[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:00.88,0:00:03.58,Default,,0000,0000,0000,,About six months\Ninto my career as a therapist, Dialogue: 0,0:00:03.60,0:00:06.90,Default,,0000,0000,0000,,I was working at a drug\Nand alcohol rehab facility. Dialogue: 0,0:00:06.92,0:00:10.50,Default,,0000,0000,0000,,I got a call from one of the nurses\Ndown at the detox unit. Dialogue: 0,0:00:10.52,0:00:13.38,Default,,0000,0000,0000,,She asked me to come down\Nand assess one of the new patients Dialogue: 0,0:00:13.40,0:00:15.26,Default,,0000,0000,0000,,that had arrived earlier in the day. Dialogue: 0,0:00:15.28,0:00:18.70,Default,,0000,0000,0000,,So I went down to the unit\Nand had the pleasure of meeting Anne. Dialogue: 0,0:00:18.72,0:00:22.18,Default,,0000,0000,0000,,Anne's a transgender female,\Nand as her and I started talking, Dialogue: 0,0:00:22.20,0:00:25.22,Default,,0000,0000,0000,,she was sharing with me\Nabout what brought her into treatment, Dialogue: 0,0:00:25.24,0:00:27.98,Default,,0000,0000,0000,,but I could hear this fear in her voice, Dialogue: 0,0:00:28.00,0:00:29.90,Default,,0000,0000,0000,,and I could see this worry in her eyes, Dialogue: 0,0:00:29.92,0:00:32.90,Default,,0000,0000,0000,,and she began to tell me\Nthat she didn't fear coming into rehab Dialogue: 0,0:00:32.92,0:00:35.30,Default,,0000,0000,0000,,and having to give up drugs and alcohol. Dialogue: 0,0:00:35.32,0:00:38.34,Default,,0000,0000,0000,,Her fear was that the doctors\Nthat were going to be treating her Dialogue: 0,0:00:38.36,0:00:40.24,Default,,0000,0000,0000,,would not treat her as her female self. Dialogue: 0,0:00:41.36,0:00:45.18,Default,,0000,0000,0000,,She then told me about this ongoing pain\Nthat she has experienced her whole life Dialogue: 0,0:00:45.20,0:00:47.66,Default,,0000,0000,0000,,of being assigned male\Nbut knowing she's female. Dialogue: 0,0:00:47.68,0:00:50.98,Default,,0000,0000,0000,,And what she meant by that is,\Nwhen she was born, Dialogue: 0,0:00:51.00,0:00:53.14,Default,,0000,0000,0000,,the doctor held her up to her parents Dialogue: 0,0:00:53.16,0:00:55.06,Default,,0000,0000,0000,,and based on her genitalia said, Dialogue: 0,0:00:55.08,0:00:56.82,Default,,0000,0000,0000,,"It's a boy." Dialogue: 0,0:00:56.84,0:00:58.48,Default,,0000,0000,0000,,She always knew she wasn't a boy. Dialogue: 0,0:00:59.92,0:01:02.54,Default,,0000,0000,0000,,Many years passed and the feelings\Nthat she was feeling Dialogue: 0,0:01:02.56,0:01:04.58,Default,,0000,0000,0000,,and holding all this in grew and grew, Dialogue: 0,0:01:04.60,0:01:06.90,Default,,0000,0000,0000,,and she knew she had\Nto come out to her family. Dialogue: 0,0:01:06.92,0:01:09.58,Default,,0000,0000,0000,,And when she did,\Nit didn't go over so well. Dialogue: 0,0:01:09.60,0:01:12.14,Default,,0000,0000,0000,,Her parents said,\N"Absolutely not. You're not a girl. Dialogue: 0,0:01:12.16,0:01:15.42,Default,,0000,0000,0000,,This is not how we raised you.\NWe don't know what you're thinking. Dialogue: 0,0:01:15.44,0:01:16.64,Default,,0000,0000,0000,,Get out." Dialogue: 0,0:01:17.56,0:01:21.26,Default,,0000,0000,0000,,So Anne then found herself on the streets\Nand in and out of homeless shelters, Dialogue: 0,0:01:21.28,0:01:24.46,Default,,0000,0000,0000,,and it's here where\Nshe started using drugs and alcohol Dialogue: 0,0:01:24.48,0:01:26.48,Default,,0000,0000,0000,,to numb this pain she felt inside. Dialogue: 0,0:01:27.72,0:01:31.22,Default,,0000,0000,0000,,She told me about her journey of being\Nin and out of hospitals and rehabs Dialogue: 0,0:01:31.24,0:01:32.50,Default,,0000,0000,0000,,trying to get sober, Dialogue: 0,0:01:32.52,0:01:35.46,Default,,0000,0000,0000,,and when she did, the health care\Nproviders and doctors Dialogue: 0,0:01:35.48,0:01:38.54,Default,,0000,0000,0000,,wouldn't use the correct\Nfemale name or pronouns. Dialogue: 