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Blog Out in Healthcare

Out in Healthcare: Oliver Hoad, OTS

Name: Oliver Hoad

Pronouns: He/Him/His

Identity: Queer Trans Man

Background: I’m 23 and grew up in a coastal town on the east coast of Australia called Coffs Harbour. I am currently in the second year of my Bachelor of Occupational Therapy. I came out as bisexual when I was in high school, but as I grew into my identity I realised that queer was a better fit. I came out as trans in 2018 which was a huge change for everyone in my life but luckily it has been a mostly positive one! Where I live is fairly regional, and there is not a lot of acceptance towards the queer community so unfortunately there are not many opportunities for interaction with other queer people, especially those my age. When I’m not studying I am a member of a group for LGBTQIA+ young people, a peer educator for a sexual health organisation and enjoy gaming, baking and going to the beach.

Profession: I am an Occupational Therapy student and I teach primary school (elementary school) kids how to create video games afterschool on the side!

Area(s) of Practice or Interest: Interested in sexual health and paediatrics/adolescents.

What does being ‘Out in Healthcare’ mean to you?: Australia is not very progressive when it comes to the healthcare of transgender people. After I came out and had to go to the emergency department of the hospital I told them I was trans and that my name was Oliver yet the doctor continued to address me by my deadname* and female pronouns. Being out in healthcare would allow me to reduce the chances of this happening to other trans people, particularly youth, and would increase attendance and inclusivity within spaces that cause so much anxiety for young people.

What is one thing everyone should know about your identity?: People should know that we are not all the same and we do not have to all be the same. Not all trans people look like the stereotypical trans man or trans woman that may be portrayed in the media, and a lot of us have values and beliefs that are different from each other. That is ok and it doesn’t make someone any less trans.

How do you feel when your identity is included?: I feel hopeful for the future. The inclusion of trans people in different conversations is so important. It shouldn’t be a question whether or not to include us in conversation whether it be political, health related, in sports, or religion, and when this occurs it feels like progress is being made.

What does “taking up space” mean to you?: As queer people, we are often told that we are taking up too much space. We are told that we are too visible within the media, we should be so “gay” in public, that our stories are being told too often and we are asked why we need a whole month to celebrate our community and their history when it “isn’t necessary”. These opinions of individuals are all such negative things that are brought up way too often! However, they bring about important conversations between two communities that may not occur if our presence wasn’t questioned so often. The space that we take up is so important even if other people don’t think that it is.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honour the identities of their patients?: Ask as many questions as possible. Ask what your patient they are comfortable with, what their pronouns are, and if they would like you to know anything about their identity. In saying that, also be respectful when asking the questions. Oh and don’t always assume that somebody fits into a binary gender simply because that is how they present!

Has your identity influenced healthcare that you’ve received?: It has definitely influenced my healthcare experience, probably being trans more than anything else. Finding a doctor who is LGBTQIA+ friendly and educated in transgender medicine is difficult in a regional area so you have to go in blind and hope for the best. There are also limited services available in these areas for transgender healthcare. In the past, I was often misgendered and called my deadname* even after telling doctors my preferred name and pronouns which is unfortunately a common problem for trans youth and people who are transitioning, especially in regional and rural areas like the one I live in. Luckily now I have found a good network of supportive doctors and allied health professionals that are educated in the needs of the LGBTQIA+ community.

Where can people find you?: You can find me on Instagram @onespicyegg or via email at olivermaxwellhoad@outlook.com

*Deadname: A deadname is the birth name of someone who has changed it. The term is especially used in the LGBTQ+ community by people who are transgender and elect to go by their chosen name instead of their given name. (Resource)

Deadnaming: Deadnaming occurs when someone, intentionally or not, refers to a person who’s transgender by the name they used before they transitioned. You may also hear it described as referring to someone by their “birth name” or their “given name.” (Resource)

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Blog

OT and Transmasculine Equipment: Binders, Packers, and Prostheses Oh My!

Transmasculine equipment or equipment for those with masculine gender expression among people assigned a female sex at birth, particularly transgender and gender non-conforming individuals may include: binders, packers, prostheses, and bandaging.

