What to get for the heart patient who has (almost) everything

~ Carolyn Thomas ~ 11 Comments

by Carolyn Thomas  ♥  @HeartSisters  

You could do last-minute Christmas shopping for another scented candle or pottery vase (that just might end up some day on somebody’s yard sale table together). But if you have a woman in your life who has been diagnosed with heart disease, you could choose a truly useful gift this year. Here’s why, in my admittedly biased view, that gift could be my book, A Woman’s Guide to Living with Heart Disease. And Santa can even save 30% off the cover price when ordering from my publisher, Johns Hopkins University Press!) * Continue reading “What to get for the heart patient who has (almost) everything” →

Modern medicine is male-centric medicine, and that’s a problem for women.

~ Carolyn Thomas ~ 15 Comments

by Carolyn Thomas    ♥   @HeartSisters 

In September, I mentioned here an important book written by Dr. Alyson McGregor, an Emergency physician and associate professor of medicine at Brown University.  The book: “Sex Matters:  How Male-Centric Medicine Endangers Women’s Health and What We Can Do About It“.   Her first chapter opens with a story about Julie, a 32-year old woman she met in her Emergency department one day – a story that’s disturbingly familiar to women like me whose heart attack has been misdiagnosed:          .    Continue reading “Modern medicine is male-centric medicine, and that’s a problem for women.” →

Diagnostic Uncertainty vs. Unwarranted Certainty: which is worse for patients?

~ Carolyn Thomas ~ 19 Comments

by Carolyn Thomas     ♥    @HeartSisters 

The Emergency physician who misdiagnosed my heart attack displayed not even a whiff of uncertainty while delivering that misdiagnosis.  “YOU” – he declared confidently – “are in the right demographic for acid reflux!”  (without any gastrointestinal diagnostic tests). He sent me home that day with instructions to ask my family doctor to prescribe antacid drugs for my symptoms (central chest pain, nausea, sweating and pain down my left arm).  I now suspect that, if only that confident doc would have bothered to Google my symptoms, both he and Dr. Google would have landed on the same search result:  myocardial infarction (heart attack).

But in fact, he seemed remarkably certain despite being remarkably wrong.   . Continue reading “Diagnostic Uncertainty vs. Unwarranted Certainty: which is worse for patients?” →

Why heart patients generally don’t say: “Doc, tell me what to do and I’ll do it!”

~ Carolyn Thomas ~ 9 Comments

by Carolyn Thomas     ♥    @HeartSisters 

When you need medical help, how does your family doctor decide which diagnostic tests to order for you, and which treatments to recommend based on those test results?  Physicians are trained to rely on a type of professional playbook called clinical guidelines to help them make those decisions. But as Dr. Michael Vallis, a professor of family medicine at Dalhousie University in Halifax, described the problem family docs face with clinical guidelines:

“There’s just no way they can follow every single guideline. One of the biggest impediments to physicians following new guideline recommendations is that they’re overwhelmed.”       .
 Continue reading “Why heart patients generally don’t say: “Doc, tell me what to do and I’ll do it!”” →