let’s consider, for example, two friends of about the same age, same height, same size, same socioeconomic demographic – each one (in an amazingly freakish coincidence) a survivor of a similarly severe heart attack, admitted to the same hospital on the same day. Let’s call these two made-up examples Betty (Patient A) and Boop (Patient B).

Betty is diagnosed promptly in mid-heart attack, treated appropriately, recovers well, suffers very little if any lasting heart muscle damage, completes a program of supervised cardiac rehabilitation, is surrounded by supportive family and friends, and is happily back at work and hosting Sunday dinners after just a few short weeks of recuperation.

Boop, on the other hand, experiences complications during her hospitalization, recuperation takes far longer than expected, her physician fails to refer her to cardiac rehabilitation, she has little support at home from family, her cardiac symptoms worsen, repeat procedures are required, she suffers longterm debilitating consequences, and is never able to return to work.

Yet despite these profound differences, physicians would still describe both of these women with the same all-inclusive descriptor, “myocardial infarction” (heart attack).  Continue reading “Which patients does the “patient voice” represent?”

The loss of ‘self’ in chronic illness is what really hurts

by Carolyn Thomas    @HeartSisters

People living with chronic illness already know that the triple whammy of ongoing physical symptoms, psychological distress and the discomfort of medical procedures can cause us to suffer. But when California sociologist Dr. Kathy Charmaz studied chronic illness, she identified an element of suffering that is often dismissed by health care providers.(1)

As she explained in research published in the journal Sociology of Health & Illness, a narrow medicalized view of suffering that’s defined as physical symptoms only ignores or minimizes the broader significance of suffering in a way that may resonate with you if you too live with a chronic illness like heart disease: Continue reading “The loss of ‘self’ in chronic illness is what really hurts”

Do you want the truth, or do you want “Fine, thank you”?

Carolyn Thomas    @HeartSisters

One beautiful afternoon, I was walking my daughter home from her downtown office at the end of her workday. I love these mother-daughter walks of ours. We used to do them quite often (before Larissa recently delivered my darling grandbaby Everly Rose and started her extended maternity leave).

She’d phone me just as she was about to leave work, and we’d each start walking from opposite ends of Rockland Avenue (a long leafy ramble that starts downtown near her office and finishes up near our respective homes in Oak Bay Village). We’d meet up about halfway to walk the rest of the way home together. In this fashion, we each got an hour’s brisk walk into our day, but best of all, we got to chat all the way home.

But this one afternoon, while we were walking along Rockland, I felt the familiar yet ominous crush of chest pain as we walked, that frightening kind of angina that seems to get worse with every step.  After trying my best to ignore these symptoms at first, I finally had to stop her while she was in mid-sentence, fishing in my bag for nitro spray as I lurched towards a nearby stone bench to sit down. Continue reading “Do you want the truth, or do you want “Fine, thank you”?”

When you’re the adult child of a heart patient

by Carolyn Thomas    @HeartSisters

My Dad died of cancer at age 62, my mother decades later from a stroke following years of increasing dementia. So I have some experience being the adult daughter of a parent diagnosed with a life-altering medical condition.  And I’ve also seen the faces of my own grown children right after they flew home to be with me right after my heart attack.  Honestly, I don’t know which felt worse.

The majority of heart patients in North America have adult children.  And when heart disease strikes, it can affect not only the patient, but the immediate family of that patient.  If one of your parents has a cardiac event, as psychologist Dr. Wayne Sotile warns, you might have the makings of what he calls “the best hidden victims of heart illness: the patient’s adult children”.  Continue reading “When you’re the adult child of a heart patient”