Biological sex is important

well a warm welcome to today's talk Tuesday the 28th of May now bit different today I want to show how important it is in healthcare to be clear that we differentiate between men and women male and female let me just start off with a quick example here um now this shows the cancer incidents in the UK 20 most common cancers in the UK and we can see that there's a clear sex divide between between them so breast almost exclusively but not exclusively in women prostate exclusively in men then we see that lung is somewhat more common in men bowel is somewhat more common in men melanoma and skin cancer exactly the same but as we go down clearly uterus only occurs in women and there's a fair gender sex distribution uh in this in these figures so bladder for example we see is more common in men whereas uh brain and other central nervous system into cranial tumors slightly more common in women and we'll be giving some more examples of this shortly now the reason this came to mind is I was um I was reading the in the newspaper report from The Daily Telegraph which is actually putting out some good health related material at the moment Lis shiman grenwich NHS trust issued an 18-page diversity and inclusion policy for forcing Medics to accept patients personal pronouns um and they're also told that they should not confront patients using single sex facilities regardless of their appearance now this is very strange so presumably that means if your 14-year-old daughter has just gone into the toilets women's toilets of course and uh some dodgy looking bloat goes in he can't be challenged because he looks like a man rather strange guidelines I would have thought it goes on the trust trans policy which came into effect in February last year according to the Daily Mail said staff must say sorry to patients if they make mistakes regarding to a patient Pro relating to patients pronouns it also ordered them to make a commitment to try harder if they make mistakes about Patients Preferred pronouns now of course I put the reference in for this this is not me making it up it's all there now this prompted some uh reaction from Victoria Atkins who's a cabinet minister for health and it's good to see that the cabinet ministers in some respects um are following the evidence we could talk about other respects but uh here they seem to be following the evidence I'm Crystal Clear biological sex matters obviously as we've just shown from the cancer differentiation and the language used by the NHS needs to recognize the difference between the different biological needs of men and women so men and women have different biological needs um I must say I'd kind of worked that one out for myself but it's good to see the Secretary of State reinforcing it um I have slightly different needs to women um ill illnesses and conditions uh that we know impact men and women differently and of course there are many differenti differentially affected by various medical conditions should be communicated in a clear and Accurate Way NH Chef staff must be allowed to get on with the job of caring for patients not tiptoeing around trans guidelines uh Victoria Atkins went on the government uh proposes to update uh to the NHS proposed updates to the NHS Constitution makes clear What patients can expect from NHS services in meeting their needs including the biological needs of the Sexes so um good to see that this is evidence-based which of course we like to think of what this channel is all about um in every cell in my body there's a y chromosome well actually that's not quite true because the the red blood cells don't have any chromosomes left but all the other cells that I'm aware of all my cells have a y chromosome with an ex chromosome of course um and this has biological significance massive biological significance of course but let's carry on um Miriam Kate MP for women's rights uh camp paina uh leam and Greenwich these are if you're in the United States you won't know these are burs in in London NHS trust seems to have gone through the Looking Glass into a parallel universe gone through gone through the Looking Glass into the world of Alice in Wonderland uh to make a world where biological sex doesn't exist well of course it exists uh this is good that Miriam katees here is giving us reality orientation this is the reality of the way things are uh and where the safety and dignity of vulnerable patients is ignored imagine Health Care Professionals being told to ignore things um in the interest of being seen to adhere to a ridiculous ideology we don't want ideology in healthcare we want evidencebased I am biof physical social psychological spiritual we are holistic and so we're we're bioc psychosocial Spiritual Beings and part of that of course is biological we are biological and this makes a huge difference to the way that we respond to treatments and as we' said the pathologies and traumas that we're likely to suffer from more of that in a minute do do hang on it's really quite interesting um it's shocking that an organization dedicated to evidence-based practice evidence-based practice can be so blind to the reality of the difference between men and women according to Miriam Kate's MP and baroness Nicholson now if again if if you're in the states or Canada you probably won't know