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healthcare

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People living to work, not working to live.

If we looked 60 years into the past, there are a lot of things that were accepted as “normal” that today most people find abhorrent. For example, people used to smoke cigarettes everywhere. They’d light up in hospitals, schools and even churches.

People also used to litter like crazy. It’s socially unacceptable now, but if you lived in the ’70s and finished your meal at McDonald’s, you’d chuck your empty styrofoam container (remember those?) and soda cup right out of the window of your car and onto the street.

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Richard Soliz spent 28 days at Harborview Medical Center and nearly died of COVID-19.

Throughout the pandemic, we've seen countless stories of patients in the ICU, terribly sick with COVID-19, still insisting that the virus isn't real. Such stories of denial are frustrating, especially for healthcare workers who are doing their best to save people's lives.

That's why this story of a COVID patient returning to the hospital to thank—and apologize to—the medical staff who helped him offers a ray of hope that not all who are in denial will stay that way.

According to KOMO News, Richard Soliz hadn't known anyone who had gotten sick from the coronavirus. He had also fallen prey to misinformation on social media about the vaccine, so had chosen not to get vaccinated. Then he fell ill in late August, spiked a fever and found it difficult to breathe.

"That's when I really knew I was in a bad situation," Soliz said. "That's when I knew, hey, this is COVID. Man. I contracted the virus."

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'Boy Wearing a Wig,' Wilhelm von Gloeden (1900) Wikimedia Commons

In 1942, a 17-year-old transgender girl named Lane visited a doctor in her Missouri hometown with her parents. Lane had known that she was a girl from a very young age, but fights with her parents over her transness had made it difficult for her to live comfortably and openly during her childhood. She had dropped out of high school and she was determined to get out of Missouri as soon as she was old enough to pursue a career as a dancer.

The doctor reportedly found "a large portion of circulating female hormone" in her body during his examination and suggested to Lane's parents that he undertake an exploratory laparotomy – a surgery in which he would probe her internal organs in order to find out more about her endocrine system. But the appointment ended abruptly after her father refused the surgery, feeling "the doctor did not know what he was talking about."

I first encountered Lane's story buried among the papers of an endocrinologist, but her brief encounter with a doctor during her teenage years was typical of many transgender children like her in the early to mid-20th century. These stories form a key thread of the first several chapters of my book, "Histories of the Transgender Child," and they point to the tremendous obstacles these kids faced in a world where the word "transgender" didn't even exist.

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Photo by Kyle on Unsplash

When Charlie, a 10-year-old boy, came in for his first visit, he didn't look at me or my colleague. Angry and crying, he insisted to us that he was cisgender – that he was a boy and had been born male.

A few months before Charlie came into our office, he handed a note to his mother with four simple words, "I am a boy." Up until that point Charlie had been living in the world as female – the sex he was assigned at birth – though that was not how he felt inside. Charlie was suffering from severe gender dysphoria – a sense of distress someone feels when their gender identity doesn't match up with their assigned gender.

I am a pediatrician and adolescent medicine specialist who has been caring for transgender youth for over a decade using what is called a gender-affirmative approach. In this type of care, medical and mental health providers work side by side to provide education to the patient and family, guide people to social support, address mental health issues and discuss medical interventions.

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