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A place where the health of the mind, body and spirit merge

This page is filled with news articles, links, recipes, exercise information, tips and more. It's goal is to help you to be more in touch with yourself as you transition or watch someone you love transition. Submissions for content can be e-mailed to espenolie@yahoo.com. Please let me know when I have missed something important.

Next meeting of Trans●cend is:
 
2nd Wednesday of the month, 6:30-9pm 
-or-
4th Sunday of the month, 4:30-7pm
 
Meets at the Kalamazoo Gay Lesbian Resource Center (KGLRC). Click for information. All are welcome.

What's New???

Text received in an e-mail on July 25, 2008. I did some research and it is listed on the AMA website as RFS 5, and it is indeed a real AMA resolution!! This is a huge move for the AMA and it should benefit so many of us. If you have questions, please visit the AMA directly.

April 18, 2008

American Medical Association

RESOLUTION 122

Subject: Removing Financial Barriers to Care for Transgender Patients

Whereas, Our American Medical Association opposes discrimination on the basis of gender identity; and

Whereas, Gender Identity Disorder (GID) is a serious medical condition recognized as such in both the Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) and the International Classification of Diseases (10th Revision); and is characterized in the DSM-IV as a persistent discomfort with one's assigned sex and with
one's primary and secondary sex characteristics, which causes intense emotional pain and suffering; and

Whereas, GID, if left untreated, can result in clinically significant psychological distress, dysfunction, debilitating depression and, for some people without access to appropriate medical care and treatment, suicidality and death; and

Whereas, The World Profession for Transgender Health, Inc. (WPATH) is the leading international, interdisciplinary professional organization devoted to the understanding and treatment of gender identity disorders, and has established internationally accepted Standards of Care for providing medical treatment of people with GID, including mental health care, hormone therapy, and sex reassignment surgery, which are designed to promote the health and welfare of persons with GID and are recognized within the medical community to be the standard of care for treating people with GID; and

Whereas, An established body of medical research demonstrates the effectiveness and medical necessity of mental health care, hormone therapy, and sex reassignment surgery as forms of therapeutic treatment for many people diagnosed with GID; and

Whereas, Health experts in GID, including WPATH, have rejected the myth that such treatments are "cosmetic" or "experimental" and have recognized that these treatments can provide safe and effective treatment for a serious health condition; and

Whereas, Physicians treating persons with GID must be able to provide the correct treatment necessary for a patient in order to achieve genuine and lasting comfort with his or her gender, based on the person's individual needs and medical history; and

Whereas, Our AMA opposes limitations placed on patient care by third- party payers when such care is based upon sound scientific evidence and sound medical opinion; and

Whereas, Many health insurance plans categorically exclude coverage of mental health, medical, and surgical treatments for GID, even though many of these same treatments, such as psychotherapy, hormone therapy, breast augmentation or removal, hysterectomy, oophorectomy, orchiectomy, and salpingectomy, are often covered for other medical conditions; and

Whereas, The denial of these otherwise covered benefits for patients suffering from GID represents discrimination based solely on a patient's gender identity; and

Whereas, Delaying treatment for GID can cause and/or aggravate additional serious and expensive health problems, such as stress-related physical illnesses, depression, and substance abuse problems, which further endanger patients' health and strain the health care system; therefore be it

RESOLVED, That our American Medical Association support public and private health insurance coverage for treatment of gender identity disorder as recommended by the patient's physician. (New HOD Policy).

BEFORE...

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September 2005

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September 2005

AFTER...

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Christmas 2005, clear improvement but not perfect...

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Photo taken 1-19-2007. There is significant improvement.

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Taken 1-20-2010. My skin is looking pretty good now.

Testosterone and Acne
 
Testosterone can cause horrible acne for anyone taking it, and even for biological males it can be a horrendous experience. The myth is that acne is caused by dirty skin.
 
I was washing my face with stuff that was killing my skin. I also thought that acne came from dirt and oil, and washing my skin was only making my acne worse. The before and after photos to the left show you exactly what I was dealing with.
 
