Dr. Allison Rains' Cardiology Story
Baptist Health Paducah - Dr. Allison Rains, Heart Care Patient Story
From doctor to patient: ER physician faces unexpected diagnosis
As an emergency room physician, Allison Rains, MD, faces the unknown every day. “You never really know what you’re going to get. That was one of the things that drew me to the ER,” she said.
When she awoke to crushing chest pain early one morning, Allison experienced the unknown from an unexpected point of view — that of a patient. She and her husband, Martin Rains, MD, an interventional cardiologist, knew something was terribly wrong, but heart disease was not something they anticipated.
At 43, Allison was a healthy, active mother of 12-year-old twins and an 8-year-old. She had no known risk factors.
“I really thought I was dying,” she said. “The pain was so severe.”
When they arrived at Baptist Health Paducah, Allison’s colleagues in the Emergency Department sprang into action. Tests revealed signs of a heart attack and signaled a need for doctors to perform a heart catheterization to identify the cause and address it.
Sanjay Bose, MD, found a 100% blockage in her artery and inserted a balloon to restore blood flow.
“I do not like being on the other side, but my experience was the best it could have been,” Allison said. “From the ER to the ICU, all the nurses and staff were wonderful, and Dr. Bose was very thorough.”
As Allison began her recovery, her medical team noticed something unusual: her blood vessels were extremely small. She started taking blood thinners, cholesterol medication and aspirin and began cardiac rehab.
Ultimately, she was diagnosed with lupus, an autoimmune disease that can affect joints and organs, including the heart. In her case, the disease had attacked her heart, causing her blood vessels to become inflamed and a clot to form.
Allison said the experience has taught her to be more in tune with her body and to take a step back to focus on the important things.
“It really puts things into perspective,” she said. “You realize what’s important in life and try to cut out some of the chaos.”
Dr. Bose appreciates how, even as she addresses her condition, Allison has taken the initiative to educate other women about heart disease.
“Right from the start, [Allison] had the ingredients of timely care, and I think that’s important in identifying heart disease, especially in women who sometimes may present in somewhat unusual ways,” he said. “Delayed care can result in devastating complications.”