ATM 2014 in Review

The stats helper monkeys prepared a 2014 annual report for this blog.

Here’s an excerpt:

Madison Square Garden can seat 20,000 people for a concert. This blog was viewed about 66,000 times in 2014. If it were a concert at Madison Square Garden, it would take about 3 sold-out performances for that many people to see it.

Click here to see the complete report.

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Jamison Green: The State of Transgender Health Nationally and Internationally, Fenway Community Health Center, Boston, MA, 20 October 2014.

Flyer_JamisonGreen_Fenway_20Oct14    Jamison Green, President of the WPATH (World Professional Association for Transgender Health) gave an invited talk at Fenway Community Health Center in Boston, MA on October 20, 2014, where he spoke about the state of transgender healthcare in the U.S. and internationally.

You will find below the audio recording of both Jamison’s talk and the question and answer session that followed. I only had permission from Jamison and not from members of the audience to record, so I cut out the audio of the questions (posed by members of the audience) and put transcriptions of them in the video below. I also removed any personal, identifying information from the transcribed questions and from Jamison’s answers.  I made revisions to some of the transcribed questions in order to provide clarity.  In instances where I could not understand parts of a question in the recording, I put my best guess in the transcription as to what the person had asked.

I did not have a microphone on Jamison, so the audio recording is not the best, but I enhanced the voice aspect of the recording and the result is, for the most part, understandable. I have not transcribed Jamison’s talk or his answers to questions.

I also have provided, below the video, links to information that pertains to the event and subject or was mentioned by Jamison during his talk or in his answers to questions.



Fenway Community Health Center

The Transgender Health Program at Fenway Community Health Center

World Professional Association for Transgender Health (WPATH)

WPATH Standards of Care

U.S. Department of Health and Human Services Departmental Appeals Board Decision No. 2576  “… that the National Coverage Determination (NCD) denying Medicare coverage of all transsexual surgery as a treatment for transsexualism is not valid.”

Massachusetts Department of Health and Human Services:  Patrick Administration Announces Steps to Ensure Equity in Health Care Coverage for Gender Dysphoria

Massachusetts Office of Consumer Affairs and Business Regulation Division of Insurance Bulletin 2014-03 Guidance Regarding Prohibited Discrimination on the Basis of Gender Identity or Gender Dysphoria Including Medically Necessary Transgender Surgery and Related Health Care Services

National Institutes of Health Report:  The Health of Gay, Lesbian, Bisexual, and Transgender People

Primary Care Protocol for Transgender Patient Care, UCSF Center of Excellence for Transgender Health

Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline

American Medical Association (AMA) Policy H-185.950 Removing Financial Barriers to Care for Transgender Patients
(AMA Resolution 122/A-08 pdf)

American Psychiatric Association’s Position Statement on Discrimination Against Transgender and Gender Variant Individuals

American Psychological Association Policy Statement: Transgender, Gender Identity, & Gender Expression Non-Discrimination

Jamison Green’s Website


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Reblogged: Op-ed: How Transparent Tried and Failed to Represent Trans Men

I have not yet seen the relatively new television show Transparent, but I have been hearing lots of trans-buzz about it. Nothing in the buzzing has compelled me to figure out how to see the show — I don’t have cable TV.  Or is it even on cable? See?  I’m so less-than-interested that I don’t even know where to go to watch it.

Considering that I haven’t seen the show, I should probably consider not posting about it, but I just read an op-ed piece in The Advocate by Cael Keegan that brings up some interesting points.  So I thought I would share it with any readers out there who are still checking in with this blog from time to time.  (And if you are, I truly thank you for that, as I have been AWOL for quite some time.)

Op-ed: How Transparent Tried and Failed to Represent Trans Men

When the pilot for Jill Soloway’s new Amazon streaming series, Transparent, became available last April, I watched with both excitement and trepidation. For those of us who study and write about the politics of transgender representation, the past year has been an embarrassment of riches…

Read the entire piece here.

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Childhood Relics and the Importance of Trans People

My bedI am at my father’s house in the Midwest this week helping my siblings take care of Dad while his live-in caregiver is out of town. It’s not always easy to be here.  There are many reminders of my former self, my female self, in this house.  My father, for example, who has dementia, still sees me as his daughter and calls me by my female name even though I have medically and socially transitioned to male.  I’ve written about this before.

