Spyke
sh.itjust.works

"I told her that I'm not competent, but I can guide you. I can refer you to services that can take better care of you. But after I said that, things went south," gynaecologist Victor Acharian told Euronews.

Talk about the article just wanting to stir shit with the headlines. And so many of you are falling for it.

40

The comments about only treating "real women" and not men who "shave their beards" and "tell my secretary that they are a woman" are problematic

The patient needs to be educated about their body and the medical community needs to evolve to better serve trans people as well

5
kbin.social

I don't understand why someone without a vagina would go to a gynecologist.

37

I'm very trans friendly, and I agree. A gynecologist is there to help you with things related to your vulva, vagina, uterus, ovaries, fallopian tubes.... If you don't have any of those things, there is nothing a gynecologist can do for you.

38

gynaecology: the area of medicine concerned with disorders and functions of women's reproductive organs

34

Was she going there just for the experience or something? What was the end goal she was looking for here...

19

There is actually a chance to develop cancer in that region as a trans person. Also to check up hormon levels etc., there are a lot of valid reasons

5
sopuli.xyz

I have to ask: considering the profound surgical intervention required to aid a person transition, are there any life lasting specialized care needs to assure health? Or after normal surgery recovery that's it?

12
Taleyareply
aussie.zone

from what I know of a friend: There's some stretching required of the new vaginal entrance (medically prescribed dildos back in fashion!) and yes, trans women can potentially develop cancer much like their cis counterparts. Generally advised to get it checked every so often to make sure it's all up to snuff.

6
vikingreply
infosec.pub

can potentially develop cancer much like their cis counterparts

No. Very much unlike their cis counterparts, a female transperson has no uterus, no fallopian tubes, or any other part commonly found in a vagina. They can develop topical cancers such as skin cancers or subdermal cancers as in literally any tissue anywhere in their bodies, but those are not cancers generally found during a pap-smear (which is the primary domain of a gyno). Any sufficiently skilled GP or dermatologist would be equally or better suited.

5

You try and get a dermatologist or gp to inspect vaginal tissue, they're gonna refer you to a gyno

4
qyronreply
sopuli.xyz

And is that care provided by general practice gynecologists or specialized ones?

4

That is actually very good and interesting to know.

4
kbin.social

This is certainly the most transphobic bigots I've seen in a thread on the Fediverse.

5
stillwaterreply
lemm.ee

It's like everyone from aussie.zone is a capital G too.

-1
kbin.social

I see there's a lot of ignorant bigots in this comment section making claims without any actual knowledge on the topic.

From the Canadian Cancer Society: "If, however, you’re a trans woman who has had bottom surgery to create a vagina (vaginoplasty) and possibly a cervix, there’s a very small risk that you can develop cancer in the tissues of your neo-vagina or neo-cervix."

8

there's a lot of angry little terfs in here. And a disturbing number of people who seem to think the only thing a gyno does is peer up a clacker with a torch.

5

im locking this as there are multiple reports of transphobia and bigotry. It appears the comments are devolving into personal attacks.

5
lemmy.ml

The doctor replied with a message addressed to a "gentleman", claiming that he treated "real women".

He justified himself by saying that he had "no skills to treat men, even if they have shaved their beards and come to tell my secretary that they have become women".

what the fuck

Dr Acharian admits he lashed out with the online comments, but says his reasoning for not seeing the patient is still justified, and highlights an underlying problem for medical professionals.

"I reacted spontaneously, out of anger, and I felt I'd been unfairly attacked. I reacted with very clumsy words that may have offended. I'm well aware of that, I've expressed my regrets on several occasions," said Acharian.

good ol' trans panic defense 🙄

4
lemmy.world

I don't know enough to say if it's valid for a gynecologist to not treat a trans person, but it's definitely not valid to be an absolute cunt about it. If you have a rational reason not to help them, cool, but you can explain that calmly and try to refer them to a place that can.

29
vikingreply
infosec.pub

He offered to, but the person ran off and raised a stink online instead of following the rational recommendation. Ahhhh, the 2020s. Good ol' keyboard warriors and their cancel culture.

5
Boneheadreply
kbin.social

The person ran off and raised a stink online because the doctor was a being a fucking dick. If he just politely refused and referred them to another doctor, there would be no story.

2
Kalashreply
feddit.ch

If he just politely refused and referred them to another doctor, there would be no story.

But that's literally what happened. Her response to that was calling the doctor a transphobe and insulting his staff. She was being a dick first.

