I'm a cardiologist. A 42-year-old mother of two came to my office complaining of jaw pain and crushing fatigue. She ran half-marathons. Her EKG was normal. Another doctor had sent her home with anxiety medication. When I got her into the cath lab, I found severe microvascular disease — plaque choking the tiniest vessels of her heart, the ones standard angiograms routinely miss. Her heart had been starving in silence while everyone told her she was stressed. She is alive today. Too many women like her are not. Heart disease kills more women than every cancer combined. And medicine is still diagnosing it through a male lens. 84% of cardiologists report having patients in the past year whose heart disease was misdiagnosed by another physician. Women with a STEMI heart attack have a 59% greater chance of being misdiagnosed compared to men. Women with an NSTEMI — 41% greater chance. The reason is structural. For decades, we screened, tested, and treated women using a template built for men. Men's heart attacks announce themselves — the crushing chest pain, the clutched fist, the Hollywood collapse. Women's hearts whisper. Crushing fatigue that feels like wearing a lead vest. Jaw pain written off as TMJ. Nausea blamed on a stomach bug. An ache between the shoulder blades blamed on a long week. Shortness of breath blamed on being out of shape. For years, medicine called these "atypical" symptoms. They are not atypical. They are female-typical. Half of humanity is not a variant. And the biology runs deeper than symptoms. Women have smaller hearts and narrower coronary arteries. Plaque doesn't only clog the big highway vessels — it hides in the microvasculature, the tiny branches feeding the heart muscle itself. A woman can have a heart attack with a completely "clean" standard angiogram. SCAD — spontaneous coronary artery dissection — occurs 90% of the time in women. Often young, fit women with zero traditional risk factors. It's the leading cause of heart attack in women under 50, accounting for roughly one quarter of all cases in that age group. Most doctors have never diagnosed one. And some of the most dangerous cardiac risk factors are hidden in women's medical histories where no one thinks to look: Preeclampsia or gestational hypertension doubles to quadruples lifetime heart disease and stroke risk. Pregnancy is the body's first cardiac stress test — and these complications are early warning sirens, not closed chapters. Autoimmune disease — lupus, rheumatoid arthritis, psoriasis — far more common in women, turbocharges inflammation and plaque formation at any age. Cardiovascular disease in women aged 20-44 is projected to surge nearly 50% by 2050. The youngest patients in my practice keep getting younger. What every woman should ask her doctor — and what every doctor should be asking: "Given my pregnancy history, autoimmune status, and family history — what is my full cardiovascular risk?" If they don't ask about preeclampsia or gestational diabetes, volunteer it. "Should I have an Lp(a) test and a coronary calcium score?" Standard cholesterol panels miss too much. Lp(a) is genetic, one-time, and most women have never been tested. "My tests came back normal but my symptoms haven't stopped — what's next?" Normal stress tests and angiograms can miss microvascular disease, spasm, and SCAD. Persistent symptoms warrant coronary CT angiography or cardiac MRI. And if something feels wrong — say these exact words to your doctor: "I am concerned this could be my heart." That single sentence changes the workup. Do not soften it. Do not apologize for it. 80% of heart disease is preventable. But the playbook has to be built for female biology. Two decades ago, I wrote one of the first books warning that heart disease was the number one killer of women and that medicine was diagnosing it through a male lens. It was recognized by First Lady Laura Bush at the White House during the early years of the national conversation about women's heart health. I'm haunted by how much of that book I could republish today unchanged. The science has advanced. The awareness has grown. But the gap between what we know and what happens in the exam room is still costing women their lives. Share this with every woman you love — and every doctor who treats them. READ MORE: open.substack.com/pub/afshin…

Wow… The Henry Nowak Story continues to get worse… The U.K. police wanted to censor their conduct as ‘online misinformation’ and were demanding that they continue to label Henry as the ‘aggressor’ If it wasn’t for X…the truth about Henry would be buried forever…

Hampshire Police violently arrest 15-year-old girl in Southampton for running away from foster care. The girl's father has sent us images of the girl whose face is now covered in cuts and bruises after the police ground her head into the floor. These officers are thugs.

