1.1. TGD Youth in the Midwest
1.2. TGD Youth Healthcare
2. Materials and Methods
2.2. Recruitment and Sampling
2.3. Data Collection
2.3.3. Public Document Review
2.3.4. Member Checking/Data Review
2.4. Data Analysis
3.1. Family Descriptions
3.1.1. Family 1
3.1.2. Family 2
3.1.3. Family 3
3.1.4. Family 4
3.2. TGD Healthcare
We didn’t know where to go; doing random Google searches does not get you what you need, and looking that up on our providers care site, there was nothing. I mean, I could find 50 endocrinologists, but none of that told me if they would be able to help with this situation.
Where I go, it’s [women’s clinic]. So they do more women’s health care. They do abortions and stuff there, too, so it’s like that’s why they have that much security cause you go through a metal detector, and the door’s locked. And then he has to unlock the door for you…But then they also do trans stuff on top of that.
There are lots of anti-abortion people. They’re all like, there’s a building right next to them, and they have a sign that’s like, ‘Planning getting an abortion? We can help you, because we’re religious.’ They have a big truck with a really graphic image on it, which is probably fake, and they have tables and flyers. Before my first appointment, they called me and was like, ‘When you get there, just drive on in like you work there. Just ignore them, and they probably won’t try to talk to you.’
I mean, I have a friend, and he’s getting top surgery in June or July, which is awesome for him. But I’m not. And it’s very expensive. I know, I have to wait at least another two years, if that, if I have the money. So it’s just kind of bittersweet, I guess. Because I’m really excited and happy for him. Because he’s been wanting this since- For so long.
3.2.2. Affirming Care
I mean even just the normal things, asking pronouns. One thing I’ve been reading some about is consent and this isn’t just for trans (people), but obviously it could make a big difference. Even when the doctor comes to check your pulse, ‘Is it okay if I grab your arm and then I’m going to check.’ …Just that kind of consent would be in having a more trusting and comfortable relationship.
She brought us in, and she went over it all, she showed us everything. I mean, she went into detail. And then she gave us a sharps bucket, she gave us all kinds of extra needles for practicing, and for using, gave us all this stuff. It was like this, we call it his little trans starter kit, she gave us. She was so, I mean, that made such a world of difference for us. She was amazing…
We didn’t know where to start. We really like our general practitioner, so we just set up his regular physical and started by talking to her, and she said, ‘Well, I don’t feel comfortable with that. I’m not an endocrinologist, and I don’t know enough about it,’ and she said, ‘And I would not recommend the endocrinologist in town. There’s only one.’ And she said, ‘That’s just, he does not seem like the right fit.’ She tried to help us, but we ended up getting a reference from a friend at the Center, and we go to the (Clinic’s name).
Yeah, and I mean so far we’ve been very lucky. He’s got a great primary care physician who’s… We’re fine. But just, every time we see somebody new, I mean I made a point when choosing a primary care physician that that would be something on the list. But if he ever has to see a specialist, or if he ever has to go to the emergency room, who knows what we’re going to find?
It kind of made me uncomfortable at first. It still kind of makes me uncomfortable. Because I was talking to my friend, and he’s cis. And I was just like, “Oh yeah, I go to (clinic’s name).” And it was like, uh, women… Not women, but it says women in the title. And it’s pink on the card, and just like, I’m not a woman, but I go there. So it makes me kind of uncomfortable.
I’m like, ‘Oh, I’m not a woman, but I’m going here,’ and if I’m walking, I was like, ‘I hope no one sees me walking in here.’ Or if I talked to other people, they’re like, ‘Oh, where do you go?’ I was like, ‘Oh, I go to (Clinic’s name).’ It was like, ‘What?’
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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|Pseudonyms||Child Age||Child Gender||Child Pronouns||Child Race||Town/Region||TGD Healthcare Utilized|
|15||Boy||he/him||White||Suburban/North||therapy; hormone blockers; hormones|
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