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The ANZPATH Clinical Conference, reflections from a jaded perspective

Started by Cindy, November 02, 2015, 03:33:16 AM

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Cindy

ANZPATH is the ANZ sister organisation of WPATH in Australia and New Zealand, we had our clinical conference on Oct 31.

About 70 people attend, all clinicians. Some extremely versed in trans issues, some new people to the field.

We covered public awareness, assimilation, speech pathology, models to decrease waiting lists and practical issues for transpeople and how to help. Autism and paediatric presentations were also covered. We awarded three scholarships for new researchers into trans issues. All were ciswomen and all psychology students, they enthusiasm was both refreshing and their assimilation into transculture (read going nuts in night clubs with the transgirls was wonderful).

Waiting lists and acces to public health services were high on the list. In Australia access to public health services is a right, paid by our taxes, public health is free(is), that we are refused surgical and endo services is a primary issue to be dealt with and will be brought up again at a Federal level (Cindy goes to Canberra again :laugh:).

Waiting lists, as many people know these have blown out totally. Monash 12 months, Adelaide 12 months, Qld a bit better but under threat. NSW same as Qld WA, non-existent. One reason is the total lack of funding. We have funding for children at the Royal Melbourne Children's Hospital, nothing anywhere else. Again Cindy goes to Canberra with her begging bowl.

Models to improve waiting lists. Qld, Monash and Adelaide use informed consent after first assessment. Three sessions and out to the Endo. Sadly, this is good for 90% of the population but for those who need therapy it is a long haul. Psychotherapy places are few and far between. Some of us needed it.
NSW Gender Centre are using the same model but their Psych (a lovely woman I had not met before) is overwhelmed. She does a lot of pro bono and depends on goodwill to keep her employed (she has a basic contract that doesn't cover her hours).

Attitude.
There was not a single professional provider who did not live to help their clients. They wanted the best outcome possible for their clients. They all had horror stories of how some marginalised clients responded and their difficulty in getting colleagues to join the practice. (->-bleeped-<- Cindy, When I get letters like this, how can I convince another Psych to
join me?) He showed me a letter dripping with hate.
There is no money in treating transgender people, I do it because I love them, I have rent, three secretaries and rooms. Guess what? I pay for them. I would do pro bono for ever but my rent has to be paid, their salaries need to be paid).

I sat outside by the lovely Brisbane river, watching boats. One of the secretaries came and say by me. I'd met her before (she took me shopping after my second assessment, I was stuck in a different city so she took me shopping.). "You run the big site don't you?" Yea. " Can you post something for me?" Yea. So I shall.

" Please I'm the secretary, I'm not a 'rude word word' I'm not blocking you, it isn't my fault there is 12 month list. I don't like being called a cow, I don't like being insulted; I don't insult you, why insult me? Why call me a cisbitch? It's not my fault."

I told her that the community doesn't accept that behaviour. I told her I would post her comment.

I told her I would send the communities appreciation of her hard work to her.

I await it.
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AnonyMs

I've been to the Sydney Gender Center a number of time, and the therapist there was really helpful. Very insightful. Unfortunately they are totally underfunded and I was desperate so I went private. Luckily I can afford it, but there must be so many that can't.

I feel very fortunate to live in Sydney; I've met some wonderful medical professionals. I haven't actually met any bad ones. It doesn't reflect so well on our government though, and my thanks to you Cindy for getting involved with them. It can't be an easy thing for an academic.
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Jenny07

Nice work again.
You do us all proud.

People should always remember to treat others how they want to be treated themselves.
There is absolutely no place to abuse people for doing their job properly.
It is not acceptable.


So long and thanks for all the fish
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Ms Grace

QuoteI don't like being called a cow, I don't like being insulted; I don't insult you, why insult me? Why call me a cisbitch? It's not my fault.

I find this behaviour difficult to fathom. I understand that people can feel desperate and afraid and frustrated and angry... but taking it out on the people who might actually be able to help you? So baffling. And even more likely to get you pushed further back on the waiting list.
Grace
----------------------------------------------
Transition 1.0 (Julie): HRT 1989-91
Self-denial: 1991-2013
Transition 2.0 (Grace): HRT June 24 2013
Full-time: March 24, 2014 :D
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suzifrommd

I think it's a casualty of the computer age that we forget that while computers have no feelings, all people do, and venting anger at a human is different than venting anger at a computer. We've created a generation of sociopaths brought on by a lack of human contact. I feel for the lady who talked to you. I hope your announcement helps in a small way.

I also can't resist pointing out that by establishing themselves as de facto gatekeepers, the therapeutic community has brought some of this backlog upon themselves.  Many, many trans people don't need counseling to figure out their gender. There are a few that do, and there are a few of those that think they don't and get it wrong, but requiring every single trans person to go through a psych screening for the sake of the few people it might help is using a sledge hammer to post a thumbtack.
Have you read my short story The Eve of Triumph?
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Obfuskatie

Unfortunately most people have the capacity to be a jerk. Despite how humbling life can be, especially to those in the most marginalized groups, sometimes it's easier for people to blame someone than it is to fully accept reality. Not that it excuses the awful behavior.


     Hugs,
- Katie
Sent from my iPhone using Tapatalk



If people are what they eat, I really need to stop eating such neurotic food  :icon_shakefist:
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captains

Quote from: suzifrommd on November 02, 2015, 05:45:46 AM
We've created a generation of sociopaths brought on by a lack of human contact.