Did you even bother to read the article?

-1
Boneheadreply
kbin.social

I did read the article. Calling her a man is being a dick. Asking for services while being trans is not being a dick.

1

There is no indication in the article that he called her a man before she flew of the handle.

2
lemmy.ml

There is never an excuse to be transphobic. The story doesn't get better for him if she was belligerent first. Let's keep in mind how upsetting this situation is for her, and then instead of de-escalating he makes it worse.

-3

I disagree. That's a much better story for him. Not even sure if he's transphobic or just not trained in PC language. If he meant "I only treat biological women", he'd be correct.

She was upset and kind of having a bad fucking day, and then instead of de-escalating he makes it worse.

And maybe he was also having a bad day, probably because of her. Why is this on him in the first place?

2

He worked on so many that he eventually became one. That sounds like a One Punch Man villan origin.

3
lemmy.world

So this doctor is a complete douchbag and should not be practicing medicine. But he's also not entirely wrong. Medically speaking what your gender is is irrelevant most of the time. Of course it applies to any procedures you may be undergoing or medications you may be taking to alter your body to match your gender but that's about it. Any competent doctor will of course respect your gender identity because understanding and having a good relationship with the patient is important. But medically speaking they care more about whether you are at risk for prostate cancer or uterine cysts and your biological sex (alongside your medical history) is a much better indicator of that (outside of relatively rare exceptions). If you are a trans woman who has had bottom surgery then not every gyno is going to have the skillset to help you because that just isn't what many of them are trained for. I've definitely had my doctor tell me I need to see someone else for certain issues because they just didn't have the skillset to help. Of course there are far better ways to say that than how this "doctor" chose to do so, but him not providing care that he wasn't trained to provide isn't the issue here. His douchbag attitude and him not providing a referal to a doctor who could help is the issue.

3
lemmy.world

Agreed with everything you said except that, according to the article, he initially did offer a referral to another doctor. It was only after she got angry that the discourse escalated and he said offensive things in response.

33
Foshezereply
lemmy.world

Ah. I must have missed that. In that case it's a little more understandable. He just got pissed off and snapped. Even so you need to be a little more thick skinned than that if you want to be a doctor. I don't know all of the details of course but he still shouldn't have sunk to insults.

-5
_cnt0reply
feddit.de

[...] you need to be a little more thick skinned than that if you want to be a doctor.

Why?

13
inspxtrreply
lemmy.world

I understand doctors are humans too, and presume that is your reason for questioning “Why?”.

But in defense of doctors being more “thick skinned”, I think patients are generally the more vulnerable side as they are usually the ones with issues. If every doctor they come to snaps at them, they start to lose trust in healthcare providers.

11

It's not wrong what you are saying, but it's unrealistic. Being "thick skinned" is almost always useful and almost never required. There's not enough doctors already, and only so many "thick skinned" people. Becoming a medical doctor already requires a set of skills, that only a subset of humans have; adding being "thick skinned" as a requirement is simply naive.

1

I think they’re simply both assholes here.

The trans person who flipped out and verbally abused the doctor/receptionist for referring them elsewhere when the doctor is specifically a women’s reproductive health doctor and the trans woman has no female reproductive system is an asshole.

The doctor who responded to this by going online and calling her a “man who shaved his beard” is also an asshole.

They can both be true.

1

nah, that's a bullshit excuse. I've been furious enough to wreak physical violence, and even in that state I haven't gone to a bigoted well.

-5
aussie.zone

Yank the bastards license. He's clearly ignorant of medical facts and violating his oath

-52

The way you put it lays out the problem very well. Gender identity should be concerned with being women or men or the myriad of blends in between. Healthcare is concerned with male or female, and that doesn't change even if surgery may make the situation complicated and need a specialist.

The doctor was clearly a bit of a cunt about it, but having him treat something that he's not trained to do should not be an expectation. I imagine I would be a bit ticked off too if a male expected me to inspect their lady bits. It would be unethical for me to pretend to, to humor them, and it would put me in a very awkward situation to try dance around not hurting feelings or coming off as narrowminded. Gender identity should be left to social dynamics an specialists and left at the door of a doctor's office.

Having said that a better approach from the gynaecologist would have been to tell them he has no training, but offer to look anyway and help them find a doctor in the area that could be more qualified.

10

Then she should look for someone that specialises in post plastic surgery care.

17

You reached the end