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Is Being Male a Disease?

Is Being Male a Disease?

Here are three reasons why I think this is a valid question:

1. The government is slanted toward women’s health.

2. Men are not protecting the heart.

3. Doctors aren’t going into primary care.


1. The government is slanted.

    • The NIH has incredible disparity in money set aside for women’s health versus men’s health (1,2).
    • The Affordable Care Act mentions women’s health over 100 times and men’s health fewer than 10 times (3).
    • Counseling for sexually transmitted disease prevention is fully covered for all sexually active women, but only high-risk men in the ACA (2).
    • Cancer funding for women’s cancer is over 10 X more than for men’s cancer (1).
    • Men remain “under-informed” about their health issues, take excessive risks and don’t see doctors (4).
  • The great irony: most politicians are MEN (10).
  • The tearjerk: It is estimated that 50% of male deaths each year could be prevented through positive changes in personal health practices  (US and Europe)  (4).

2. Men are not protecting the heart.

According to the CDC (7):

    • Every 43 seconds, someone in the United States has a heart attack.
    • Coronary heart disease alone costs the United States $108.9 billion each year.  (This total includes the cost of health care services, medications, and lost productivity).
    • Between 70% and 89% of sudden cardiac events occur in MEN.
    • One of 5 heart attacks is silent—the damage is done, but the person is not aware of it.
    • Half of the men who die suddenly of coronary heart disease have no previous symptoms.

3. Doctors aren’t going into primary care.(6)

    • Only 1100 out of 19,000 medical students matched in primary care in 2015.
    • 65% who choose primary care are women (most prefer to focus on women’s health).

The death of internal medicine:

    • 5 out of 6 internal medicine graduates will do a subspecialty
    • 80% who do not do a subspecialty do Hospitalist work (shift work in a hospital)
    • Physician Assistants and Nurse Practitioners are not filling the need
    • The average office visit for a primary care doctor is between 10 -15 minutes.  Which according to a 2007 study in Health Services Research means “Many topics compete for visit time, resulting in small amounts of time being spent on each topic”  (8).

Men need sex-specific healthcare.

There are not enough qualified men’s health doctors.


Here’s what you can do today — GET TESTED.

Wondering what your true risk is for heart disease?

Use this checklist to guide you:

    • ▢ Cardiac Calcium Score
    • ▢ 24-hour cortisol levels
    • ▢ Heart Rate Variability
    • ▢ ApoB:ApoA1 cholesterol ratio
    • ▢ Oxidized LDL cholesterol
    • ▢ LDL particle #
    • ▢ hsCRP inflammation marker
    • ▢ Homocysteine (amino acid) level
    • ▢ Testosterone level
    • ▢ Omega 3:6 Fatty Acid Index
    • ▢ Apnea-Hypopnea Sleep Index
    • ▢ VO2 Max exercise capacity
    • ▢ Oral Glucose Tolerance Test
    • ▢ Fasting Insulin
    • ▢ Resting and post-exercise blood pressure
    • ▢ Resting heart rate <70
    • ▢ Post-exercise heart rhythm changes
    • ▢ Post-exercise heart rate recovery 14 beats or more at 1 minute

If you don’t know these numbers, it’s like driving your car with a malfunctioning dashboard.  And NONE of my male patients would drive their cars like that for more than a week.  It’s sad, really, that we men often take better care of our cars, boats, and motorcycles than we do our mind, body, and soul…We’re here to help you be a dad, husband, brother, uncle, and friend for many more good years in a system that thinks you don’t really care about your health.

Real men test.  The 24-hour cortisol test and sleep study can be mailed to your home. The other tests require a simple blood draw in the office and cost around $300. Email info@arisemd.com or call 414-386-2600 to get tested.

References:

  1. Joel j. Heidelbaugh, MD University of Michigan Medical School Faculty and Men’s Health Expert
  2. Shining a Light on Health Insurance Rate Increases :https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/index.html)
  3. Dr. Heidelbaugh citing https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/index.html
  4. European Men’s Health Report, 2010
  5. Meryn S. More attention for men’s health, J Men’s Health Gend. 2007; 4 (1):3-4
  6. LCME, ACGME 2015  (given by Dr. Heidelbaugh)
  7. Facts and Figures, Heart Disease, CDC
  8. Health Serv Res. 2007 Oct; 42(5): 1871–1894. doi:  10.1111/j.1475-6773.2006.00689.x PMCID: PMC2254573 Time Allocation in Primary Care Office Visits  Ming Tai-Seale, Thomas G McGuire, and Weimin Zhang
  9. Salzman BE> WEnder RC. Male Sex: a major health disparity. Clinics in Primary Care.  2006; 33(1): 1-16, vii (review)
  10. According to the Washington Post 80% of Congress is male (https://www.washingtonpost.com/news/the-fix/wp/2015/01/05/the-new-congress-is-80-percent-white-80-percent-male-and-92-percent-christian/)
  11. Hundreds of satisfied men and women who have worked with Dr. Adam Miller for cosmetic surgery, sleep and sleep apnea, stem cell therapy, skin cancer, dental reconstruction, weight loss, nutrition as medicine and life coaching

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