The Greatest Generation Walk and #TransVisibility, San Diego, CA USA

2017.08.03 #LowCarbSanDiego San Diego CA USA 7891
2017.08.03 #LowCarbSanDiego San Diego CA USA 7891 (View on Flickr.com)

While here for a continuing medical education course (more on that later), I happened upon this community honorarium / art installation at the Port of San Diego (@portofsandiego). When I learned that my community colleague Connie Rice has served on the USS Midway, I realized that the people depicted in the sculptures exist across the spectrum of gender identity and sexual orientation, by definition. They are all human. So to my eyes, these works of art are really statements of visibility, including transgender person visibility.

Everywhere I walk I learn something new 🙂 .

Thank you for your service. Enjoy the rest of the photos below.

The Greatest Generation Collection, as well as the other military memorials in the park, honor and celebrate the people, events and military heritage spanning the time from World War II to today. Located in the shadow of the decommissioned aircraft carrier USS Midway, the artworks and provide a magnificent setting in which to learn, remember and become inspired.Greatest Generation

Thanks for Publishing my Photos in Trans Activists Protest Trump’s Transgender Military Ban in New York, San Francisco, and D.C.

2017.07.26 Protest Trans Military Ban, White House, Washington DC USA 7673
2017.07.26 Protest Trans Military Ban, White House, Washington DC USA 7673 (View on Flickr.com)

Thanks for including my photos, DailyDot (@DailyDot) in the story below.

Hundreds gathered across the United States in protest against President Donald Trump’s transgender military ban, criticizing the president’s tweets.

Source: Trans Activists Protest Trump’s Transgender Military Ban in New York, San Francisco, and D.C.

Actually they didn’t include my photos, they included a tweet about my photos:

So I’ve decided to choose another one of them to headline this post. You can see the rest of them here.

Resilience in the medical profession, as it works to be an ally

As I wrote in another post this week about an excellent peer-reviewed article on resilience in the medical profession, being in these spaces is one of the components of resilience in medicine – supporting others in the broken places, supports our broken places, too. Enjoy.

2017.07.26 Protest Trans Military Ban, White House, Washington DC USA 7637
2017.07.26 Protest Trans Military Ban, White House, Washington DC USA 7637 (View on Flickr.com)

Just Read: A Transgender Military Internist’s Perspective – #WhatADoctorLooksLike

This article, published in JAMA Internal Medicine describes the personal journey of a physician who is now serving as their authentic self:

…today I serve as a female physician in every respect within the Department of Defense. Last month, I graduated the Army Medical Department’s Advanced Course with honors, and now I look forward to the sec- ond half of my military career being treated like any other capable military physician.

The commentary, by Jamie Henry, MD (@MAJ_JLee_MD), concerns another paper in the journal

Schvey NA, Blubaugh I, Morettini A, Klein DA, KL M, G B. Military Family Physicians’ Readiness for Treating Patients With Gender Dysphoria. JAMA Intern Med [Internet]. 2017 Mar 13 [cited 2017 Mar 16];104(7):e5–6.

which, sadly, shows an important part of our profession unprepared, and in some cases, unwilling to provide care to their patients in need.

Depending on how full your glass is, the figure that 76% say they can provide “non-judgemental care” is either good or bad.

  • Good, because 24% admit that they have bias. To not admit bias leads to more harm and errors, multiple studies show this.
  • Bad, because 24% of physicians will provide care in a biased fashion, which is harmful
  • Good or bad: The 76% who say they can provide “non-judgemental care” may have hidden biases. The literature here is also helpful – there is the “illusion of objectivity” which describes the idea that people who believe they are not biased can be the most biased in their behavior (see these posts on my blog about this).

As Dr. Henry states, there is still a long way to go.

At the same time, how incredible is it that a person can have this aspiration, and fulfill it, because the only prerequisite is that they are human.

I went to medical school for a number of reasons, but primarily I wanted to heal—myself and others.

  • heal society too, which is what will happen, as we change forever #WhatADoctorLooksLike

Also noting the work of Jesse Ehrenfeld, MD – @DoctorJesseMD – working to be an ally for the LGBTQ community.

Love this century 🙂 .

Photo Friday: Networking the soldier – innovation around every corner on #walkingmeetings

This photograph is from the Ted archive, however it has not been posted until now. It shows Kaiser Permanente colleague and innovator Alex Lowenthal ( @Alex_inPDX ) being shown new technology at the AUSA Conference, held in Washington, DC, in October, 2011.

How did we end up here? Well, Alex was visiting from Kasier Permanente Northwest ( @KPNorthwest ) and when we went on a walking meeting, we happened on the conference and went in. I took some photographs (with permission) about many of the innovations that we saw:

  1. Weapons systems that seem tailored for the Facebook generation – you tag targets, and then eliminate them
  2. Huge investment in mobile technology
  3. Electronic noise filters that separate targets from the background
  4. Workforce planning – thinking about networked workers, planning for a good career AND a good life

Of course, we saw many analogies to the health care industry, and felt that maybe we are not thinking as much about the next generation of our workforce (and our patients) as we should. The rest of my photographs are below, see if you agree.

This week’s photograph also tells the story of an innovator like Alex, who’s open to new experiences, and curious to learn what he doesn’t know from teachers around every corner.

Don’t Ask Don’t Tell repeal is a big deal for the medical profession : The end of “if”

Did your family doctor/pedatrician ask you when you were a kid, “what do you want to be when you grow up?”

When you told her/him the answer did he/she say,”I’m sorry, you can only be a policeman/fireman/teacher/brigadier general ‘if’.”

I’m sure they didn’t – they were asking, like I would ask any patient, to tempt you with your future potential and begin a lifelong healing relationship, to be available to you as your parents would be, to help you achieve your life goals. The doctor patient relationship should be the last place where constraints are placed on a person’s achievement in health or in life.

The repeal of Don’t Ask Don’t Tell brings us closer to the end of “if,” as in “you can realize your life’s potential ‘if’ you are a…”  man/white/heterosexual/etc etc.

The medical school class after mine was the first one that had more women than men in it. No one knew how many lesbian, gay, bisexual, or transgender students there were, they didn’t ask.

The American Medical Association took a strong stand against Don’t Ask Don’t Tell. It called for a full repeal in November, 2009, and these letters were sent to Congress in support. I applaud their efforts.

This piece was published in the New England Journal of Medicine, written by Kenneth Katz, and discusses the health hazards of the policy, which harms the therapeutic relationship between patient and physician. (It’s behind a paywall, but you can find a blog post by the author here)

This change is great, both for the makeup of the medical profession, and the way we are able to support the people we serve. Health care is healthier, communities are better off, when more of a person can be brought into interaction. This applies not only to diversity but all kinds of participation.

One of the coolest, I’ll say touching bordering on tearful, experiences I had in November, 2008, was when I was shadowing in a medical office:

A mother was there with her child, a boy aged about 5. I asked him what he wanted to be when he grew up. He said, “The president!” I don’t know who said what came next, but it was said:  “and now you can be.” This was an African American family. Love always wins.

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  • reason to celebrate
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