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Joined 10 months ago
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Cake day: September 23rd, 2023

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  • Hi, I’m a nurse so let me chime in here from direct experience.

    those born with a biologically male body should go to the male ward in a hospital? Isn’t that where they would receive the best treatment for themselves? Aren’t gender pronouns useful when distinguishing between biological differences in the medical field?

    NOPE! Unequivocally NOPE. We don’t separate hospital wards based on gender (in the US). Your gender has absolutely zero fuck all not one thing to do with your general biology and medical care. Doesn’t change or impact what we do in the least regarding your internal organs - heart, kidneys, lungs, all get approached the same.

    What does change what we do is your weight which affects medication doses. And in very, very, very niche specific situations the anatomy of your genitals changes what we do. (Say, if you’re having a problem urinating, the length of your urethra and any potential obstacles like a prostate will matter.)

    But see, here’s the things about that: We can’t approach the genital anatomy of two different individuals who both identify as male with the exact same treatment plan. The exact things we do are hyperspecific to the particular anatomy of that individual person. So if we’re dealing with a trans woman who didn’t have bottom surgery and still has a vestigial penis, then it doesn’t make any difference that she’s trans. We need to approach the anatomy that is present in front of us, whatever shape and condition it’s in regardless of the sociological characteristics of the person to whom the anatomy is attached.

    I think part of the confusion in the general public with medical care is the assumption that everyone who identifies as the same gender as you has very similar anatomy to you. Let me tell y’all, I have seen more genitals than a Las Vegas prostitute, and there is more variation than I would ever have imagined. You can’t go by a person’s stated gender and know exactly what you’re gonna get, even if that person is cis. The number of times you lift that gown on somebody and go, “What the fuck is going on here?!” that has nothing to do with a person being trans or not, y’all just have no idea lol.

    All medical care is approached specifically toward you as an individual person. Your particular responses to medications (which we can’t predict by the way - there’s an absurd amount of educated trial and error involved) and your particular anatomy. And 90% of the time, the response to anatomical variations is just “Huh, that’s unusual. Anyway, you can pee without any problems, right? Ok good idgaf ¯\_(ツ)_/¯”

    The only time your sociological characteristics come into play is when I’m talking to you about your life, providing education, trying to understand your obstacles to medical care.