0,0:01:38.56,0:01:39.92,Default,,0000,0000,0000,,This caused her pain. Dialogue: 0,0:01:41.12,0:01:43.54,Default,,0000,0000,0000,,You see, when I was studying\Nto become a therapist, Dialogue: 0,0:01:43.56,0:01:46.12,Default,,0000,0000,0000,,I wasn't taught how to work\Nwith transgender patients. Dialogue: 0,0:01:47.12,0:01:50.04,Default,,0000,0000,0000,,I had no idea these would be\Nthe patients I'd be working with. Dialogue: 0,0:01:50.80,0:01:54.10,Default,,0000,0000,0000,,But the more I worked with Anne\Nand other patients like Anne, Dialogue: 0,0:01:54.12,0:01:56.42,Default,,0000,0000,0000,,I began to see my mission evolve, Dialogue: 0,0:01:56.44,0:01:59.50,Default,,0000,0000,0000,,and that was to make sure\Nthat the transgender community Dialogue: 0,0:01:59.52,0:02:01.28,Default,,0000,0000,0000,,got their health care needs met. Dialogue: 0,0:02:02.32,0:02:06.46,Default,,0000,0000,0000,,The more I looked into this,\NI saw how this very real fear Dialogue: 0,0:02:06.48,0:02:10.26,Default,,0000,0000,0000,,of violence, discrimination\Nand this lack of acceptance Dialogue: 0,0:02:10.28,0:02:14.42,Default,,0000,0000,0000,,caused so many of these patients\Nto turn to alcohol and drugs. Dialogue: 0,0:02:14.44,0:02:17.02,Default,,0000,0000,0000,,And I also heard these horror stories Dialogue: 0,0:02:17.04,0:02:19.98,Default,,0000,0000,0000,,of when these patients\Nwere seeking medical care Dialogue: 0,0:02:20.00,0:02:21.42,Default,,0000,0000,0000,,and how they were treated, Dialogue: 0,0:02:21.44,0:02:23.77,Default,,0000,0000,0000,,and how a lot of their\Nmedical needs were ignored. Dialogue: 0,0:02:25.48,0:02:27.54,Default,,0000,0000,0000,,Now let me tell you about Leah. Dialogue: 0,0:02:27.56,0:02:30.74,Default,,0000,0000,0000,,I had the pleasure\Nof meeting Leah a few years back. Dialogue: 0,0:02:30.76,0:02:34.04,Default,,0000,0000,0000,,She's a female and she has\Na wife and a child. Dialogue: 0,0:02:34.92,0:02:37.86,Default,,0000,0000,0000,,See, Leah was also assigned male at birth Dialogue: 0,0:02:37.88,0:02:41.70,Default,,0000,0000,0000,,and she knew since she was a young child\Nthat she was not a male, Dialogue: 0,0:02:41.72,0:02:42.92,Default,,0000,0000,0000,,that she was a female. Dialogue: 0,0:02:43.72,0:02:46.86,Default,,0000,0000,0000,,She hid it from herself\Nand from everyone she knew, Dialogue: 0,0:02:46.88,0:02:49.50,Default,,0000,0000,0000,,especially from her wife,\Nuntil the age of 50. Dialogue: 0,0:02:49.52,0:02:50.94,Default,,0000,0000,0000,,She couldn't take it anymore. Dialogue: 0,0:02:50.96,0:02:53.06,Default,,0000,0000,0000,,She was like, I can't\Nkeep living like this. Dialogue: 0,0:02:53.08,0:02:54.30,Default,,0000,0000,0000,,I gotta get honest. Dialogue: 0,0:02:54.32,0:02:56.98,Default,,0000,0000,0000,,She was extremely scared to tell her wife. Dialogue: 0,0:02:57.00,0:02:58.26,Default,,0000,0000,0000,,What if her wife said, Dialogue: 0,0:02:58.28,0:03:01.00,Default,,0000,0000,0000,,"This is unacceptable,\NI want a divorce, get out"? Dialogue: 0,0:03:02.08,0:03:05.14,Default,,0000,0000,0000,,To her surprise, her wife was accepting. Dialogue: 0,0:03:05.16,0:03:08.18,Default,,0000,0000,0000,,She said, "I love you\Nregardless of who you are. Dialogue: 0,0:03:08.20,0:03:10.08,Default,,0000,0000,0000,,I want to help you in every way I can." Dialogue: 0,0:03:10.96,0:03:12.30,Default,,0000,0000,0000,,So she talked with her wife, Dialogue: 0,0:03:12.32,0:03:16.50,Default,,0000,0000,0000,,and she made the decision\Nthat she wanted to medically transition, Dialogue: 0,0:03:16.52,0:03:19.98,Default,,0000,0000,0000,,and she was interested in being\Nassessed for hormone replacement therapy, Dialogue: 0,0:03:20.00,0:03:21.28,Default,,0000,0000,0000,,otherwise known as HRT. Dialogue: 0,0:03:22.32,0:03:24.36,Default,,0000,0000,0000,,So she made an appointment\Nwith her doctor. Dialogue: 0,0:03:25.56,0:03:28.14,Default,,0000,0000,0000,,She