How hot weather hurts our hearts

by Carolyn Thomas  @HeartSisters

Welcome to Lotus Land, where, alas, it’s been stinkin’ hot lately. This is tragically unfair, I think. I moved here to Canada’s beautiful West Coast decades ago in order to escape the kind of soul-sucking sauna that passes for summer back east.

And because uncomfortably hot weather is so deliciously rare here, few of us even have air conditioning, although I do have a little electric fan that I’ve started carrying around the apartment with me from room to room this past week.

Since surviving a heart attack, I’ve learned a whole new reason to hate the heat.  I walk around feeling sick, clutching my little fan, a damp cloth pressed to the back of my neck, hot and cranky and looking like I’ve been hit by a very large bus. Here’s why heart patients can feel so much worse when those temperatures soar:   Continue reading “How hot weather hurts our hearts”

Misdiagnosed: women’s coronary microvascular and spasm pain

by Carolyn Thomas  ♥  @HeartSisters

Findings from the federally funded Women’s Ischemia Syndrome Evaluation (WISE) study — a landmark investigation into ischemic heart disease (meaning reduced blood supply to the heart muscle) – are helping us to understand that, as the Harvard Women’s Health Watch puts it: heart disease – like cancer – is not one, but several disorders.

While I was at Mayo Clinic shortly after my heart attack, I also learned that at least two of these disorders are far more commonly seen in women than in men’s “Hollywood heart attacks”. These two heart conditions are coronary microvascular disease (MVD) and coronary artery spasm (CAS). Continue reading “Misdiagnosed: women’s coronary microvascular and spasm pain”

Finding the funny when the diagnosis isn’t

by Carolyn Thomas  ♥

Today, out of left field and with the kind permission of Disruptive Women in Health Care – where it was originally published by Casey Quinlan on November 23, 2011 – I’m revisiting the classic post she called: “Finding the Funny When the Diagnosis Isn’t”. 

NOTE:   Sadly, “Mighty Casey” died on April 25, 2023 from a recurrence of metastatic breast cancer.  Her wonderful tribute published in the Journal of Participatory Medicine is a must-read. And here’s what she wrote about humor in “Finding the Funny When the Diagnosis Isn’t”: 

“It’s not easy hearing your name and [insert dread diagnosis here]. I know this only too well after having to find the funny in my own journey through cancer. Cancer is, however, most often a diagnosis that you fight to a defined end. What’s it like to find the funny in a chronic condition?

“I have a number of friends who are battling MS, one of whom, Amy Gurowitz, shared a link on Facebook the other day to Jim Sweeney’s online empire of improv humor and chronic disease. Jim’s MS journey started with vision problems in 1985, he was officially diagnosed in 1990, and has been dealing with the disease – finding the funny most of the time – ever since. Continue reading “Finding the funny when the diagnosis isn’t”

When being married makes being sick worse

by Carolyn Thomas  @HeartSisters

Research suggests that being happily married can have a big effect on helping us recover from serious health crises like a heart attack. For men, in fact, marriage doesn’t even have to be particularly happy to increase positive health outcomes. Just the mere state of being married, happily or miserably, apparently leads to better outcomes in males.

But not so for women. A study from the University of Utah, for example, tells us that after 15 years of follow-up, researchers found that 83% of happily wedded wives were still alive after their cardiac bypass surgery, versus only 28% of women in unhappy marriages.  They also found that women who report high levels of marital strain also report depression, high blood pressure, high LDL (bad) cholesterol, obesity and other signs of metabolic syndrome – a cluster of known risk factors for cardiovascular disease. And in 2006, the American Journal of Cardiology published a study that found patients with both severe heart disease and poor marriages had a four times higher risk of dying over a four-year period.

So consider for example, how the day-to-day reality described by these heart patients might affect their prognoses:     Continue reading “When being married makes being sick worse”