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.
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.