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Family

She went a whole day not knowing she was having a heart attack. And she's not alone.

True
Cigna 2017

Beatriz Martinez was exercising at the gym one day when she suddenly felt unusually breathless and a little dizzy and got a pain in her stomach.

She stopped and took a minute to breathe, which made her feel a little better. But the pain was still there. Maybe she had pushed herself too hard and pulled a muscle?

"I thought it was the exercises, a muscle ache," says Beatriz. So, she decided to call it quits for the day and drove home.


Beatriz Martinez in her home in Miami. Image via Beatriz Martinez, used with permission.

She made lunch, washed her hair, and went about the whole day like everything was normal — even though the dull ache in her stomach never really went away. That evening, she and her husband even went to a party. But at that point, the pain had gotten worse, and by the time they went home, she was vomiting and the pain had spread to her chest.

They went straight to the emergency room.

At the hospital, they ran some tests — and Beatriz was told she was having a heart attack.

One of the most important arteries in her heart, the left anterior descending (LAD), was completely blocked. "That I'm alive, it's like a miracle," she says.

She had a stent put in and she was in recovery at the hospital for six days before she was able to go home again.

Beatriz's story is not uncommon.

Heart disease is actually one of the most common causes of death for women in the United States. But in some cases, it can be prevented — which is why preventive health care is so important.

Image via iStock.

"What creates problems for people are the things that they don't know and therefore can't change," says Dr. Nicholas Gettas, a family doctor who is now a medical officer at Cigna.

With health issues, such as heart disease, it is the cumulative effect over time of risk factors, such as high blood pressure, high cholesterol, or diabetes, that can cause a problem — like a heart attack. That’s why it is important to be informed about your four health numbers: blood pressure, cholesterol, blood sugar, and body mass index (BMI).

Image via iStock.

Even if you eat well and exercise, it's still worth getting checked. "You might see a person who is thin, who exercises, whose diet appears to be great ... [but] there is some genetic issue that means that their cholesterol is still high," says Gettas. In fact, he adds, he had a patient with a similar experience.

"The earlier you identify, the earlier you can moderate and modify the issue and the more likely you are to get a better long-term result," he says.

According to the Centers of Disease Control and Prevention (CDC), if everyone got their recommended preventive care, we could probably save 100,000 lives in America every year.

Beatriz's experience taught her a lot about the importance of keeping an eye on her health.

Even at the hospital, when everyone was rushing around to treat her, Beatriz says she couldn't help but think they were overreacting because she still didn't think it was that serious.

"I never thought that I had anything wrong with my heart," Beatriz says. She had always thought of herself as healthy: She was active, she exercised regularly, and she wasn't overweight.

Image via iStock.

She was also unaware of something very important: The symptoms of a heart attack are often very different for women than they are for men.

Most of the heart attack indicators we hear about are actually what happens when men have a heart attack — such as the left arm going numb or the obvious severe chest pain. In women, heart attack symptoms can be more subtle, as Beatriz experienced:

  • The pain isn't always in the chest. It can be in the neck, jaw, upper back, or stomach region.
  • Sometimes it just feels like a bad case of indigestion.
  • Other times it just causes shortness of breath — which is sometimes mistaken as a panic attack — or dizziness.
  • It can also cause nausea and vomiting.

This means women are more likely to ignore their pain or downplay the symptoms, causing a dangerous delay in treatment that can be deadly. In fact, according to the Mayo Clinic, women often show up in emergency roomsafter heart damage has already occurred.

Image via iStock.

But there are some warning signs — Beatriz just didn’t know to look for them.

"Before I had the heart attack, I felt breathless a lot and had pain in my jaw, but I didn’t pay attention to that because I didn’t know that was symptoms of your heart," she says. There was also a history of heart disease in her family, she adds, "but I never thought I was going to have it in my life. I never thought it would happen to me."

Beatriz wants other women to know the risk factors for heart disease before a health incident makes them all too aware of it.

She has gotten involved with the National Coalition for Women with Heart Disease and has become a WomenHeart Champion. She wants to spread awareness about heart health and the symptoms of heart disease to women across the United States. And she wants to encourage them to take control of their health before they ever get sick.