Prostheses: An artificial body part(s), typically made from plastics, lightweight metals, or composites. May be formed to represent a penis, scrotum, testicles, or other anatomy.

            Packers: A prosthesis with the form a penis

Binders: commercially produced binders designed for binding. Other options (usually less safe options) are sports bra, neoprene/athletic compression garments, plastic wrap, duct tape, and more. The benefits of binding far outweigh the risks, however 𝕥𝕙𝕖 𝕣𝕚𝕤𝕜𝕤 𝕒𝕣𝕖 𝕥𝕠 𝕓𝕖 𝕥𝕒𝕜𝕖𝕟 𝕧𝕖𝕣𝕪 𝕤𝕖𝕣𝕚𝕠𝕦𝕤𝕝𝕪.

Binding: Binding involves wearing tight clothing, bandages, or compression garments to flatten out one’s chest and/or other anatomical features. 

Safe binding practices include:

  • Donning neoprene/athletic compression garments or commercial binders. The limited research supports using neoprene/athletic binders over commercial binders.
  • Minimize frequency of wearing, take breaks throughout the week (although it may not be ideal, it is particularly important for involved anatomical and physiological systems). Reducing the intensity of wearing (daytime donning) can also reduce risk of negative effects, though not as significantly as reducing the frequency.
  • Minimize duration of wearing, as in reducing the wear time throughout the years. Top surgery is an alternate to binding, however it is important to note that not every individual that binds will want top surgery, nor will all individuals have access to the procedure (cost, access to healthcare, etc.)

Binding maintenance: First and foremost, follow the washing/care instructions on the packaging/garment. In general, hand washing is the best. Avoid using bleach and/or a dryer as they accelerate material breakdown/ reduce integrity of the material. A binder should never be too tight. Pay special attention to skin folds, folding in binding material, bulging skin adjacent to the binder, redness, and prolonged indentations. Pay extra special attention to the effects of the trans affirming/ generally affirming care that you provide.

According to research, some benefits of binding include:

– Increased self-esteem, confidence, ability to go out safely in public, positive mood

– Decreased suicidality, anxiety, and dysphoria

The research also notes the following risks and contraindications:

– Pain related to the musculoskeletal system and at times internal systems

– Musculoskeletal system changes including bad posturing, shoulder joint ‘popping’, fractures, and muscle atrophy

– Neurological system changes like numbness, dizziness, and more.

– GI system changes, decreased motility, and more

– Respiratory changes like SOB, coughing, and more

– Skin and tissue change like skin breakdown, wounds, and infection

𝕃𝕖𝕥’𝕤 𝕓𝕖 𝕤𝕦𝕡𝕖𝕣 𝕔𝕝𝕖𝕒𝕣

The risks and contraindications are 𝕒𝕝𝕞𝕠𝕤𝕥 𝕒𝕝𝕨𝕒𝕪𝕤 𝕒 𝕣𝕖𝕤𝕦𝕝𝕥 𝕠𝕗 𝕦𝕟𝕤𝕒𝕗𝕖 𝕓𝕚𝕟𝕕𝕚𝕟𝕘 and 𝕒 𝕣𝕖𝕤𝕦𝕝𝕥 𝕠𝕗 𝕒 𝕙𝕖𝕒𝕝𝕥𝕙 𝕤𝕪𝕤𝕥𝕖𝕞 𝕥𝕙𝕒𝕥 𝕗𝕒𝕚𝕝𝕖𝕕 𝕒𝕥 𝕞𝕖𝕖𝕥𝕚𝕟𝕘 𝕒𝕟 𝕚𝕟𝕕𝕚𝕧𝕚𝕕𝕦𝕒𝕝𝕤 𝕟𝕖𝕖𝕕𝕤. We need to have the knowledge based to educate our clients on safe binding practices as healthcare provides and 𝕖𝕤𝕡𝕖𝕔𝕚𝕒𝕝𝕝𝕪 as occupational therapists. HELLO!! ADLS!! DRESSING!! I don’t want to hear any of that “we don’t have room in our curriculum for LGBTQIA+ topics” anymore. Sis, honey, darling, we alllll know that our professors/we talk about dressing all of the time throughout our programs and throughout providing care 𝕒𝕔𝕣𝕠𝕤𝕤 𝕥𝕙𝕖 𝕝𝕚𝕗𝕖𝕤𝕡𝕒𝕟. That’s right peds friends, I’m calling you in on this too. You may have a child, adolescent, or young adult that is going to need 𝕪𝕠𝕦 to educate them on safe binding practices.

