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”

40 profound life lessons that a heart attack can teach you

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by Carolyn Thomas    @HeartSisters

Some heart attack survivors I’ve met will readily describe, surprisingly, how their heart disease diagnosis has actually been a “gift”, which sounds positively goofy to meContinue reading “40 profound life lessons that a heart attack can teach you”

Too good to be true: chubby thighs better for heart health?

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It was almost enough to force me right out the door to the nearest Tim Hortons for a couple of gooey Maple Dips. Must make sure that my thighs don’t get too skinny, because Danish researchers have just announced that chubby thighs can reduce the risk of developing heart disease.   Read more to see if this is on the level

Biology or bias? Women twice as likely to die after heart attack

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The CBC (our Canadian Broadcasting Corporation) did a report this week about women and heart disease that included an interview with Dr. Beth Abramson, a Toronto cardiologist and spokesperson for the Heart and Stroke Foundation.  She was responding to results of a new study reported in the Journal of the American Medical Association that suggests women are almost twice as likely to die within 30 days of a heart attack compared with men. Dr. Abramson said:

“It’s sometimes hard to sort out if there is a difference in biology between men and women, or if there is a gender bias.

The study’s lead author, Dr. Jeffrey Berger of New York University Medical Center, votes for biology.   Continue reading “Biology or bias? Women twice as likely to die after heart attack”