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Author Topic: Don't Have A Heart Attack
Rebecca West
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Babbler # 1873

posted 10 January 2003 02:53 PM      Profile for Rebecca West     Send New Private Message      Edit/Delete Post  Reply With Quote 
Women who have heart attacks get less aggressive treatment than men in hospitals. Of especial interest to me is the fact that it's been known that there's gender inequity in this area of treatment for years, but an excuse that was floated with little to support it, and has been shown to be untrue, wasn't questioned apparently until now.

http://makeashorterlink.com/?T1FF22A03

[ 10 January 2003: Message edited by: Rebecca West ]


From: London , Ontario - homogeneous maximus | Registered: Nov 2001  |  IP: Logged
Trisha
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posted 12 January 2003 01:42 PM      Profile for Trisha     Send New Private Message      Edit/Delete Post  Reply With Quote 
I had a heart attack on May 10, actually my third but the worst of them as the other two went away by themselves while I was in emergency. This one didn't.

I went in about 10pm with pressure all over my upper body and numbness in both arms. They didn't take me seriously. I am a woman, therefore, they told me it was likely only an anxiety attack but they would keep me there to observe me. (What they actually said was that many women had anxiety attacks due to the weather changes, that was probably my problem too.) They asked me questions about stress and family relationships.

Four hours later, a doctor finally decided that since my pain hadn't eased it was time to try the blood test that determines if a certain problem exists. This test is repeated every four hours if the indication is that it could be a heart attack. I was finally X-rayed and given an ultrasound too. Another four hours passed, still no treatment. Another test was taken. This time they gave me nitro spray when the result came back. The nitro didn't help, so they repeated it three more times. I ended up in the hospital but not in ICU.

It was a week before I had the rest of the tests, angiogram, stress (which I failed), and others. They determined I needed an angioplasty, which isn't done locally (I had an 85% blockage). I was finally sent to Ottawa at the end of June and had an angioplasty and a stent put into the main artery to my heart. Follow-up was nonexistant. I came home alone on a commercial flight the day after the angioplasty, only my GP followed up on anything to this date.

The three men who had heart attacks during the three days I was in emerg were sent away first, had all their tests first and at least one was in ICU. The other woman who had a heart attack was sent home after two days and died from another a few weeks later. I know her daughter.

This would indicate to me that women are not getting the treatment we should be, that the differences in the symptoms for men vs women is not being recognized by medical staff and that the entire system seems to think men need treatment first. I know two of the men who were in with me and still talk to one of them occasionally. He is being seen by a heart specialist, I'm not.

If they had done the proper treatment with one of my two previous attacks about five years ago, I would have had the angioplasty sooner and it may have done more good. My friend's mother never did have one done after five heart attacks.


From: Thunder Bay, Ontario | Registered: Apr 2001  |  IP: Logged
skdadl
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posted 12 January 2003 01:58 PM      Profile for skdadl     Send New Private Message      Edit/Delete Post  Reply With Quote 
Trisha:

1. So glad to see you.

2. I'm outraged. Not long ago, we listened to a friend of ours describe his -- utterly different -- treatment when he turned up at an emerg in Hamilton.

If his angioplasty wasn't done the same day, it was certainly the next ... As soon as he appeared with the symptoms you describe, he was given the diagnostic blood test -- it was the first thing they thought of when they saw him (a man about our age ... that seems to do it).


From: gone | Registered: May 2001  |  IP: Logged
rasmus
malcontent
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posted 13 January 2003 01:46 AM      Profile for rasmus   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
Happily, I can't confirm the pattern. My mother, who is working class, and certainly doesn't exude wealth or power in a setting like a hospital, recently had chest pain that seemed like it could be a heart attack. As soon as she went in a full battery of tests was done -- blood test (twice), X-ray, ECG (twice). She got a bed in emergency almost right away, and then the tests began. (She went to the hospital by herself, just to clarify.) Everything came up negative. Which in its own way is not good, because she still doesn't know what caused the pain. But I can't complain that she didn't get what I would think of as the proper treatment.

She has had other very bad experiences with the medical system based on her class and gender, but this wasn't one of them.


From: Fortune favours the bold | Registered: May 2001  |  IP: Logged
Michelle
Moderator
Babbler # 560

posted 13 January 2003 07:27 AM      Profile for Michelle   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
Yes, a few years ago, I went through a depression that included really terrible anxiety attacks that included chest pains and shortness of breath. Before I was diagnosed and given medication, I went several times in the middle of the night to the hospital, worried that I was dying.