Image via Beatriz Martinez, used with permission.

It has been almost five years since Beatriz had her heart attack, and she says she's come a long way in terms of taking control of her health.

She started on medication and a special diet immediately after the heart attack. And now, not only does she go to the gym, but she also does aerobics three times a week, and she works with a personal trainer three hours a week. With the help of her doctor, she also keeps close tabs on her four health numbers. And now that Martinez has taken control, her health has never been better.

"I went to my cardiologist [recently] and he said that now, my cholesterol numbers are excellent, my blood sugar is excellent — my numbers are excellent," she says.

Beatriz says that the one thing her heart attack taught her was that she can’t become complacent about her health. "You can die if you don't take care of yourself," she says.

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Three women, three MS journeys: How multiple sclerosis looks different for everyone

Gina, Nathalie and Helga share their reactions to being diagnosed with MS and how they stay informed and positive in the face of ever-changing symptoms.

Courtesy of Sanofi

Helga, Nathalie and Gina all have MS, and their experiences show how differently the disease can manifest.

True

It’s been 155 years since neurologist Jean-Martin Charcot gave the first lecture on a mysterious progressive illness he called “multiple sclerosis.” Since then, we’ve learned a lot. We know MS causes the immune system to attack healthy tissue, including damaging the brain and spinal cord. Resulting symptoms can be debilitating and include fatigue, blurred vision, memory problems and weakness. Huge advancements in our understanding of MS and its underlying causes, as well as treatment advances, have been made in the past few decades, but MS remains a complex and unpredictable reality for the 2.8 million+ people diagnosed around the world.

Ironically, the only real constant for people living with MS is change. There’s no set pattern or standard progression of the disease, so each person’s experience is unique. Some people with MS have mild symptoms that worsen slowly but sometimes improve, while others can have severe symptoms that drastically alter their daily lives.

All people with MS share some things in common, however, such as the need to stay informed on the ever-evolving research, find various lines of support and try to remain hopeful as they continue living with the disease.

To better understand what navigating life with MS really looks like, three women shared their MS stories with us. Their journeys demonstrate how MS can look different for different people and interestingly, how the language used to talk about the disease can greatly impact how people understand their realities.

woman with horse, woman riding horseGina loves riding her horse, Benita.Courtesy of Sanofi

Gina—Hamburg, Germany (diagnosed with relapsing multiple sclerosis in 2017)

When her youngest son was 4 months old, Gina started having problems with her eye. She’d soon learn she was experiencing optic neuritis—her first symptom of MS.

“Immediately after the diagnosis, I looked up facts on MS because I didn’t know anything about it,” Gina says. “And as soon as I knew what could really happen with this disease, I actually got scared.”

As her family’s primary income provider, she worried about how MS would impact her ability to work as a writer and editor. Her family was afraid she was going to end up in a wheelchair. However, for now, Gina’s MS is managed well enough that she still works full-time and is able to be active.

“When I tell somebody that I have MS, they often don't believe me the first time because I don't fulfill any stereotypes,” she says.

Overwhelmed by negative perspectives on living with MS, Gina sought support in the online MS community, which she found to be much more positive.

“I think it’s important to use as many positive words as you can when talking about MS.” It’s important to be realistic while also conveying hope, she says. “MS is an insidious disease that can cause many bad symptoms…that can be frightening, and you can't gloss over it, either.”

To give back to the online community that helped her so much, Gina started a blog to share her story and help others trying to learn about their diagnosis.

Though she deals with fatigue and cognitive dysfunction sometimes, Gina stays active swimming, biking, riding horses and playing with her sons, who are now 11 and 6.

Cognitive dysfunction is common in MS, with over half of people affected. It can impact memory, attention, planning, and word-finding. As with many aspects of MS, some people experience mild changes, while others face more challenges.

Gina says that while there’s still a lot of education about MS needed, she feels positive about the future of MS because there’s so much research being done.

woman in wheelchair holding medal, woman rowingNathalie is an award-winning rower with multiple international titles.Courtesy of Sanofi

Nathalie — Pennes Mirabeau, France (diagnosed with relapsing-remitting multiple sclerosis in 2002)

Nathalie was a teenager and a competitive athlete when she noticed her first symptoms of MS, but it would take four years of “limbo” before she was diagnosed.

