You need to worry about this

In late November 2018, I was asked by my doctor if I could be available for media interviews in late January. St Michael’s Hospital in Toronto had conducted a study of 120 trans people and found that, on average, trans people were 60% less likely to get screened for any form of cancer. The interviews with CTV network and Canadian Press were held this past Monday, January 21 and were related to the release of this study. The study itself was released on Wednesday January 23.

in my remarks, I stated that in my view, there were two main reasons for such a low screening rate. The first of these is a lack of training on the part of the medical profession. As I’m sure my trans readers are aware, many doctors and nurses have little or no training in trans health issues. Here in Ontario it is possible to change the gender marker on identification documents without having had any surgery. So, given that documents show one gender, and the appearance of the patient matches that identifier, the caregiver may not consider screening for certain types of cancer. For instance, if faced with what the documentation and appearance indicates “male”, the caregiver may not know the person in front of them was born female and consider screening for cervical cancer.

Again, if a transwoman is present, the idea of screening for prostrate cancer may not be considered.

The second problem lies within the trans population itself. I know that we are under pressure, often self-imposed, to blend in, or “pass” as our correct gender. The one place that can be a detriment is in our health care. First, let me state I’m fortunate in that my caregiver at St Mike’s is well-versed in trans medicine. Others may not have that luxury. If, as happens, you changed doctors after you transitioned, unless you’ve had a full physical exam with this new doctor, they may not be aware you were not born as you now present. And they won’t know this unless you tell them. I know that advice is probably not want you want to hear, but we’re talking about something that may save your life so maybe – just this once – you could break down that barrier you’ve erected between now and the past.

This is something you really do need to worry about.

Cat.

I’ve had trouble in the past posting links on WordPress, so if you want the links to both the televised interview and the print interview, just ask and I’ll provide them in a response to a comment.

C.

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Don’t call me that

I did not set out intending to become a spokeswoman for anything or anyone. But over the past couple of months I’ve been involved in two separate events in which I’ve been called an advocate.

In both cases, my doctor asked me to take part in these events, and I agreed, so I knew what was coming. The first of these was a “health equity boot camp” put on by St Michael’s Hospital in Toronto. My doctor thought I’d be perfect for this one since I am both a senior and trans. As usual at these things, everyone wears a name tag. Mine also contained the notation “patient advocate”. The second, again through St Mike’s, was a study on cancer detection in trans people. I met with them and was once again identified as an advocate.

Here’s the thing: I don’t consider myself an advocate of any kind. In each case I made it clear at the outset that I spoke only for myself and did not represent any group or organisation. I’m in my mid-seventies, trans as I said above, and have strong opinions which I don’t mind sharing, usually in my blogs. But how can one person speaking strictly from a personal perspective be considered an advocate?

Here’s the definition of “advocate” from the Oxford University Press dictionary: advocate >noun 1 a person who publicly supports or recommends a particular cause or policy. 2 a person who pleads a case on someone else’s behalf. 3 Scottish term for barrister. Obviously that third definition is not me. As for the other two, I suppose if you squint really, really hard, you could fit my participation in those two events into one or both of those definitions. Even if you could, you’d have a hard time convincing me.

I’m reasonably intelligent and keep up with events in general and especially those that affect the trans community for they could, and often do, affect me. But the only policy I support or recommend is one that will make my life easier (I know, that sounds selfish of me.). Did I plead on behalf of someone else? Not intentionally, but if something I said in either of these events can benefit someone else, great.

Perhaps I’m being wilfully blind, but I fail to see how speaking up for myself can be considered being an advocate. Yes, my doctor recommended me for these two events because, to use her words, I hold strong opinions and I’m well-spoken. And yes, my best friend tells me I’m an advocate because I’m not afraid to speak out and she wishes I’d do it more often.

If my actions make me an advocate, well that’s your opinion.   But please, please, don’t call me that. I’ll probably laugh at you.

Enjoy your day and remember to hug an artist – we need love too.

Cat.

Submissions wanted from LGBT and HIV communities

I’m a transwoman and my co-writer, a positive woman, are working on a project detailing how society treats members of the LGBT and HIV/AIDS communities at the various stages of our journeys. A few years ago, I spoke with a psychologist at CAMH in Toronto who thought such a book would be a great benefit to them in their work.

We have our own experiences to draw on, but would like to hear other people’s experiences. No names will be used in this and any submissions will be checked to remove any clues that might give away your location. For example, if a submission from Toronto refers to “streetcars”, that would be replaced with the term “public transit” and any route names or number removed. Additionally, specific cities will be removed and replaced with either the name of your province or state, or a more generic term such as “midwest” will be substituted. We will do everything we can to protect your identity.

