Your health care decisions: don’t worry your pretty little head over them

by Carolyn Thomas     @HeartSisters

My mother, like many women of her generation, would never dream of telling her doctor that she wants a second medical opinion, even if she suspected that her doctor’s treatment or advice was lacking. This means that, if he were negligent or incompetent or even downright dangerous – which he’s not, by the way –  my mother would rather die than get a second opinion. To ask for one would be rude and insulting to her physician, and that just would never happen.  Whatever her doctor says  goes unquestioned. He is the boss of her health care.

She’s not alone. Many patients choose to simply defer to their physicians, even when that physician is not providing comprehensive information about diagnosis or treatment options. As orthopedic surgeon Dr. Howard Luks described some of his colleagues:

“Time is short for doctors, they often have biases, and many assume patients don’t want the burden of overwhelming information.”

Before my own heart attack, I could have been one of those patients, too. When my doctor ordered lab tests for me, for example, I figured that if the results were bad, I would be phoned.  When I was prescribed drugs or procedures, I figured these were necessary – or my all-knowing physician wouldn’t have mentioned them to me. Otherwise, I was much too busy to think much about my medical decisions.

And now when I ask the women in my heart health audiences to raise their hands if they know their blood pressure numbers, it’s common to see at least 1/3 of the group who have absolutely no clue.  And when I ask them if they know their cholesterol numbers, the awareness level is even worse.

A survey of women over 40 done by The Federation of Medical Women of Canada (called the LIPSTICK Survey) reported that women spend more time thinking about their weight than they do about their hearts. Only 10 per cent of women surveyed, for example, knew their personal cardiac risk factors, versus 64 per cent who know how much they weighed in high school. Continue reading “Your health care decisions: don’t worry your pretty little head over them”

Help your heart by de-stressing for the holiday season

by Carolyn Thomas     @HeartSisters

Ah, Christmas. . .  Joy to the world, peace on earth, blahblahblah. For some, the Hallmark card fantasy of the perfect family Christmas is nigh impossible to achieve without the accompanying requisite levels of artery-damaging stress and anxiety by the time the New Year arrives.  As Michele Meyer wrote in Heart Healthy Living:

“Whether your family resembles the Waltons or the Sopranos, few family gatherings are without potential for unspoken tensions.”

And psychologist Dr. Susan Heitler reminds us in the the same article:

“Both unresolved resentment and anxious anticipation of conflict during the holidays can harm your heart by spiking anger or depression. The higher the level of emotional arousal, the more stress on your heart.”

If you’re sometimes tempted to just skip Christmas and go straight to Mother’s Day, consider some of these stress-busting tips this year from Toronto author Susan Stern (in Awakening Your Life Skills) who says that we should all start a plan in advance for de-stressing the holiday season as much as possible.   For example:  Continue reading “Help your heart by de-stressing for the holiday season”

It’s Handwashing Awareness Week!

by Carolyn Thomas

When one of our nurses knocked on my office door to tell me that the mandatory Hand Hygiene class for all hospital staff was starting, I sighed: “Oh, for Pete’s sake! I already know how to wash my hands!”  But off I went, muttering.

The class started with the instructor teaching us how to scrub-scrub-scrub our hands, in between our fingers, up and down our thumbs, right up to and around the wrists. We learned to do this for 30 full seconds (it’s longer than you think – try singing two verses of ‘Happy Birthday’ just to make sure). Then, she shut off the room lights and took out her special Lumalite that made any leftover germs on our hands glow a bright turquoise.  I was stunned by the results.   Continue reading “It’s Handwashing Awareness Week!”

Heart attack: did you bring this on yourself?

food junk

by Carolyn Thomas @HeartSisters

In the early hours, days and weeks following my heart attack, many conversations with family and friends started the same way: “How could this have happened to YOU?” – followed by an expectant pause during which I was supposed to explain myself.  If only I’d been a chain-smoker, or had been living with diabetes, or hadn’t been a distance runner for almost 20 years.   It would have somehow seemed more comforting to them, because it might mean that my heart disease was self-inflicted, that something like this could never touch them.  Continue reading “Heart attack: did you bring this on yourself?”