25 tips to manage the crushing fatigue of heart disease

by Carolyn Thomas   @HeartSisters

For my whole life BHA (Before Heart Attack), I can hardly remember feeling real fatigue. Oh, sure, I’d feel sore working long hot days on our fruit farm as a teenager. Or sleepy after pulling those all-nighters in college. Or out-of-my-mind exhausted coping with a teething baby and a sleepless toddler. Or tired at the end of a stressful day juggling deadlines in my public relations career. Or maybe even pleasantly pooped after my running group finished a long road race. But generally speaking, on a day-to-day basis, never ever the kind of severe fatigue I experienced AHA.

I’ve always  been one of those disgustingly perky early risers who leaped cheerfully out of bed the minute one droopy eyelid cracked open to discover the clock showed anything past 4:30 a.m.  Once I finished leaping, I’d hit the coffeepot and then the shower, in that order. Then away I’d go, tap dancing 90 mph to meet the day ahead, rarely slowing down until I hit the pillow much, much later that night.

But after I was discharged from hospital following my heart attack, I was gobsmacked to suddenly experience daily bouts of extreme bone-crushing fatigue that I could never have even imagined existed before.  Continue reading “25 tips to manage the crushing fatigue of heart disease”

Why don’t patients take their meds as prescribed?

pills-1173656_1280

by Carolyn Thomas  @HeartSisters

Compliant is one of those words that makes my skin crawl. It’s the word that our doctors use to describe good patients who take their prescribed medications exactly as ordered. The Teenage Cancer Trust’s Simon Davies in the U.K. once described the C-word (and its ever-so-slightly less patronizing alternative adherent) as words that “sound like they have punishment at the end of them.”

But for most physicians, both words mean the same thing: a serious health care issue. That’s because when patients refuse or stop taking the medicine their doctors have prescribed to help manage a serious medical condition, the consequences are often devastating.  From organ transplant recipients to those living with chronic diagnoses like diabetes, heart disease, epilepsy, HIV or Hepatitis C, those consequences can be swift and sometimes even fatal.  Continue reading “Why don’t patients take their meds as prescribed?”

When you fear being labelled a “difficult” patient

by Carolyn Thomas  ♥  @HeartSisters

We arrive early for our doctor’s appointment. We wait patiently. We sit across from the doctor, and we nod and smile politely during our visit. We pick up the prescription for our meds and then we walk out the door to make room for the next patient waiting.

And sometimes we do this even when the discussion about our health care leaves us with unspoken concerns or unanswered questions. Most patients know what this feels like, so it’s reassuring to learn that academics are actually studying it: our fear of being labelled a “difficult patient”Continue reading “When you fear being labelled a “difficult” patient”

Making heart-healthy decisions: are you on autopilot?

by Carolyn Thomas

With rare exception (like the woman I witnessed at the Minneapolis airport pouring Coca-Cola into her child’s baby bottle), most thinking adults already know perfectly well what’s good and bad for our bodies. Yet we continue to smoke, eat too much (of the wrong foods) and exercise too little.  A recent study suggests that instead of swamping us with health reminders to eat better and exercise more, public health initiatives should actually try targeting the knee-jerk behaviours that are making us fatter and sicker.*

This study, published in the journal Science, found that part of the problem is that current public health initiatives are still focused on educating us about what decisions we should and shouldn’t be making to improve health outcomes – as if we are actively contemplating the pros and cons of making each decision.  Trouble is, most of us are not.  Continue reading “Making heart-healthy decisions: are you on autopilot?”