An article from the Washington Post says that men’s health is declining and creating a gap between men and women. The life expectancy in the US in 2021 was 79.1 years for women and 73.2 years for men. That’s a 5.9 year difference, making it the largest gap in 25 years. Dr. Richard Ferguson, Chief Medical Officer of Health Choice Utah and Founder of Black Physicians of Utah, joins the show to discuss what might be the reason for this.
Dave and Duo. Dave and Duo.
All right, I came across the Washington Post article
says men's health is declining and creating a gap between men and women.
Meaning
men are dying.
We're dying and, and we're dying earlier than women. What could be the reason filling in for Debbie Du Chao? Today is Liam Murray. I'm from K S L at night in the Walker Institute of Politics and Public Service. It's the longest title ever. I'll never get it right. Forgive me Gandalf of the poly department.
You'll always be that off to me now. Um Men's health is declining. Yeah, I thought it was interesting too, like the statistics in this article, right? So it's um six year difference. So I always thought women always lived longer. Like I just thought that was the thing, but it's the largest gap in 25 years. So when we talk about declining, there actually is a change in that distance.
More men dying of diabetes, more men at greater risk from COVID dying from COVID cancer, mortality is higher, suicide, dying by suicide four times more often, motor vehicle crash, death victims, right? 72% of them are men.
So a little bit, I read this and I worry about my teenage son. Right. And I think I need to tell him some things that I might not have to tell my teenage daughter. But Dave, I feel like maybe there's some other things in this. Not just how boys are boys. Yeah. Doctor Richard Ferguson joins us right now. Chief Medical Officer, uh health Choice Utah and founder of Black Physicians of Utah. Doctor Ferguson. Um what do you make of this? Is it, is it true? I mean, are, are guys really? Are we
crazy? We just these teens, young men. So that's why you'll see often more irrational decision,
uh poor lifestyle choices, uh riskier behavior than young girls uh that are factors in leading to car accidents, um drug overdose. Uh but also there's the cultural norm factor which I think over is overarching of everything. And this is not only just unique to a not, it's not specific to the US, but globally uh men uh are 10 are told only go to the doctor when you're hurt or if there's a problem with your sexual health.
Uh women, especially young girls. Once they're over 18, they're encouraged, you need to now establish care with a gynecologist because her mother told that. And so you have women bestowing this wisdom onto young girls but not often to young boys or, or men. And so that is problematic
from the get go that we're already not setting our, our boys at an advantage or even at the same baseline level of advice. Right. And Doctor Ferguson, I think it's so important because I legitimately read those stats and thought boys are crazy. Right. Like it's about what you said, it's the decision making and the risk taking and, you know, girls are just, I don't know, smarter, like less crazy, but your point is so well taken because it's about cultural norms, but also rewriting
what we think. Does that make sense? So if I'm going to go to the doctor every year, I've got like a regularly scheduled that's going to happen. And I'm like nagging my husband to go to his annual. We need to do some work to relearn it's not about choices, right? There's some other things going on. Well, that's a good point that you actually mentioned marriage. So
and live longer on two years on average than, than unmarried counterparts. Why is that? Well, they have the influence of their significant other, their spouse, often a woman, but just their significant other that cares about their health. So they're influencing for healthier habits. And I think one thing that there's things that we do in our city or within our state, uh We prioritize women and Children, the health of women and Children
early on. Uh you know, as I was walking up here, I saw an unhoused man in front of the K S L studio here I'm less likely to see an unhoused woman with a child there. The city, the states across our nation will say no, that is not acceptable, that is not an acceptable norm.
But we were often not prioritize men's mental health and their cardiac health. Thus, we often are dying sooner. Uh What I think uh seven years earlier on life expectancy, uh or seven years less. You know, I, another part of that um article that stood out to me is they said in initially
the thought was that women were over using the health care system
and the men were using it the appropriate amount. But now that we have a little bit more understanding, it was the women that had a right all along well, it was women going to seek care that was associated with hysteria or anxiety or, you know, maybe implying that, oh, they're being a hypochondriac. No, it leads to them living longer. It leads to uh better access or seeking preventative care. You don't wait till something's broken to fix it
and a lot of this stuff and help help walk me through this uh Doctor Ferguson,
if I were to use the health care system, the way it's intended, uh you know, with annual checkups or actually, you know, following the recommendations of my doctor.
