Let's talk about "Trans Broken Arm Syndrome", a sadly common problem that prevents transgender people from accessing adequate care, and how as healthcare workers we can stop perpetuating it!
#TwitteRx #MedTwitter #LGBTQ #trans #pride

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"Trans Broken Arm Syndrome" is the practice of assuming any health problem a transgender patient has is due to their transness, especially hormone therapy. It is also when a trans person's gender history is discussed in-depth when it has no relevance to the problem at hand.

Headaches? GERD? Injury? Clearly it is your hormone therapy, which you should stop. This can prevent trans people from getting adequate care for their issues, and even outside of healthcare, has people assuming our transness is the reason for our sickness and death.

It can be humiliating to seek out care and have to educate your provider on why this isn't relevant in order for a chance to be helped. Or worse, if they learn that you're transgender, your problem will be dismissed outright.

Obviously hormone therapy does affect things! That's why we monitor Hgb/Hct for testosterone, kidney function and potassium for spironolactone, etc. But they aren't the cause for every single issue.

How can we stop Trans Broken Arm Syndrome as healthcare workers? Educating ourselves so our patients don't have to spend their precious time and energy doing so. A great reference I'd recommend is UCSF Transgender Care transcare.ucsf.edu/welcome

UCSF Transgender Care is also excellent because they have evidence-based guidelines on how to read lab values for trans patients on hormone therapy or after certain gender confirming procedures, so when the issue IS pertinent, you have a resource!

If you feel yourself wanting to delve into a trans patient's gender history for a problem, ask yourself "would I ask a cisgender patient in the same situation?" would you ask a cisgender woman about her gender if she had stomach aches? Be empathetic and considerate.


Thank you for reading! If you found this thread informative, I do education/consulting on LGBTQ+ issues, specifically transgender care, and how to make your pharmacy practice more safe and inclusive for trans patients and professionals!

Happy #pride !💕🏳️‍⚧️💕

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