🚨 Starmer is about to ban under 16s from social media. And the establishment is already pushing to extend it to under 18s. They want you to believe this is about protecting children. It is not. To enforce an age limit on social media every single user in Britain will be forced to upload their passport to a government approved database just to prove they are allowed to speak online. They are not building a child safety net. They are building a national ID database through the back door and using your children as the excuse to do it. First they arrested people for tweets. Then they monitored legal posts. Now they want your passport before you are allowed to have an opinion. RT if you see exactly what they are building. 🇬🇧

What a load of rubbish. Starmer fled to Paris to hold a ‘virtual’ (zoom meeting) with other leaders. He could have done that from his office in Downing Street but fled because he knew awkward questions over Mandelson were coming his way. We aren’t stupid you know.

This is footage of an e-bike exploding at a home in Catford. It's just one of 556 e-bike fires in the last three years in London. The infernos are toxic, spread within seconds and are almost impossible to put out. And they've killed half a dozen Londoners since 2023.

RT @WheelieFUMS: Hey Hel's, here you go again. The Telegraph article on PIP isn’t just reporting policy, it’s shaping a narrative. From p…

thesun.co.uk/news/37645997/e… Great to hear this 👏🏻👏🏻👏🏻👏🏻 CYCLIST CRACKDOWN Ex-Met chief urges crackdown on rogue cyclists as number of pedestrians injured by speeding bikers soars

Better buses campaigners with mobility aids, prams & shoppers, took our demands to @TracyBrabin yesterday. As there were 2 ♿️users amongst us we had to take 2 separate buses from the bus station which rather underlines the point. Thanks to @itvcalendar for great coverage ✊

The @MayorofLondon says that those bus stops that comply with @TfL guidance are usable by blind people. This one here in the heart of the City of London does comply, but is clearly unusable for blind people. Retweet to support blind people’s. Access needs:

Who thinks that Third Worlders who want to live under Sharia Law should pack their bags and go home instead of bringing Sharia to Britain? I do..

🥴☺️🤓

Do you think Keir Starmer should resign?

Cyclist cycles down one way street in wrong direction causing the on coming car to enter a cycle lane. It’s ok apparently…. Nobody got hurt … Second clip shows another cyclist do the same …. We must keep ourselves safe too …. Credit to Simon for video For more 👇🏼 youtube.com/@Cab-cab-67?si=F… .

There is no transport for all when there are floating bus stops or shared use bus boarders in cycle lanes for blind and visually impaired people, who want to travel by bus. The designs are simply not working.

One of my favourite videos as @cathynewman brings her woke nonsense to Polish MEP Dominik @D_Tarczynski in 2018. She asks "how many refugees has Poland taken?" "Zero. We will not accept even one Muslim". Called "racist" he invokes its the views of the electorate. In a tweet Me Newman clutches her pearls & writes, "Watch this Polish politician tell me with pride his country has admitted zero refugees."

You’ve seen all the commercials. But what really happens when you ask for help with an erection lasting more than 4 hours?: I walked into a Chemist's and asked to talk to a male chemist. The woman I was speaking with said she was the only chemist and since she and her sister owned the store, there were no male employees. She asked if she could help me. I said that I really would have preferred to speak with a male chemist. She assured me that she was completely professional and whatever it was that I needed to discuss, I could be confident that she would treat me with a high level of professionalism. I reluctantly agreed and began by saying, “This is tough for me to discuss, but here goes. I get erections every day that last more than four hours. This condition causes me a lot of problems and severe embarrassment. I was wondering what you could give me for it?” The chemist said, “Just a minute, I’ll talk to my sister.” When she returned, she said, “We discussed it at length, and here’s the absolute best we can do: ** Free room and board, ** 1/3 ownership in the store, ** a company car, ** a king size bed, and ** £2,000 a month in living expenses.......

ULEZ: The 20 mph speed limits INCREASE pollution by 35% The Expose expose-news.com/2024/03/20/u…

Keir Starmer identifies as non-spinery.