arrived on the day\Nof her appointment early. Dialogue: 0,0:03:28.16,0:03:29.78,Default,,0000,0000,0000,,She filled out all the paperwork, Dialogue: 0,0:03:29.80,0:03:32.40,Default,,0000,0000,0000,,put the name correctly down there\Nand waited patiently. Dialogue: 0,0:03:34.12,0:03:37.56,Default,,0000,0000,0000,,A little bit of time passed and a nurse\Ncalled her back to the exam room. Dialogue: 0,0:03:38.40,0:03:40.98,Default,,0000,0000,0000,,When she got back there,\Nshe took a deep breath, Dialogue: 0,0:03:41.00,0:03:42.88,Default,,0000,0000,0000,,and the doctor and the nurse walked in. Dialogue: 0,0:03:44.16,0:03:47.04,Default,,0000,0000,0000,,She extended her hand to the doctor\Nand said, "Hi, I'm Leah." Dialogue: 0,0:03:47.84,0:03:51.14,Default,,0000,0000,0000,,The doctor looked at her,\Ndidn't shake her hand and said, Dialogue: 0,0:03:51.16,0:03:52.36,Default,,0000,0000,0000,,"Why are you here?" Dialogue: 0,0:03:53.60,0:03:55.52,Default,,0000,0000,0000,,She took another deep breath and said, Dialogue: 0,0:03:57.04,0:03:58.98,Default,,0000,0000,0000,,"Well, I'm a transgender female. Dialogue: 0,0:03:59.00,0:04:01.70,Default,,0000,0000,0000,,I've known this my whole life,\NI've hid it from everyone, Dialogue: 0,0:04:01.72,0:04:03.02,Default,,0000,0000,0000,,but I can't do it anymore. Dialogue: 0,0:04:03.04,0:04:05.82,Default,,0000,0000,0000,,My wife's supportive,\NI can financially afford it, Dialogue: 0,0:04:05.84,0:04:07.34,Default,,0000,0000,0000,,I've got to make these changes. Dialogue: 0,0:04:07.36,0:04:10.88,Default,,0000,0000,0000,,Please consider me,\Nand let's evaluate me for HRT." Dialogue: 0,0:04:11.60,0:04:13.74,Default,,0000,0000,0000,,The doctor said,\N"We can't do anything today. Dialogue: 0,0:04:13.76,0:04:15.32,Default,,0000,0000,0000,,You need to go get an HIV test." Dialogue: 0,0:04:17.16,0:04:18.36,Default,,0000,0000,0000,,She couldn't believe it. Dialogue: 0,0:04:19.16,0:04:20.38,Default,,0000,0000,0000,,She was furious. Dialogue: 0,0:04:20.40,0:04:22.20,Default,,0000,0000,0000,,She was angry. She was disappointed. Dialogue: 0,0:04:23.04,0:04:26.90,Default,,0000,0000,0000,,If her doctor treated her this way,\Nhow would the rest of the world treat her? Dialogue: 0,0:04:26.92,0:04:29.30,Default,,0000,0000,0000,,First, he wouldn't shake her hand, Dialogue: 0,0:04:29.32,0:04:32.46,Default,,0000,0000,0000,,and second, when he heard\Nshe was transgender, Dialogue: 0,0:04:32.48,0:04:35.78,Default,,0000,0000,0000,,all he cared about was getting\Nan HIV test and ending the appointment. Dialogue: 0,0:04:35.80,0:04:37.84,Default,,0000,0000,0000,,He didn't even ask her\Nany other questions. Dialogue: 0,0:04:38.52,0:04:41.26,Default,,0000,0000,0000,,See, I can understand\Nwhere Leah's coming from, Dialogue: 0,0:04:41.28,0:04:43.86,Default,,0000,0000,0000,,because the years that I've worked\Nwith the community, Dialogue: 0,0:04:43.88,0:04:47.46,Default,,0000,0000,0000,,I hear myths every single day\Nthat aren't true at all. Dialogue: 0,0:04:47.48,0:04:49.42,Default,,0000,0000,0000,,A couple of those are: Dialogue: 0,0:04:49.44,0:04:54.06,Default,,0000,0000,0000,,every transgender person wants\Nto transition with medication or surgery; Dialogue: 0,0:04:54.08,0:04:56.98,Default,,0000,0000,0000,,transgender people are mentally ill,\Nthis is a disorder; Dialogue: 0,0:04:57.00,0:04:59.48,Default,,0000,0000,0000,,and: these people\Naren't real men and women. Dialogue: 0,0:05:00.48,0:05:02.20,Default,,0000,0000,0000,,These are all myths and untrue. Dialogue: 0,0:05:03.24,0:05:06.26,Default,,0000,0000,0000,,As this community expands and grows older, Dialogue: 0,0:05:06.28,0:05:09.42,Default,,0000,0000,0000,,it is imperative that all\Nhealth care providers be trained Dialogue: 0,0:05:09.44,0:05:12.14,Default,,0000,0000,0000,,on how to take care\Nof their health care needs. Dialogue: 