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Blog Out in Healthcare

Out in Healthcare: Hal Martin, OTD Student

Name: Hal Martin

Pronouns: They/Them

Identity: Non-binary Queer

Background: I’m a soon-to-be 31 year old, white, non-binary person born and with homebases that include Georgia (born and raised), Chicago, and now Philly (going on 6 years!). My undergraduate education was in the arts and I’m what some of my peers call a “nontraditional OT student.” With that said, I don’t see my trajectory into occupational therapy as a total 180 but instead heavily informed by the critical thinking and collaborative process-making of my undergraduate education!

Profession: OTD student

Area(s) of Practice or Interest: I’m ultimately interested in working in primary health care at a community-based setting / early intervention.

What does being ‘Out in Healthcare’ mean to you?: I believe being “out” is more complicated than the mainstream narrative you hear about being “out of the closet.” There is a decision whether or not to come out in every interaction, and in some instances, it isn’t a choice. When I choose to be out in healthcare, yes, I am choosing to affirm my gender in the moment, but I am also occasionally putting myself at risk or opening a conversation where I have to do a lot of education around my identity. I believe it is important for health practitioners to weigh each situation and, if they feel safe and have the energy, disclose their identity to their clients, employer, or coworkers. In healthcare, disclosing how you identify to patients and clients creates a reciprocal exchange where they may feel more comfortable talking about their gender and sexual orientation. Especially in the midst of the Supreme Court ruling in favor of healthcare discrimination against trans patients, knowing that a healthcare professional is able to verbally share that information with you and still able to practice indicates a culture of tolerance and safety for patients. I know from my own experiences navigating the healthcare system how interfacing with a healthcare professional who shares a common identity can alleviate the stress and anxiety of seeking services and increases the chances of me continuing treatment. Openly talking with others about my identity, sharing my pronouns, and correcting colleagues when I’m misgendered are ways to slowly change a culture that views hetero and cis identities as a default among working professionals. Being out in healthcare shows that despite stigma and discrimination that may exist, we operate as professionals and hold important lived experience that we view as a strength not a limitation. 

What is one thing everyone should know about your identity?: The language I use to identify myself is based on what feels affirming at any given moment. Right now, that means “queer” and “nonbinary.” They/them pronouns feel comfortable because they are neutral. My gender expression is expansive and does not operate in a binary way where I would describe myself as masculine or feminine. If I was to receive gender affirming surgeries or HRT it would not be to medically “transition” (as is commonly assumed about trans-identified people) from one end of the binary to another and I don’t believe my trans identity is dependent on whether I choose to change my body or not.    

How do you feel when your identity is included?: A huuuge sense of relief and perhaps pleasantly surprised because it doesn’t happen very often! In occupational therapy, we talk a lot about barriers in participation of meaningful occupations and when my identity is not included it is a MAJOR barrier. When it is included, I feel like I can fully show up as myself and participate! For example, I did not utilize my school gym for a long time because the gym lockers are in gendered spaces (with bathrooms) and to access them you have to check out a key. This required the person at the desk to either label me as a man or woman and grant me access accordingly. Every time I showed up, I was forced to pick one or the other label. In consequence, as you can imagine, I didn’t exercise as much!

What does “taking up space” mean to you?: I attended an adult rock camp (shout out to GRP!) once and we did a warm up where we very literally took up space with our bodies by extending our arms and legs full snowflake. In that moment, I realized how seldom I’ve allowed myself to take up space due to feeling like spaces are not meant for me. Taking up space in this very literal way is symbolic and serves as a reclamation of all the space that was denied to us, and that denial can take the form of systemic oppression on a macro level or through stigma on a micro level.  

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: Model what it looks like to share your identity. Say, “You can address me as…” or “My pronouns are…” or “You can just refer to me as ___.” If possible, on forms, leave open fields for people to self-identify rather than using checkboxes because self-identifying is empowering!

Has your identity influenced healthcare that you’ve received?: Yes, but moreso because I avoid seeking care in many situations due to feeling unsafe or unsupported.

Where can people find you?: nonyabuziness on IG. I also co-run a monthly Zoom meetup for trans and gender-nonconforming occupational therapy students and practitioners…If interested, you can email us at tgnc.ot@gmail.com.

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Blog Out in Healthcare

Out in Healthcare: Caroline Cuyler, LMSW

Name: Caroline Cuyler, LMSW

Pronouns: She/Her/Hers

Identity: Pansexual Cisgender Female

Background: I was born and raised in a suburb of Rochester, NY. I went to the University at Buffalo for my bachelors in psychology and did 1 year of my masters in social work at Hunter College in New York City and my 2nd year at the University at Buffalo. I now live in Rochester with my fiancé and our fur children. I have spent my career working with many different populations beginning with survivors of sexual assault and domestic violence.  I am newly out as of about 2 years ago and it was a rollercoaster ride of an experience but, overall, quite positive. In my free time I enjoy camping, traveling and playing video games.

Profession: Medical Social Worker

Area(s) of Practice or Interest: I pretty much do it all in the inpatient medical world. The main unit that I work on is an adult medicine unit that is staffed by resident medical teams.

What does being ‘Out in Healthcare’ mean to you?: Being out in healthcare for me is about visibility and representation. I wear a rainbow pin on my nametag every day as visibility but also to signal to other LGTBQ folks that this is a safe space. I also see LGBTQ folks in all different roles in the hospital and it really creates a culture of inclusivity.

