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Doctors and Dysphoria: Medical Advances in the Trans Community

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Advances in modern medicine have virtually wiped out diseases ranging from Smallpox to Polio, thus increasing not only one’s longevity but also their quality of life. When doctors ensure that one’s life is worth living, without being in excessive physical and/or emotional pain, that is truly a gift. Continuing with the theme of LGBTQ History Month, here are some advances (and steps backwards) the medical community has made regarding trans folks.


1910

Magnus Hirschfeld founds the first clinic in Berlin to study and serve trans people.


1917

Dr. Alan Hart was the first documented FTM (female to male) person to have SRS (sexual reassignment surgery) in the US. This included a hysterectomy and gonadectomy.


1930

Lili Elbe, a Danish painter, was a transwoman who underwent SRS. She had 5 surgeries in hopes of becoming able to deliver a child, and died from transplant rejection of a uterus. This shows that gender dysphoria can be so unbearable it can become deadly. Acceptance and medical advances not only validates trans folks, but also saves lives.


1933

Nazis attacked Magnus Hirschfeld’s clinic and burned is archives.


1948

Harry Benjamin, an American endocrinologist, begins the practice of hormone therapy after meeting a mother who wants to support her child in their desire to present as female. He goes on to treat several hundred patients with hormone therapy. Being open minded and sympathetic can lead to medical advances, social progress, and happier humans.


1952

Christine Jorgensen, a WW II era GI, became a public figure regarding her MTF (male to female) sexual reassignment surgery. These procedures were done in Denmark by Dr. Christian Hamburger, an already renowned Danish endocrinologist.


1958

The first complete phalloplasty for SRS is performed by Dr. Judy T. Wu in Russia. This construction of a penis was developed from a process originally developed by Michael Dillon.


1966

The John Hopkins Medical Centre opens the first Gender Clinic. The founder, John Money, champions SRS in adults. He believed that gender was learned rather than innate.


1972

Sweden becomes first country in the world to allow citizens to legally allow SRS. However, a compulsory sterilization was still required along with applicants needing to be unmarried or be Swedish nationals. These laws were in place until January 1, 2013. What can look like progress, when examined a little closer, can still be problematic. It doesn’t matter how well you gift wrap shit, it’s still a load of crap.


1979

The John Hopkins Medical Centre Gender Clinic is closed by Paul McHugh. Even today, we must not take progress for granted, and do everything we can to preserve these achievements, for they can be taken back by those in power within the blink of an eye.

 

SRS was routinely covered in the US until a couple of medical articles came out in the late 1970’s showing high suicide rates among post-operative women. This combined with the closing of the Gender Clinic at John Hopkins created an opportunity for the insurance companies to pounce. They said that the procedure was elective, cosmetic, or experimental. It’s been an uphill battle since to get SRS covered by insurance.


1980

A Canadian man named David Reimer learns that he was born with a penis that was destroyed during a circumcision in infancy. He had lived his life as a woman before finding out this information, and decides to re-establish a male identity. This took 17 years and several surgeries. He sadly ends his life at the age of 38. Again, this shows the importance of body autonomy, especially as a minor. During that stage in our life, crucial emotional development occurs, and irreversible actions can have an agonizing and deadly outcome.


What now?

The stigma against HRT (Hormone Replacement Therapy) and SRS is lessening, and more and more doctors are providing resources and services to help the trans community. However, insurance companies remain a barrier for most Americans to receive the treatment they need and deserve.

Here are some tips and tricks on what to look out for when searching for a trans friendly plan:

  • Many health plans are still using exclusions such as “services related to sex change” or “sex reassignment surgery” to deny coverage to transgender people for certain health care services. Coverage varies by state.
  • Before you enroll in a plan, you should always look at the complete terms of coverage that are included in the “Evidence of Coverage,” “Certificate of Coverage,” or contract of insurance. This contains the full explanation of which procedures and services are covered or excluded under each plan. Plans might use different language to describe these kinds of exclusions. Look for language like “All procedures related to being transgender are not covered.” Other terms to look for include “gender change,” “transsexualism,” “gender identity disorder,” and “gender identity dysphoria.”