0,0:05:12.16,0:05:14.66,Default,,0000,0000,0000,,Back in 2015, a survey was done Dialogue: 0,0:05:14.68,0:05:18.22,Default,,0000,0000,0000,,and found that 72 percent\Nof health care providers Dialogue: 0,0:05:18.24,0:05:20.66,Default,,0000,0000,0000,,did not feel well-informed Dialogue: 0,0:05:20.68,0:05:23.48,Default,,0000,0000,0000,,on the health care needs\Nof the LGBT community. Dialogue: 0,0:05:25.12,0:05:27.64,Default,,0000,0000,0000,,There's a huge gap\Nin the education and training. Dialogue: 0,0:05:28.88,0:05:30.34,Default,,0000,0000,0000,,Today, in this talk, Dialogue: 0,0:05:30.36,0:05:33.54,Default,,0000,0000,0000,,I want to offer a new way of thinking\Nfor three groups of people: Dialogue: 0,0:05:33.56,0:05:37.86,Default,,0000,0000,0000,,doctors, the transgender community\Nand, well, the rest of us. Dialogue: 0,0:05:37.88,0:05:40.62,Default,,0000,0000,0000,,But before we do, I want to cover\Na couple of definitions Dialogue: 0,0:05:40.64,0:05:44.50,Default,,0000,0000,0000,,that's going to help you wrap your head\Naround gender identity a little bit more. Dialogue: 0,0:05:44.52,0:05:48.18,Default,,0000,0000,0000,,So I hope you've got your paper and pen.\NGet ready to take some notes. Dialogue: 0,0:05:48.20,0:05:51.50,Default,,0000,0000,0000,,So let's start out\Nwith this idea of a binary system. Dialogue: 0,0:05:51.52,0:05:52.78,Default,,0000,0000,0000,,And what this means is, Dialogue: 0,0:05:52.80,0:05:55.74,Default,,0000,0000,0000,,before, we always thought\Nthere was only two, male and female. Dialogue: 0,0:05:55.76,0:05:57.42,Default,,0000,0000,0000,,Get it? Binary? Right? Dialogue: 0,0:05:57.44,0:06:00.00,Default,,0000,0000,0000,,So we've come to find out\Nthat this isn't true. Dialogue: 0,0:06:00.68,0:06:03.46,Default,,0000,0000,0000,,Gender identity is a spectrum Dialogue: 0,0:06:03.48,0:06:05.42,Default,,0000,0000,0000,,with maleness on one side Dialogue: 0,0:06:05.44,0:06:07.82,Default,,0000,0000,0000,,and femaleness over here\Non the other side. Dialogue: 0,0:06:07.84,0:06:10.30,Default,,0000,0000,0000,,This spectrum of identities Dialogue: 0,0:06:10.32,0:06:13.70,Default,,0000,0000,0000,,include identities such as\Ngender-nonconforming, Dialogue: 0,0:06:13.72,0:06:15.02,Default,,0000,0000,0000,,gender-affirming, Dialogue: 0,0:06:15.04,0:06:16.34,Default,,0000,0000,0000,,gender-nonbinary, Dialogue: 0,0:06:16.36,0:06:18.62,Default,,0000,0000,0000,,two-spirited, three-spirited, Dialogue: 0,0:06:18.64,0:06:20.36,Default,,0000,0000,0000,,as well as people that are intersex. Dialogue: 0,0:06:21.12,0:06:23.98,Default,,0000,0000,0000,,The term transgender is this umbrella term Dialogue: 0,0:06:24.00,0:06:27.16,Default,,0000,0000,0000,,that encompasses all these\Ndifferent types of identities. Dialogue: 0,0:06:27.88,0:06:30.70,Default,,0000,0000,0000,,But for today's talk, I want you\Nto think about transgender Dialogue: 0,0:06:30.72,0:06:34.26,Default,,0000,0000,0000,,as someone who is assigned\Na sex at birth that doesn't match Dialogue: 0,0:06:34.28,0:06:37.14,Default,,0000,0000,0000,,with who they are as a person\Nand their sense of self. Dialogue: 0,0:06:37.16,0:06:39.42,Default,,0000,0000,0000,,Now, this is very different\Nthan biological sex. Dialogue: 0,0:06:39.44,0:06:41.82,Default,,0000,0000,0000,,So gender identity is sense of self. Dialogue: 0,0:06:41.84,0:06:45.14,Default,,0000,0000,0000,,So think of it as\Nwhat's between your ears: Dialogue: 0,0:06:45.16,0:06:47.02,Default,,0000,0000,0000,,sense of self, who you are. Dialogue: 0,0:06:47.04,0:06:49.78,Default,,0000,0000,0000,,This is very different\Nthan biological sex, right? Dialogue: 0,0:06:49.80,0:06:51.74,Default,,0000,0000,0000,,Hormones, genitalia, chromosomes: Dialogue: 0,0:06:51.76,0:06:53.40,Default,,0000,0000,0000,,that's what's between our legs. Dialogue: 0,0:06:55.04,0:06:58.78,Default,,0000,0000,0000,,Now, you may be thinking, "Dr. Kristie,\NI