I can’t believe I’m writing a post here inspired by Rob Ford. And yet, here I go.
This is not about Rob Ford’s politics, or about his consumption of various substances both licit and il. This is about male denial around health issues. The famous (notorious?) mayor of Toronto’s 2014 re-election campaign was derailed by the announcement that a tumour had been discovered in his abdomen on September 9. The tumour is, apparently, being analyzed in preparation for treatment at a Toronto hospital.
One of the things that leapt out at me from the first stories about this latest roller-coaster development in the Ford story was this quote from a story in the Toronto Star:
Ford was complaining of “left, lower quadrant abdominal pain” for three months before the pain became “unbearable” Wednesday morning, Devlin said.
Since the initial tests on Ford, he’s also apparently had a lung biopsy, and an update on his health is expected later today (September 17, as I write this.)
Combine this with two other facts: one, that Ford’s father died in 2006 of colon cancer, and two, that Ford had a tumour on his appendix in 2009 that necessitated the removal of his appendix and part of his colon, and you have what appears to be the classic case of a man refusing to seek medical assistance. I’m no psychic, but I don’t have a good feeling about this.
In this, Ford is far from alone. A 2005 literature review in the Journal of Advanced Nursing showed that men are much less likely to seek medical help than women for disorders ranging from psychological disorders to physical disabilities. One UK study identified men’s refusal to seek help as the most important medical issue for men. And another UK report points out that while men are considered “advantaged” in many areas (salaries, for example), our health outcomes are worse than women’s.
Whether it’s machismo, stoicism, putting work or other factors before health, or something else, too many men are ignoring symptoms, assuming they’ll go away, or simply lying to themselves about their health. And it’s costing people their lives. One of the saddest findings of the Men’s Health Forum report is that when men do present themselves for assistance, the disease in question is too often at a later, more serious stage. Another sad fact is that men are far less likely to seek assistance for psychological conditions like depression.
When I first saw blood in my urine in 2006, I did two things: told my partner and went to my clinic. My bladder cancer was discovered at an early stage, and I’ve been lucky enough to not require radiation, chemo, or catheterization from more severe forms of cancer. If I’d shrugged off that first sign, what might have happened?
For your own sake, and the sake of those who love you: go to your doctor, your nurse-practitioner, or whatever other health professional you ought to go to, especially when something unusual happens.
Creative Commons-licenced photo by Flickr user Alistair Gilfillan.
My Dad Lou killed himself over a combination of head trauma caused by playing football in the ’50s with no significant head protection and a chaser of being too ashamed to ask for help when he was in a short-term financial crunch. He had so many friends that he could have reached out to, but saw no other way. Had he suffered from a similarly intense physical crisis, I’d bet he would have sought help at an advanced point rather than suffer in silence. As in Ford’s case, my father’s story is all too common.
Thanks for writing this post, Bob; your influence has more impact than you know.