Regarding trans women and HRT specifically, here are some helpful tips:

  • Many women get HRT covered through insurance as a “hormonal imbalance.” This usually slips under the insurance radar even on policies that specifically exclude transsexual surgery and related services. Prescriptions go through rather easily in most cases, but some have reported difficulties with injections, due to the expense and office visits. Postoperatively, you should have no problems getting hormones covered.

Whoever coined the phrase “sticks and stones may break my bones but words will never hurt me” was completely wrong. Both can not only hurt, but kill. What is said about minorities has a strong impact socially, which then bleeds over into the legal and medical sector.

REMEMBER TO APPLY FOR HEALTH INSURANCE BY DECEMBER 15, 2017. OPEN ENROLLMENT STARTS NOV 1, 2017.

Originally posted 2017-10-19 14:36:40.

Sara Whittington is a genderqueer artist raised in Central Louisiana, but currently residing in Brooklyn, NY. They have had the good fortune to be able to travel across the country, as well as abroad. Some of their favorite trips thus far have been adventuring across Iceland, spending summers on Lake Michigan, and a family celebration in Mundesley, England. In their spare time, Sara enjoys writing letters to loved ones.

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Same-Sex Marriage in the US: A Decade of Change

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On June 26, 2015, the Supreme Court announced the decision to make same-sex marriage a right in all 50 states. People all over the country celebrated, pride flags were flown, and for the first time, the White House was lit with rainbow lights. The decision was a landmark victory for the gay-rights movement, but behind it all was decades of litigation, activism, and advocacy.

In 1996, a law called the Defense of Marriage Act was signed into law by President Bill Clinton. It defined marriage as “the union of one man and one woman” in the United States constitution. Individual states were able to recognize same-sex unions, but on a federal level, the words wife, husband, and spouse, were reserved specifically for heterosexual couples. Same-sex couples were also denied social security survivor’s benefits and were unable to jointly file taxes. For almost a decade, the DOMA remained.

After 40 years of being together, Edith Windsor and Thea Spyer traveled to Toronto to get legally married in 2007. A year later, their union was officially recognized by their home state of New York . In 2009, Spyer passed away at the age of 77. She left her entire estate to her wife, Windsor. Because of DOMA, the federal government did not recognize their union as a marriage and Windsor was required to pay over $300,000 in taxes on her inheritance. Windsor decided to challenge this because she was legally married and should have therefore qualified for an unlimited tax deduction on the inherited estate. After approaching several gay-rights advocacy groups, she was repeatedly denied and was unable to find representation.

Finally, Roberta Kaplan of Paul, Weiss, Rifkind, Wharton & Garrison LLP agreed to take on the case. In 2010, her case was filed and made its way through the circuits and in 2013 it had reached the United States Supreme Court. In a 5-4 decision, the court ruled in favor of Windsor and announced that DOMA had been unconstitutional. By the same margin, the Supreme Court would legalize same-sex marriage three years later.

In September of 2017, Windsor passed away at the age of 88. She left behind a legacy of activism and change, and hope. At her funeral, Hillary Rodham read a eulogy. “Because of her, people came out, marched in their first pride parade, married the love of their life. Thank you, Edie,” reported the New York Daily News.“Thank you for being a beacon of hope, for proving that love is more powerful than hate.”

Edith Windsor has helped to change the lives of thousands of LGBTQ couples and her legacy will continue to live on. Do you have a story of how legalizing same-sex marriage changed your life? Tell us in the comments!

Originally posted 2017-10-25 13:58:13.

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ALWAYS EXPECT THE UNEXPECTED: WHAT SHOULD BE IN YOUR CARRY-ON LUGGAGE

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You are planning a trip and have booked your flight, now it is time to pack!  Depending on your destination or the length of travel, your suitcase should be filled with items that will be comfortable for your leave. While everyone packs differently, there are certain things that are essential and should always be added to your carry-on- This will help you prepare you for the unexpected.

