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Il Medico
31st March 2011, 08:30
Emergency Room Allegedly Denied Treatment to Woman Because She is Trans

by Cara on August 3, 2010
in bigotry (http://thecurvature.com/category/bigotry/),discrimination (http://thecurvature.com/category/bigotry/discrimination/),human rights (http://thecurvature.com/category/human-rights/),LGBTQ (http://thecurvature.com/category/lgbtq-issues/),misogyny (http://thecurvature.com/category/patriarchy/misogyny/),patriarchy (http://thecurvature.com/category/patriarchy/),trans (http://thecurvature.com/category/trans/),transphobia and trans misogyny (http://thecurvature.com/category/trans/transphobia-and-trans-misogyny/),women’s health (http://thecurvature.com/category/reproductive-justice/womens-health/)

http://view.picapp.com/pictures.photo/image/252072/entrance-sign-for/entrance-sign-for.jpg?size=380&imageId=252072 (http://view.picapp.com/pictures.photo/creative/entrance-sign-for/image/252072?term=emergency+room)
Trigger Warning for transphobia/transmisogyny and abuse by health care workers. Some links also contain transphobic language.

Fifteen years ago, a woman named Tyra Hunter was involved in a car accident and in need of emergency care (http://transgriot.blogspot.com/2007/08/trya-hunter-anniversary.html). Adrian Williams, the firefighter/EMT who was the first responder on the scene began treating Hunter for her injuries — but upon cutting open her pant leg, abruptly stopped treatment and instead began mocking her to the other firefighters present, as onlookers begged him to help her and Hunter gasped for breath. When she was transferred to an ER, she apparently received inadequate care there, as well, and one doctor refused to treat her.
All because she was transgender.
Tyra Hunter died shortly thereafter. (http://www.glaa.org/archive/2000/tyrasettlement0810.shtml)
Today, access to medical care remains an enormous issue for trans* people, but is regularly ignored by cis folks. I speak not just of trans-specific health care (i.e. medical treatment specifically related to transition or one’s trans status), though such care is extremely limited and surrounded by barriers. I speak not just of issues of poverty and ability to afford to see a doctor, though this is also an enormous problem that needs immediate addressing. In this context, by “access to medical care” I mean “the confidence that once one has actually procured a visitation with a medical professional, sie will not refuse to treat you.” Even if your condition is potentially life-threatening.
In mid-July, Erin Vaught went to an emergency room in Muncie, Indiana (http://prideinutah.com/?p=2526) because she was coughing up large amounts of blood (h/t (http://thingsimreading.tumblr.com/post/895128626/transgender-woman-denied-hospital-treament-in-indiana)). While there, because she is a trans woman, she was mocked, humiliated, called names, and outright refused treatment (http://www.chicagotribune.com/news/chi-ap-in-transgender-hospi,0,6019217.story). Thankfully it turned out that her condition was not immediately life threatening — though there’s no indication that medical personnel knew this with confidence at the time — and she is still alive to tell her story now.

Last week, Erin Vaught shared her entire story over at the Bilerico Project. (http://www.bilerico.com/2010/07/an_interview_with_erin_vaught_about_her_experience .php) I encourage you to read her full account in addition to my summary. (Though, Trigger Warning for lots of victim-blaming in the comments.)
After arriving, the intake nurse marked her down as “male” even though her ID clearly said female, and staff proceeded to become annoyed and/or laugh at her when Vaught corrected the mistake. Staff continued to mock her, tell jokes about her, and refer to her as “it” as she underwent routine intake procedures. Following this were inappropriate questions entirely irrelevant to her medical concerns, as well as a psychiatric examination, seemingly conducted based entirely on her gender identity and presentation. And then:

