News and Events => Science & Medical News => Topic started by: Felix on November 26, 2011, 02:10:53 AM Return to Full Version
Title: South Africa - Transgender patients sidelined by attitudes and labelling
Post by: Felix on November 26, 2011, 02:10:53 AM
Post by: Felix on November 26, 2011, 02:10:53 AM
SAMJ: South African Medical Journal
Print version ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.101 no.2 Cape Town Feb. 2011
http://www.scielo.org.za/scielo.php?pid=S0256-95742011000200007&script=sci_arttext&tlng=en (http://www.scielo.org.za/scielo.php?pid=S0256-95742011000200007&script=sci_arttext&tlng=en)
In spite of an enlightened constitution and enabling legislation, South Africa's small transgender population continues to battle medical prejudice and ignorance in addition to huge societal pressure to conform to socially constructed sexual stereotypes. An Izindaba investigation showed that transgender people need precise information and deep pockets to access hormone treatment and/or gender-reassignment surgery, be it in the public or private sector.
Print version ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.101 no.2 Cape Town Feb. 2011
http://www.scielo.org.za/scielo.php?pid=S0256-95742011000200007&script=sci_arttext&tlng=en (http://www.scielo.org.za/scielo.php?pid=S0256-95742011000200007&script=sci_arttext&tlng=en)
In spite of an enlightened constitution and enabling legislation, South Africa's small transgender population continues to battle medical prejudice and ignorance in addition to huge societal pressure to conform to socially constructed sexual stereotypes. An Izindaba investigation showed that transgender people need precise information and deep pockets to access hormone treatment and/or gender-reassignment surgery, be it in the public or private sector.
Title: Re: South Africa - Transgender patients sidelined by attitudes and labelling
Post by: AbraCadabra on November 26, 2011, 02:39:29 AM
Post by: AbraCadabra on November 26, 2011, 02:39:29 AM
People I actually find pretty accepting - being white/Caucasian and being embraced (nothing short of!) by black females, much more so then by white females.
The system is a mess in my knowing. Only ONE "accredited" gatekeeper for SBAH (Pretoria) a gay chauvinist in my experience, and a horse doctor also my very experience as head of department gynaecology doing the 2nd op – colovaginoplasty ONLY, NOT NEGOTIABLE. They are NOT at all experienced in 'inversion protocol' in my knowing... in Pretoria.
Their results are VERY iffy from an optical point of view - and take AGES to be finalized, due to 3 required operations (1. penectomy, orchiectomy, 2. colovaginoplasty -ONLY-!, 3. clitoro- & labiaplasty) plus endless delays due to state hospital underfundung (actually more like over-wasting...)
If ANYONE can afford to leave to country for their SRS - THEY WILL DO SO.
A VERY depressing situation - THE SYSTEM - not so much actual society in my experience.
Axélle
PS: the article most conveniently seems to side-step the -system- problem...
Groot Schuur Hospital can only do 3 GRS patience a year... so much for "sucess rate"... the waiting list is VERY long about 3 YEARS...
The system is a mess in my knowing. Only ONE "accredited" gatekeeper for SBAH (Pretoria) a gay chauvinist in my experience, and a horse doctor also my very experience as head of department gynaecology doing the 2nd op – colovaginoplasty ONLY, NOT NEGOTIABLE. They are NOT at all experienced in 'inversion protocol' in my knowing... in Pretoria.
Their results are VERY iffy from an optical point of view - and take AGES to be finalized, due to 3 required operations (1. penectomy, orchiectomy, 2. colovaginoplasty -ONLY-!, 3. clitoro- & labiaplasty) plus endless delays due to state hospital underfundung (actually more like over-wasting...)
If ANYONE can afford to leave to country for their SRS - THEY WILL DO SO.
A VERY depressing situation - THE SYSTEM - not so much actual society in my experience.
Axélle
PS: the article most conveniently seems to side-step the -system- problem...
Groot Schuur Hospital can only do 3 GRS patience a year... so much for "sucess rate"... the waiting list is VERY long about 3 YEARS...
Title: Re: South Africa - Transgender patients sidelined by attitudes and labelling
Post by: Felix on November 26, 2011, 02:51:40 AM
Post by: Felix on November 26, 2011, 02:51:40 AM
Wow. Axelle that sounds more difficult even than the article made clear. Thank you for the input.
Title: Re: South Africa - Transgender patients sidelined by attitudes and labelling
Post by: Rain Dog on November 26, 2011, 04:35:17 AM
Post by: Rain Dog on November 26, 2011, 04:35:17 AM
Quote from: Axélle on November 26, 2011, 02:39:29 AMTheir results are VERY iffy from an optical point of view - and take AGES to be finalized, due to 3 required operations (1. penectomy, orchiectomy, 2. colovaginoplasty -ONLY-!, 3. clitoro- & labiaplasty) plus endless delays due to state hospital underfundung (actually more like over-wasting...)That truly sounds like creating a "casserole of nonsense", to quote a somewhat maligned TV show. I would think there are significant risks involved in colon surgery that could be avoided. And with a penectomy, there would be no real clitoris. This sounds more like abuse than medicine, what happened to 'do no harm'?
Title: Re: South Africa - Transgender patients sidelined by attitudes and labelling
Post by: AbraCadabra on November 28, 2011, 04:06:58 AM
Post by: AbraCadabra on November 28, 2011, 04:06:58 AM
Quote from: Rain Dog on November 26, 2011, 04:35:17 AM
That truly sounds like creating a "casserole of nonsense", to quote a somewhat maligned TV show. I would think there are significant risks involved in colon surgery that could be avoided. And with a penectomy, there would be no real clitoris. This sounds more like abuse than medicine, what happened to 'do no harm'?
As for the 'do not harm' i.e. Hippocratic Oath, I learned it 'DOES NOT APPLY ANYMORE' at least for SA doctors, - so one more reason to be treated as an 'object' rather then a patient - as I experienced with myself and a tg friend.
The article is from a medical journal, therefore I'd also expect they'd not open a 'can of worms' when it comes to their own profession...
Axélle