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.

America, where have you gone?

I am really worried about the future of the United States of America. Let me explain my concerns. Since the spring of 2017, America appears to be on a downward spiral.

Thanks to the rhetoric of the apprentice president, the country seems to be more divided than at any other time in recent history. Emboldened by the vile words that emanated from the election campaign, and the apparent tacit approval of the Oval Office, the white supremacists and other nationalistic groups have attacked, verbally and physically, minorities; people of colour and people of other faiths. Has the apprentice done or said anything to alleviate this dissent and social unrest? No. In fact, when referring to the Charlottesville murder, he is quoted as saying there were probably “good people” on both sides. How the hell can someone who deliberately ran their vehicle into a group of peaceful demonstrators, killing one, be called a “good person?” Just about every day, there are reports of some white person calling the police because they see some black person doing something innocent. The comments issuing from the White House and some of the legislation and executive orders are doing nothing to ease the “us against them’ mentality that seems to have taken hold in the so-called “land of the free”. Or does that phrase have an asterisk after it now: *provided you’re a white American citizen?

Immigrants are being targeted. We’ve all seen or heard of the current situation where children of all ages are being separated from their parents if they try to cross the southern border outside a regular border-crossing point.

The economy is another area the apprentice president seems to be intent on destroying. Trade barriers in the form of tariffs while good in theory, don’t work in practice. When a country imposes punitive duties on imports, two things happen. First, imported goods become more expensive. If the goods are materials for the manufacture of products, the costs are passed along to the end user – you. If finished products are imported, the same thing happens – you end up paying more for that product. Why is this? Simple. Because the manufacturer or importer isn’t going to eat those additional costs since it will affect their profits, therefore the consumer pays more. The second thing trade barriers do is cause the countries affected by American import duties to retaliate by imposing their own extra duties on American products. The result? The other country will buy less from American suppliers because of the extra duties; and they’ll find a manufacturer in some other country that can provide goods of a comparable quality at a lower cost. According to a news report I saw tonight on one of the news channels, at the moment, Washington has imposed punitive extra duties on goods from countries, and had those countries impose similar duties on American goods, that account for two-thirds of American foreign trade. I have read in the last couple of days that BMW, which manufactures vehicles in the US, is going to move some production to China to avoid the tariffs the Chinese have imposed on the import of automobiles manufactured in the US. Even if you’re not an economics major, you know what effect those actions are going to have on the economy of the United States? If you said they will cost jobs, you pass the course.

Internationally, in addition to the imposition of trade barriers, the apprentice appears to have made it his personal mission to alienate nations that have long been staunch allies of the US. His habit of meddling or commenting on the internal affairs of other nations have done much to ensure that other countries don’t like America much right now. Just today, at the NATO meeting in Brussels, he tore a strip of Germany for their reliance on natural gas from Russia, going so far as to call Germany “a slave of Russia”. I’m certain that Angela Merkel loved hearing that from someone many in her country consider a buffoon. In the meantime, while driving allies away, he is making efforts to become friends with Vladimir Putin, the leader of a country long considered America’s sworn enemy.

The military is another area that seems to have attracted the attention of “the powers? that be”. Having failed to have any and all transgender members discharged, they have turned their attention to immigrants serving in the armed forces. Some are being discharged, often with no reason given, or a vague “national security” reason, with no specifics provided. Such action can only serve to weaken morale in the armed forces. Having worked for a company that at one time, was reducing staff, I know that such actions lead to a general feeling of “am I going to be here next week? Or am I the next on the chopping block?”

A country divided internally by strife; with a struggling economy and a weakened and demoralized military is a prime target for some power with a hatred of the US to consider an attack of some type. This may not be an actual physical occupation, it could take the form of an economic takeover of the United States instead. No fuss, no muss and the objective is still achieved.

I seriously hope I’m wrong, but from what I’ve seen, this appears to be very possible.

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.

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.