FRUSTRATION.. what came first the chicken or the egg?

Frustration has become an all too normal part of dealing with the medical specialties for me lately. Ever since my heart attack was linked to a dissection of my right coronary artery due to the use of birth control I have been battling between Cardiology and Gynecology. Never did I think,  2016 would be the year of my heart and uterus..(say that five times fast)  two organs that I've never given a good deal of thought to until now.

 Many women these days take birth control to not just prevent babies but to help with cramps, bleeding and for many other reasons.  I myself had to be on birth control due to bleeding issues. Was it my first choice... no! But what else do you do when you're using feminine pads as big as the Titanic, and it's still not enough?? (Too much information I know.. but we've all been there)

In nursing school, I was taught about the effects and adverse events of birth control and personally made the decision to become a long time birth control user. Looking back would I have done things differently?  I'm not sure. Hindsight is 20/20 and at the time that's what worked for me. Remember, what is right for one person may not be right for others. Thank God we live in a country where you have personal freedom over your health care decisions. This blog is my personal view and may not be right for everyone.. Have this discussion with your doctor and decide what's right for you.

That brings me to today and the reason I'm writing my blog.
On 2-11-16 the day of my heart attack my Cardiologist told me in a very stern voice to never take any hormones again. I listened and then again had to deal with the bleeding issues. Leading now to a heated debate between me, and my gynecologist. Gynecologists don't want to believe that birth control caused my dissection. They chalk it up to something else. Although I have told them time and again that I have NO CARDIOVASCULAR RISK FACTORS. Here is where the FRUSTRATION comes in. Yesterday, I had to have an outpatient surgery and as I'm telling the Anesthesiologist my history my Gynecologist is looking at me like I have three eyeballs. Ugh!! I again tell my gynecologist after the procedure I don't want to use any hormones to control the bleeding even if it's just progesterone or an IUD. I can see by the look on his face he is like " would this chick stop already."  Nope!! Buddy, I am a nurse, women and I've done my research, and I won't take any more chances with my life. I only get one, and I will be the strongest patient advocate... so watch out!

In the end, there will always be two sides to every issue... What came first the chicken or the egg? What caused my heart attack? It depends on who you ask. For me, my faith lies in the hands of my
Cardiologist. He was able to see my heart in the Cath lab while doing my angiogram and placing my two stents. At this point, it doesn't matter.. I just want to make sure that it NEVER HAPPENS AGAIN.

If you take one thing away from my blog today, is to be an ADVOCATE! Don't let frustration make you silent. Ask questions, do your research and if you feel uncomfortable with what you hear .. Don't give up. Stand up!
Get a second opinion if necessary. You are in charge! Just like people, doctors can also have high variability in how they treat you not just medically but also compassionately.. Although I've only mentioned Cardiology and Gynecology today remember this can happen in any medical area. I continue to ask you to be an advocate no matter what type of doctor or health concern you are dealing with.

Enjoying every second of my life.. while preventing a second heart attack!!



Not letting my heart attack slow me down... Enjoying every day!

Just one second. I feel like I've been told a hundred times had I waited another second, a minute or for sure 30 minutes I wouldn't be here today! I read recently that the American Heart Association has a new campaign "Don't wait for a second." When reading through this, I started thinking what am I doing to prevent a second heart attack? I graduated cardiac rehab with a few hiccups along the way.. not many people can say they that cardiac rehab sent them home and said come back next week. ( Yep, acute pericarditis got the best of me) My chest pain would come and go that my speed on the treadmill would make a turtle laugh! I quit caffeine cold turkey; boy was that painful. I remember asking for Diet Pepsi in the hospital due to a major headache not realizing it was caffeine free on the cardiac units. (UGH!!) Detoxing off caffeine was similar to childbirth, ouch!! I no longer drink alcohol. My glass of white wine when on date night with my hubby is a thing of the past.
You are probably wondering why in the world would I give all this up? Simple, I will do everything possible on God's green earth to never have to experience the sights and sounds of a cath lab!!

Below are the five steps that American Heart Association Recommends for preventing a second heart attack:

1. Take your medicines
2. Manage your risk factors
3. Get Support
4. Connect with your doctor
5. Participate in cardiac rehab

Here is how I manage to incorporate the five steps into my life on a daily basis. Keep in mind I am by no means perfect. I sneak in a burger and fries every once and awhile.. ok, maybe a little more frequent than that! But, remember we are all human, and we have been given a second chance at life so give yourself credit when you do the best you can at prevention.

1. Take your medicine: I am a fanatic about making sure I take my meds every day. This is the nurse in me. I have a pill box and fill it every Sunday night. Crazy, aren't medicine boxes for nursing homes? Nope, its the new cool thing to display on your countertop!  If you don't have one, be sure to run out and get one. Medicine is only one piece of the puzzle to prevention.... So always keep it as your #1 priority.

Bruises.. Bruises everywhere. The day folding laundry became dangerous!!
The side effects of blood thinners.. they keep the stents open but makes you look like a pin cushion

2. Manage your Risk Factors: This can be tough because some risk factors are modifiable, and some are non-modifiable. I maintain my modifiable risk factors by taking a statin to keep my cholesterol low, and I follow the cardiac diet( I know this can be very trying at times.. but it does the body good.) I try to make simple changes everyday like eating white meat, vegetables and fruit, and little to no salt. I walk every day and don't smoke. The non-modifiables are a little harder to control... I can't change my family history or age.. which sadly just keeps going up every year!! Always keep in mind that stress can contribute to heart disease. As Mark Twain says " I've had a lot of worries in my life.. Most of which never happened."

3. Get Support: I have relied on my family and friends to get me through this crazy experience! We have talked about my heart attack five ways to Sunday. It seems like every once and awhile the thought of "WHAT IF?" sneaks into my thoughts. TALK, TALK, TALK.. don't let your wandering mind get the best of you. You're alive.. make it worth it!!

4/5. Connect with your doctor and Participate in Cardiac Rehab: I lump these two in the same category because they go hand in hand. My Cardiologists and the nurses in Cardiac Rehab helped me so much! I had faith that they knew what would be best for me and let them guide me through the process of recovery. I went from running half marathons to barely being able to walk from the couch to the bathroom without being short of breath. My heart attack was truly a life altering the experience. Cardiac rehab not only got my endurance back but my confidence and security that my heart could handle a little kick in the butt and be ok!

As I finish writing my blog tonight, I celebrate six months post heart attack. I describe my heart attack to my friends as a crazy journey. I've shed many tears along the way, had hiccups in my recovery and experienced four additional nights in the hospital. But I won't let this get the best of me. I have a second chance at life, and I won't take it for granted!! SO... PREVENTION IS THE KEY TO NOT EXPERIENCING A SECOND HEART ATTACK!! Control what you can control, smile and just breathe.