have never questioned who I am. Dialogue: 0,0:06:58.80,0:07:01.50,Default,,0000,0000,0000,,I know I'm a man, or I know I'm a woman." Dialogue: 0,0:07:01.52,0:07:03.12,Default,,0000,0000,0000,,I get it. You know who you are. Dialogue: 0,0:07:04.20,0:07:06.54,Default,,0000,0000,0000,,This is how many\Ntransgender individuals feel. Dialogue: 0,0:07:06.56,0:07:08.22,Default,,0000,0000,0000,,They just know who they are Dialogue: 0,0:07:08.24,0:07:10.32,Default,,0000,0000,0000,,with that same conviction. Dialogue: 0,0:07:12.32,0:07:15.78,Default,,0000,0000,0000,,It's important to know that there\Nare many different types of identities, Dialogue: 0,0:07:15.80,0:07:18.82,Default,,0000,0000,0000,,and I identify as a cisgender female. Dialogue: 0,0:07:18.84,0:07:22.02,Default,,0000,0000,0000,,Now, for all y'all out there\Nthat like to know how to spell things, Dialogue: 0,0:07:22.04,0:07:24.74,Default,,0000,0000,0000,,cis is spelled "c-i-s." Dialogue: 0,0:07:24.76,0:07:27.70,Default,,0000,0000,0000,,It's the Latin term\Nfor "on the same side of." Dialogue: 0,0:07:27.72,0:07:29.18,Default,,0000,0000,0000,,When I was born, Dialogue: 0,0:07:29.20,0:07:31.30,Default,,0000,0000,0000,,the doctor held me up\Nto my parents and said, Dialogue: 0,0:07:31.32,0:07:32.58,Default,,0000,0000,0000,,"It's a girl." Dialogue: 0,0:07:32.60,0:07:34.66,Default,,0000,0000,0000,,All this, based on my genitalia. Dialogue: 0,0:07:34.68,0:07:37.46,Default,,0000,0000,0000,,Even though I grew up\Nin a small farm town in Georgia, Dialogue: 0,0:07:37.48,0:07:40.70,Default,,0000,0000,0000,,very much a tomboy, Dialogue: 0,0:07:40.72,0:07:42.74,Default,,0000,0000,0000,,I never questioned that I was a female. Dialogue: 0,0:07:42.76,0:07:44.30,Default,,0000,0000,0000,,I've always known I was a girl, Dialogue: 0,0:07:44.32,0:07:46.74,Default,,0000,0000,0000,,regardless of how I was as a kid. Dialogue: 0,0:07:46.76,0:07:49.58,Default,,0000,0000,0000,,Now, this is very different\Nthan someone who's transgender. Dialogue: 0,0:07:49.60,0:07:53.74,Default,,0000,0000,0000,,Now, trans is a Latin term\Nfor "on the other side of" -- Dialogue: 0,0:07:53.76,0:07:55.62,Default,,0000,0000,0000,,think about transcontinental airlines, Dialogue: 0,0:07:55.64,0:07:57.50,Default,,0000,0000,0000,,across, on the other side of -- Dialogue: 0,0:07:57.52,0:08:00.54,Default,,0000,0000,0000,,someone that's assigned a sex at birth Dialogue: 0,0:08:00.56,0:08:03.00,Default,,0000,0000,0000,,and they identify\Non the other side of the spectrum. Dialogue: 0,0:08:03.68,0:08:07.70,Default,,0000,0000,0000,,A transgender male is someone\Nwho was assigned female at birth, Dialogue: 0,0:08:07.72,0:08:11.06,Default,,0000,0000,0000,,but their sense of self,\Nwho they are, how they live their life, Dialogue: 0,0:08:11.08,0:08:12.62,Default,,0000,0000,0000,,is as a male. Dialogue: 0,0:08:12.64,0:08:14.70,Default,,0000,0000,0000,,And the opposite is, as we talked earlier, Dialogue: 0,0:08:14.72,0:08:17.54,Default,,0000,0000,0000,,a transgender female,\Nsomeone that's assigned male at birth Dialogue: 0,0:08:17.56,0:08:20.62,Default,,0000,0000,0000,,but lives their live\Nand sense of self as a female. Dialogue: 0,0:08:20.64,0:08:22.46,Default,,0000,0000,0000,,It's also important to point out here Dialogue: 0,0:08:22.48,0:08:25.50,Default,,0000,0000,0000,,that not everyone\Nthat has a nonbinary identity Dialogue: 0,0:08:25.52,0:08:27.44,Default,,0000,0000,0000,,identifies with the term "transgender." Dialogue: 0,0:08:28.68,0:08:32.26,Default,,0000,0000,0000,,Just so nobody gets confused,\NI want to point out sexual identity, Dialogue: 0,0:08:32.28,0:08:33.82,Default,,0000,0000,0000,,or orientation. Dialogue: 0,0:08:33.84,0:08:36.58,Default,,0000,0000,0000,,That is simply who we're attracted to, Dialogue: 0,0:08:36.60,0:08:39.48,Default,,0000,0000,0000,,physically, emotionally,\Nsexually, spiritually. Dialogue: 