Why don’t patients take their meds as prescribed?

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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?”

10 non-drug ways to treat situational depression in heart patients

by Carolyn Thomas  ♥    @HeartSisters

I’ve written quite a lot here about my own debilitating experience with depression following my heart attack.(1) I have since learned that post-heart attack depression is alarmingly common – and alarmingly under-diagnosed – among women survivors. Mayo Clinic cardiologists report that up to 65% of us experience significant symptoms of depression, yet fewer than 10% are appropriately identified.

NYU Women’s Heart Program cardiologist Dr. Nieca Goldberg says women under age 60 are particularly susceptible to depression because a heart attack is such a major psychological trauma, especially when it occurs at a younger age. Studies show, she adds, that depression is an important risk factor for adverse outcomes in cardiac event survivors:

“It’s a life-changing, stressful event. It’s a shocking experience. There are constant concerns among survivors about whether they are going to be able to return to their usual life.”

Continue reading “10 non-drug ways to treat situational depression in heart patients”

Is it post-heart attack depression – or just feeling sad?

by Carolyn Thomas    @HeartSisters

One of the small joys of having launched this site is discovering by happy accident the wisdom of other writers – even when they’re writing on unrelated topics not remotely connected to my favourite subject which is, of course, women and our heart health. For example, I happened upon a link to Sandra Pawula‘s lovely blog called Always Well Within. Sandra teaches mindfulness meditation, and she lives in Hawai’i (note her correct spelling).

She also has a hubby and three cats. I don’t even know this woman, but I like her already.  And while scanning through her beautiful site, I was stopped cold by an article she called: Why Sadness is the Key to True Happiness“.   Continue reading “Is it post-heart attack depression – or just feeling sad?”