Heidi Graci

[Heidi Graci @formermingo]

I buried Fred the fish today. I gave him a pretty flower and a plaque. He helped so many kids who were crying or nervous about kindergarten. We will miss him. #RIPFredtheFish

[Heidi Graci @formermingo]

It is with great sadness that I announce the passing of our kindergarten classroom fish, Fred. Fred brought joy and comfort to my students. He lived almost a decade. We loved Fred! #RIPFredtheFish

[Lana the Bug 🪲💕 @lanabeesfw]

The MBARI (Monterey Bay Aquarium Research Institute) has a microphone at the bottom of the trench in Monterey Bay where they find stuff like this and you can listen to it live 24/7 and you can usually hear tons of whales but also you can hear Other Things

[Dale Chu @Dale_Chu]

WATCH: “We made an enormous mistake allowing the ed tech industry to come in and give every kid a computer, a tablet, an iPad, a Chromebook… and the results are devastating and we need to stop.” @JonHaidt via @andersoncooper @AC360

[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

[John Clark @JClarkNBCS]

Phillies win again

They have won 9 of 11 games

Phillies are 27–11 under Don Mattingly. Most wins in baseball since he took over.

Sanchez great again. Duran 16 straight saves.

Phils 6 games over 500

[Philadelphia Phillies @Phillies]

We are the Philadelphia Phillies and we approve this message.

🗳️ https://t.co/cdVTjmanhF

[Heidi Graci @formermingo]

@MeganGierka Thanks! There are so many good memories. When we would write the letter 'g', we would whisper "fish hook" so that Fred won't be scared. When I teach 'g' this upcoming year, I will tear up. #easycrier

[Philadelphia Phillies @Phillies]

Knocked their Sox off

#RingTheBell

[Philadelphia Phillies @Phillies]

Nothing to do but sit back and smile whenever this guy's on the mound 😃

[MLB @MLB]

The 5th-longest single-season scoreless innings streak since 1893!

Cristopher Sánchez had a run for the ages 🔥

[Philadelphia Phillies @Phillies]

The best fans in baseball ❤️

[Brian Wallach @bsw5020]

It’s a good day for a good day!

[Luke Arcaini @ArcainiLuke]

I don’t know if I’ve ever seen somebody get a standing ovation for allowing a run.

Cristopher Sanchez smiles as his streak ends. What a moment for the lefty. He’s in baseball history forever.

[Philadelphia Phillies @Phillies]

What. a. run.

Cristopher Sánchez, take a bow

[Nature Unedited @NatureUnedited]

At an aquarium in Japan, after closing time, some clever little otter pups help their grandpa tidy up their toys. As a reward, he gives them ice cubes

[Governor Josh Shapiro @GovernorShapiro]

Sound bites from the school breaktast line at Fort Washington Elementary School. 🎤

[Heidi Graci @formermingo]

@MikeAzzalina The best! Congrats Barb!

[Mark R. Kropke @Mkrop71]

31 years. Over 3100 students. Great kids. Great coworkers. Great memories. I closed the door to B215 for 1 last time. Thank you LT for allowing me to use this room. @LTHS_D204

[Heidi Graci @formermingo]

So proud of my former #SpHill kindergarten students! Good luck #Classof2026 @CVSDnews