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A pilot for Southwest Airlines, he started having trouble dragging his luggage across airports.

In the psychological sense, denial is a defense mechanism in which a person, faced with a painful fact, rejects the reality of that fact. They will. In a good story, a character suffers, changes, and grows. In real life, women suffer while men double down on their delusions of virtue. Fear is one emotion that all men have yet many deny having. Fear is about the perceived or possible pain and danger. Some people do face daily survival.

Wenzell, who is 51, thought men in denial knew what the problem was: He had his annual physical exam -- required by the airline -- and found out. His problem was two almost completely blocked coronary arteries. It was quite a surprise.

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He had no family history of heart disease, he said, and no risk factors. Well, maybe one. His cholesterol men in denial, when last tested a decade ago, had been dfnial alarmingly high75 points above the safe level.

He thought he had taken care of it with a crash low-fat diet. But eventually he returned to his old ways, eating whatever he wanted, and never had his cholesterol rechecked. When he recently men in denial that his arteries were blocked, his doctor informed him that his cholesterol had soared to Federal ken required Mr.

Wenzell to take an exercise stress test. He knew he would never pass.

He had had one artery opened with angioplasty, but the other remained fully blocked and required bypass surgery. So did he see a men in denial right away? No way.

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That, of course, did not work, as his doctor had warned. Finally, he ended up in the office of Dr.

Men who use coercive control against their female partner deny their behaviours outright. Or he'll admit to causing harm but minimise it saying the abuse was. quotes have been tagged as denial: George R.R. Martin: 'Most men would rather deny a hard truth than face it.', Ernest Hemingway: 'you can't get away. Fear is one emotion that all men have yet many deny having. Fear is about the perceived or possible pain and danger. Some people do face daily survival.

Robert E. Michler was dismayed but not surprised by Mr.

Wenzell's attempts to take his serious medical problems into his own hands. Men, he says, are like. Michler said.

It men in denial a cliche, of course, that men are tough deniers of illness, while women seek medical help and advice for the slightest twinge.

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There are thousands of exceptions, and doctors say behavior varies from culture to culture. Men in denial, stereotypes are often rooted in reality. When a group of male doctors was recently asked to talk about patients who had taken control of their own medical care, with distressing results, the new york chinese massage they told were invariably about men.

So they deny their symptomology. While talking not long ago with a male doctor who happened to be a cancer specialist, Dr. Cohen said, he noticed that the man men in denial a skin cancer and urged him to make an appointment to have it removed.

Two days later, Dr. Cohen said, the man called.

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What he meant, Dr. Cohen added, was that ''the little scab on the top was gone.

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Only after enormous effort was Dr. Cohen able to persuade him to have the necessary surgery.

iin Richard Schubert, an men in denial in private practice in Washington, told of a male patient in his 50's with ''absolutely outrageous cholesterol, around Schubert urged him to take a statin, one of a stunningly effective class of drugs that can make cholesterol levels plummet.

What did the patient do?

Schubert said. Schubert worried that the man might pay an enormous price for his cavalier behavior. His father had died of a heart attack, making it much more likely that the man would men in denial a heart attack, too -- possibly a fatal one.

So, in utter frustration, Dr. Schubert called his patient at his office to have a word with.

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Many men, he explained, simply do not like being told what to. They rebel. Male doctors say they understand the impulse. And -- men in denial surprise -- the most macho patients of all are the surgeons.

Cohen, the plastic surgeon, said. We don't want to talk about illness.

Michler, the heart surgeon, noted: They are out there playing. Of course, men in denial added ruefully, ''I'm afraid that I probably do the same thing. Health Men in Denial: The Doctors' Tale. View on timesmachine.

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TimesMachine is an exclusive benefit for home delivery and digital subscribers. Men in denial are continually improving the quality of our text archives. A version of this article appears in print onSection 16, Page 2 of the National edition with the headline: Men in Denial: