Dr. Paula Miceli, CPsych 🇨🇦🐸

Clinical/Health Psychologist | Author, Principles of Psych Treatment: Bruxism & #TMJD | Social Media Policy 🔗 | ❤️Art-Film-Storytelling

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

Proposed cuts to supervised training hours for Psychologists could raise early-career risks - analysis of medical resident data from CMPA shows highest complaints during initial training years, with assessment/diagnosis as a top complaint.

Watch to see why supervision matters for public protection.
#psychology #mentalhealthmatters #psychologist #training #health #Healthcare

[MuchMusic @Much]

Alanis Morissette performed the Canadian National Anthem ahead of Canada's #FIFAWorldCup game against Bosnia and Herzegovina today 🇨🇦

[Wholesome @wholesome_X_]

In 2017, during a US Open press conference, a young tennis fan named Izyan ‘Zizou’ Ahmad shyly stepped up to the mic and asked Roger Federer if he could ‘please keep playing for eight or nine more years’ so that they might face each other when he turned pro. Federer smiled, gave him a playful ‘pinky promise,’ and the moment quickly became a beloved clip in tennis circles. Five years later, in 2022, Federer surprised Zizou in Zurich and fulfilled that promise through a special meetup arranged for them to hit together on court.

[FOX Sports @FOXSports]

Canadian @MichaelBuble performs in Toronto ahead of the FIFA World Cup 🇨🇦

[Mike Morrison @MDMorrison82]

In the dead of night the Scots arrived at the Airbnb across the street. Decked out and playing the pipes at 6:30 am. So it begins…

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

@RepDonBacon I'm glad to see this post. Thank you for having these discussions.

Canadians are not interested in being in abusive relationships.

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

Amen.

[Rep. Don Bacon 🇺🇸✈️🏍️⭐️🎖️ @RepDonBacon]

@dion21319 We shouldn’t have said we were going to make them a 51st state first.

[CP24 @CP24]

Police were seen escorting a gaggle of geese waddling on the busy highway in Toronto.

https://t.co/R1Z0r49e5v

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

@TIME Not so sure what's going on - this is the second post I've seen from TIME that seems more like an advertisement than a story.

[Sheldrick Wildlife Trust @SheldrickTrust]

Do elephants remember who was kind to them?

Yes – and across decades. Our ex-orphans return to the stockades long after they've gone wild, recognise specific Keepers by name, and bring their wild-born calves home to introduce them. They even come back for help.

Last month, Melia walked her new daughter Moon to our Ithumba Reintegration Unit – sixteen years after we rescued her. She came back so the people who raised her could meet her calf.

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

@ThrillaRilla369 I knew someone who lost hearing in one ear b/c he talked on the telephone (corded phone, old style) during a thunderstorm.

[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

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

The resurgence of tetanus - as reported here - is a direct demonstration of anti-vaccine sentiment.

Tetanus vaccination protects the person who accepts it.
#Vaccine #antivaccine #health #tetanus
Link: https://t.co/Oj6WA3yL5n

[Nature Unedited @NatureUnedited]

This woman put oil on her bird feeder to stop squirrels from stealing the bird food and...

[Mark Robinson @StormhunterTWN]

One of the most gorgeous supercells I’ve ever seen in Canada yesterday near Carlyle, SK. @weathernetwork #skstorm

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

@BlueGeorgia @KyleClark Sending smiles from 🇨🇦

[604RAW @604RAW]

What a sight! 👀 Orca pod spotted at Dodds Narrows just outside Nanaimo, BC 🇨🇦🫍

[MeidasClips @MeidasClips]

Charlie Angus: There was a group of young Normandy students, and two young teenage girls read a poem in French to the commemoration ceremonies and to the immense field of the dead. And she said, "We are the children that you never had. We are the children of liberty."

And there wasn't a dry eye in the house, but I always remember because Charles Scott Brown, in his 90s, stood up. And he broke protocol, of course, and he said to those young girls, "Don't cry for any man in this field. They came to free you, and they would do it again if they were asked."

That's what we come from. That is [Canada's] legacy. Do you think that we're going to let the likes of Pete Hoekstra push us around, or Donald Trump and his predator government threaten us? That's what we represent.

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

@JayAlicemay777 @LuxMeaMundiAM I hope the keto idea works for you! We're all different, of course. I kept a food diary for about 5 years, and the first 3 years used it very intensely.

[Dr. Paula Miceli, CPsych 🇨🇦🐸 @GendlinsMuse]

@emilygraymd_mph @michael_hoerger Yes, the booths often hand out pens, post-its, umbrellas, etc., branded with the name of a drug.