November 21, 2011
Ob-Gyns: Prepare to Treat Transgender Patients
Washington, DC — To address the significant health care disparities of transgender individuals and to improve their access to care, ob-gyns should prepare to provide routine treatment and screening or refer them to other physicians, according to The American College of Obstetricians and Gynecologists (The College). In a Committee Opinion published today, The College also states its opposition to gender identity discrimination and supports both public and private health insurance coverage for gender identity disorder treatment.
Although the total number of transgender people in the US is unknown, studies suggest they make up a small, though substantial, population. Transgender is a broad umbrella term that includes people whose gender identity and/or gender expression differs from their assigned sex at birth. Female-to-male, male-to-female, crossdressers, bi-gendered, and intersex are the major groups that fall under the term transgender.
“Transgender patients have many of the same health care needs as the rest of our patients,” said Eliza Buyers, MD, former member of The College’s Committee on Health Care for Underserved Women who helped develop the new recommendations. Health outcomes for the transgender community are very poor due to their lack of access to health care, noted Dr. Buyers. “It would be wonderful if all transgender patients had the resources to be seen in a specialized clinic, but the reality is that many forgo care because they don’t. By increasing the number of ob-gyns providing care to transgender patients we can help improve the overall health of the transgender community.”
Transgender individuals who were assigned female sex at birth but are now living as a male will continue needing breast and reproductive organ screening, unless they’ve had mastectomy or had their ovaries, uterus, and/or cervix removed. Male-to-female individuals who have had genital reconstruction may need cancer screening of the neovagina and breast cancer screening if taking estrogen hormones.
“Services that ob-gyns should be able to offer transgender patients include preventive care, Pap tests, sexually transmitted infection (STI) screenings, and hysterectomy for standard indications like heavy bleeding or pain,” said Dr. Buyers. The College recommends ob-gyns first consult with transgender experts before performing hysterectomies as part of gender affirmation surgery. “Hormone replacement can be managed in consultation with experts in transgender care, as many patients will seek hormones on the black market if unable to obtain them from their providers.”
Many, if not most, transgender people face social harassment, discrimination, and rejection from family and society in general. Many of them are homeless, particularly youth who identify as transgender. Transgender individuals are at an increased risk for sexually transmitted infections (STIs), including HIV, and physical abuse.
“We need to make our offices settings that treat all patients with respect,” said Dr. Buyers. The College offers ob-gyns suggestions on how to create an office environment that is welcoming to transgender patients. For instance, asking patients their preferred name and pronoun, posting non-discrimination policies, ensuring confidentiality, and offering sensitivity training for staff are all steps that signal acceptance and let patients know that they will be treated with dignity. “We want the transgender community to know that we, as ob-gyns, care about their health.”
Committee Opinion #512 “Health Care for Transgendered Individuals” is published in the December 2011 issue of Obstetrics & Gynecology.
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The American College of Obstetricians and Gynecologists (The College), a 501(c)(3) organization, is the nation’s leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of approximately 55,000 members, The College strongly advocates for quality health care for women, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women’s health care. The American Congress of Obstetricians and Gynecologists (ACOG), a 501(c)(6) organization, is its companion organization. http://www.acog.org
From Discover Magazine: http://blogs.discovermagazine.com/badastronomy/2011/11/29/how-not-to-market-science-to-girls/
November 29th, 2011
Teaching kids about science is one of the best things we can do. Children are naturally inquisitive and curious; and the methods of science, if taught correctly, can be used to engender a lifelong love of these traits.
So I’m happy when science is encouraged for kids. Still, there are times when I see examples of science education that make me cringe, and shake my head, wondering “What were they thinking?”
Enter WILD! Science. This is an apparently successful Australian company that sells science kits for kids. That’s great, and some of the kits look pretty good.
The problem is, they split some of the kits into ones for boys, and ones for girls. And that split is exactly what you think.
For example, for boys: Hyperlauncher, Joke Soap, Perils of the Deep, Weird Slime Lab.
For girls: Mystic Crystals, Beauty Spa Lab, Luxury Soap Lab, Perfect Perfume Lab.
Oh: I’ll add that the boys’ kits are marketed in blue; the girls’ in pink.
Now, I am not a sociologist or a psychologist who studies gender roles and the differences between the sexes. It strikes me that there may be no need to separate the way we teach between boys and girls — my friend and geologist Evelyn Mervine discusses this point further — but I’ll also readily admit that there may very well be differences between the ways boys and girls see the world. If that’s the case, I have no problem with a company, teacher, or parent accepting that and using it to help the child learn. In other words, science is the same for everyone, but how we get people interested in it and learning about may vary from demographic to demographic.
But I don’t think that’s really the issue here. The problem here is these girls’ kits all are almost entirely marketed on the idea that girls should be pretty, or should try to make themselves pretty.
From The Guardian UK: http://www.guardian.co.uk/business/2011/nov/30/save-euro-eu-europe
Europe’s leaders are faced with a stark deadline of 10 days to save the euro or face the disintegration of the European Union itself.
The warning from Olli Rehn, EU economic and monetary affairs commissioner, came after central banks intervened to prevent a complete freezing-over of the west’s financial sector because of the politicians’ continued failure to resolve the sovereign debt crisis.
EU finance ministers were told bluntly that, with eurozone unemployment at 16.3m or 10.3% – the highest level since the single currency was introduced – an unchecked debt and banking crisis would push Europe into a deep slump and drag the rest of the world with it.
Herman Van Rompuy, the European Council president, charged with preparing yet another make-or-break EU summit next week, said: “The trouble has become systemic. We are witnessing a fully blown confidence crisis.”
The eurozone’s three most prominent leaders – Nicolas Sarkozy, Angela Merkel and Mario Monti – are due to set out over the next five days how they envisage Europe’s political class regaining supremacy over volatile but dominant financial markets – and restoring confidence among panicky investors.
Continue reading at: http://www.guardian.co.uk/business/2011/nov/30/save-euro-eu-europe
Stop, I’ve seen this movie before.
Fanatical Iranians storming Embassies. Plus the ginning up of a nuclear threat ala Iraq War propaganda build up.
I don’t know how W. fucked up the prosperity side of going to war with Iraq. We got a huge stinking deficit and no oil out of that one, plus everyone in the Middle East hates us, but to the “Big Thinkers” that only means we need to try harder.
Let me be the first to say, “Fuck the idea of going to war with Iran.”
The only war Americans or for that matter Europeans should even consider getting into is a major Class War against the rich elite Masters of the Fucking Universe”. They are our real enemy, the real threat to democracy.
I read a really chilling article on Naked Capitalism today outlining the ultra right wing “Libertarian” idea of doing away with democracy. (http://www.nakedcapitalism.com/2011/11/journey-into-a-libertarian-future-part-ii-%E2%80%93-the-strategy.html)
The whole Iran Scare is just a spectacle to divert attention from the fucking working people in the USA/Canada and Europe are receiving from the Elites.
Tuesday, November 29, 2011
TEHRAN (Reuters) – Iranian protesters stormed the British Embassy compound in Tehran on Tuesday, smashing windows and burning the British flag during a rally to protest against sanctions imposed by Britain, live Iranian television showed.
Protesters threw petrol bombs and one waved a framed picture of Queen Elizabeth apparently found inside the compound, the state TV showed.
The semi-official Mehr news agency said protesters pulled down the British flag, burned it, and put up the Iranian flag.
London banned all British financial institutions from doing business with their Iranian counterparts, including the Central Bank of Iran, as part of a new wave of sanctions by Western countries.