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Thread: Blurred lines: A pregnant man’s tragedy tests gender notions

  1. #1

    Exclamation Blurred lines: A pregnant man’s tragedy tests gender notions

    Blurred lines: A pregnant man’s tragedy tests gender notions

    https://apnews.com/b5e7bb73c6134d58a0df9e1cee2fb8ad

    By MARILYNN MARCHIONE

    When the man arrived at the hospital with severe abdominal pains, a nurse didn’t consider it an emergency, noting that he was obese and had stopped taking blood pressure medicines. In reality, he was pregnant — a transgender man in labor that was about to end in a stillbirth.

    The tragic case, described in Wednesday’s New England Journal of Medicine, points to larger issues about assigning labels or making assumptions in a society increasingly confronting gender variations in sports , entertainment and government . In medicine, there’s a similar danger of missing diseases such as sickle cell and cystic fibrosis that largely affect specific racial groups, the authors write.

    “The point is not what’s happened to this particular individual but this is an example of what happens to transgender people interacting with the health care system,” said the lead author, Dr. Daphna Stroumsa of the University of Michigan, Ann Arbor.

    “He was rightly classified as a man” in the medical records and appears masculine, Stroumsa said. “But that classification threw us off from considering his actual medical needs.”

    Stroumsa would not say where or when the case occurred, and the patient was not identified.

    Transgender men, who are considered female at birth but who identify as male, may or may not be using masculinizing hormones or have had surgical alterations, such as womb removal.

    The 32-year-old patient told the nurse he was transgender when he arrived at the emergency room and his electronic medical record listed him as male. He hadn’t had a period in several years and had been taking testosterone, a hormone that has masculinizing effects and can decrease ovulation and menstruation. But he quit taking the hormone and blood pressure medication after he lost insurance.

    A home pregnancy test was positive and he said he had “peed himself” — a possible sign of ruptured membranes and labor. A nurse ordered a pregnancy test but considered him stable and his problems non-urgent.

    Several hours later, a doctor evaluated him and the hospital test confirmed pregnancy. An ultrasound showed unclear signs of fetal heart activity, and an exam revealed that part of the umbilical cord had slipped into the birth canal. Doctors prepared to do an emergency cesarean delivery, but in the operating room no fetal heartbeat was heard. Moments later, the man delivered a stillborn baby.

    A woman showing up with similar symptoms “would almost surely have been triaged and evaluated more urgently for pregnancy-related problems,” the authors wrote.

    “It’s a very upsetting incident, it’s a tragic outcome,” said Dr. Tamara Wexler, a hormone specialist at NYU Langone Medical Center.

    “Medical training should include exposure to transgender patients” so health workers are better able to meet their needs, Wexler said. “A lot of doctors who are practicing didn’t have that in their training” but can still learn from such patients now.

    Nic Rider, a transgender health specialist and psychologist at the University of Minnesota, said training isn’t enough.

    “There are implicit biases that need to be addressed,” Rider said.

    Health records may use male/female templates for gender but “it doesn’t mean that we just throw out critical thinking or think about how humans are diverse,” Rider said.

    The case is horrifying but “not terribly surprising,” said Gillian Branstetter, a spokeswoman for an advocacy group, the National Center for Transgender Equality in Washington.

    Transgender people often run into problems getting gender-specific health care such as cervical cancer screening, birth control and prostate cancer screenings.

    More needs to be done to improve medical awareness and recognition of diversity because “the consequences can be so dire, as this case shows,” Branstetter said.



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  3. #2
    A woman showing up with similar symptoms “would almost surely have been triaged and evaluated more urgently for pregnancy-related problems,” the authors wrote.
    That was a woman, you bloody $#@!ing dipshits.

    I can call a zebra a giraffe all $#@!ing day long, but it doesn't make it one.

  4. #3
    $#@!ing hell, just bring on the great meteor of doom already.

  5. #4
    “He was rightly classified as a man” in the medical records and appears masculine, Stroumsa said. “But that classification threw us off from considering his actual medical needs.”
    For crying out loud.

  6. #5
    Quote Originally Posted by phill4paul View Post
    $#@!ing hell, just bring on the great meteor of doom already.
    Quote Originally Posted by Superfluous Man View Post
    For crying out loud.
    Honestly...I try to be as "live and let live" as I possibly can...but this $#@! is lunacy.