“Ultimately, the diagnosis was more of a relief, than a shock,” she says. “Because when you have signs and you don’t know why, it’s worse than knowing, in the end, what you have.”

However, learning more about the disease—and the realities of disease progression—scared her.

“That glimpse of the future was direct and traumatic,” she says. Her neurologist explained that the disease evolves differently for everyone, and her situation might end up being serious or very mild. So, she decided to stop comparing herself to others with MS.

She said to herself, “We’ll see what happens, and you’ll manage it bit by bit.”

By 2005, Nathalie’s MS had progressed to the point of needing a wheelchair. However, that has not dampened her competitive spirit.

Nathalie began her international rowing career in 2009 and has won multiple world titles, including two Paralympic medals—silver in London and bronze in Tokyo. Now, at 42, she still trains 11 times a week. Fatigue can be a problem, and sometimes hard workouts leave her with muscle stiffness and shaking, but she credits her ongoing sports career for helping her feel in tune with her body’s signals.

“Over the years, I’ve learned to listen to my body, letting my body guide when I need to stop and take breaks,” she says.

Nathalie explains that she used to only look backwards because of the initial shock of her diagnosis. In time, she stopped thinking about what she couldn’t do anymore and focused on her future. She now lives in the following mindset: “Even when doors close, don’t miss out on those that open.” Instead of focusing on what she can’t do, she focuses on the opportunities she still has. Right now, this includes her training for the 2024 Paralympic Games in Paris, where she will compete for another rowing medal.

“I only go forward,” she says. “Well, I try, anyway…It’s easy to say, it’s not always easy to do. But that’s what I try to do.”

woman exiting water after swimming, woman with great daneHelga's Great Dane has become a helpful and beloved companion.Courtesy of Sanofi

Helga—Johannesburg, South Africa (diagnosed with relapsing multiple sclerosis in 2010)

When Helga first started having balance issues and numbness in her feet, she chalked it up to her training as a runner. But when the numbness moved to her face, she knew something was wrong. She never guessed it was MS.

“When I was diagnosed, I felt completely overwhelmed and clueless,” Helga says. “I felt that I had nowhere near enough information. I did not know anything about the disease…I had no idea that it was going to be a process of continually monitoring and adjusting your lifestyle.”

In the beginning, Helga’s symptoms developed slowly, and she didn’t appear ill to others. She was even able to run for a few years after her diagnosis, but she couldn’t do marathons anymore, and she began to fall frequently due to balance issues and right-foot dragging. Then her cognition issues became more problematic, especially in her job as a trainer in a printing company.

“My executive function, decision-making and short-term memory were affected to the point that I was eventually medically unfit for work,” she says. She stopped working in 2017.

However, she didn’t stop living life. Even though she could no longer run, she continued to swim competitively. She got a Great Dane puppy and trained him as a service dog to help her walk. She also serves as vice chair of the patient support organization Multiple Sclerosis South Africa, and she advises others who have been diagnosed to join a patient advocacy group as soon as possible to get reliable information and meet others with MS.

Helga says she is “hopeful” about the future of MS. “I must say that I am so grateful that we have all the new medications available, because my life would not be the same if it wasn't for that,” she adds.

Part of how she manages her MS is by looking at the positives.

“If I could tell the world one thing about MS, it would be that MS is an incurable disease of the nervous system, but it's also the greatest teacher of valuing your health, family, friends, and managing change in your life,” she says. “My life is diversified in a way that I never, ever thought it would, and MS has been honestly the greatest teacher.”

Each MS journey is unique – with each person impacted experiencing different struggles, successes, and feelings as they manage this unpredictable disease. But the common thread is clear – there is a critical need for information, support, and hope. We are proud to participate in World MS Day and share these incredible stories of living life while living with MS. To learn more about MS, go to https://www.sanofi.com/why-words-really-matter-when-it-comes-to-multiple-sclerosis.

MAT-GLB-2301642-v1.0-05/2023

This article was sponsored by Sanofi. Participants were compensated when applicable.

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