Today is #TransDayOfVisibility and this roughly marks the one year anniversary of when we realized that our youngest child is #Trans. It’s been a steep learning curve for us accompanied by fear & anxiety about how to best support him in a world that is not yet accepting. 🧵:
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First let’s talk about the terminology that even as a doctor I only fully learned this year. #Trans is an ☂ term: the experience of having a gender identity that is different from your sex or the gender assigned at birth, includes non-binary. 2/ en.m.wikipedia.org/wiki/Transgend…
The easiest part of this journey so far has been supporting my kid. I realized that I just have to keep doing what I’ve been doing. Loving him unconditionally and getting out of his way enough for him to discover himself and who he wants to be.
My biggest fear remains making sure I do my best to make the 🌎 safe for him. The first step has been making sure our 🏡 & community is safe for him. And this involved talking to the people who love and support us about him. This was not always easy.
This week is #Passover The Haggadah that we read at the seder discusses the different ways we have to approach the story to people w/different levels of understanding. It’s told through a metaphor of 4 sons. It resonates w/how we’ve had to approach talking to friends &family.
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First, there is the “wise son” — the person who already has a good amount of knowledge about what being #Trans means. The people we told us immediately, “how can we support you and *him*.” To that rare person, I leaned on the most for support.
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Second, the “contrary son” — equally rare, the loved one who refuses to accept our kid’s identity, “*she* will just have to adjust to me.” To them we insist this not about their comfort this is about the safety of our kid. They may never understand, but w/ ❤️will come around.
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Third, the “simple son” — in my experience, most people (& lots of doctors) are in this category. They just don’t know. Their reactions were “but *she’s* so young” & “where do you think *she* got the idea from?”
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To them I try to explain that most kids develop a strong sense of gender identity around the age of 3. That gender is not “naturally” binary and that no one has to give a child the idea that they may not fit into the gender assigned at birth.
Fourth is the “child who doesn’t know how to ask a❓” or maybe: “the child for whom a❓doesn’t even occur.” In my experience most young kids don’t blink. The kindergartners in my kid’s class are more interested in what his favorite animal is. It’s a 🦁 if you’re asking.
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First: this was an enormous task, and so grateful that people put the hours and sweat into reading, debating and considering these questions so thoughtfully! Special thanks to @RADoctor for leading this effort.
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Who should be recommended for 💉?Basically everyone vaccines are approved for & not contraindicated bc of an allergy.
Concerns about flares: benefit >> potential risk.
Some immunomod meds may blunt 💉 response. Recs about 💉 ⏰ are more about ensuring efficacy than safety.
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