We both have friends in the LGBT and HIV/AIDS communities, so can call upon them for information, but that would be quite localized in scope. We need to hear from others, not just in Canada, but from anywhere. We especially would like to hear from transmen, for their experiences would no doubt be much different from my own. If you have generally found acceptance, great! Please tell us for that may give those just starting their new lives hope that things will get better. If you’ve experienced discrimination, or worse, please share that as well. Others need to know what pitfalls and danger may await them. Either way, we would like to share your story.

If you are willing to share your journey, you can send it to us at the following email address: 1outcastsofsociety@gmail.com Please remember the “1″ at the start of the address as the address without the numeral is taken.

Thank you,
Cat.

Bring him to justice – comment response

The following is a comment on “Bring him to justice – one step closer”:

Any word on this reprobate? This monster needs to be brought back to face justice. I understand the concern for his victims, but is it okay for him to get away with what he did and not have to pay in anyway? Does he have the right to live a free man in Jamaica while his victims have to live with what he did to them? Shouldn’t he pay for his crimes? If he gets away with what he has done, it sends the wrong message to others who may be infected with HIV and think they have the right to privacy. I think he needs to pay so it sends a loud and clear message to others.

Rather than respond directly to the writer, I felt it would be better to respond this way, for there is much to say on this.

This monster needs to be brought back to face justice. First, there is no further news on his return. I’ve been told through sources that his lawyer has filed suit against the Jamaican Minister of Justice claiming Flowers’s rights were violated by some action of the Minister. Until that case is heard, no further action on the extradition can happen. I know, I know. It doesn’t make me happy either.

I understand the concern for his victims, but is it okay for him to get away with what he did and not have to pay in anyway? No, it certainly isn’t okay for him to get away with what he did. But, look at it from the victim’s point of view. After their encounters with Flowers, many of these women were ostracised by their friends and in some cases, family. Some of the fortunate ones were able to either rebuild their lives or re-invent themselves with a new circle of friends who know nothing of the past. When (or if) this goes before a Canadian court, whoever Flowers retains to represent him will rip these carefully constructed lives to shreds, once again making these women victims.

Does he have the right to live a free man in Jamaica while his victims have to live with what he did to them? Shouldn’t he pay for his crimes? Well, he isn’t living as a “free man”. He is in a Kingston jail and as I understand it, he is in segregation so no, he doesn’t have the right. In the (extremely unlikely) case the Jamaican courts see fit to overturn the extradition order and release him, he will find his troubles have only started. Jamaica consistently ranks among the top of lists of the world’s most homophobic countries. Gays and trans people are frequently beaten and killed just for being who they are. If word gets out that Flowers, walking the streets of Kingston or any other Jamaican area, is HIV positive, or has AIDS, his taste of freedom may be brief indeed. And as this case has been covered in the Jamaican media he would find it difficult to conceal his identity.

If he gets away with what he has done, it sends the wrong message to others who may be infected with HIV and think they have the right to privacy. Back to what I wrote earlier, if he does face Canadian justice, and his lawyer does succeed in destroying the lives of the witnesses, what kind of message does it send then? Perhaps it would have the effect of keeping others from coming forward to authorities from fear of exposure in the media.

Cat.

We’re all stressed

Last night I watched a programme about the fatal collision Bruce/Caitlyn was involved in back in 2015. I can’t say when this actually aired, for I recorded it for one of those “I can’t sleep so let’s see what I’ve recorded” nights.

At one point, they had a segment with a psychotherapist – actually they had many segments with her discussing the situation – during which she said that part of the reason B/C hit the vehicles in front was that he was distracted by transitioning in view of the public. This comment caused me to exhaust my abusive vocabulary.

Granted, being part of the Kardashian circus places extra scrutiny on B/C during the transition (and that horrendous “I am Cait” didn’t help), but c’mon now – we all transition in public. We don’t go around having collisions with whatever vehicle we’re driving and some other object. Well, not unless we’re perhaps under the influence of some intoxicating liquid we don’t. Many if not most of us can’t afford to hide away in our dwelling place, only venturing out at night for bread and milk or, heavily disguised, to visit doctors, until we think we have transitioned enough to feel comfortable in daylight.

If the psychotherapist’s comment was intended to elicit sympathy for B/C, it may have worked with people not familiar with the reality, but for those of us actually going through it, it gave us a chance to exercise our command of gutter English. Does this psychotherapist not think that any person transitioning feels stress and strain? Does she not think that for some of us, doing what we do in public can be tantamount to an invitation to violence? Does she think that for people who aren’t celebrities it’s all sunshine and rainbows? Or is she only concerned with finding an excuse for why B/C was driving too fast for the conditions and consequently hit one vehicle and pushed it into oncoming traffic, then hit a second vehicle?

