The VA has a New Directive on the Treatment of Transgender

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The VA has a New Directive on the Treatment of Transgender

Postby Someone Else » Thu Jul 29, 2010 12:12 am

Here are some of the important parts as they appeared in the revised draft:

•This directive does not apply to patients who receive benefits under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA).
•A diagnosis of Gender Identity Disorder (GID) is not a pre-condition for receiving care consistent with the veteran's self-identified gender.
•All staff, including medical and administrative staff, are required to treat as confidential any information about a patient's transgender status or any treatment related to a patient's gender transition, unless the patient has given permission to share this information.
•Diversity awareness training, (which educates staff on providing unbiased, respectful care to all veterans) is available to supervisors and employees.


http://www.bilerico.com/2010/05/the_va_ ... of_tra.php
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Re: The VA has a New Directive on the Treatment of Transgender

Postby black birgid » Thu Jul 29, 2010 9:57 am

But it's not out yet?

I feel sorry for vets that live in less progressive parts of the country. I can only imagine what they have to go through, and it's not pretty in my imagination.

I've actually only had a few negative experiences in dealing with the VA with trans issues. Unfortunately, the first one was with my GP, who pretty much looked at me like a freak when I told her why I'd been taking spiro and E without a doctor's supervision.

However, she did refer me to my endo, whose been nothing but sunshine. (Her, and her cute intern :) ) She told me that HRT for trans vets is something that sits in a grey area right now -being something that is perscribed if it's in the best interest of the patient. I told her that I didn't care about a scrip and only needed blood work and advice, and I'd just keep self-medding anyway. There was a scrip waiting for me when I left. I picked up my first bottle of a hundred-and-eighty one-hundred milligram tablets of spiro that day, and the estradiol came two days later, in the mail, because they were out of it. She called me back promptly to discuss the results of my bloodwork, too.

The social worker that I deal with from the OEF/OIF Care Management Team has been great too. I've been treated as nothing but a veteran, with all the respect you'd think that would get you from the VA -which is quite atypical, I'm told. He even asks me how the other people I see have been treating me.

Other than that, even the dental hygeinest was nice enough to ask me what I prefer to be called, in lieu of my boy name. She didn't even have to do that! :)

I hope that pretty soon this thing drops, and everyone can have such a positive experience at their VA hospital.

The only thing I'm not looking forward to is my first mammogram which happens in less than a month. It's a rite of passage, sure, but I don't hear anything good about them, and my boobs are already sore all the time. I'll be strong, I guess. Then I'll have a dental appointment! Yay!
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Re: The VA has a New Directive on the Treatment of Transgender

Postby Someone Else » Fri Jul 30, 2010 12:25 am

Yes it is on the VA back burner.

The St. L. VA has been a nightmare. If you have found a friendly place I'm sure others would like to know where to go. If that wouldn't be too much info to divulge. I am glad it worked out for you though. It all seemed well for me for about 3 months then all fell apart.
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Re: The VA has a New Directive on the Treatment of Transgender

Postby black birgid » Fri Jul 30, 2010 12:50 am

I'm sorry to hear that :(

I live in Buffalo, and ride seven miles on my bike to the VAMC uptown.
"She had a perpetual sense, as she watched the taxi cabs, of being out, out, far out to sea and alone; she always had the feeling that it was very, very dangerous to live even one day." -Virginia Woolf, Mrs. Dalloway
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Re: The VA has a New Directive on the Treatment of Transgender

Postby Someone Else » Fri Jul 30, 2010 1:07 am

Yea, total nightmare.

Q: "Is it a man or woman?"
A: "It's right in there look for yourself."
Q: "*Giggle* Seriously?"
A: "I'd never joke about that, Look!"

I get up to look outside the waiting room and 4 people are huddled over my medical records. I was not happy at all and reported it to the Inspector General. I wanted a paper trail in case I have to contact the ACLU. That was the same day that I found out that my benefits had been put on hold because they were not clinically indicated. In fact that was about 10 minutes before I found out.

Here is the link to the IG website in case you ever need it. http://www4.va.gov/oig/ Notify the TAVA if you ever do anything "active" like that, they like to follow up and be involved. I never wanted to be an activist but I sort of got put in the position where I had to do something. Well I felt like I had to do something. I am hoping the situation has been rectified.
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Re: The VA has a New Directive on the Treatment of Transgender

Postby Evelynn » Fri Aug 13, 2010 1:39 pm

Can we vets get like a statement of nonavailabilty and get a referal to a hospital that has more qualified/ experinced healthcare providers for people transitioning...
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Re: The VA has a New Directive on the Treatment of Transgender

Postby Someone Else » Sat Aug 14, 2010 2:58 pm

Evelynn wrote:Can we vets get like a statement of nonavailabilty and get a referal to a hospital that has more qualified/ experinced healthcare providers for people transitioning...

Possibly...
You have to request that your primary submit a request for outside services. Then schedule another appointment, usually 3 to 4 months later. When you go in for that appointment you may or may not receive those treatments. Or you may be informed they need more time to determine if your condition is clinically indicated. Then another 3 to 4 months. *shrug*
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Re: The VA has a New Directive on the Treatment of Transgender

Postby Evelynn » Mon Aug 16, 2010 10:31 am

Whew... well, a song comes to mind that puts its into perspective for me...

There's a road a winding road that never ends
Full of curves lessons learned at every bend
Goin's rough unlike the straight and narrow
It's for those who go against the grain
Have no fear dare to dream of a change live to march to the beat of a
different drummer
And it all might come together
And it all might unraveled
On the road less traveled

For the road less traveled ain't for the faint of heart
For those who choose to play it safe and never stray too far
Me I want to live my life and one day leave my mark
And it all might come together
And it all come unraveled
On the road less traveled

I've chosen a pathway I may not endure
One thing's for certain nothing for sure
And it all might come together
And it all might come unraveled
On the road less traveled

For the road less traveled ain't for the faint of heart
For those who choose to play it safe and never stray too far
Me I want to live my life and one day leave my mark
And it all might come together
And it all come unraveled
On the road less traveled

There's a road winding road that never ends
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