The bizarre part about it all was that I was having to endure extremely painful cysts and inflammation after only a few weeks of development. Within 30 days, my face was so red that I practically glowed in the dark! It was terrible and I feel for anyone who has experienced, or is currently experiencing it. Keep reading! Don't give up! There is hope!
 
My Story
 
I began using St. Ives Apricot Scrub on my face once daily--in the shower after shaving. I also used Proactiv topical medicines in moderation to assist in the process. My doctor put me on Minocycline 100mg daily as a preventative. I used this formula for almost a year and it started all over again. My face was getting so bad that I couldn't sleep at night. The pressure on my face from the pillow was too painful.
 
I asked for a referral and was sent to a dermatologist. She prescribed a medication called Accutane. I took it for about 10 days and in that time almost all my acne disappeared! It's a miracle drug as far a acne goes, but it has terrible side effects. I couldn't tolerate it and had to be taken off the medicine. After that, I was given Doryx, a once-a-day pill that is the only antibiotic approved for use on acne. I began using Tazorac, a cream version of Accutane (much milder) that I put on my face once each day. For cleansing, I use Cetaphil once or twice a day, depending on how my skin feels. I noticed some mild peeling with the Tazorac but nothing severe; nothing like the drying benzoylperoxide will cause.
 
I am seeing a few acne pimples each week but they heal in a couple of days with minimal scarring, compared to having sores for weeks at a time with huge marks left behind. I get these mostly along my jawline and next to my eyes on my temples. Not sure why they hang out there. As for my back and shoulders, I still get them pretty but it happens in shifts. Sometimes it's good, sometimes it sucks. Depends on the day, I guess.
 
If you have acne brought on by your testosterone, talk to your GP. Ask for help. There are lots of options out there for people struggling with acne. You don't have to buy anything from tv infomercials or try everything on the market. Doctors will try things until they find the magic combination. Don't be afraid or ashamed. Just get help.

Next in LGBT Health:
 
What's on the horizon for lesbian, gay, bisexual and transgender health? What are the top priorities for our many diverse communities? Can we find common goals and issues so that we can move forward in the next four years? These questions are important for our collective well-being, and the National Coalition for LGBT Health is addressing them with its member organizations from around the country.

The health issues we face are many, but let's focus on the top four:

1. We need to push for inclusion on all five major national health surveys that are funded by the federal government. Many do not know that these surveys exist, or that our government does not include sexual orientation and gender identity questions in these surveys. We are already participating in the surveys; we just aren't being identified. It's been shown that people are more willing to answer questions about sexual orientation than they are about household income.

2. We need to secure and retain federal funding for our local organizations. More than 50 percent of our LGBT community centers provide some sort of direct health service. And most of our major metropolitan areas have LGBT-specific health clinics. Securing funding for these services ensures access for over one million LGBT members of our community.

3. Our doctors need to understand how to address the special needs of the LGBT community. Gay men should be getting hepatitis A and B vaccines. Lesbians should be screened for breast cancer. Transmen should have competent gynological care. Transwomen shouldn't suffer the indignity of being diagnosed with a gender identity disorder in order to receive hormones or sexual reassignment surgery. We must educate ourselves, and we must hold medical universities and hospitals accountable for educating our health care providers.

4. We must link our movement of LGBT health care to the larger movement of social justice. We must understand that those fighting against a woman's right to choose, preventing needle exchange in inner-cities, or promoting abstinence-only education are the same people who would prevent fair and just LGBT health policies from moving forward in Congress and at the Department of Health and Human Services.

We must be wary of splitting ourselves up into smaller subsets based on issue and/or identity. We can work together with overlapping broad goals that push our health agenda forward. We must include LGBT health as a pillar in the broader LGBT civil rights movement. All of the larger, more prominent issues of marriage equality, employment nondiscrimination and hate crimes relate back to health, and our health relates back to these issues.

Unifying under this broader agenda will get us through the next four years and beyond.
 
Article courtesy of TGNI, 03-29-2005