We know now that childhood trauma is strongly associated with chronic illness later on, including heart disease. As I wrote in a recent blog post about ACE (Adverse Childhood Experiences), researchers warn us that scoring 4 or higher on the ACE test can predict a significantly higher risk of physical or mental illness as an adult. I was stunned when I took the test and saw that my own score was 4; I was well aware of my childhood experiences, of course, but I thought that only marginalized kids from desperately poor families were at high risk – and that wasn’t me! A history of psychological childhood abuse or neglect is not what we expect our doctors to ask us about – but this research suggests that maybe they should start.
Breaking up is hard to do. That’s how my blog reader Tommie O’Sullivan described to me the sad news that she lost first one, and then a second trusted cardiologist. It’s nothing personal. Important family reasons. Retirement. She understands these things. But still. . .
As part of my occasional and ongoing “Dear Carolyn” series of guest posts written by women who have learned firsthand what becoming a heart patient is all about, I’m happy to share this, with her permission. Tommie’s words reminded me that, so far, I’ve been lucky in never experiencing the loss of a favourite physician. I suspect that – in this age of increasingly empowered patients, critical doctor reviews online, and second opinions from Dr. Google – her sentiments are what every physician longs to hear one day from their patients: “I will really miss you!” Continue reading “Dear Carolyn: “Breaking up is hard to do””
As part of my occasional Dear Carolyn series featuring my readers’ unique narratives about how they became heart patients, I offer today a medical mystery from an Oregon reader. After dueling physicians differed in their opinions of her diagnosis, Lynn Bay now wonders if she actually did have a “real” heart attack, as one of them had diagnosed. Her story may seem familiar to you if you’ve ever had your medical experience dismissed or minimized. Here’s Lynn’s story, with her permission: Continue reading “Dear Carolyn: “Did I have a ‘real’ heart attack?””
Sometimes, the story of how another woman first discovered she had heart disease can seem eerily familiar to our own. It’s that familiarity that first attracted me to this Dear Carolyn episode (our fourth in the occasional series that features my Heart Sisters readers sharing the unique experience of what it can feel like to become a heart patient).
This particular blog reader, who prefers to remain anonymous, explains her reluctance to seek medical help while repeatedly blaming her distressing symptoms on non-cardiac causes. I completely identified with that reluctance because I went through that same surreal refusal to seek help for my own worsening cardiac symptoms after being misdiagnosed in the E.R. with acid reflux. If you, too, have ever engaged in what researchers call “treatment-seeking delay behaviour” during a heart attack, her story might feel familiar to you, too. Continue reading ““Dear Carolyn: I was never one to complain. . . “”
As part of my Dear Carolyn series of posts featuring my readers’ unique stories on what it’s like to become a heart patient, this one involves a woman with not one but several medical diagnoses. When distressing symptoms were initially diagnosed by her oncologist as lymphoedema (a condition sometimes associated with cancer treatments), her first response was: “My future looks positively bleak.” But when she finally heard the corrected diagnosis of heart failure from an internal medicine specialist one year following her chemo treatments and radiation, her surprising reaction was this:
“I just about hugged the internist when he told me it wasn’t lymphoedema after all – it was just my heart! I thought he’d given me my life back again. And he had! Like receiving my own Magna Carta. And in a single week, with the help of my new cardiac medications, off came the 30 extra pounds of fluid I’d been hauling around.”
That was certainly a first for me (somebody thrilled by a heart failure diagnosis!?) Today’s Dear Carolyn letter focuses on a favourite subject of mine: resilience in the face of a medical crisis, and it starts with a woman known to us simply as Honey Bee: Continue reading “Dear Carolyn: “I’m having the time of my life!””