1 99:59:59,999 --> 99:59:59,999 We all go to doctors, 2 99:59:59,999 --> 99:59:59,999 and we do so with trust and blind faith 3 99:59:59,999 --> 99:59:59,999 that the test they are ordering and the medications they're prescribing 4 99:59:59,999 --> 99:59:59,999 are based upon evidence, 5 99:59:59,999 --> 99:59:59,999 evidence that's designed to help us. 6 99:59:59,999 --> 99:59:59,999 However, the reality is 7 99:59:59,999 --> 99:59:59,999 that that hasn't always been the case for everyone. 8 99:59:59,999 --> 99:59:59,999 What if I told you that the medical science discovered over the past century 9 99:59:59,999 --> 99:59:59,999 has been based on only half the population? 10 99:59:59,999 --> 99:59:59,999 I'm an emergency medicine doctor. 11 99:59:59,999 --> 99:59:59,999 I was trained to be prepared in a medical emergency. 12 99:59:59,999 --> 99:59:59,999 It's about saving lives. How cool is that? 13 99:59:59,999 --> 99:59:59,999 Okay, there's a lot of runny noses and stubbed toes, 14 99:59:59,999 --> 99:59:59,999 but no matter who walks through the door to the ER, 15 99:59:59,999 --> 99:59:59,999 we order the same tests, 16 99:59:59,999 --> 99:59:59,999 we prescribe the same medication 17 99:59:59,999 --> 99:59:59,999 without ever thinking about the sex or gender of our patients. 18 99:59:59,999 --> 99:59:59,999 Why would we? 19 99:59:59,999 --> 99:59:59,999 We were never taught that there were any differences between men and women. 20 99:59:59,999 --> 99:59:59,999 A recent Government Accountability study revealed that 80 percent of the drugs 21 99:59:59,999 --> 99:59:59,999 withdrawn from the market 22 99:59:59,999 --> 99:59:59,999 are due to side effects on women. 23 99:59:59,999 --> 99:59:59,999 So let's think about that for a minute. 24 99:59:59,999 --> 99:59:59,999 Why are we discovering side effects on women 25 99:59:59,999 --> 99:59:59,999 only after a drug has been released to the market? 26 99:59:59,999 --> 99:59:59,999 Do you know that it takes years for a drug 27 99:59:59,999 --> 99:59:59,999 to go from an idea to being tested on cells in a laboratory, 28 99:59:59,999 --> 99:59:59,999 to animal studies, 29 99:59:59,999 --> 99:59:59,999 to then clinical trials on humans, 30 99:59:59,999 --> 99:59:59,999 finally to go through a regulatory approval process, 31 99:59:59,999 --> 99:59:59,999 to be available for your doctor to prescribe to you, 32 99:59:59,999 --> 99:59:59,999 not to mention the millions and billions of dollars of funding 33 99:59:59,999 --> 99:59:59,999 it takes to go through that process. 34 99:59:59,999 --> 99:59:59,999 So why are we discovering unacceptable side effects 35 99:59:59,999 --> 99:59:59,999 on half the population after that has gone through? 36 99:59:59,999 --> 99:59:59,999 What's happening? 37 99:59:59,999 --> 99:59:59,999 Well, it turns out that those cells used in that laboratory, 38 99:59:59,999 --> 99:59:59,999 they're male cells, 39 99:59:59,999 --> 99:59:59,999 and the animals used in the animal studies were male animals, 40 99:59:59,999 --> 99:59:59,999 and the clinical trials have been performed almost exclusively on men. 41 99:59:59,999 --> 99:59:59,999 How is it that the male model became our framework for medical research? 42 99:59:59,999 --> 99:59:59,999 Let's look at an example that has been popularized in the media, 43 99:59:59,999 --> 99:59:59,999 and it has to do with the sleep aid Ambien. 44 99:59:59,999 --> 99:59:59,999 Ambien was released on the market over 20 years ago, 45 99:59:59,999 --> 99:59:59,999 and since then, hundreds of millions of prescriptions have been written, 46 99:59:59,999 --> 99:59:59,999 primarily to women because women suffer more sleep disorders than men. 47 99:59:59,999 --> 99:59:59,999 But just this past year, 48 99:59:59,999 --> 99:59:59,999 the Food and Drug Administration recommended cutting the dose in half 49 99:59:59,999 --> 99:59:59,999 for women only, 50 99:59:59,999 --> 99:59:59,999 because they just realized that women metabolize the drug 51 99:59:59,999 --> 99:59:59,999 at a slower rate than men, 52 99:59:59,999 --> 99:59:59,999 causing them to wake up in the morning with more of the active drug in the system 53 99:59:59,999 --> 99:59:59,999 and then they're drowsy and they're getting behind the wheel of the car, 54 99:59:59,999 --> 99:59:59,999 and they're at risk for motor vehicle accidents. 55 99:59:59,999 --> 99:59:59,999 And I can't help but think, as an emergency physician, 56 99:59:59,999 --> 99:59:59,999 how many of my patients that I've cared for over the years 57 99:59:59,999 --> 99:59:59,999 that were involved in a motor vehicle accident 58 99:59:59,999 --> 99:59:59,999 possibly could have been prevented 59 99:59:59,999 --> 99:59:59,999 if this type of analysis was performed and acted upon 20 years ago 60 99:59:59,999 --> 99:59:59,999 when this drug was first released. 61 99:59:59,999 --> 99:59:59,999 How many other things need to be analyzed by gender? 62 99:59:59,999 --> 99:59:59,999 What else are we missing? 63 99:59:59,999 --> 99:59:59,999 World War II changed a lot of things, 64 99:59:59,999 --> 99:59:59,999 and one of them was this need to protect people 65 99:59:59,999 --> 99:59:59,999 from becoming victims of medical research without informed consent. 66 99:59:59,999 --> 99:59:59,999 So some much-needed guidelines or rules were set into place, 67 99:59:59,999 --> 99:59:59,999 and part of that was this desire to protect women of childbearing age 68 99:59:59,999 --> 99:59:59,999 from entering into any medical research studies. 69 99:59:59,999 --> 99:59:59,999 It was fear, what if something happened to the fetus during this study? 70 99:59:59,999 --> 99:59:59,999 Who would be responsible. 71 99:59:59,999 --> 99:59:59,999 And so the scientists at this time actually thought 72 99:59:59,999 --> 99:59:59,999 this was a blessing in disguise, 73 99:59:59,999 --> 99:59:59,999 because let's face it, 74 99:59:59,999 --> 99:59:59,999 men's bodies are pretty homogeneous.