Yentl Syndrome: cardiology’s gender gap is alive and well

by Carolyn Thomas  @HeartSisters

There’s a big fat yawning gap between cardiovascular diagnostic tests and resulting medical treatments – depending on whether doctors are looking at a male or a female patient lying there on the gurney. I’ve been saying this out loud ever since I came home from Mayo Clinic, where I first learned about the gender gap from Mayo cardiologists following my own heart attack misdiagnosis.

When asked if we might need to develop a new set of diagnostic/treatment protocol guidelines to specifically address this gap, Dr. Sharonne Hayes (founder of the Mayo Women’s Heart Clinic) responded:

“Part of the problem now is that the clinical practice guidelines are less likely to be applied to women compared to men.

“We know that when hospitals have systems in place to ensure they do provide care according to the guidelines, women’s outcomes improve.”

You may be wondering what it will take to put into place systems and guidelines (already used in male patients) for all patients, including women – in order to finally close that gender gap for good.  Continue reading “Yentl Syndrome: cardiology’s gender gap is alive and well”

When are cardiologists going to start talking about depression?

by Carolyn Thomas     @HeartSisters

I can vividly remember those early days and weeks at home after surviving a heart attack, especially that cold creeping anxiety around how I “should” be feeling. I had just survived what many do not: what doctors still call the “widow maker” heart attack. (By the way, note the gender semantics there, please: doctors are not calling this the widower maker”).

I was now resting comfortably, both of my darling kidlets had flown back home to be with their Mum, our home was filled with flowers, get-well cards and casseroles delivered by the daily line-up of concerned friends, family, neighbours and co-workers.

So why was I feeling so bleak inside, and even worse, now feeling guilty for all that bleakness?  Continue reading “When are cardiologists going to start talking about depression?”

10 things I didn’t know about angioplasty until I read this book

by Carolyn Thomas     @HeartSisters

heart-700141_1280 Being asked to write a book review is tricky. Authors hope you will be kind, while you hope the book at best might tell you something that every other book for heart patients hasn’t already told you. A review copy of the book Your Personal Guide: Angioplasty (Allen Jeremias, Susan S. Bartell)*  sat on my coffee table for weeks, until one day, I finally got tired of looking at this latest addition to my living room decor and decided to give it a go.   And within a very few pages, I learned some fascinating things I didn’t know before.   Continue reading “10 things I didn’t know about angioplasty until I read this book”

How can we get female heart patients past ER gatekeepers?

by Carolyn Thomas   @HeartSisters

Sometimes, people in my Heart Smart Women presentation audiences ask me if I’ve ever gone back to confront the Emergency physician who had misdiagnosed me in mid-heart attack with acid reflux and sent me home from the E.R. – despite my textbook symptoms of central chest pain, nausea, sweating and pain radiating down my left arm.  No, my heart sisters, I never did. But what did happen was, I think, even more satisfyingly juicy.   

Months after surviving that heart attack, and freshly fortified with Mayo Clinic cred after graduating from their annual WomenHeart Science & Leadership training for women with heart disease, I received an invitation to share what I’d just learned at Mayo to local Emergency Medicine staff.  I was offered one hour on the agenda of their annual Staff Education Day to talk about my own fateful misdiagnosis – and how, according to the Mayo Women’s Heart Clinic, that scenario might be avoided for future female heart patients like me: women who present with textbook cardiac symptoms but “normal” diagnostic tests Continue reading “How can we get female heart patients past ER gatekeepers?”