Bit harsh.  :D Let he among us without social sin be the first to condemn.
- Words of wisdom from Cameron, an internet-dwelling youth

No, though, that's really terrible. I've heard a lot of abuse working in clinics, and it's just awful. I understand that many people who pass through that center are hurting and desperate for services, but I think I'm preaching to the choir when I say that that kind of casual cruelty is upsetting, unhelpful, and unnecessary.
- cameron
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Sarah82

Quote from: Cindy on November 02, 2015, 03:33:16 AM

" Please I'm the secretary, I'm not a 'rude word word' I'm not blocking you, it isn't my fault there is 12 month list. I don't like being called a cow, I don't like being insulted; I don't insult you, why insult me? Why call me a cisbitch? It's not my fault."

I told her that the community doesn't accept that behaviour. I told her I would post her comment.

I told her I would send the communities appreciation of her hard work to her.

It's people that make those kind of hateful comments that give the rest of us a bad reputation.

I have the greatest admiration for people who choose to help us with our transitions, no matter how long it takes. It leaves them open to some of, if not as much of, the hate as we can be exposed to.

Grrr this kind of small minded misdirected hate frustrates me.

Please tell your friend that she is appreciated, without her work many of us would still be waiting to access the support we need.

Hugs,
Sarah





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LizK

Those of you who have followed my story over recent months will know how desperate things got for me when I couldn't seem to access any services...this frustrated and angered me, but I cannot for the life of me understand why someone would choose to be rude to the very people who are trying to help...and especially since services in Adelaide have such long lists...my wait is till August next year which of course for a first appointment but that does not give me the right to go off at some poor secretary just trying to do their job
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
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Dee Marshall

Looking at things from the US you folks in OZ and EnZed have it very good. Still, I know that a long wait like that would have probably resulted in a psych committal for me. The two months I HAD to wait for the endo were almost unbearable. Surgery or even electrolysis is only a distant dream for me right now. I can understand, but not condone that behavior.

Hey, if things get worse here, as they well might, would one of you sponsor me and let me sleep on your couch? ;)
April 22, 2015, the day of my first face to face pass in gender neutral clothes and no makeup. It may be months to the next one, but I'm good with that!

Being transgender is just a phase. It hardly ever starts before conception and always ends promptly at death.

They say the light at the end of the tunnel is an oncoming train. I say, climb aboard!
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Deborah

In the US we have to pay, or use insurance if it's covered.  But treatment is fast, from asking for the first psych appointment to HRT in a matter of weeks.

In other places the service is free but the same process takes a year or two.

If only we could get it free in a matter of weeks!


Sent from my iPhone using Tapatalk
Love is not obedience, conformity, or submission. It is a counterfeit love that is contingent upon authority, punishment, or reward. True love is respect and admiration, compassion and kindness, freely given by a healthy, unafraid human being....  - Dan Barker

U.S. Army Retired
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Kassie

Here in the US we also have informed consent doctors.  Which is what I finally used 14 months ago I have seen a therapist lately how ever it  was for family bull->-bleeped-<-   I do not believe most of us need gate keepers as  there are very few therapist that deal with our issues


Sent from my iPhone using Tapatalk
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stephaniec

I totally admit that I'm extremely lucky. Lost my job and insurance walked in to a hospital for help. That was 2.5 years ago and I'm happy and alive I was put on charity basis . They took care of me and I'm totally grateful I know its impossible to do for everyone , but they saved my life. I'm in the US.
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kelly_aus

I got in to see the therapist in about 3 months, which was kinda lucky and way shorter than the expected wait times.. When it came time for me to start hormones, I was given the 2 options of doctors in Adelaide who would do it - along with their expected wait times.. Got my letter on a Wednesday and had my prescriptions in my hand the following Friday. I was told a 6 month wait was to be expected.
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LizK

I Just spoke to Virginia at the SA Gender Dysphoria Clinic and she was loverly...and I think the last time I called I spoke with her as well and again very pleasant lady
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

kelly_aus

Quote from: sarahtokes on November 03, 2015, 06:06:36 PM
I Just spoke to Virginia at the SA Gender Dysphoria Clinic and she was loverly...and I think the last time I called I spoke with her as well and again very pleasant lady
Virginia is an all-around good egg. Be nice to her, she is the Keeper of the Cancellation List..
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Cindy

She also makes a nice cup of tea and comforts you when you feel like crap :laugh:
  •  

LizK

Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Cindy

One thing I forgot to mention from the conference was from Major Donna Harding of the Australian Army. A lovely woman who is responsible for transgender issues in the armed forces here.

The Australian armed forces have taken the attitude that each and every member is important to the organisation and that being transgender is not an issue that impacts on the 'usefulness' of the members of the Force. Indeed the attitude is that if a serving members gender issues can be successfully addressed then there is a valuable, well trained, member of the armed forces who can continue to serve his or her country.

After assessment, transgender people are offered hormonal reassignment and, if they wish surgical reassignment; paid for by the Army (Air Force or Navy).

The individual serves as the gender that they identify as, under the restrictions there may be for women serving as front line troops etc.

I believe, but I am unsure, that a similar attitude is taken by the UK and European Armed Forces.

It was very refreshing to hear that and that the USA Armed Forces are in consultation.
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