Sources and Citations:

http://www.phsa.ca/transcarebc/care-support/transitioning/bind-pack-tuck-pad

https://www.lgbtq-ot.com/terminology

Peitzmeier, S., Gardner, I., Weinand, J., Corbet, A., & Acevedo, K. (2017). Health impact of chest binding among transgender adults: a community-engaged, cross-sectional study. Culture, Health & Sexuality, 19, 64-75. doi:10.1080/13691058.2016.1191675 

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Blog Out in Healthcare

Out in Healthcare: Matt Wild BSN, RN

Name: Matthew Wild


Pronouns: He/him/his


Identity: Gay

Background: I was born and raised in Buffalo, NY. I decided to  enter nursing school because I was always inspired by the compassionate care that nurses provided me throughout my life. 

Profession: Nursing

Area(s) of practice: Mental/Behavioral Health

What does being out in healthcare mean to you?: Being out in healthcare means accepting that you are a role model to those around you. Living my truth is not always easy, but even if it eventually inspires one person to do the same, or feel represented in some way, I’m happy. 

What is one thing you think everyone should know about your specific identity or the LGBTQIA+ community as a whole?: It’s important to never make assumptions about an individual based on your stereotypes of the collective group. Each person is unique in their own way and should be treated so.

How do you feel when your identity is acknowledged and included, in the workplace/ in media OR how do you feel when your identity is not included or acknowledged?: It is amazing to see in my lifetime, the drastic changes that have already occurred in regards to LGBTQIA+ representation in the media and in workplaces. I’m hoping that the ball keeps rolling and that this can be the case for every member of the community.

What does “taking up space” mean to you?: It means living my truth and helping those around me understand better. It means showing clients who come through the clinic doors that this is a safe space, and while we may not get everything right the first time for them, they can count on the fact that we are always evolving for the better

What is one piece of advice that you would give to a healthcare professional that is unsure of how to/inexperienced with honoring and including the identity on someone within the LGBTQIA+ community while receiving healthcare services?: Accepting that you don’t have all of the answers is the first step to a therapeutic relationship with a client in the LGBTQIA+ community. Even for me, my experiences as a gay man may be completely different than those of another gay man. Understanding that a client shouldn’t have to constantly explain their existence and identity to healthcare professionals is also important.


Has your identity influenced healthcare that you’ve received in the past? Absolutely, I remember being asked on a physical if I was “safe when I was privately with girls,” or, “a guy like you must have no problem finding a nice girl.” It’s hard for some people to understand that their assumptions can be really harmful to the mental health of people in the LGBTQIA+ community, and even in some cases deter them from receiving treatment.

Where you can find Matt:

Instagram: @mjameswild

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Blog Out in Healthcare

Out in Healthcare: Molly Sabido PA, PA-C

Name: Molly Sabido


Pronouns: She/her/hers


Identity: Panromantic, asexual spectrum


Background: I was born and raised in Rochester NY where my whole family is from. Growing up I always wanted to be in medicine because I’m passionate about human connection and the human body. As soon as I researched the PA profession I knew it was a perfect fit; it is versatile, allows me a wonderful work/life balance, and provides abundant opportunities to learn and grow every day. I went to PA school at D’Youville College in Buffalo, NY and now I work at a community hospital back home in Rochester. Outside of work I love to draw, hike, sing, and spend as much time as possible with my friends and family.


Profession: Physician Assistant


Area of practice: Hospital medicine

What does being out in healthcare means to you?: I am a person who is proud to display rainbows on my ID badge and my identity in the queer community isn’t something I shy away from, especially at work. I truly believe that love is love, and this openness is something I talk about often and freely. I don’t hold myself back from ignorant people, instead leaning into my queer identity as a tool to educate. I am living proof that kindness and compassion can exist within any body. I have had coworkers thank me for breaking down their own stereotypes about queer folx. I have had patients thank me for creating a safe space to relax and be themselves in an otherwise scary and unfamiliar environment. I am fortunate to be a feminine, straight passing cis woman and I recognize the ease at which I can walk through the world. It is my hope that by gently challenging people’s preconceived notions someday everyone in the queer community will be met with love and acceptance, no matter their identity or outward presentation.


