Clinicians generally recommend that patients discontinue use of exogenous hormones such as estrogen and testosterone before undergoing surgical procedures, due to the potential increased risk of blood clots and other complications. Yet there’s little evidence to support this practice in transgender people, according to a new systematic review by Elizabeth Boskey, PhD, and her colleagues in the Center for Gender Surgery at Boston Children’s Hospital. In fact, there may be possible psychological harm in requiring trans patients to halt hormone therapy, she says. …Read More
Public accommodation laws aim to help protect minority groups against discrimination. In the case of transgender people, such laws protect access to sex-segregated spaces including public restrooms, changing rooms and locker rooms. In a health care setting, rooming assignments and other sex-segregated environments are affected by accommodation laws, which can raise questions for staff. …Read More
Your first patient of the day presents with a sore throat and a temperature of 99.5 degrees. Although a little higher than normal, it’s not technically a fever, right? Jonathan Hausmann, MD, a rheumatologist at Boston Children’s Hospital and Beth Israel Deaconess Medical Center, might disagree.
Hausmann, Fatma Dedeoglu, MD, and their colleagues from the Boston Children’s Hospital Innovation & Digital Health Accelerator, recently published a study in the Journal of General Internal Medicine that they hope will begin a larger dialogue among physicians and others about normal body temperature and the definition of fever. …Read More
On a Monday morning in late January 2018, surgeons and clinical staff entered the operating room with one primary goal: to forever change the life of the young man who lay before them. More than 14 hours later, the team had made history, performing the first phalloplasty — surgical creation of a penis — for a transgender patient at a major U.S. pediatric hospital. …Read More