Posted: Thu May 16, 2019 5:28 pm Post subject: Man Loses Insurance and Get's Pregnant. Nurse Misdiagnoses Him as Obese
Quote:
When the man arrived at the hospital with severe abdominal pains, a nurse didn't consider it an emergency, noting that he was obese and had stopped taking blood pressure medicines. In reality, he was pregnant — a transgender man in labor that was about to end in a stillbirth.
The 32-year-old patient told the nurse he was transgender when he arrived at the emergency room and his electronic medical record listed him as male. He hadn't had a period in several years and had been taking testosterone, a hormone that has masculinizing effects and can decrease ovulation and menstruation. But he quit taking the hormone and blood pressure medication after he lost insurance.
A home pregnancy test was positive and he said he had "peed himself" — a possible sign of ruptured membranes and labor. A nurse ordered a pregnancy test but considered him stable and his problems non-urgent.
Several hours later, a doctor evaluated him and the hospital test confirmed pregnancy. An ultrasound showed unclear signs of fetal heart activity, and an exam revealed that part of the umbilical cord had slipped into the birth canal. Doctors prepared to do an emergency cesarean delivery, but in the operating room no fetal heartbeat was heard. Moments later, the man delivered a stillborn baby.
A woman showing up with similar symptoms "would almost surely have been triaged and evaluated more urgently for pregnancy-related problems," the authors wrote.
"It's a very upsetting incident, it's a tragic outcome," said Dr. Tamara Wexler, a hormone specialist at NYU Langone Medical Center.
"Medical training should include exposure to transgender patients" so health workers are better able to meet their needs, Wexler said. "A lot of doctors who are practicing didn't have that in their training" but can still learn from such patients now.
20th Century Medical Care Needs to Catch Up to 21st Century Patients _________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
But in this day and age, it shouldn't be. The patient was fully forthcoming and a nurse should be trained to examine all medical possibilities in the best interest of the patient and not make simple assumptions. Everyone who visits a hospital deserves no less. . _________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
But in this day and age, it shouldn't be. The patient was fully forthcoming and a nurse should be trained to examine all medical possibilities in the best interest of the patient and not make simple assumptions. Everyone who visits a hospital deserves no less. .
My mind still had to do some mental gymnastics to understand the gender pronoun mashup. He's a she, that's why he's pregnant.
But in this day and age, it shouldn't be. The patient was fully forthcoming and a nurse should be trained to examine all medical possibilities in the best interest of the patient and not make simple assumptions. Everyone who visits a hospital deserves no less. .
My mind still had to do some mental gymnastics to understand the gender pronoun mashup. He's a she, that's why he's pregnant.
I get it. Up until a couple of years ago, I was completely ignorant to it all as well. That's why it's important to pay attention to these things when these issues arise, so more of us can shed our ignorance in this regard. _________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
But in this day and age, it shouldn't be. The patient was fully forthcoming and a nurse should be trained to examine all medical possibilities in the best interest of the patient and not make simple assumptions. Everyone who visits a hospital deserves no less. .
But how did the baby happen if there is no more hoo ha down there.
(Then again, maybe it’s not confusing. Medically, the patient was a female, just identifying as a man).
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
His medical records stated he was a male. Perhaps they need to change that.
Not justifying what happened, but, in an emergency situation when things are frantic, these things can make a difference.
Don’t want to seem cruel, but, for medical purposes, your biological sex is different from what gender you prefer to identify as, no?
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
If my understanding is correct, He was born female, but indentified as being male and was transitioning to a male when his insurance for continued hormone therapy ran out. Then he had sexual relations with a male, so that would make him homosexual since he engaged in male - male relations.
There was an episode on this seasons Big Brother Canada last month where a transgendered , born female (Kyra), who identifies as Gender Fluid - does a fantastic job of explaining all of the nuances. I didn't even know what gender fluid was until she so eloquently explained it. Up until a month ago, I though it was just some new age politically correct term for bisexual. I couldn't have been more wrong. _________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
If my understanding is correct, He was born female, but indentified as being male and was transitioning to a male when his insurance for continued hormone therapy ran out. Then he had sexual relations with a male, so that would make him homosexual since he engaged in male - male relations.
There was an episode on this seasons Big Brother Canada last month where a transgendered , born female (Kyra), who identifies as Gender Fluid - does a fantastic job of explaining all of the nuances. I didn't even know what gender fluid was until she so eloquently explained it. Up until a month ago, I though it was just some new age politically correct term for bisexual. I couldn't have been more wrong.
Except he has a vagina, no? How can they have homosexual intercourse if they have opposing sexual organs?.
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
If my understanding is correct, He was born female, but indentified as being male and was transitioning to a male when his insurance for continued hormone therapy ran out. Then he had sexual relations with a male, so that would make him homosexual since he engaged in male - male relations.