um that the baronesses in the House of Lords and Lords have quite a lot of power in this country technically they don't but in actual fact they do um so anyway baroness Nichol uh this NHS trust seems to be deliberately ignoring Health secretaries the health secretary whose guidance declares that sex overrules gender in all medical matters so sex overrides sociologically determined or described gender biologically determined sociologically described gender in all medical matters now baroness goes on the NHS seems determined to follow its uh own unscientifically proven agenda so this is not a scientifically proven agenda it seems to be ideologically driven which is I would have thought exactly what we don't want in healthcare does this trust not recognize that male and female Health profoundly differs uh and calling a man her May so easily result in a nurse handing out the wrong medication for the patient's condition and I would like to agree with this um we must give the right dose of the right drug to the right patient at the right time via the right route of course it has to be the right patient obviously now cancer research UK again I'm going to look some more information from this very useful site cancer research UK um breast cancer is the most uh common cancer in the UK according to cancer research UK um accounting for three and 20 15% of all cases in females and males combined so this is so common it's 15% of all cancers for the whole population very high prevalence and so important to have good breast awareness and screening as as appropriate for this condition very treatable in the early stages need to catch it early the next most common cancer in the UK uh in the UK people are prostate cancer 14% of course only men and males have prostate cancer lung is 13% bowel is 11% and as we've seen these occur in both but again to a slightly different uh slightly different degree so there for example we have uh where's it gone it's moved oh yeah there there we go there for example we have lung slightly more common in men and bowel mostly colon again slightly more common in uh in males but there are many conditions which are very much more common in females and very much more common in mes I'm not going to go through an extensive list this is just to give some indication of why this is important from uh a cancer point of view at the moment though there are 200 types of cancer uh just uh just these four types breast prostate lung and bowel together form 53% more than half of all uh cancer case new cases in the UK so very important to know your relative risk of these cancers the two most common cancer types occur mainly or exclusively only in on sex and these are all direct quotes from cancer uh cancer research UK just give a little more detail um breast cancer more common in women than men um now this isn't silly um because around 55,500 women diagnosed every year with breast cancer and 370 men are diagnosed uh with breast cancer in the UK and uh I don't have the figures on this but if some men are taking estrogen I would expect their incidence of breast cancer to go up dramatically now of course we see breast cancering women all the time remarkably common in healthcare um 55,500 cases new cases a year but 370 cases of breast cancer in men so it's important to know that men can get breast cancer it's just way less common personally uh even even after 40 years of experience I haven't seen a case of breast cancer in men but I have talked to several people uh doctors nurses who have it's a real risk and men need to be aware of this as well as as women one in seven women in the UK develop breast cancer during their lifetime it's more common in older women and uh we've done other videos where we've looked at the causes of cancers breast cancer is the most common cancer in the UK around 55,000 900 people slightly different figure diagnos course it depend various year to year more than 150 women a day primarily 15% of newly diagnosed cancers now prostate um you prostate gland um of course just in men um it is your prostate gland is uh you know when you're sitting on a bike saddle and it's kind of in that bit between your legs and it can get a bit sore of your cycle all day um that is that's way prostate is and of course it adds part of the seminal fluid uh part of the fluid component to the seminal fluid which of course women don't make um now prostate uh part of the male reproductive system you need a prostate gland to get prostate cancer according to cancer UK um check out the reference for yourself if you hadn't worked it out for yourself and around 52,00 men are diagnosed with prostate cancer each year in the UK this is huge in men it's the most common cancer in the UK now um there's two views on this some people Advocate uh prostate specific antigen screening um widely and others uh recommend uh more limited use of PSA testing personally I think we should be PSA testing much more than we are and uh I certainly get my PSA checked on a regular basis um and then if prostate cancer does develop hopefully you catch it early and of course in men it is remarkably common I suppose you could say the good thing about prostate cancer in men if there is a good thing about it which of course there isn't but it's kind of a good thing it tends to occur in older men although a friend