I was quite mad, but I kept it in check and said, “When are we going to see a doctor?” She told me that I could not be seen until I had my doc write orders. (For tests, I think she meant.) I said “Why do I need to do that? This is an emergency room.”
She said, “Well, we don’t know how to go about treating someone with your condition.”
I responded, “I don’t even know my condition. That’s why I’m here!”
She replied, “No. Your other condition. The transvestite thing.” I felt angry, and I was fighting my hardest to keep from crying, I was embarrassed and I grabbed my son and we left quickly so they wouldn’t see me cry
It constantly amazes me that those who are tasked with saving all of our lives — who presumably entered a profession requiring a significant amount of education and long hours because they wanted to save lives — can so easily discount and put at risk the lives of certain people whose identities and/or choices that they deem unworthy. Whether it be the cis woman who will die without an abortion, or the homeless person whose needs are scoffed at, or the trans* person who is denied treatment based on the bigoted and false perception of hir body as grotesque, those who are supposed to value life most have a too frequent habit of deciding that certain, marginalized lives just don’t matter much at all.
Of course, it really shouldn’t come as a surprise. Health care workers are people, too, products of the same prejudiced society as the rest of us. The problem is that while it shouldn’t be particularly stunning, it is especially egregious when health care workers let their personal prejudices dictate their behavior.
All of us have the responsibility to be decent human beings, a responsibility that is violated every time someone engages in acts of transphobia and cis supremacy. But health care workers have graver responsibilities above and beyond this one — not just the responsibility to treat all people with dignity and respect, but the responsibility to ensure their well-being to the best of their abilities. The ability to look after a person’s health, safety, and well-being is always compromised when there is a failure to provide them with dignity and respect. The further direct refusal to attend to their health and safety at all is an outright violation — of all ethics, medical and social, and of the law.
This kind of behavior — which again, is not uncommon — treats trans* people as “untouchables,” too disgusting and strange to so much as brush against. It suggests that those whose bodies don’t look how most of society narrowly expects them to look have the potential to “infect” those who are supposedly “normal,” and it supposes that by their very nature, trans* bodies are Frankensteinian (http://birdofparadox.wordpress.com/2010/07/31/yes-im-trans-why-is-that-such-a-problem-for-you/). It would be appropriately called childish if it wasn’t so incredibly harmful. Such behavior denies trans* people not just their genders and identities, but their very humanity. It has put them at enormous risk, and done them untold physical as well as mental/emotional damage. It has, as detailed above, sometimes cost them their lives.
All because cis people just can’t get the fuck over themselves. Because some cis folks think that their egos and position of superiority and “right” to avoid cooties are worth more than the right of trans* people to live.
Erin Vaught is just one woman who was brave enough — and safe enough, with enough support systems in place — to come forward with her story. She is not alone. From what she now knows, she’s not even alone with regards to this particular hospital (http://www.bilerico.com/2010/07/an_interview_with_erin_vaught_about_her_experience .php). And until privileged people stop calling marginalized folks “it” and expecting generic “investigations” to be a sufficient response, she’s sadly going to stay in abundant company.
Source:

http://thecurvature.com/2010/08/03/emergency-room-allegedly-denied-treatment-to-woman-because-she-is-trans/

Admiral Swagmeister G-Funk
31st March 2011, 09:51
that's fucking outrageous, i could barely read through it. what a backwards world we live in.

IndependentCitizen
31st March 2011, 10:19
Just shows humanity is just far too immature, and completely disrespectful of life. I think they'd be an uproar if the trans-gender bus driver in my town was sacked, or refused medical treatment since she's a very nice person, and an astounding driver. No one ever bats an eye, but I suppose that's because Brighton's unique in that sense.


What a horrible world we live in.

TC
31st March 2011, 12:59
I think the idea that health care workers in general, and hospital and ER workers in particular (given low rates of repeat contact with patients) - are representative of social attitudes towards transgender people or even paragons of virtue who are presumably the least tranphobic in society, is just wrong.

Actually the opposite seems to me to be very likely, since physicians (and those in hospitals more than others) are in the business of reducing people to objects - to sacks of meat. They have a great tendency to depersonalize their patients. They don't just mock transgender people - they mock fat people (http://well.blogs.nytimes.com/2010/08/23/doctors-who-mock-their-patients/), and people with illnesses they think are preventable (http://www.dailymail.co.uk/health/article-376037/Doctors-Obese-refused-treatment.html), and dying people (http://www.deep-six.com/deathweb/page213.htm).

