“There is no gender bias in medicine. Because I said so…”

by Carolyn Thomas   @HeartSisters 

When my heart sister Katherine Leon was featured in The New York Times earlier this year, I was thrilled. Katherine, like me, is a graduate of the WomenHeart Science & Leadership patient advocacy training at Mayo Clinic. She told the Times of undergoing emergency coronary bypass surgery at age 38, several days after her textbook cardiac symptoms had first been dismissed by doctors who told her, “There’s nothing wrong with you.”     .
Continue reading ““There is no gender bias in medicine. Because I said so…””

Is SCAD rare? Or just rarely diagnosed correctly?

by Carolyn Thomas   @HeartSisters  

I was so happy to see Katherine Leon featured in The New York Times recently. Katherine, like me, is a graduate of the WomenHeart Science & Leadership patient advocacy training at Mayo Clinic. She told the Times of undergoing emergency coronary bypass surgery at age 38, several days after her severe cardiac symptoms had been dismissed by doctors who told her, “There’s nothing wrong with you.”

She isn’t alone. Many, many studies have shown that female heart patients are significantly more likely to be under-diagnosed – and worse, often under-treated even when appropriately diagnosed – compared to our male counterparts. This is especially true for women with her condition (Spontaneous Coronary Artery Dissection, or SCAD) that was once considered to be a rare disease.

Dr. Sharonne Hayes is also featured in the NYT piece; she’s a respected Mayo Clinic cardiologist, longtime SCAD researcher and founder of the Mayo Women’s Heart Clinic. (You can read their story here).

But almost as soon as the Times piece was published online, I was gobsmacked to see some of the reader comments coming in – especially comments from people like these:     . Continue reading “Is SCAD rare? Or just rarely diagnosed correctly?”

Is ‘being nice’ hurting women?

by Carolyn Thomas    @HeartSisters 

Imagine the reaction from Emergency Department staff to the woman I met at my Mayo Clinic training, the one who had been sent home from Emergency three days in a row despite her complaints of increasingly distressing cardiac symptoms. Each time she arrived there, she clearly declared the following to the Emergency physician, who continued to repeatedly dismiss her concerns:

“I don’t care what you say. SOMETHING is wrong with me!”

What a royal pain in the ass, staff may have muttered about her, sotto voce.

On her third visit, the physician recommended anti-anxiety medications. But on the fourth visit, on that fourth day, she was taken directly from the E.R. to the O.R. to undergo emergency coronary bypass surgery. Continue reading “Is ‘being nice’ hurting women?”

Those curious cardiac enzymes

by Carolyn Thomas  ♥  @HeartSisters

When I showed up in the Emergency Department with textbook heart attack symptoms – central chest pain, nausea, sweating and pain radiating down my left arm – the hospital staff snapped to work and immediately ordered a flurry of diagnostic tests. These included an EKG (ECG, or electrocardiogram), blood tests, chest x-ray and a treadmill stress test. But all test results came back “normal”. I was then told that I was in the “right demographic” for acid reflux before being sent home – less than five hours after the onset of symptoms.

I left hospital that morning feeling terribly embarrassed for having made such a fuss over just a little case of indigestion.  It was only much later – after finally being correctly diagnosed, taken directly from the E.R. to O.R. and admitted to the cardiac intensive care unit for a myocardial infarction (MI, or heart attack) caused by a fully occluded Left Anterior Descending coronary artery – when I learned that my first “normal” blood tests may have been far less “normal” than I was told.  Continue reading “Those curious cardiac enzymes”