0,0:08:40.64,0:08:42.74,Default,,0000,0000,0000,,It's got nothing to do\Nwith gender identity. Dialogue: 0,0:08:42.76,0:08:45.10,Default,,0000,0000,0000,,So just for a quick recap,\Nbefore we continue on: Dialogue: 0,0:08:45.12,0:08:46.82,Default,,0000,0000,0000,,gender identity between the ears, Dialogue: 0,0:08:46.84,0:08:50.02,Default,,0000,0000,0000,,biological sex, just think\Nof it between your legs, Dialogue: 0,0:08:50.04,0:08:52.86,Default,,0000,0000,0000,,and then sexual identity,\Nwell, sometimes we use our heart, Dialogue: 0,0:08:52.88,0:08:54.30,Default,,0000,0000,0000,,but it's here. Dialogue: 0,0:08:54.32,0:08:57.12,Default,,0000,0000,0000,,Three very different identity spectrums. Dialogue: 0,0:08:59.00,0:09:01.30,Default,,0000,0000,0000,,Now, the average medical student Dialogue: 0,0:09:01.32,0:09:06.62,Default,,0000,0000,0000,,spends about five hours learning\Nabout the LGBT health-related needs Dialogue: 0,0:09:06.64,0:09:08.46,Default,,0000,0000,0000,,while they're in medical school. Dialogue: 0,0:09:08.48,0:09:12.30,Default,,0000,0000,0000,,Now, this is despite us knowing\Nthat there are unique health risks Dialogue: 0,0:09:12.32,0:09:13.52,Default,,0000,0000,0000,,to this community. Dialogue: 0,0:09:15.32,0:09:19.10,Default,,0000,0000,0000,,And there's an estimated\N10 million American adults Dialogue: 0,0:09:19.12,0:09:20.52,Default,,0000,0000,0000,,that identify as LGBT. Dialogue: 0,0:09:22.00,0:09:24.42,Default,,0000,0000,0000,,Most doctors that work\Nwith transgender patients, Dialogue: 0,0:09:24.44,0:09:26.48,Default,,0000,0000,0000,,they learn trial by fire. Dialogue: 0,0:09:27.28,0:09:29.50,Default,,0000,0000,0000,,That means they figure it out\Nas they go along, Dialogue: 0,0:09:29.52,0:09:31.82,Default,,0000,0000,0000,,or the patient ends up spending their time Dialogue: 0,0:09:31.84,0:09:34.28,Default,,0000,0000,0000,,trying to teach the doctor\Nhow to take care of them. Dialogue: 0,0:09:35.20,0:09:38.70,Default,,0000,0000,0000,,Many doctors don't feel comfortable\Nasking about gender identities. Dialogue: 0,0:09:38.72,0:09:42.02,Default,,0000,0000,0000,,Some don't feel like it's relevant at all\Nto their medical care Dialogue: 0,0:09:42.04,0:09:44.60,Default,,0000,0000,0000,,and others just don't want\Nto say the wrong thing. Dialogue: 0,0:09:46.40,0:09:48.82,Default,,0000,0000,0000,,Many doctors who say\Nsomething inappropriate Dialogue: 0,0:09:48.84,0:09:50.34,Default,,0000,0000,0000,,or they say something negative, Dialogue: 0,0:09:50.36,0:09:53.94,Default,,0000,0000,0000,,they may not be coming\Nfrom a malicious or mean place, Dialogue: 0,0:09:53.96,0:09:57.78,Default,,0000,0000,0000,,they may have never been trained\Non how to care for these individuals. Dialogue: 0,0:09:57.80,0:10:00.56,Default,,0000,0000,0000,,But this can't be accepted\Nas a norm anymore either. Dialogue: 0,0:10:02.08,0:10:05.50,Default,,0000,0000,0000,,So what happens to a transgender male -- Dialogue: 0,0:10:05.52,0:10:08.58,Default,,0000,0000,0000,,for a quick recap, that's someone\Nwho is assigned female at birth Dialogue: 0,0:10:08.60,0:10:10.22,Default,,0000,0000,0000,,but lives their life as a male -- Dialogue: 0,0:10:10.24,0:10:14.72,Default,,0000,0000,0000,,what happens when this transgender male\Ngoes for their yearly gynecological visit? Dialogue: 0,0:10:16.44,0:10:19.22,Default,,0000,0000,0000,,How that doctor treats that patient Dialogue: 0,0:10:19.24,0:10:21.50,Default,,0000,0000,0000,,will set the whole tone for the office. Dialogue: 0,0:10:21.52,0:10:26.10,Default,,0000,0000,0000,,If that doctor treats that male\Nwith the correct pronouns, correct name, Dialogue: 0,0:10:26.12,0:10:28.34,Default,,0000,0000,0000,,gives dignity and respect, Dialogue: 0,0:10:28.36,0:10:30.96,Default,,0000,0000,0000,,it's highly likely\Nthat the rest of the staff will too. Dialogue: 