Listen, sweetheart, every person on this planet is under stress and strain of some kind. For many of those people the reason may not be obvious but for trans people, the reason can be highly visible. So please don’t use the fact B/C claims to be transgender to excuse his/her involvement in a fatal traffic collision.

Cat.

Everyone needs a hero

Everyone needs a hero. Whether it be a fictional character such as Superman; an historical figure, or someone from our own lives, there is usually someone who inspires us enough they deserve the label “hero”. For me, there are five people I esteem enough to call heroes, whose actions and attitudes lift them beyond the everyday.

For me, the first of these is my best friend, someone who loves me without reservation. I won’t go into detail to preserve her privacy, but in her short forty-something years, she has survived much that would break lesser humans. And no – being my friend is not one of those things.

Another person is also a personal friend named Angelena Bonet. She has suffered so much in her life – devastating heartbreak; sexual assault as well as being beaten and left for dead. This amazing, strong woman has turned her misfortune to good. In her Facebook profile, she describes herself this way: Documentary Filmmaker, Singer/Songwriter, TV Host / Producer & Humanitarian.

Being trans, obviously I consider Caroline Cossey a hero. This lady has, over the years, broken so much new ground for the trans community it would be criminal to leave her off my list.

And there are a couple of Canadians I include on my list. The first of these is retired General Romeo LeBlanc. General Leblanc was in charge of the UN force in Rwanda. He did his best to stop the massacre but was handcuffed by unreasonable orders from the UN that prevented him from taking effective action. Still, he did what he was able.

Finally, just to show that as I’ve aged I haven’t lost my rebellious streak, I include Louis Riel. For those unfamiliar with the name, or are not versed in Canadian history, Louis Riel led the Northwest Rebellion in the late 1800’s that eventually led to Manitoba becoming a province of Canada. He was later elected to Parliament, but fled to the US to avoid prosecution. He eventually returned to take his seat in the House of Commons. Unfortunately he was arrested, tried and found guilty. He has the distinction of being the only sitting member of Parliament hung for treason for his role in the Rebellion. (And yes, I’m sure we can all think of a few politicians we’d like to see swinging from a gallows.)

As I said, everyone needs a hero. Why not share yours in the comments, along with the reasons you feel they are heroic. Be certain to get their permission before you use their names, please.

Cat.

We must support our US friends in their fight for equality

In a posting on her site dated December 31, 2016 editor Jillian Page mentioned that she had considered shutting down LGBT Perspectives. In that posting she mentioned something that I’ll admit I take for granted and that is the incredible advances the Canadian LGBT communities have made in the decade since same-sex marriage became law of the land.

At both the federal and provincial levels laws have been enacted that give us the same rights, privileges and responsibilities as every other citizen of whichever province in which we live. As well, at the federal level, and not widely publicized, in February 2016, the Ministry of Citizenship and Immigration quietly announced that Canadian citizens would be allowed to self-identify when it came to changing gender on federal documents, except the passport. You still have paperwork to fill out for that one. Otherwise, all you need is provincial documentation showing the changes to change any other federal ID.

While we revel in our new-found recognition, we must remember that our sisters and brothers south of the Canada/US border aren’t so fortunate. The different system of government in the US gives each state power to make its own laws. Consequently, members of the LGBT communities, especially the trans community, face a patchwork of laws with which to conform and hoops of varying sizes at different heights to negotiate to accomplish anything. This is true even with the Obama administration and from what I’ve seen, the difficulties will only increase under Trump.

I have seen estimates that put the number of trans Americans at 10% of the population, which translates to about 30,000,000 people. To put that in perspective for Canadian readers, that’s only slightly less than the population of Canada. Thirty million souls. Think about that number for a moment. According to pronouncements, both now and in the past, a Trump federal government and states governed by members of Trump’s party are declaring war on these people, either reducing or removing whatever protections previous administrations put in place. Perhaps one of the ,most egregious of these laws was North Carolina’s infamous HB 2, the so-called “bathroom bill”. From other reading I’ve done – and no, I don’t just rely on a single source for information – this is typical of what our sisters and brothers can expect to face over the next four years.

While we sit here north of the 49th parallel or Great Lakes, perhaps smugly because we haven’t had some of these struggles, we must not forget those who went before us that are the reason we have what we do. We must support our counterparts in the US in any way we can, even if it’s only to offer moral support so that even if they fail, those who follow will enjoy our freedoms.

Cat.