How does that improve my overall outlook? Long term? If you go in more, you more likely to be offered services, testing screening that will that are commonly offered to women more frequently. And the key is just the man following on that advice, for example. Uh So I think for uh I think the biggest thing would be when uh someone's coming in for their ankle sprain. Uh when I worked in urgent care here for in Intermountain,
one of the first things I would do because I know it's a man and he's probably not getting his blood pressure check. This is his one, my one opportunity. So I'll look at probably all right, blood pressure is a little high. Let me see if you had any other visits. Oh, let me do a little bit and dig into your family history. Ok. You're over 45. What's your diet? He's I'm just here for an ankle spring. Yeah, but
this may be the one time this year I may capture you and provide a little preventative care. So docs, so we as health care providers need to take advantage of every opportunity when a man comes in
to offer encourage preventative care. No, but I love what you're just saying like, but like at the macro level, right? Doctor Ferguson, like health care is so expensive. It is so expensive. It's the biggest chunk of the pie of the federal budget is health care. And what we need to do is be doing preventative health care because
everything gets more or how do I say everything gets less expensive if you would just go in not for your ankle sprain, but like get those checks early because then we're preventing the catastrophic health claims later, right? So you don't want to pay for a, a, you know, a bypass, correct? So the answer is we need to reframe
all of this is not about being weak, right? So women are weak. So they go all the time or they're getting the right messages. But all of it's about, let's be cost effective, you know, and you are going to go get preventative care and in the long run, that's the right answer. Let's make it acceptable and encourage our young boys and young men that it's good to go to the doctor. It's not a sign that you are failing at something.
This is part of why I love bringing you on. You helped me see things differently. And I wouldn't have thought that the social aspect of it would have played as important a role. And when you describe that, you know, I can't tell you how many times I've gone into the doctor with that sprained ankle and I'm piecing it all together now all of a sudden my doctor was like, oh, let's just, I don't know, let's take, take a little blood sample,
like sprayed ankle. You're right because that's the only time you're gonna find out that, uh, that my cholesterol is high. And, uh, boy, that is, that is a really, really interesting way to look at it. Thank you, Doctor Ferguson for joining us. Uh Doctor Ferguson, we tap into his expertise as the Chief medical officer uh with Health Choice Utah and the founder of Black Physicians of Utah. Thank you. All right, when we come back, um,
are you hesitant to, I, I want to take phone calls on this uh Doctor Ferguson because I, I wanna know from, do you have a second? Maybe I'll stick your, stick around for one more second. I love doing that. Like live on the radio. Hey, will you stick around? No, I'm out but you had a terrible spot. But I want to hear from our, our, our listeners right now. Eight oh 1575 talk.
Why do you put off going to the doctor? Is it uh embarrassment
as you talked about sexual health uh issues? That's never a fun thing to, to go in and talk. Is, is it embarrassment? Um Is it pressure? Is it financial? What are some of the reasons you have decided to, to stop going to the doctor or put off going to the doctor? Eight oh 1575. Talk. Uh We'll keep Doctor Ferguson around here. Um We'll pick his brain and see what he thinks. Eight oh 1575 talk. Dave.
This is a life and death conversation
where I'm literally talking about life and death. Women live to be 79.1 years old guys. 73.2 we are dying at a rate that is concerning, it's a six year difference of the largest gap in a quarter century according to an article from the Washington Post. And I wanted to find out why, why are we dying at a higher rate?
And we asked Doctor Richard Ferguson to join us, Chief Medical Officer with Health Choice Utah and a founder of or the founder of Black Physicians of Utah. Uh Doctor Ferguson, we're gonna take some phone calls. And again, joining me in this conversation is Leah Murray from K S L at night. Um and Leah, we have a couple of different
experiences going, going through. You were you were talking about your husband, you have to him and he'll say, oh, it's fine even when he's hurting. Doctor Ferguson, he'll say it's not that bad. And I say, yeah, I know we're approaching 50. Maybe we should be making I throw my back out all the time, right? My shoulder hurts. Yeah. Yeah. Yeah. Um
So again, summarize a little bit why men and women before we jump out to the phone calls and again, we would love your phone calls. We have a couple of people on the line right now. Eight oh 1575 talk. Why are you hesitant to go to the doctor speaking to a doctor? Why are people hesitant to visit you?
Well, particularly men. Uh One, I think the overarching is many uh folks don't want to come see us because they think that we are sometimes arbiters of bad news. Um, people don't like to sometimes be told that they're doing something wrong or they need to change their behavior. So in it many times, uh, in uh non acute, they're sometimes looking forward to come see us. But in acute settings because I often work in an emergency room. That's the last place people want to be.
So there's that factor, but particularly when it comes to men, it's masculinity that uh showing uh being vulnerable because you often have to go to a doctor and reveal something personal, uh that is not seen as being an acceptable norm uh through not only our nation but uh throughout the world. Uh And I also feel that um
changing that gender norm is probably the biggest factor and also our roles. Uh I was bringing up with uh the producer earlier. Uh we as men, uh or you have many uh jobs that you won't see women in uh as as often firefighter, high risk, you know, burned to death, fall off of something electrician. I've never actually met a female electrician. Uh that can go along with plumber people that are often working in construction, slowly changing.
