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Women’s Neurology is an emerging medical subspecialty that focuses on neurological conditions across a woman’s lifespan with key periods being preconception, pregnancy, postpartum and transitional midlife period (pre-menopause and post-menopause).

Women have important sex and gender-specific considerations, yet there are gaps in training that neurologists receive specific to this population. Furthermore, research shows that men and women respond differently to pain medications and an increasing number of studies suggest that the fundamental biology of pain and pain relief differs between the sexes. Such important differences extend to epilepsy, cognition, headache, multiple sclerosis, neurodegenerative diseases and stroke.

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In July 2019, Darlene Shaw woke in the middle of the night – disoriented, confused and surrounded not  only by her two sons, but a team of paramedics.

Told she’d been passed out for five minutes, Darlene was hospitalized with the diagnosis of a seizure, but with her memory back in the days that followed, standard tests showed no signs of anything brain-related. As Darlene had been exhausted prior to the incident, it was assumed the seizure was on a one-off, and a neurologist placed blame on stress and fatigue.

Unfortunately, the event’s repercussions meant that Darlene was not allowed to drive for four months, making her work as an interior designer at her clients’ homes difficult. Worse, the assumption of the seizure being a onetime incident was proven wrong.

The following November, Darlene suffered a second seizure. Looking in the mirror resulted in mounting anxiety when she saw her tongue was bitten and bleeding. Checking her phone only led to more questions, with texts from a person whose name she could not place.

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The Canadian Leaders in Neurology series is an initiative of the Canadian Neurological Society whose objective is to showcase exceptional accomplishments by Canadian neurologists who are leaders in their respective fields. In this segment of the series, Dr. Hayley F. Thornton, a neurology resident at the University of Calgary, interviews Dr. Esther Bui.

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https://podcasts.apple.com/ca/podcast/a-new-era-in-womens-brain-health-closing-the-gap/id1612504873?i=1000607307560

Women make up nearly half of the world's population and have higher rates of neurological disorders, yet there is still a gap when it comes to better understanding and treating women living with brain-related illnesses. Many women also face systemic barriers and biases when they seek help, often leading to a delay in diagnosis and treatment.

Featuring:

Dr. Esther Bui - Neurologist and clinician educator at UHN’s Krembil Brain Institute and assistant professor at the University of Toronto. Her research includes the creation of Canada’s first accredited Women’s Neurology Clinic and training program.  Find her on Twitter: @womensneurology

Dr. Mary Angela O'Neal - Director of the Women's Neurology program at the Brigham and Women's Hospital in Boston, and an assistant professor of neurology at Harvard University. Dr. O’Neal also directs a Harvard Medical School course in Women’s Neurology and Psychiatry.

Nikki Ashworth – Experiencing seizures since she was a child, Nikki was only diagnosed with temporal lobe epilepsy in her 30s. Her seizures may come without warning, but she's been turning her experience into an art form with her dark and honest unintentional comedy. Find Nikki on IG: @strange_miss

Roshan Malhan - A second-year medical student at the University of Toronto’s Temerty Faculty of Medicine, where he acts as a co-director for the Anesthesia Interest Group and Emergency Medicine Interest Group. He is currently exploring his interests in a number of medical specialties and looking forward to gaining additional insights during clerkship.

A first person account of the Lullaby Project for Women with Epilepsy, Julianne Hazlewood  masterly weaves a heart-wrenching story with lump in your throat moments. At the heart of this story is a universal love song from a mother to her child. Listen to the audio documentary on White Coat Black Art - "Road to You".