There was an episode on this seasons Big Brother Canada last month where a transgendered , born female (Kyra), who identifies as Gender Fluid - does a fantastic job of explaining all of the nuances. I didn't even know what gender fluid was until she so eloquently explained it. Up until a month ago, I though it was just some new age politically correct term for bisexual. I couldn't have been more wrong.
Except he has a vagina, no? How can they have homosexual intercourse if they have opposing sexual organs?.
Again, if my understanding is correct, gender is what the mind identifies as regardless of biology. So if the mind identifies as male, and you desire to have sexual relations with only males, then you are homosexual with female biology. _________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
Joined: 13 Jan 2002 Posts: 7927 Location: Lake Forest
Posted: Fri May 17, 2019 2:14 pm Post subject:
Aussiesuede wrote:
vanexelent wrote:
Aussiesuede wrote:
vanexelent wrote:
ringfinger wrote:
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
If my understanding is correct, He was born female, but indentified as being male and was transitioning to a male when his insurance for continued hormone therapy ran out. Then he had sexual relations with a male, so that would make him homosexual since he engaged in male - male relations.
There was an episode on this seasons Big Brother Canada last month where a transgendered , born female (Kyra), who identifies as Gender Fluid - does a fantastic job of explaining all of the nuances. I didn't even know what gender fluid was until she so eloquently explained it. Up until a month ago, I though it was just some new age politically correct term for bisexual. I couldn't have been more wrong.
Except he has a vagina, no? How can they have homosexual intercourse if they have opposing sexual organs?.
Again, if my understanding is correct, gender is what the mind identifies as regardless of biology. So if the mind identifies as male, and you desire to have sexual relations with only males, then you are homosexual with female biology.
Then they need a term for the biology and put it on the form because they are treating the body not the mind in the ER.
How can a nurse possibly get around misgendering here?
The man told them he was transitioning from a woman to a man. I don't think it was about misgendering. It was ruling out that the man was sexually active as a woman.
If my understanding is correct, He was born female, but indentified as being male and was transitioning to a male when his insurance for continued hormone therapy ran out. Then he had sexual relations with a male, so that would make him homosexual since he engaged in male - male relations.
There was an episode on this seasons Big Brother Canada last month where a transgendered , born female (Kyra), who identifies as Gender Fluid - does a fantastic job of explaining all of the nuances. I didn't even know what gender fluid was until she so eloquently explained it. Up until a month ago, I though it was just some new age politically correct term for bisexual. I couldn't have been more wrong.
Except he has a vagina, no? How can they have homosexual intercourse if they have opposing sexual organs?.
Again, if my understanding is correct, gender is what the mind identifies as regardless of biology. So if the mind identifies as male, and you desire to have sexual relations with only males, then you are homosexual with female biology.
Then they need a term for the biology and put it on the form because they are treating the body not the mind in the ER.
In this case, the patient told the nurse that he was transgendered and one of the things he did to self diagnose his abdominal pain was to take a home pregnancy test and that test was positive. Right then is when the nurse should have attempted to confirm pregnancy. The patient was actually more medically vigilant than was the trained professional since he decided to try to rule out pregnancy as a possibility only to have a test confirm pregnancy. There is no excuse for a medical professional to not be at least that vigilant.
Quote:
The 32-year-old patient told the nurse he was transgender when he arrived at the emergency room and his electronic medical record listed him as male. He hadn't had a period in several years and had been taking testosterone, a hormone that has masculinizing effects and can decrease ovulation and menstruation. But he quit taking the hormone and blood pressure medication after he lost insurance.
A home pregnancy test was positive and he said he had "peed himself" — a possible sign of ruptured membranes and labor.
_________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
one of the things he did to self diagnose his abdominal pain was to take a home pregnancy test
I mean, isn't it at that point where he broke from identifying as a male though? If he truly thought of himself as a man, then why would pregnancy be a possible reason for abdominal pain?
one of the things he did to self diagnose his abdominal pain was to take a home pregnancy test
I mean, isn't it at that point where he broke from identifying as a male though? If he truly thought of himself as a man, then why would pregnancy be a possible reason for abdominal pain?
Having enough intelligence to realise that there was at least the possibility of a pregnancy since he had not been able to take his hormones is no reflection on how he see's himself. He knows he's a male living inside of a biologically female body. And a female body is capable of becoming pregnant if it's producing eggs and those eggs get fertilised with sperm. His seeing himself as a male doesn't render his brain suddenly incapable of understanding basic biology. _________________ I'm On point, On task, On message, and Off drugs. A Streetwise Smart Bomb, Out of rehab and In denial. Over the Top, On the edge, Under the Radar, and In Control. Behind the 8 ball, Ahead of the Curve and I've got a Love Child who sends me Hate mail.
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