But these are high risk job soldiers. I mean, it wasn't until not long ago that women in the US military were allowed to be part of the special forces. Uh We can see with the Ukraine Russian war, the conscripts from Russia that are like, all right, you're young. Uh, some, I don't know if some people saw earlier on how young appearing these young boys were looking almost like 16, 17. Yeah, that's a factor. So, uh, and it's, and it's only, it's like, all right, you're a man, you're supposedly stronger and you're all right. You go out there, you take that bullet.
Yeah. And, and it has led to this, this culture of, we just don't show up. We'll tough it out or whatever. Or we're, we're too embarrassed to tell the doctor. It's too embarrassing even for the doctor to hear Scott in Salt Lake City, Scott. What do you think? Why, why do you think I'm doing great? What do you think? I just
wanted to say I'm a 55 year old man and I hadn't been to the doctor in forever. I felt fine,
but I finally went and found I had slightly high blood pressure and cholesterol and because I went, I was able to change my diet and my exercise routine and brought them both down. So I don't need any medications. 50
five years old, probably one of the best decisions you made that year.
I love it. I, it's hard. It, but I think, I think that's
at least in my experience when, when I was younger, you know, in my twenties and thirties, I felt invincible and I, I abused my body
in, in so many ways, not just with diet, which I certainly did but I, I was a whitewater rafting guide, uh, for, for a lot of years and when we were doing cliff jumping, you know who the first kid was off the, uh,
off the cliff. Yeah, it was me and the other guys and every once in a while you'd have a, a good decision maker, like a woman say, no, this is terrible. This is a bad idea. This is a bad idea. The water, there's rocks below you. You dummy. And we wonder why we die six years uh earlier on average Lynn in Ogden Lynn. Uh What do you think?
Ok. There's two reasons I don't go to doctors. One is that traditional doctors rarely use integrative medicine. It's only a last resort and I'm into natural medicine. The second reason I don't go is that during COVID,
I didn't go because I wasn't vaccinated and they made such a big deal about it that even though I broke my wrist and I'm on Medicare and it would have been paid and I did a couple of other things. I refused to go there.
Thanks for the phone call, Lynn.
Yeah, that's unfortunate. Uh But I agree with her first point there, integrative medicine. That is something that we are actually doing more to change. Uh It's being introduced more into medical school curriculum throughout the nation because our patients are asking for it. So, uh it's, but it's slow to change. Uh, much of our medicine, our methodologies, our procedures are all often a allopathic based, which means we want to do something to you. We want to treat you with surgery, we want to treat you with the pill.
Uh, and there's often a, there is a space for an integrative approach. Now COVID was very serious. It was taking often 1 to 2000 lives a day. Uh, And that's unfortunate that you felt you couldn't go in and get your wrist. Seen, I took care of several wrist fractures. Uh She just had to wear or the patient just had to wear a mask. Uh Not, I would not refuse anyone because they weren't vaccinated. I still won't to this day.
I'm wondering too about what she asked because I thought it pointed to me, maybe some people don't come in because they won't feel welcomed, right. So she was talking very specifically there. But maybe it's, you know, if I go, the language isn't going to make sense to me or the nurse at the front desk or whatever is mean, or you might wonder a little bit of it's that kind of thing as well. We are often seen as an authority role
and people don't want to be judged and we sometimes we need to do better as in the health care system, as health care providers, as doctors to uh with our language to appear less judgmental. You've talked about this in regards to race. And as a member or founder of Black Physicians of Utah, you said, uh that often times uh when you're treating black men because you're black,
you're able to connect or at least on a cultural level, they feel more heard or understood. Uh And, and that's a hurdle even though your qualifications, you know, are your qualifications. But that the fact that it was a cultural connection that makes a difference. Yeah, cultural nuances understanding that, I mean, it's a recent uh I think it came out in Jama and open
article uh I wanna say earlier last month stating like it shouldn't be a big light bulb that we in the black community or black health professionals have known this for a while that black health care outcomes for black patients improve when receiving care from black doctors. Uh And it's more likely a trust factor less likely to feel as though they'll be judged and they feel more likely that their complaint is heard. And when we were looking at this Washington Post article again,
that showed that the US life expectancy is 79 years old for women, 73 years old for men. Uh I mean, that's a chunk and lower for black men. I mean, the a lot of people don't realize that
which particular demographic or group is most impacted by cancer.
It's black men that, that wowed some people third leading cause of death. It's it's not suicide. It's not gun violence for, for black men. It's, it's colorectal cancer preventative. Wow. Doctor Ferguson, thank you for, for sticking around and, and taking those phone calls with us. Uh Chief Medical Officer of Health Choice, Utah and founder of Black Physicians of Utah. Uh Such great information. Thank you.