Ecce Mandy

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[Ecce Mandy @EcceMandy]

@GMbunchanumbers Some “trans people” get pregnant and those would be women who are trans.

[Afshine Emrani MD FACC @afshineemrani]

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: https://t.co/4LRugiY8q2

[Ecce Mandy @EcceMandy]

@LeonaAngelaVII That will be because you’re and entitled male.

[Ecce Mandy @EcceMandy]

@honestpizza0135 @jan_murray Hormonal men innit. Testosterone is powerful.

[Ecce Mandy @EcceMandy]

@AdamRicho1981 @jan_murray Jeez Adam, calm down dear. It’s only a TV show.

[James Dreyfus @DreyfusJames]

“Take a gay for a cuppa”

🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣…inhale…🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣…inhale…🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣

[BelfastBeatnik @BelfastBeatnik]

This looks interesting 🤔
https://t.co/iJfgmt6QAs

[Ecce Mandy @EcceMandy]

@wee_rosh @BeattieDoug Read what I wrote not what you think I wrote.

[Ecce Mandy @EcceMandy]

@wee_rosh @BeattieDoug They do erase women as a sex class. To protect that sex class men do need excluded from it even when they say they are women. No one can change sex.

[Emma Hilton @FondOfBeetles]

Hello Stella.

(Labour Party member here, if that makes a difference)

IMO, it’s remarkable that you are co-sponsoring an EDM to reject guidance on established law, and extensively engaging/justifying this action because you think the guidance “is wrong”, yet decline to explain why you think the guidance is wrong.

You are an elected official with a national platform and accountability. Being coy about your rationale for attempting to prevent guidance on such a hotly-contested issue being approved really isn’t on.

I expect more of our parliamentarians, frankly.

Don’t you think constituents, including both the broader party constituency and non-constituents who, nonetheless, live in a country where you belong to the party in power are worthy of explanation?

You’re talking to the expert, advocates and representatives of this guidance. Maybe an actual discussion would be fruitful?

Is the guidance wring but you think the law OK?
Is the guidance wrong because you think the law is wrong?

If you think the solution is legislation, that means you wish to change the Equality Act - I don’t see another interpretation.

Your voters deserve to know how you are planning to do this. Don’t we LP members deserve to know how our party is approaching this (including the range of views on offer)?

No Debate is over.

[Ecce Mandy @EcceMandy]

@lemondropsicle @Default69202648 @EireForeve23hp You can bet your ass no girl would be permitted to turn up like this.

[Diana Alastair💚🤍💜 ⚢ ❌❌✡️ @sappholives83]

11 trans people have been murdered in the United Kingdom since 2000. All of them were killed by somebody they knew.

In that timeframe, 20 trans people have committed homicide in the UK, including one stranger killing.

There is no trans genocide.

There isn’t even any real persecution.
When it comes to homicide, trans people are the safest demographic in the western world, and it’s past time that members of that community stop pretending to be the most victimy victims ever to be victimized.

[Ecce Mandy @EcceMandy]

@TheatreSpoonie @fatladylimbourg Transgenderism is the attack on women’s rights.

[Ecce Mandy @EcceMandy]

@OakesMarianne You’re a 58 year old man though so you look ridiculous pretending to be a woman.

[Ecce Mandy @EcceMandy]

@celticwarrior93 @squinteratn @SpeechUnion Comprehension not your strong point chum. If you watch the official FSU video where members of the audience are not captured on a camera you’ll see that squirter became squirmer.

[Ecce Mandy @EcceMandy]

These are kids with no *actual* problems that need solving. Can we have Emos and Goths back please?

[Ecce Mandy @EcceMandy]

@hehimta Who is protecting a paedophile?

[Daniel ShenSmith (BlackBeltBarrister) @dshensmith]

Since you’ve turned off replies, I've quoted posted to allow me to clear up your confusion. The law is incredibly straightforward:

Where the Equality Act 2010 refers to sex, it means biological sex. The Supreme Court ruling made this a settled fact.

This means "single-sex spaces" must be based on biological sex. Women's bathrooms, changing rooms, and services are for biological women only (and vice versa for men).

Per the ruling and statutory guidance, a single-sex space ceases to be one the moment you permit a member of the opposite biological sex into it. It doesn’t matter how that person identifies, and it doesn't matter if they have a GRC.

If you fail to uphold this, you are leaving yourself wide open to highly successful discrimination claims.

For the dignity of all biological women and men alike, I urge you to comply with the law.