0,0:10:32.08,0:10:34.54,Default,,0000,0000,0000,,So that's a little bit\Nabout my thoughts on doctors, Dialogue: 0,0:10:34.56,0:10:37.26,Default,,0000,0000,0000,,and now let's move on\Nto the transgender community. Dialogue: 0,0:10:37.28,0:10:39.54,Default,,0000,0000,0000,,I'm here talking about fear, Dialogue: 0,0:10:39.56,0:10:42.70,Default,,0000,0000,0000,,but y'all know who\Nis really fearful, right? Dialogue: 0,0:10:42.72,0:10:45.10,Default,,0000,0000,0000,,It's the transgender community. Dialogue: 0,0:10:45.12,0:10:46.94,Default,,0000,0000,0000,,Earlier I shared the story about Anne Dialogue: 0,0:10:46.96,0:10:49.46,Default,,0000,0000,0000,,and how she was so worried\Nabout going into treatment Dialogue: 0,0:10:49.48,0:10:51.54,Default,,0000,0000,0000,,and not being respected\Nas her female self, Dialogue: 0,0:10:51.56,0:10:54.50,Default,,0000,0000,0000,,and then Leah who was scared\Nabout how her doctor would react, Dialogue: 0,0:10:54.50,0:10:56.58,Default,,0000,0000,0000,,and the second\Nthat he didn't shake her hand Dialogue: 0,0:10:56.60,0:10:59.20,Default,,0000,0000,0000,,and ordered that HIV test,\Nher fears came true. Dialogue: 0,0:11:00.68,0:11:03.34,Default,,0000,0000,0000,,The transgender community\Nneeds to be empowered Dialogue: 0,0:11:03.36,0:11:06.06,Default,,0000,0000,0000,,to speak up for their health care needs. Dialogue: 0,0:11:06.08,0:11:10.20,Default,,0000,0000,0000,,The days of remaining silent and taking\Nwhatever treatment you can get are over. Dialogue: 0,0:11:11.00,0:11:13.86,Default,,0000,0000,0000,,If you don't speak up\Nfor your health care needs, Dialogue: 0,0:11:13.88,0:11:15.44,Default,,0000,0000,0000,,no one's going to do it for you. Dialogue: 0,0:11:17.08,0:11:18.48,Default,,0000,0000,0000,,So what about the rest of us? Dialogue: 0,0:11:20.04,0:11:22.94,Default,,0000,0000,0000,,A lot of y'all, maybe in the next week\Nor a couple of months, Dialogue: 0,0:11:22.96,0:11:25.22,Default,,0000,0000,0000,,are going to have\Na doctor's appointment, right? Dialogue: 0,0:11:25.24,0:11:27.58,Default,,0000,0000,0000,,So let's say you go\Nto your doctor's appointment Dialogue: 0,0:11:27.60,0:11:28.94,Default,,0000,0000,0000,,and when it's over, Dialogue: 0,0:11:28.96,0:11:31.76,Default,,0000,0000,0000,,you feel worse than you did\Nwhen you got there. Dialogue: 0,0:11:32.80,0:11:35.18,Default,,0000,0000,0000,,What if you felt dismissed by the doctor, Dialogue: 0,0:11:35.20,0:11:36.82,Default,,0000,0000,0000,,that they ignored your needs, Dialogue: 0,0:11:36.84,0:11:38.92,Default,,0000,0000,0000,,or you even felt judged? Dialogue: 0,0:11:40.36,0:11:44.94,Default,,0000,0000,0000,,That's what happens for many\Nof the 1.4 million transgender adults Dialogue: 0,0:11:44.96,0:11:46.22,Default,,0000,0000,0000,,here in the US Dialogue: 0,0:11:46.24,0:11:48.40,Default,,0000,0000,0000,,if they're lucky enough\Nto get an appointment. Dialogue: 0,0:11:49.88,0:11:52.86,Default,,0000,0000,0000,,Now, you may be thinking,\N"Why is this important to me? Dialogue: 0,0:11:52.88,0:11:55.78,Default,,0000,0000,0000,,I'm not transgender.\NI don't know anybody that's transgender. Dialogue: 0,0:11:55.80,0:11:57.04,Default,,0000,0000,0000,,Why should I even care?" Dialogue: 0,0:11:58.08,0:11:59.66,Default,,0000,0000,0000,,Think of it this way. Dialogue: 0,0:11:59.68,0:12:02.30,Default,,0000,0000,0000,,A transgender individual is human, Dialogue: 0,0:12:02.32,0:12:03.52,Default,,0000,0000,0000,,just like you and me. Dialogue: 0,0:12:04.48,0:12:07.46,Default,,0000,0000,0000,,They deserve competent\Nand trained health care providers, Dialogue: 0,0:12:07.48,0:12:08.72,Default,,0000,0000,0000,,just like you and me. Dialogue: 0,0:12:10.12,0:12:12.62,Default,,0000,0000,0000,,So let me ask, if you don't\Nmind raising your hand: Dialogue: 0,0:12:12.64,0:12:16.38,Default,,0000,0000,0000,,Do you know or have you met\Nanyone who is