medical care

AMA moves to better serve transgender patients

The American Medical Association on Monday announced a new set of policies to better "inform and educate the medical community and the public on the medical spectrum of gender identity."

The authors of the adopted resolution wrote that gender is “incompletely understood as a binary selection” because gender, gender identity, sexual orientation, and genotypic and phenotypic sex are not always aligned.

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New research

New research has been performed at the Boston Medical Center which reveals that most trans patients do not elect to undergo gender affirming surgeries.

The study followed 99 transgender patients who were undergoing hormone therapy at BMC, the majority of whom were transgender women.

Data was collected from years prior to 2015, before Massachusetts required all insurers to cover medically necessary care related to gender transition, like gender affirming surgeries.

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Conservative religious intend to make transgender existence unsustainable

Not content with challenging the right of transgender people to have safe use of public restrooms and the right of transgender students to have equal access to public education, religious conservatives have now filed suit challenging an Obama administration ruling that transgender people deserve equal access to medical treatment.

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DC to require medical providers have LGBTQ cultural competency

 photo Caduceus1.pngThis past Tuesday the Council of the District of Columbia unanimously and with little fanfare passed B21-168, the LGBTQ Cultural Competency Continuing Education Amendment Act. When signed by Mayor Muriel Bowser, he district will be the first jurisdiction in the nation to require LGBTQ cultural competency training for all health care providers.

The bill sets a modest but needed floor for such training by requiring any health care professional who is required to receive continuing education to include at least two credits of LGBTQ-related clinical or cultural competency training.

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Hormone therapy for transgender people improves mental health

Anti-transgender forces like Breitbart or Lifesite or Family Research Council like to drag out ancient transphobe Dr. Paul McHugh, the man who shut down the nation's leading gender clinic at Johns Hopkins because he thought gender non-conformity was a "lifestyle choice" or notorious ex-transwoman Walt Heyer to prove that treatment of gender dysphoria does not and cannot work.

The latest from Breitbart:

But medical students at Georgetown and other schools are being forced-marched though the post-modern, post-scientific ideological swamps of vanity politics instead of spending their precious time learning actual medicine.

You see, treatment of transgender people is not actually medicine.

Their purpose, of course, is to erase transgender people from the community of human beings. How very Christian of them.

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Tony Perkins goes full-on bonkers. Nobody notices the difference

Last Tuesday court-appointed receiver who has managed health care for California prisons under federal court order since the Scwarzenegger administration announced new guidelines which authorize surgical procedures for transgender inmates suffering from severe gender dysphoria who desire surgery.

The guidelines call for panels of state health professionals to review appeals for sex-reassignment surgery from inmates whose doctors say their patients are under significant distress because of a mental condition known as gender dysphoria. The inmate must have been taking hormones for at least a year and have consistently expressed a desire to change his or her biological gender before an operation can be approved.

Prison officials have estimated the cost of the state-funded operations as high as $100,000. But the Transgender Law Center in San Francisco, which has represented two inmates in suits against the state, says each operation would cost $15,000 to $30,000.

California's Department of Corrections and Rehabilitation says it has about 385 transgender inmates, most of them male-to-female, who are currently undergoing hormone therapy.

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First do no harm

An article published Monday in the Journal of Emergency Nursing will hopefully change the treatment of transgender people in hospital emergency rooms. The article was submitted by Ethan Collin Cicero, BSN, RN and Beth Perry Black, PhD, RN, from Chapel Hill, NC and was entitled, I was a Spectacle...A Freak Show at the Circus: A transgender Person's ED Experience and Implications for Nursing Practice

The article offers a case study for Brandon James (not his real name), a transgender man who visited an Emergency Department in the southeastern US a few years ago, expecting to be treated like any other patient.

Instead, he was treated like a "freak show at the circus" by hospital staff when the female marker on his driver's license and medical record did not match up with his masculine appearance and preference to go by male pronouns.

The authors point to one recent study, which found that about 19 percent of transgender patients reported having been refused care because of their gender status, and 28 percent said they experienced harassment in a medical setting.

Unfortunately, this is fairly common. From a nursing perspective, those are very alarming numbers to learn about, so that's why we wanted to look a little more closely into this community's health care experiences.

--Cicero, a doctoral student at the Duke University School of Nursing

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Transgender Health Care

The American College of Physicians (ACP) is the second largest group pf medical doctors in the nation, behind the AMA. This past week the ACP has issued its positions on how best to support and serve the nation's LGBT people.

The ACP recognizes that LGBT people have significant disparity in the health care we receive, ranging from coverage to culturally competent care to state and federal policies that systemically reify social stigma, marginalization and discrimination. That results in LGBT people being discouraged from seeking preventative health care, as well as increasing anxiety, suicidal ideation and substance and alcohol abuse.

So the ACP adopted nine positions:

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