of mine got it in his early 50s it can happen even earlier with genetic predispositions another important thing to know about um but many forms of prostate cancer are relatively low grade so a lot of men will die especially older men who die will die with prostate cancer not from prostate cancer in fact if you looking about men men in their 80s and 90s even then the vast majority of them probably 80 90% will have malignant changes in their prostate but thankfully they die of well they have to die but they die of something else not the prostate cancer early prostate cancer in men uh or aggressive prostate cancer in men is nasty because it tends to go to the bones and cause pathological fractures it's a horrible horrible disease uh important to know about and treat as early as possible early treatments are excellent these days quite excellent if it's caught early but again you need to be aware of that ovarian of course produce the ovam uh the ovary produce an egg each month in women of childbearing age from the onset from time of puberty up until the menopause the number of eggs uh that women produce goes down really quite substantially with increasing age so even even women in their 30s will have many more anovulatory Cycles where they don't produce an ovm than women in their 20s and of course the 40s it goes right down and um natural conceptions become really quite uncommon as you go through the 40s especially into the later 40s but um I've certainly come across women in their late 30s who are unable to conceive um it's uh it's an activity for young women uh which is again is biologically determined if you don't like that then uh it's just the way it is um anyway um 7,500 women are diagnosed with OV ovarian cancer every year often often late tragically ovarian is nasty often presents late six most common cancer now I'm just going to finish off with another important reason for differentiating biological sex office for National statistics um now this is the latest thing from them now the data is out of date but it's the latest that we have the leading cause of death in the UK in 2018 was dementia and Alzheimer's disease um again primarily because it's occurring in older people 12.7% of deaths uh in 2008 the leading cause of death for females age 50 to 64 changed from malignant neoplasm to malignant neoplasm of the breast to malignant neoplasm of the trachea broncus and lung so um clear um I mean the the differences aren't huge but there's clear differences here between the cancer research Council figures and the office for National statistics figures there's a clear tension between those but uh again we see the sexual differentiation which is kind of the point we're making here um so went over to um neoplasm that's cancer neoplasm new tissue of the tra the Airways the bronos the bronchial tree and the lung uh which accounted for 10.1% of deaths in this age group in 2018 from 2001 to 2018 this is important suicide and injury or poison poisoning of undetermined intent so for whatever reason uh was the leading cause of death so suicide and Trauma for both males and females age 20 to 34 so both men and women dying in the so if if a man or a woman dies between 20 and 34 it's most likely to be poisoning trauma or suicide and a lot of those are suicide which is just a horrendous indictment on the way we don't look after each other um accounting for there's a difference here 27.1% of males deaths in that age group and uh 16.7 still bad enough but much less in females so um young people that you know consider are they depressed because you commit suicide when the balance of your mind is Disturbed and if there's someone in that situation come alongside we all need each other and then finally from the office for National statistics um I've got there actually some graphics there they're a bit hard to see perhaps on the video but uh you can look them up and follow them for yourselves and that's the diff that's the death registered in males all ages in the UK up to 2018 and we see it's different in females as cause of death so what could be uh more important than knowing about cause of death and the biological difference between that and uh here we have this is men 2018 so lung cancer quite common es schic heart disease still very common um so 40,000 over 40,000 men SCH schic heart disease in women was quite a bit less uh 23,000 uh so younger women tend to get less es schic heart disease the trouble is after the menopause they tend to catch up so um I think you see the point I am making cerebrovascular disease though more common in in women uh over 20,000 that's mostly uh cerebros the brain strokes and things like that slightly less common in in men um so important to know about because we can determine the probability of uh the condition that we may well die of so um let's hope that um these changes in senior ministers and things like that are bringing about a more uh a firmer grip of reality in healthcare uh which of course is exactly what we want evidence-based thank you for watching

Channel: Dr. John Campbell

Views: 203,795

Keywords: physiology, nursing, NCLEX, health, disease, biology, medicine, nurse education, medical education, pathophysiology, campbell, human biology, human body

Id: tSa3hXb7Yu4

Length: 19min 39sec (1179 seconds)

Published: Tue May 28 2024