transgender, Dialogue: 0,0:12:16.40,0:12:20.74,Default,,0000,0000,0000,,gender-nonconforming, agender, intersex,\Ntwo-spirited, three-spirited? Dialogue: 0,0:12:20.76,0:12:23.08,Default,,0000,0000,0000,,Thank y'all so much. Lovely. Thank y'all. Dialogue: 0,0:12:23.84,0:12:26.34,Default,,0000,0000,0000,,Every one of y'all\Nwho did not raise your hand, Dialogue: 0,0:12:26.36,0:12:28.66,Default,,0000,0000,0000,,in the very near future Dialogue: 0,0:12:28.68,0:12:30.42,Default,,0000,0000,0000,,you will get the opportunity to meet Dialogue: 0,0:12:30.44,0:12:34.14,Default,,0000,0000,0000,,someone that falls into one\Nof these identities, I guarantee it. Dialogue: 0,0:12:34.16,0:12:36.64,Default,,0000,0000,0000,,The number of this\Ncommunity is increasing. Dialogue: 0,0:12:37.48,0:12:40.28,Default,,0000,0000,0000,,That's not because it's a fad\Nor the new thing to do. Dialogue: 0,0:12:41.12,0:12:43.00,Default,,0000,0000,0000,,It's safer to come out. Dialogue: 0,0:12:43.68,0:12:46.66,Default,,0000,0000,0000,,There's more awareness.\NThere's more visibility. Dialogue: 0,0:12:46.68,0:12:49.90,Default,,0000,0000,0000,,There's more safety, so people\Nare speaking up about their true self Dialogue: 0,0:12:49.92,0:12:51.16,Default,,0000,0000,0000,,like never before. Dialogue: 0,0:12:52.16,0:12:56.14,Default,,0000,0000,0000,,That's why it's so important\Nthat our health care system get on board Dialogue: 0,0:12:56.16,0:12:59.98,Default,,0000,0000,0000,,and make sure that our doctors\Nand health care providers are trained Dialogue: 0,0:13:00.00,0:13:03.26,Default,,0000,0000,0000,,to approach these patients\Nwith dignity and respect, Dialogue: 0,0:13:03.28,0:13:05.20,Default,,0000,0000,0000,,just like we expect. Dialogue: 0,0:13:06.64,0:13:09.06,Default,,0000,0000,0000,,I remember being\Nin my 11th grade literature class, Dialogue: 0,0:13:09.08,0:13:11.26,Default,,0000,0000,0000,,with one of my favorite\Nteachers, Mr. McClain, Dialogue: 0,0:13:11.28,0:13:14.90,Default,,0000,0000,0000,,and he shared this quote by Heraclitus\Nthat sticks with me to this day. Dialogue: 0,0:13:14.92,0:13:16.58,Default,,0000,0000,0000,,Y'all may have even heard it. Dialogue: 0,0:13:16.60,0:13:20.60,Default,,0000,0000,0000,,It's, "The only thing that is constant\Nis that things will change." Dialogue: 0,0:13:22.60,0:13:23.80,Default,,0000,0000,0000,,Familiar, right? Dialogue: 0,0:13:24.64,0:13:27.78,Default,,0000,0000,0000,,Every single one of us\Nface changes in our lives, Dialogue: 0,0:13:27.80,0:13:30.14,Default,,0000,0000,0000,,and often when we're faced\Nwith these changes, Dialogue: 0,0:13:30.16,0:13:32.20,Default,,0000,0000,0000,,we've got some difficult\Ndecisions to make. Dialogue: 0,0:13:33.32,0:13:36.94,Default,,0000,0000,0000,,Will we remain in fear, stay stuck Dialogue: 0,0:13:36.96,0:13:38.62,Default,,0000,0000,0000,,and not grow? Dialogue: 0,0:13:38.64,0:13:43.02,Default,,0000,0000,0000,,Or, will we face fear with bravery, Dialogue: 0,0:13:43.04,0:13:45.60,Default,,0000,0000,0000,,evolve, take the opportunity to grow? Dialogue: 0,0:13:47.00,0:13:49.86,Default,,0000,0000,0000,,Every one of us face new things. Dialogue: 0,0:13:49.88,0:13:51.08,Default,,0000,0000,0000,,What will you do? Dialogue: 0,0:13:51.92,0:13:54.18,Default,,0000,0000,0000,,Will you remain in fear, Dialogue: 0,0:13:54.20,0:13:56.08,Default,,0000,0000,0000,,or will you grow? Dialogue: 0,0:13:57.04,0:14:00.70,Default,,0000,0000,0000,,I invite each of you, doctors,\Nthe transgender community Dialogue: 0,0:14:00.72,0:14:02.06,Default,,0000,0000,0000,,and you and I, Dialogue: 0,0:14:02.08,0:14:03.78,Default,,0000,0000,0000,,to face fear together Dialogue: 0,0:14:03.80,0:14:06.54,Default,,0000,0000,0000,,as we walk into this brave new world. Dialogue: 0,0:14:06.56,0:14:07.78,Default,,0000,0000,0000,,Thank you. Dialogue: 0,0:14:07.80,0:14:12.20,Default,,0000,0000,0000,,(Applause)