The majority of the physical reminders of my previous life are in my bedroom, the room where I slept, dressed and did my homework while I was growing up in the 1960s and ’70s.  And as with almost all the other times I’ve come home since I left the Midwest in 1986, I am staying in my childhood bedroom right now.  The former light fixture, a white, basket-ball sized glass globe dotted with yellow daisies, has been replaced with a ceiling fan, the orange curtains finally disintegrated a few years ago, the bed has been upgraded a number of times and the color of the walls has been changed.  Relics from my former life, however, especially from my childhood, are still around.  Some of these items are stashed in boxes in the closet whereas others are sitting out on the bookshelves in plain sight, like this white ceramic unicorn.

White Unicorn I think I leave this sitting out where I can see it because that causes me to reflect on my childhood, and for some reason my mind seems to want to go through that exercise.  I guess I’m still trying to make sense of it all or to connect to emotions that I wasn’t allowing myself to feel at the time. But in these past few days, a recent blog post has me wondering about the significance of this unicorn in a different way. Continue reading

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Matt Kailey – We Lost You Too Soon

MattKaileyI am shocked and saddened to have learned of the death of trans activist, author and teacher, Matt Kailey, who passed away from heart failure in his sleep over the weekend.  Matt was tireless in his work for our community.  With humor, intelligence, thoughtfulness and a strong, articulate voice, he used different avenues to provide valuable advice and information to trans people and to educate society about trans issues.  His is a huge loss to our community. On a more personal level, he was a kind, decent human being and I will miss him.  Rest in peace, Brother.

Click the links to Matt’s blog, Tranifesto, and his books: Just Add Hormones My Child is TransgenderTeeny Weenies

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Oh, Boston – One Year Later

On Monday, April 21st, the Boston Athletic Association will manage the 118th running of the oldest annual marathon in the world, the Boston Marathon.  

In this week leading up to the race, the city of Boston has been remembering the one-year anniversary of the marathon bombing, the murder of MIT Officer Sean Collier, the shoot-out in Watertown and the subsequent lock-down and manhunt for one of the bombing suspects.   Stories from injured survivors, relatives of those killed, first responders, runners and eye witnesses to the events have been told in numerous media outlets during the past week.  For me, these stories and activities have stirred up many of the emotions I felt while it was all unfolding one year ago, so I have decided to republish the blog post I wrote at that time.

You might ask, what does this have to do with the overall subject of this blog, being trans?  There are trans folks who run.  Come tomorrow morning, when Boston runs again, at least one trans man, a friend of mine, will be running in the Boston Marathon. He couldn’t run last year because of an injury, but he was at the finish line as a spectator when the bombs went off.  He wrote earlier this week, “It’s hard to believe it has been a full year. I still startle at loud noises and look twice when someone puts a back pack down. This may be what is my ‘normal’ now. But I did walk down Boylston St on Sunday and didn’t cry so I guess that’s a start.”

Run strong, my friend, and all you runners.  Boston Strong.  

Continue reading

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Fear and Loathing in Public Bathrooms, or How I Learned to Hold My Pee

This essay is excerpted from the book Gender Failure by Ivan E. Coyote and Rae Spoon, out now from Arsenal Pulp Press.

I can hold my pee for hours. Nearly all day. It’s a skill I developed out of necessity, after years of navigating public washrooms. I hold it for as long as I can, until I can get myself to the theatre or the green room or my hotel room, or home. Using a public washroom is a very last resort for me. I try to use the wheelchair-accessible, gender-neutral facilities whenever possible, always after a thorough search of the area to make sure no one in an actual wheelchair or with mobility issues is en route. I always hold my breath a little on the way out though, hoping there isn’t an angry person leaning on crutches waiting there when I exit. This has never happened yet, but I still worry. Sometimes I rehearse a little speech as I pee quickly and wash my hands, just to be prepared. I would say something like, I apologize for inconveniencing you by using the washroom that is accessible to disabled people, but we live in a world that is not able to make room enough for trans people to pee in safety, and after many years of tribulation in women’s washrooms, I have taken to using the only place provided for people of all genders.

But I have never had to say any of this. Yet. Once at an airport, I was stopped by a janitor on my way out who reprimanded me for using a bathroom that wasn’t meant for me, and I calmly explained to him that I was a transgender person, and that this was the only place I felt safe in, and then I noted that there were no disabled people lined up outside the washroom door, or parents with small children waiting to use the change table.

He narrowed his eyes at me. Then he said, “Okay, but next time you should …”

I waited for him to finish. Instead, he shook his head and motioned down the empty hallway with his mop handle that I should be off, that this conversation was now over.

(Read the rest of the essay here.)

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