What is one thing everyone should know about your identity?: When trying to find the “right” identity for me, bisexual never felt right because it excluded folks that didn’t fall into the gender binary. I felt pansexual really suited me and my attraction to people for who they are rather than based on their gender. My fiancé is non-binary and is starting the first steps with top surgery and low dose hormones. I am proud that she is becoming the person she always knew she was.

How do you feel when your identity is included?: When my identity is included I feel seen. There is nothing better than when your identity is not something you have to explain or review over and over with others. That is why I focus so much on educating staff on practices such as asking for preferred pronouns and not assuming a patient is in a heterosexual relationship.

What does “taking up space” mean to you?: Taking up space is really about being your most authentic self, whatever that means for each person. I think it can be easy to shrink down who you are to make a situation feel more “comfortable” for everyone but when you take up space it paves a path for others to be able to also take up space. It’s a form of activism and advocacy for others as well as yourself.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: This is a part of my role every day as a social worker. Constantly educating staff about how to honor patient’s identities. My number one piece of advice is ASK QUESTIONS. Our patients are the experts on their own lives. You can never assume anything about anyone’s identity and just ignoring or not seeing parts of someone is not treating the whole patient. If you make a mistake about someone’s identity, apologize. We are all humans who make errors but it’s important to commit to correcting the mistake. I think it’s also important to take an intersectional approach to honoring our patient’s identities. Each person’s experience is unique and much of that has to do with how the different parts of our identity shape how we experience the world.

Has your identity influenced healthcare that you’ve received?: I have only been out for 2 years but even in that short amount of time some things have come up. Specifically around sexual health there is always the assumption that I am in a heterosexual relationship and constantly having to correct my providers can get a little exhausting.

Where can people find you?: I am on Instagram (private account) @cecuyler and if you are ever at Strong Memorial Hospital, I am sure you will see me floating around!

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Blog Out in Healthcare

Out in Healthcare: Rhia Reed, OTS

Name: Rhia Reed

Pronouns: They/Them

Identity: I am a genderqueer, trans*, non-binary Korean-American with mixed heritage. I also identify as an anti-capitalist, intersectional feminist committed to the life-long work of anti-racism.

Background: My background has been primarily as a choreographer, dancer, and somatics practitioner. I am currently in school for Occupational Therapy.

Profession: Occupational Therapy

Area(s) of Practice or Interest: I’m most interested to work within the following areas of practice: mental health, neuro, palliative care, people experiencing homelessness, and currently/formerly incarcerated people.

What does being ‘Out in Healthcare’ mean to you?: Currently, I help organize a monthly zoom meeting for fellow trans/gender non-conforming (TGNC) occupational therapy students and practitioners; sign-up link below. On a more personal note, being out in healthcare means being a resource to colleagues, and one day as an advocate for my patients. I am the first trans* non-binary person that most of my classmates and professors have met, and I don’t take that lightly. I see these relationships as a huge opportunity to be a representative for the TGNC community. My hope is for my peers to feel comfortable to work through their questions and ignorance with me instead of with future TGNC patients. Once I become a clinician, I hope to create a safe space for all of my patients, especially those of trans experience. My long-term goal is to continue my work as an advocate for trans patients within the scope of occupational therapy and the greater healthcare field.

What is one thing everyone should know about your identity?: I love to laugh at myself as much as I take my identity seriously. Sometimes I joke that my gender identity is simply Tired. On other days it feels Expansive. Most days it feels Fluid.

How do you feel when your identity is included?: Whew, what a question! It is impactful to feel seen! Moments where I don’t have to direct effort to be visible or taken seriously, I feel like I can direct my energy toward all of the other things that I am passionate about. I don’t need others to validate my identity, but it’s definitely a nice surprise when the things that make me me are seen and valued. It makes me feel safer to be me.

What does “taking up space” mean to you?: First, I think of the word marginalized and what that means in a literal sense. If you’re running out of space when writing on lined paper, you end up writing in the margins. “Taking up space” means putting whatever has been relegated to the margins front and center. Pragmatically, this means reallocation of opportunities, attention, time, money, access, and resources. It’s worth mentioning that taking up space isn’t something to apologize for or feel bad about. I love to loudly celebrate members of the Queer, TGNC community.

What is one piece of advice that you would give to healthcare workers who aren’t sure how to honor the identities of their patients?: Great question! Ask questions and be patient with yourself while you are learning something new. Practice compassion and release shame. When getting things wrong, we often feel ashamed, but everyone makes mistakes. Shame bends a person’s attention inward toward their shortcomings. Instead, compassion maintains attention outward at the person they are helping. Shame is just a story we tell ourselves about ourselves to keep us small: “I messed up and I’m terrible.” Self-compassion is a different narrative: “I messed up and I’m learning. I can try again.” Compassion and mindfulness propel us to say “I messed up, and I see how my actions caused harm. I want to center that person’s experience instead of focusing on my mistake.”

Has your identity influenced healthcare that you’ve received?: Yes…I’ll keep it brief by saying that sometimes I often allow myself to be misgendered and avoid disclosing my identity out of self-preservation.

Where can people find you?: mreed9@lsuhsc.edu, and here’s the sign-up sheet for the monthly TGNC OT meeting: Click here!