What is one thing everyone should know about your identity?: We ace (asexual) folx don’t get a lot of attention! This is a new area of my identity that I’ve recently been exploring and coming to terms with. Even writing this gives me some anxiety but the more asexuality is talked about, the more normal it becomes, the more people will understand it and maybe even recognize it within themselves. One important thing to know is that asexuality really is a spectrum and people experience it very differently. For me, being asexual and panromantic means I experience romantic attraction to people of all genders, and I very rarely experience sexual attraction (this is where the spectrum comes in). Sex is the least interesting and stimulating part of a relationship; I just don’t get much out of it. I still enjoy physical intimacy, but mostly because it facilitates emotional intimacy. I’m still capable of loving, fulfilling romantic relationships built on solid communication and clear expectations. For a long time I saw my asexuality as something that needed to be fixed or worked through, and it caused a lot of inner turmoil. But I’m finally learning that it is a beautiful part of my identity and something to embrace, not hide from! 

How do you feel when your identity is included?: Historically, the media overwhelmingly acknowledges gay, straight, and bisexual. Lately, it seems like more shows/movies mention pansexuality (Schitts Creek) which is gratifying because it makes me feel really seen and it also makes “pan” a more commonly recognized concept (no, I’m not attracted to skillets or bread). Asexuality however doesn’t get much recognition so my expectations are usually really low when I’m consuming media, and whenever it’s included it’s a lovely little treat. I recently watched a show on Netflix called Sex Education (WATCH IT) and when they had a subplot about an asexual girl I legitimately cried. Generally, I do think we have a lot of work to do in recognizing sexual and romantic attraction are very separate for some people.

What does “taking up space” mean to you?: Simple. This means I can freely be myself in any room I walk into. When I picture myself taking up space I am not minimizing myself. I am proud to be queer regardless of who is in that room with me. Even in situations where people might not understand me, I stay true to myself. I wear that rainbow on my badge and show it off rather that hide.

What is one piece of advice that I would give to healthcare workers who aren’t sure how to honor the identities of their patients?: Most of my coworkers understand and acknowledge my identity because it revolves around who I date. However, some of them still really struggle with understanding trans/non-binary/non-conforming folx and honoring pronouns or addressing sexuality is uncomfortable for them. My advice is this: when it comes to gender identity, a patient’s pronouns aren’t up to you, they are up to the patient. Your job as a healthcare worker is to create safe spaces for patients where they feel comfortable and taken care of, not further isolated by ignorance. Using correct pronouns is an extremely simple way to facilitate a sense of safety and trust. In regards to sexuality, if you aren’t comfortable addressing this topic, then don’t bring it up, just be a kind human and let someone else be a queer ally. If you absolutely have to bring it up because it’s relevant to your job, then do it in a neutral, non-judgmental way please.

Has your identity influenced healthcare that you have received?: Fortunately, no!  

Where you can find Molly:
Instagram: @mollysabidi AND @molly_makes_things

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Blog Out in Healthcare

Out in Healthcare

Hey friends!! I’m so excited to share this new series with you. This is something that I’ve been pondering and working on for a while, and here it is! The Out in Healthcare series!🌈

I wanted to do it right and make sure my intentions are known. I want to increase the visibility of LGBTQIA+ healthcare providers. I want you all to know we ARE taking up space. We may even look just like you do. You may not know our identities, but each one of the interviewees has agreed to visible. We hope that if you’re a student, practitioner, or are even contemplating joining the healthcare field, that you know you’re not alone. We hope that through this series, you will see yourself. We hope that you will see that you can do it to, and that it’s so important for you to take up space and just BE (if it’s safe and you’re ready). I will be featuring healthcare providers from ALL professions. If you know anyone that you think would like to participate, please connect them to me 💖 Get ready to meet the first healthcare hero in this series!

#OutinHealthcare