They behave in ways that the rest of society grew out of in highschool - it is part of their culture and its so widespread that they don't even pretend it doesn't exist, they instead try to excuse it as a way of managing stress...its so stressful they have to joke about their patients. But that really doesn't make sense at all: people don't joke about people they care about and see as equals or worthwhile human beings when they're stressed out - lawyers do not have an inside culture of mocking their clients for example.

What it is really about I think is the total depersonalization and dehumanization that patients healthcare personal approach all patients with to varying degrees. The absurdity for example of insisting on being referred to as "Dr. Lastname" while addressing patients as "Firstname" (people who have real doctorates, which is to say academics, would feel foolishly pretentious to refer to themselves as "Dr. Lastname" even among students and certainly with age peers and colleagues). It continues with not actually given patients treatment options, informing them of the the relative risk and benefit balance for different options so that the patient can make a determination as to what their risk/cost tolerance ratio is (which is the way other highly educated professionals treat their lay clients) - but instead imagining that they can issue "doctors orders" like they are in some sort of position of social authority.

It might be that physicians aren't more transphobic than anyone else on the inside, but that they are less decent about it because they think themselves more superior and their patients less human already so while it doesn't occur to most people who notice that someone is transgendered to say anything about it - physicians gleefully take the opportunity to further objectify and humiliate their patients since it (in their minds) further elevates themselves against the people whose bodies they deal with.

They feel entitled to basically humiliate people - the better to make them cooperative and easy to control and deal with. Thats why they have ridiculous hospital gowns - there is no medical necessity for that they just prefer dealing with people who are mostly naked and therefore reduced in status than dealing with people in suits or street clothes (also why they insist on wearing bacteria-magnet neckties even though they know they spread disease, and why they wear lab coats despite not working in a lab). They feel entitled often to ask extraneous sexual and drug related questions even when the chance of them being remotely relevant compared to the chance of them being embarrassing is extremely low. In America (though less in other countries that have saner health care cost reimbursement systems) they promote embarrassing and uncomfortable screening tests even when they know that the amount of unnecessary medical interventions they lead to compared with dubious number of lives they save does not justify them. Many treat all pre-menopausal women as 'prepregnant' (http://well.blogs.nytimes.com/2008/08/28/do-doctors-view-women-as-pre-pregnant/)and regard self-reports that they aren't pregnant and wont get pregnant with skepticism, often to the point of denying certain treatment and tests without negative pregnancy test results first. (http://www.ehss.vt.edu/programs/XRA_exposure_protection.php) and often to the health detriment of their patients. (http://www.care2.com/causes/womens-rights/blog/congratulations-you-might-be-pre-pregnant/)

So when you think about it - I think it actually makes sense that medical personal are particularly rife with transphobia - it is part of their professional culture to treat people as things...and objects for ridicule at that.

PhoenixAsh
31st March 2011, 13:23
I don't know if the medical profession is particularly rife with transphobia, but I do think that you did point out a very good point that doctors tend to objectify people and to what kind of effect that has on behaviour and treatment. I also think the behaviour may be a lot less prevalent in some countries than in others or manifest in different ways depending on the culture and the status of religion.

What I do know is that transphobia manifests in a very dangerous way within the healthcare profession....resulting in abject refusal or delay of treatment which can have desasterous results which can be life threatening or cause immediate or prolonged harm.

It is further aggravated by the fact that it is also a situation the victim can not escape from. They need healthcare, they need it at that instant (wether by choice or because they are in a life threatenning situation such as in the OP) and when that treatment is denied it is impossible for a patient to just walk away and seek help elsewhere.

Its disgusting to read and realise that a profession which has sworn the hypocratic oath is guilty of such blatant inhumane acts.

Bad Grrrl Agro
31st March 2011, 23:00
This depresses me.

gorillafuck
1st April 2011, 00:22
Hey you're back.

Summerspeaker
1st April 2011, 01:15
This depresses me.

It's horrifying. The cruelty of modern society defies description. :(

Bad Grrrl Agro
1st April 2011, 01:45
It's horrifying. The cruelty of modern society defies description. :(
Yeah, I've had to deal with transphobia a lot. The world is a dangerous place.

Bad Grrrl Agro
1st April 2011, 01:46
Hey you're back.
I am back, shit happens, right?