    Somebody needs to throw a net over these people.

  7. #6
    Quote Originally Posted by Anti Federalist View Post
    Honestly...I try to be as "live and let live" as I possibly can...but this $#@! is lunacy.

    Somebody needs to throw a net over these people.
    Once again... They no longer teach factual biology in school anymore.

  8. #7
    Quote Originally Posted by Anti Federalist View Post
    That was a woman, you bloody $#@!ing dipshits.

    I can call a zebra a giraffe all $#@!ing day long, but it doesn't make it one.


    Quote Originally Posted by Danke View Post

    ...
    Quiz: Test Your "Income" Tax IQ!

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    Except as to the rule of appointment, the United States have an indefinite discretion to make requisitions for men and money; but they have no authority to raise either by regulations extending to the individual citizens of America.

  9. #8
    “He was rightly classified as a man” in the medical records and appears masculine, Stroumsa said. “But that classification threw us off from considering his actual medical needs.”
    Understandable. So the Doctor in India who was actually evaluating the patient over the Internet did not have all of the information necessary for diagnosis. A software update should fix this.
    Twitter: B4Liberty@USAB4L
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  11. #9
    It's just like when cops assume their badges make decent drivers out of them. Government has a bad habit of assuming their authority trumps the laws of biology and physics. Their power also leads them to assume their one size fits all edicts work for everyone. Or maybe they figure everyone who doesn't fit the mold doesn't matter.

    Power is not conducive to brain power. In fact, power seems to make people stupid. Mother nature has humbled bigger despots than these.
    Last edited by acptulsa; 05-16-2019 at 12:19 PM.
    Quote Originally Posted by angelatc View Post
    There's not a liberty lover on the planet who isn't called a liberal by the right, and a con by the left.
    Quote Originally Posted by Swordsmyth View Post
    I don't really care if I happen to be wrong about your positions, you are wrong about mine.

  12. #10
    Probably shouldn’t be having kids anyways.
    “The nationalist not only does not disapprove of atrocities committed by his own side, but he has a remarkable capacity for not even hearing about them.” --George Orwell

    Quote Originally Posted by AuH20 View Post
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  13. #11
    Quote Originally Posted by phill4paul View Post
    $#@!ing hell, just bring on the great meteor of doom already.
    I was halfway through reading the explanation and a very similar thought as yours popped in my head and I just gave up trying to decipher. Scrolled right to your comment.

    - lightning of doom.
    There is only one kind of freedom and that's individual liberty. Our lives come from our creator
    and our liberty comes from our creator. It has nothing to do with government granting it. -Ron Paul

    RAND 20/20

  14. #12
    Men can't get pregnant.
    "Perhaps one of the most important accomplishments of my administration is minding my own business."

    Calvin Coolidge

  15. #13
    Quote Originally Posted by phill4paul View Post
    $#@!ing hell, just bring on the great meteor of doom already.
    Yep.
    *******

    I didn't start out thinking that anti-vax people were fools or impervious to reason, it's from my experience here that I now think that.
    - AmyPi 2014 (RIP)

    Anti-vaxxers, responsible for a 30 percent uptick in totally preventable diseases in the world, have blood on their hands. They shouldn't be considered civilized members of society. If they refuse to listen to a century of scientific studies confirming time and time again that vaccination is an unquestionable good for humanity, then it's time for us to start treating anti-vaxxers as what they are: dangerous and worthy of shame and condemnation. If we can't convince anti-vaxxers to change their minds, we must attach enough social stigma to the delusion that agnostics cease to join them.

  16. #14
    Quote Originally Posted by Anti Globalist View Post
    Men can't get pregnant.
    Reported for hate speech.
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  17. #15
    Quote Originally Posted by phill4paul View Post
    $#@!ing hell, just bring on the great meteor of doom already.
    Quote Originally Posted by Anti Federalist View Post
    Honestly...I try to be as "live and let live" as I possibly can...but this $#@! is lunacy.

    Somebody needs to throw a net over these people.
    Quote Originally Posted by PursuePeace View Post
    I was halfway through reading the explanation and a very similar thought as yours popped in my head and I just gave up trying to decipher. Scrolled right to your comment.

    - lightning of doom.
    Quote Originally Posted by angelatc View Post
    Yep.
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