Does your hospital have a Women’s Heart Clinic yet? If not, why not?

by Carolyn Thomas    @HeartSisters

teacup-heartFocused Cardiovascular Care for Women is the name of an important report about women’s heart health published in February of this year. One of the report’s highlights (or lowlights!) was that very few if any hospitals actually offered focused cardiac care specifically for women before the year 2000.(1) One reason for this may have been that, as the report’s authors explained, “the concept of Women’s Heart Clinics was met with hesitation from many cardiologists.”

Yes, you read that right, ladies. Until recently, even the very idea of establishing a heart clinic devoted to the unique realities of the female body was not warmly welcomed by the very physicians you’d think would be most supportive.  Continue reading “Does your hospital have a Women’s Heart Clinic yet? If not, why not?”

Denial and its deadly role in surviving a heart attack

by Carolyn Thomas      @HeartSisters

Dr. John Leach is one of the world’s leading experts on survival psychology. He likes to tell a story about London’s tragic King’s Cross underground station fire in 1987.(1) As the fire spread, trains kept on arriving in the station, and hurried commuters headed right into the disaster. Officials unwittingly directed passengers onto escalators that carried them straight into the flames. Many commuters followed their routines despite the smoke and fire, almost oblivious to the crush of people trying to escape – some actually in flames! Thirty-one people perished in the King’s Cross fire, and incredibly, the Underground staff never sprayed a single fire extinguisher or spilled a drop of water on the fire.

Dr. Leach, who teaches at Lancaster University, has a name for this phenomenon. It’s called the incredulity response. He explains that people simply don’t believe what they’re seeing. So they go about their business, engaging in what’s known as normalcy bias which is incredibly powerful and sometimes even hazardous. People can act as if everything is okay, and they underestimate the seriousness of danger. Some experts call this analysis paralysis.

What he’s describing is precisely how I felt while undergoing two weeks of increasingly debilitating cardiac symptoms before being finally hospitalized. Although all signs clearly pointed to a heart attack – crushing chest pain, nausea, sweating and pain radiating down my left arm – I seemed fatalistically determined to go about my life acting as if everything was fine, just fine until – when symptoms became truly unbearable – I finally returned to the Emergency Department that had sent me home two weeks earlier with an acid reflux misdiagnosis. Continue reading “Denial and its deadly role in surviving a heart attack”

In praise of solitude after a heart attack

by Carolyn Thomas  ♥  @HeartSisters


“Others inspire us, information feeds us, practice improves our performance, but we need quiet time to figure things out, to emerge with new discoveries, to unearth original answers.”

This wise counsel is from Dr. Ester Buchholz, author of The Call of Solitude.  She describes solitude like this as “meaningful alone-time” – a powerful need and a necessary tonic in today’s rapid-fire world. Indeed, she maintains that solitude “actually allows us to connect to others in a far richer way”.

She likely didn’t write that as specific advice for those of us living with heart disease, but it struck me when I read her words that, although they are probably very true for all women, they are especially applicable to heart patients.

Indeed, maybe our heart health would actually improve if we were more determined to carve out more ‘me-time’ during the average day.  Continue reading “In praise of solitude after a heart attack”

Don’t worry your pretty little head over your health care decisions

by Carolyn Thomas      @HeartSisters

My late mother, like many women of her generation, never even imagined telling her doctor that she wanted a second medical opinion, even if she suspected that her doctor’s treatment or advice was lacking. This means that my mother would rather die than get a second opinion. To ask for one would have been rude and insulting to her physician, and that could simply never ever happen.  Whatever her doctor said went unquestioned. He was the boss of her health care.

Many women today continue my mother’s preference for abdicating responsibility for one’s own healthcare. A study of women over 40 done by The Federation of Medical Women of Canada (called the LIPSTICK Survey) reported that only 10% of women surveyed knew their personal cardiac risk factors, versus 64% of women who know how much they weighed in high school Continue reading “Don’t worry your pretty little head over your health care decisions”