I was once asked by a U.S. publisher to review a new book written by a heart patient, a memoir about her surprising diagnosis. But about 12 pages in, she mentioned that she had been a chain-smoker for three decades before her “surprising” cardiac diagnosis. I had to re-read that line. How could a person who had been chain smoking for decades possibly be “surprised” by this predictable outcome? Didn’t this clearly intelligent, educated woman know that smoking is a dangerous risk factor for heart disease (and a whole bunch of other nasty health issues)? I thought of this book recently when a new study from Harvard researcher Dr. Catherine Kreatsoulas reported that women are in fact more likely than men to underestimate their own risk of heart disease. . . . Continue reading “Did you underestimate your cardiac risk?”
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. . . “”
Cardiologists know that, when it comes to seeking emergency medical help while experiencing alarming cardiac symptoms, women can be surprisingly reluctant to call 911. As I’ve written about here, here and here, this is a puzzling phenomenon we call treatment-seeking delay behaviour. It turns out that some cardiologists have to worry not only about patients like this, but about their own mothers. Continue reading “When the woman who won’t call 911 is your mother”
Before my heart attack, I spent almost two decades as a distance runner. Many of the elite marathoners I knew (and certainly the one I happened to live with!) obsessed mercilessly on every detail, every hill, every split time of every race, but not so much on the daily joys of just running itself. It was the destination, not the journey, that seemed to matter to so many of these elite athletes – especially during race season.
The members of my own running group could never be accused of being elite runners.
Our motto: “No course too short, no pace too slow.” But over those decades, whenever my group was in training for a specific road race looming on the calendar, I could watch myself being somehow sucked into that seductive groupthink trap of running even when I was sick, running when I was injured, running because it’s Tuesday and Tuesdays meant hill work, running with an ankle or knee taped and hurting.
Getting to a more important destination (the race) became bigger to me than paying attention to those less important messages (don’t run today). In fact, I learned from other runners to deliberately mistrust whatever my lazy-ass self was trying to say. I learned to ignore the messages my own body was sending me. Continue reading “Why we ignore serious symptoms”
by Carolyn Thomas ♥ @HeartSisters
I finally realized that I was in big trouble during a five-hour flight from Ottawa to Vancouver. But I’d been told emphatically by an Emergency Department physician two weeks earlier that my symptoms were just from acid reflux – and had nothing to do with my heart.
So for two weeks, I’d endured increasingly debilitating episodes of chest pain, sweating, nausea and pain radiating down my left arm. But hey! – at least I knew it wasn’t my heart. A man with the letters M.D. after his name had told me so. Continue reading “6 reasons women delay seeking medical help – even in mid-heart attack”
When a blockage or spasm in one or more of your coronary arteries stops allowing freshly oxygenated blood to feed your heart muscle, a heart attack can happen. The faster you can access emergency treatment to address that culprit artery, the better your chances of being appropriately diagnosed. The period of time between your first symptoms and actively getting the help you need can be divided into three phases:
- decision time – the period from the first onset of acute symptoms to the decision to seek care (for example, calling 911)
- transport time – the period from the decision to seek care to arrival at the Emergency Department
- therapy time – the period from arrival at the Emergency Department to the start of medical treatment
Only the first phase is the one you have complete control over. So don’t blow it. . .