ALL TRAVEL DOCUMENTS

If you are traveling alone, with a group or significant other, make sure everyone has their documents, IDs and passports readily available when requested. As a backup, keep your information and photocopy of your passport stored on your phone. Try putting them in a travel document holder for better organization.

PHONE CHARGER

Never assume that you have enough battery juice to get you to your destination.  Anytime you have a few minutes to spare, charge your phone to give it quick boost of power. There is nothing worse than needing to use your phone in an emergency and not having enough battery life left.  Invest in a portable charger from Walmart, Amazon, or eBay for backup in case of emergency.

MEDICATION

If you have essential medication that you take a regular basis, pack those in your carry-on. Don’t settle and just pack a day’s worth a meds, pack all of them. If you put them in your checked luggage, you are taking a risk with your health if your luggage is lost or stolen.  It also doesn’t hurt to pack over-the-counter medication as well.

ELECTRONICS/ENTERTAINMENT

First, never trust baggage handlers to treat your luggage delicately or gentle.  If you have anything fragile that you need to take with you on a trip, please put it in your carry-on bag.  Electronics are fragile and expensive to replace. Besides, you may need something to keep you occupied throughout your flight.

Remember laptops are not allowed in checked baggage because they have lithium batteries and are a fire risk. Because earbuds are crap and never last as long as you may want, pack an extra pair just in case.

CHANGE OF CLOTHES AND TOILETRIES

Yes, it is 2017!  I know it is unfathomable but even with all this technology that airlines have, they can still lose your luggage.  Believe me, it can and still happens.

By packing a set of clothes and toiletries in your carry-on, you are guaranteeing that you have at least one set of changing clothes and can brush your teeth.  It also helps if you have an extended layover without access to your checked luggage.

SNACKS

Due to airline security, all liquids over a certain ounce will be rejected.  However, snacks are not.    Dollar Tree is to the go spot to stock up on snack at a reasonable price. Snacks are good in time of stress or simply when you are hungry. Airline peanuts and pretzels are not enough to fill you up.

Plus, if you are sitting next to cranky child or travel companion, try sharing some of your snacks with them. It may make your travel better.

What essentials do you always pack?  What do you feel was left off this list? Would love to read your thoughts and comments below.

Originally posted 2017-10-24 18:01:31.

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Transgender Day of Remembrance

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The LGBTQ community has faced violence for hundreds of years and the transgender community has sadly faced the brunt of these heinous acts. Every year, hundreds of trans folks around the world are murdered, purely for being trans. For many reasons, the majority of these murders are either not reported, or not classified as a hate crime against a trans person. Transgender Day of Remembrance (TDoR) is a day set aside to honor those that we do know were killed due to their identity and/or gender expression.

Out of Sight, Out of Mind?

Americans are desensitized to violence – on any news station on any day, there are multiple reports of accidents and attacks. When trans murders are reported, they are but a minor blip on the radar, often forgotten by the public by the next day. These reports often misgender the victim, and erase their identity. GLAAD (the Gay and Lesbian Alliance Against Defamation) provides a resource kit for journalists, especially tailored for TDoR. These simple changes in language have a major impact in how the individual is respected, validated, and honored. The report becomes less sensationalized and more personal and grounded.

History Repeats Itself

TDoR is a fairly new event considering the number of years these tragedies have been occurring. It started in November 1999 to honor the still unsolved murder of transwoman Rita Hester on November 28, 1998. Each year there is a list of names from November of the prior to current year of trans folks that were murdered. As of October 14, 2017, there are a total of 87 reported murders worldwide caused by transphobia. Again, it is important to note that this number is incredibly low, and inaccurate. Most trans murders go unreported, or are misclassified. These names are confirmed through news sources, and have been reported specifically as hate crimes towards trans folks. Brazil had the most murders at 65, while there were 24 in the United States, the most being in Maryland and Texas.