They immediately hooked me up to diagnostic equipment in order to rule out heart attack, stroke, etc. And I was in my early 20's at the time - not exactly a high risk group (well, I was fat, but not old...maybe they would have taken it less seriously if I were thin, who knows?) and not the most assertive age when it comes to demanding care.


From: I've got a fever, and the only prescription is more cowbell. | Registered: May 2001  |  IP: Logged
Rebecca West
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posted 13 January 2003 09:29 AM      Profile for Rebecca West     Send New Private Message      Edit/Delete Post  Reply With Quote 
Trish, your experience is very disturbing. The cavalier attitude towards your health and very life is an obscenity. Your GP needs his/her ass kicked for not ensuring that your treatment is more aggressive and thorough.

While you shouldn't have to, you need to tell your doctor that unless he/she gets of his/her ass and does his/her fucking job in getting you the specialized treatment you need, his/her license will be up for consideration before the College of Physicians and Surgeons.


Jeezusbloodingfuckingchrist.


From: London , Ontario - homogeneous maximus | Registered: Nov 2001  |  IP: Logged
Michelle
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posted 13 January 2003 11:58 AM      Profile for Michelle   Author's Homepage     Send New Private Message      Edit/Delete Post  Reply With Quote 
That was about the same reaction I had when I read Trisha's account.
From: I've got a fever, and the only prescription is more cowbell. | Registered: May 2001  |  IP: Logged
Timebandit
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posted 13 January 2003 12:11 PM      Profile for Timebandit     Send New Private Message      Edit/Delete Post  Reply With Quote 
Ditto.

I have a friend in Vancouver who had a heart attack (I'm blaming it on the NFB, but that's a whole other story...), and it took them a couple of days to figure it out. Frightening.


From: Urban prairie. | Registered: Sep 2001  |  IP: Logged
Rebecca West
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Babbler # 1873

posted 13 January 2003 12:21 PM      Profile for Rebecca West     Send New Private Message      Edit/Delete Post  Reply With Quote 
The only area of women's health that hasn't gotten short shrift is cosmetic surgery. Grils, if you have a history of heart trouble, I suggest you get implants. It's the only way you're going to get a doctor interested in your chest.
From: London , Ontario - homogeneous maximus | Registered: Nov 2001  |  IP: Logged
Trisha
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Babbler # 387

posted 13 January 2003 01:40 PM      Profile for Trisha     Send New Private Message      Edit/Delete Post  Reply With Quote 
My GP is very supportive and always fights for me. It's the lack of specialists and the overworked staffs at the hospitals that are having trouble. Sometimes I get instant attention, like the first two attacks which eased up totally after proper care. I had to be flown to Ottawa for the angioplasty and that is a horror story in itself. They lost me in Ottawa, couldn't find my name after filling out the forms. They were going to send me back home and have me return, at my own cost, in a week or two. A middle eastern orderly saved my life. He pronounced the name of a missing person with a strange spelling and it was my name, not what the others were reading. I thinked him profusely.

The same symptoms often are gallbladder trouble or lung problems, so further investigation is in order for anyone having these kinds of pains recurring. I don't know with my age and weight as well as history why I was treated this way. They should have had me on a monitor immediately.


From: Thunder Bay, Ontario | Registered: Apr 2001  |  IP: Logged
Rebecca West
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posted 13 January 2003 02:04 PM      Profile for Rebecca West     Send New Private Message      Edit/Delete Post  Reply With Quote 
Hey, if you're happy with your GP, that's great. But if you're concerned about not being referred to a heart specialist after three heart attacks, it's not the hospital's fault.

Edited to add: I'm really confused about why you've totally backed off this issue.

[ 13 January 2003: Message edited by: Rebecca West ]


From: London , Ontario - homogeneous maximus | Registered: Nov 2001  |  IP: Logged
Trisha
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Babbler # 387

posted 13 January 2003 10:57 PM      Profile for Trisha     Send New Private Message      Edit/Delete Post  Reply With Quote 
I haven't backed off, the heart specialist took care of me in the hospital but decided I didn't need to come to him unless I have problems. I am on the fast referral list at his office. That's about the best you can get if you don't live in the Toronto area. The few we have here are so busy, people from the outlying small towns are just being sent up there as quickly as possible.

My GP will not hesitate to have me sent without having to see him first if I ask, but there's no reason to ask as I haven't had any problems since I came home July 1. I have been checked thoroughly and when I went to my GP with psoriasis, he had my heart checked again.

My biggest problem is having no way to get to the Heart Association programs. I'm pretty much confined to home by my disabilities now and have no transportation. I don't need the emotional support but would like to find out about anything new.


From: Thunder Bay, Ontario | Registered: Apr 2001  |  IP: Logged

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