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Positive encounters with medical practitioners

Started by Arch, August 11, 2010, 04:40:21 PM

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Arch

We all know the horror stories. Sometimes they happened to us and sometimes to someone else. EMTs refuse to treat a trans woman. Nurses are rude and intentionally use the wrong pronoun. Doctors don't know what to do with you. I still vividly remember that one nurse who treated me like something she'd found crawling around underneath a rock.

Such encounters hurt and fester and can block out the good experiences. I have had many positive encounters with medical personnel, but I tend to forget those experiences and focus on the nasty ones. Not today.

I went to see a specialist a few weeks ago. If you "pass" and have a gender-appropriate name, few doctors actually check your sex marker on the chart. So I figured I could just go in there, act like a regular guy, and never be asked about the big "F" in my records. But still, I wondered if gender issues were relevant to my medical complaint. Should I out myself? I struggled with it for days before. I didn't want to come out, but it might be important. So I wound up just blurting it out matter-of-factly. Surprised even myself.

The guy didn't even skip a beat. He talked about gender and how it tends to figure into cases like mine. As a point of medical relevance, he asked about my hormone regimen, but that was all. We talked for quite some time, and he treated me with perfect dignity and friendliness. I was just another patient--in a good way. All that worrying was for nothing. Sometimes the fretting is justified; in this case, I was just torturing myself. Maybe I'll do it less next time I meet a new doctor. In my neck of the woods, chances are excellent that the next MD will treat me with respect, just as this one did.

Oh, and he was hot, too. A real silver fox. >:-)
"The hammer is my penis." --Captain Hammer

"When all you have is a hammer . . ." --Anonymous carpenter
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lilacwoman

due to an extended transition and also needing operations for old knee and ankle injuries and an undescended testicle that looked like it was getting cancerous and a hernia repair and needing boob implants and hair transplants I've had to see literally hundreds of clerks, doctors, nurses, surgeons, xrayers, blood takers, police, etc etc... I've only had poor attitude from a handful of these.
I always go in with a smile on my face and a cheery 'Hello, I'm Lilac and I've come for...' 
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Cindy

Hi Arch and liliacwoman

I think there is another factor. People complain but very seldom praise. If you go through many of the medical posts at Susan's, people have had problems. People who haven't don't post. It's a bit of a life situation we complain when we are treated incorrectly but have amnesia when we are not.

I work in a big hospital and have slowly talked to a number of medics and nurses about treating TG people, it has been interesting. Most medics say no problems but they want to know, hormone regimes etc are very important to them. If you are on X I can't give you Y etc.  If you have a breast lump I need to know what the breast is ( in both natal and non-natal females). If I need to examine you, you need to tell me that 'things have been altered, I don't give a damn but if I see re-constructive surgery what else has happened to you? I think all of the consultants came out very clearly don't give a damn but need to know for treatment options. Many of the RMO's were lost. The registrars were getting better.

Female nurses were very interesting. Lots of them had problems with TG people they had lots of laughs about the bald guys in a nightie. Oh we still call them  'don't knows in a nightie'  I realise I using  summary language and points BTW. They were still very caring and said they would never say any of these comments to their patients but they had them as thoughts.

Male nurses were more accepting, and no there was no 'gay' link.

It is a strange area. We (the public)  have a tendency  to lose individuality when we need medical treatment. It is up to us to demand it. We also need to demand people are proffesional.

Cindy
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Steph

Just lucky?  Not sure to be honest but I can honestly say that I have had only one negative experience dealing with the medical community and that was at the local cancer clinic where I was sent to have some biopsy done, and that was probably due to their being overwhelmed with patients.

The best experience I had was when I went to have an extensive medical done to see exactly what if any inter sex conditions I had.  Now these were all specialists so maybe that was the reason <shrug>

I was there for a week and they checked for the usual signs and the whole experience was really nice.  Maybe the fact that KGH is a teaching hospital made a difference.  They discovered several anomalies which  I won't list here, but the point is they seemed genuinely interested  which the whole experience enjoyable.

Steph
Enjoy life and be happy.  You won't be back.

WARNING: This body contains nudity, sexuality, and coarse language. Viewer discretion is advised. And I tend to rub folks the wrong way cause I say it as I see it...

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sneakersjay

I've recently had to come out to my GP because I needed her to get things ready for my lower surgery.  I hadn't seen her in a few years, and the last time I had it was for female issues and depression.  I was so nervous.  She took it well, was very professional, got all of the paperwork done and sent in on time for my surgery, did a post-op follow up.  No raised eyebrows or smirks from any of the receptionists or nurses, either.


Jay


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M.Grimm

#5
When I had my top surgery, the staff at the hospital were amazing. They were respectful and polite at all times, and were careful to check what name and what pronouns I preferred. The surgical staff all talked to me ahead of time to I would know what was going on, and the nurses were caring and attentive.
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Janet_Girl

I am still per-op, but I am legally female by the standards of the SSA, So I always put down I am female.

I recently began seeing a new doctor.  During the "Get to know you" appointment, we went over all the usual stuff.  Meds, health history, operations.  I mentioned I had an Orchidectomy and that stopped my doctor in her tracks.  She just looked at me as I explained that I am Trans.  Her reaction?  "Well I guess we can forgo the usual 'Last Period' etc."  And the rest was about why I was there and to get blood tests.  Cholesterol, Hormone levels, liver, etc.  I mention that it had been a while since my last PSA test.  She tried to mark that test but the computer would not allow her, because it see me as female.  She did get the Lab to run it after a little arguing.  ;D

I am her first Trans patient so she checks with a fellow doctor who deals with trans patents.  And She recently doubled my Estrogen.  8)
  •  

Izumi

Quote from: Arch on August 11, 2010, 04:40:21 PM
We all know the horror stories. Sometimes they happened to us and sometimes to someone else. EMTs refuse to treat a trans woman. Nurses are rude and intentionally use the wrong pronoun. Doctors don't know what to do with you. I still vividly remember that one nurse who treated me like something she'd found crawling around underneath a rock.