Vulnerability Factors

Being trans in and of itself is dangerous, and trans folks face violence of all types on a regular basis. Transgender women of color sadly face the worst of it.

For the last five years NCAVP has documented a consistent and steadily rising number of reports of homicides of transgender women of color, which continued into 2017. In August of 2017, NCAVP has already collected information on 19 hate-violence related homicides of transgender and gender nonconforming people this year, compared to 19 reports for the entire year of 2016. 16 of these homicides were of transgender women of color.

For an indepth study and database about the murders of transwomen, click here.

How to Host a TDoR Event

Here are the guiding principles of Transgender Day of Remembrance:

  • All who die due to anti-transgender violence are to be remembered.
  • It is up to us to remember these people, as their killers, law enforcement, and the media often seek to erase their existence.
  • Transgender lives are affirmed to have value.
  • We can make a difference by being visible and speaking out about anti-transgender violence.

Options are infinite of what one could do during this event. Some ideas include (but are not limited to):

  • Candlelight Vigils / Marches
  • Roundtable Discussions
  • Performance Actions
  • Political Rallies
  • Read-Ins
  • Art / Photography Displays

What is most important is that every name on whatever list you choose to use, is read aloud. On this day, we remember each person that was murdered, and give them our attention and respect.

A great way to end the event is to distribute printed material with follow-up actions. Where can people who are moved go to help? How can they pass the message on to others? TDoR is not just a day of memoriam, but also a call to action.

Events near You

The following is far from a complete list of TDoR events being held this year, but is certainly a good place to start looking for ways you can participate. TDoR is November 20, which lands on a Monday this year, so many events are being held on the weekends.

United States

California

San Francisco LGBT Community Center

1800 Market Street

San Francisco, CA 94102

Monday, November 20, 2017

5:30 PM – 8:00 PM PST

 

Illinois

Center on Halsted

3656 N Halsted

Chicago, IL 60613

Monday, November 20, 2017

5:30 PM – 9:30 PM CST

 

Brave Space Alliance

1434 W 51st St.

Chicago, IL 60609

Sunday, November 19, 2017

2 PM – 6 PM CST

 

Washington, D.C.

Metropolitan Community Church of Washington, DC (MCCDC)

474 Ridge St. NW

Washington, District of Columbia 20001

Monday, November 20, 2017

5:30 PM – 8 PM EST

 

Massachusetts

First Parish UU Church of Chelmsford

2 Westford St. (on the Chelmsford Common)

Chelmsford, MA

Saturday, November 18, 2017

6 PM – 9 PM EST

 

Cathedral Church of St. Paul

138 Tremont St.

Boston, MA 02111

Sunday, November 19, 2017

6 PM – 8 PM EST

 

Harwich Community Center

100 Oak St.

Harwich, MA

Friday, November 17, 2017

A light dinner will be offered starting at 5:30 PM EST

The program will begin at 6:15 EST

 

North Carolina

Fayetteville, NC

Saturday, November 18, 2017

4 PM – 6 PM EST

 

Indiana

First Presbyterian Church

512 7th St.

Columbus, IN 47201

Saturday, November 4, 2017

7 PM – 8 PM EST

 

Missouri

Courtyard by Marriott St. Louis St. Peters

4341 Veterans Memorial Parkway

Saint Peters, Missouri 63376

Monday, November 20, 2017

7 PM CST

 

Europe

France

Cinema the Variety

37 rue Vincent Scotto

13001 Marseille, France

Monday, November 20, 2017

7 PM – 8 PM UTC +01

 

United Kingdom

ARC Stockton Arts Centre

Dovecot St.

TS18 1LL Stockton-on-Tees, United Kingdom

Monday, November 20, 2017

6 PM – 9:30 PM UTC

 

“Those who cannot remember the past are doomed to repeat it.” – Santayana

Originally posted 2017-10-24 14:35:28.

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