Such encounters hurt and fester and can block out the good experiences. I have had many positive encounters with medical personnel, but I tend to forget those experiences and focus on the nasty ones. Not today.

I went to see a specialist a few weeks ago. If you "pass" and have agender-appropriate name, few doctors actually check your sex marker on the chart. So I figured I could just go in there, act like a regular guy, and never be asked about the big "F" in my records. But still, I wondered if gender issues were relevant to my medical complaint. Should I out myself? I struggled with it for days before. I didn't want to come out, but it might be important. So I wound up just blurting it out matter-of-factly. Surprised even myself.

The guy didn't even skip a beat. He talked about gender and how it tends to figure into cases like mine. As a point of medical relevance, he asked about my hormone regimen, but that was all. We talked for quite some time, and he treated me with perfect dignity and friendliness. I was just another patient--in a good way. All that worrying was for nothing. Sometimes the fretting is justified; in this case, I was just torturing myself. Maybe I'll do it less next time I meet a new doctor. In my neck of the woods, chances are excellent that the next MD will treat me with respect, just as this one did.

Oh, and he was hot, too. A real silver fox. >:-)

Never had a bad experience, but it could be where i live, people are, well, a lot happier here then everywhere else and it tends to spread around.  Their isnt the social tension you see in other places here.  Anyway, I never had a bad experience at the doctors office here although i did have a funny one, everyone assumes i am female, by the way i look and talk they dont even look most of the time on the charts and my name is ambiguous enough to pass for male or female.  Although i do have to out myself in most cases when they ask questions relating to periods and such, I get the usual stunned look of surprise, then a quick scroll over the records verifies the "M".  One of the funny ones was when a doctor thought i was in the wrong room and it took me 5 minutes to convince him that the person on his charts was me, he kept ignoring what i was saying..   I would say "I am X", he would say, you cant be X because X is a man, your not a man.  I would smile and say but i am X, he would say is he your husband/fiance/BF, did he go the bathroom?  had to show him my ID but the fun didnt stop there, as things continued it was probably the most funny things that every happened in a hospital, but they never disrespected me, or treated me unprofessionally, i just caught the guy off guard and he wasnt sure what to do, which made it fun to watch.
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Jamie-o

I've been very impressed by the professionalism at my local hospital.  I had to go in several times for a recurring condition, and every doctor and nurse I saw was respectful and used proper name and pronouns.  Even before I was able to officially change my medical records, they made note of the correct name and pronoun and used it consistently. 

Ironically enough, it was my T prescribing doctor, at a different hospital, who messed up my name the last time I was there. 

I heard him outside the door say, "Is [Old Name] in there?" 
The nurse replied, "Yes, but it's [New Name] now."
"Oh!  That's right!"

Give that woman a raise!  :D
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Nygeel

I have a handful of negative experiences and ONE positive experience. I've had problems with the whole sex organs and went to planned parenthood. The doctor there was great, took everything slow and understood my freaking out and was quick to stop whatever made me feel uncomfortable.
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K8

I've had nothing but good experiences.  Everyone has been positive and accepting, using my new name consistently, listing me as female even when I was still anatomically and legally male, etc.  When I went to my regular doctor and asked for HRT, he didn't skip a beat but warned me that he would need a little time to look up what to do for me since I was his first TS.  In my experience, it has been as Cindy said - they want to know my history so they can medically treat me as I am.

- Kate
Life is a pilgrimage.
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Alex509

Last week I had an interesting experience at the doctor.  I was really nervous about going to the dermatologist.  It was a new doctor.  As soon as I said that I was trans, she replied, "I just saw a documentary about that on Logo last night!"  She was totally cool with it.  Correct pronouns the whole time.  Very pleasant experience.
  •  

Arch

My therapist's positive attitude must be rubbing off on me; I'm looking for ways to look on the bright side of things now. I don't always succeed--hell, I don't always try; it's a new skill for me. But these posts are nice.

And it's always nice to see Kate. :)
"The hammer is my penis." --Captain Hammer

"When all you have is a hammer . . ." --Anonymous carpenter
  •  

Trickster

I don't go to the dr regularly due to being uninsured, but! In my nursing intro class, one professor had only one semester with us and went out of her way to educate us and reinforce an understanding of trans and intersex issues. She's very well-respected, to the point where any argument or debate can be heavily influenced by the words 'Mrs. ________ said...' AND her class has the highest pass rate in the college. So expect a few dozen future nurses out there with at least a rudimentary understanding! I believe she was very influential in how quite a few of my classmates are making an effort to be respectful to me as i transition (the rest already just weren't jerks and/or were aware of trans issues).I  imagine she's awesome with her own patients when she's not teaching. And this is in a veeeeery conservative community. :) so there's hope from the inside! Many of us plan to go on and teach, too! :)
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Debra

I got lucky. My family doctor of many years, when I came out to him, was really good about it. He said he had a colleague in medical school that went through transition. He wanted to help however he could and has been helpful with many letters I've needed to change my gender marker on legal documents.

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