Category Archives: LGBT

Identification of LGBT Needs in the Exam Room

by The Mind Alive
A physician performs a routine checkup on a pa...

A physician performs a routine checkup on a patient at the medical clinic. (Photo credit: Wikipedia)

Last time you were in an exam room, did you feel that the attending physician received all the information needed to gain an accurate perspective of your plight? Did you share everything you felt you should, no matter how personal? Did said physician even ask about anything, aside from the usual short list of inquiries we are all too familiar with in that particular setting?

If you are a physician, do you really get the answers you need from your patients? Or perhaps it is just too uncomfortable when talking about sexual health and behaviors. More likely, they do not disclose the details out of discomfort, or even fear.

LGBT persons have shown to have some unique healthcare needs, sometimes experiencing disparities in care. LGBT patients are often uncomfortable or inhibited from talking openly with healthcare providers about sexual orientation, gender identity, and sexual behaviors. Certain sexual behaviors do not automatically define that patient as LGBT, and not all LGBT patients are going to have similar sexual behaviors. Truthfully, it’s not about whether a person is a member of the LGBT community or not. It’s about the individuals choices and behaviors that could be putting their health at risk, as well as the health of others. In order to cover everyone’s needs, patients must speak openly with providers. Providers must delve into the patients behaviors and understand where the risk behavior is at for each patient. I am going to lay out a few examples, ideas, and suggestions for physicians, as well as patients.

In any healthcare position, you will find people from diverse backgrounds and lifestyles. Different interests, tastes, and mindset. The right approach will reassure patients that the provider is knowledgeable, genuine, concerned, confidential and accepting. This enables the patient to open up and discuss the very private matters of sexual behavior, often in this society a ‘taboo’ subject.

Ask the patient to tell a bit about themselves. As the patient, make sure you indulge your sexual partner(s), safe sex practices, and concerns. Some behaviors have an amount of risk attached to them that is often unknown to the patient.  A physician might ask “Do you have any questions or concerns about your sexuality, sexual orientation or sexual desires?”. Use gender-neutral terms and mirror the patient’s terminology to better understand how they identify. For example, asking “do you have a partner or spouse?” “Are you currently in a relationship?” “What do you call your partner?” are all good ways to decide how the patient will identify without offending them with clinical terms which may sound cold and ‘labeled’. From here the in-depth sexual questions begin: “Are you sexually active?” “When you have sex, do you have sex with men, women or both?” “Are you and your partner monogamous?” “How many sexual partners have you had in the past year?” “Do you have vaginal sex, anal sex, or both?”. These and many more are the key to finding out just what unique needs your particular patient might have.

It is important to differentiate between sexual identity and sexual behavior. Providers need to discuss sexual behavior with patients regardless of sexual identity in order to define risk-assessment, ascertaining what activities they engage in and to learn what they are doing to prevent the transmission of disease.

And for the majority of readers, as  patients we have a personal responsibility to find the courage to openly discuss in confidence all of our behaviors and desires with our doctors, nurses, therapists and counselors, etc. This is extremely important. We cannot rely on someone to read our thoughts and know the truth.

Stand up and be proud of yourself. I can almost guarantee that the person treating you has heard it all. And if they haven’t, they will soon enough.

Help! Helena Non-discrimination Poll Freeped By Haters

by D Gregory Smith

Also published on Bilerico.com

A poll in this week’s Helena Independent Record asks the question “Does Helena need a non-discrimination ordinance?” This is seemingly in response to the order of business currently before the Helena City Commission – an ordinance of non-discrimination [pdf].

“State and/or federal law prohibit the denial of civil rights or discrimination on the basis of age, race, color, national origin, ancestry, religion, creed, sex, pregnancy, marital status, familial status (solely for housing), and physical or mental disability. In addition to these protections, it is the intent of the City of Helena that no person shall be denied his or her civil rights or be discriminated against based upon his or her sexual orientation or gender identity or expression.”

Thumbnail image for Welcome to MontanaYeah, kind of a big deal for Montana.

At first, the numbers were fairly even on both sides – then those in favor of the ordinance outnumbered those opposed.

By hundreds.

Typically the IR polls receive about 500 respondents total, but it appears that some conservative blogs, websites and facebookers have called in their forces to vote (in this very unscientific poll) against this ordinance currently being considered by the Helena City Council.

While I’m not sure that this is a huge issue (the poll, not the ordinance), it irks me that those opposed are marshaling the forces of discrimination across the country to weigh in.

Well, turnabout’s fair play. Vote here – and show Helena that the nation is watching.

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Why You Shouldn’t Donate to the Salvation Army Bell Ringers

by Guest Blogger

Reprinted from Bilerico.com

By Bil Browning

As the holidays approach, the Salvation Army bell ringers are out in front of stores dunning shoppers for donations. If you care about gay rights, you’ll skip their bucket in favor of a charity that doesn’t actively discriminate against the LGBT community.

The Salvation Army has a history of active discrimination against gays and lesbians. While you might think you’re helping the hungry and homeless by Thumbnail image for Why you shouldn't give to the Salvation Armydropping a few dollars in the bright red buckets, not everyone can share in the donations. Many LGBT people are rejected by the evangelical church charity because they’re “sexually impure.”

The church claims it holds “a positive view of human sexuality,” but then clarifies that “sexual intimacy is understood as a gift of God to be enjoyed within the context of heterosexual marriage.” The Salvation Army doesn’t believe that gays and lesbians should ever know the intimacy of any loving relationship, instead teaching that “Christians whose sexual orientation is primarily or exclusively same-sex are called upon to embrace celibacy as a way of life.”

On its webpage, the group claims that “the services of The Salvation Army are available to all who qualify, without regard to sexual orientation.” While the words are nice, their actions speak volumes. They blatantly ignore the position statement and deny LGBT people services unless they renounce their sexuality, end same-sex relationships, or, in some cases, attend services “open to all who confess Christ as Savior and who accept and abide by The Salvation Army’s doctrine and discipline.” In other words, if you’re gay or lesbian, you don’t qualify.

The organization also has a record of actively lobbying governments worldwide for anti-gay policies – including an attempt to make consensual gay sex illegal. (Yes, you’re paying lobbyists with those donations.)

After the break are some highlights from the evangelical Christian charity’s recent anti-gay political lobbying, a handy video with more information, and a list of charities who don’t discriminate against their clients and employees.

Click here to read the rest at Bilerico.com

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Bisexual Men and Women Less Likely Than Gay Men, Lesbians to Disclose Sexual Orientation

by D Gregory Smith
English: Illustration of the double moon symbo...

English: Illustration of the double moon symbol used by bisexuals who wish to avoid the use of triangles. This example is in the colours of the Bisexual Pride flag. (Photo credit: Wikipedia)

New research shows that bisexual men and women are less likely than gay men and lesbians to disclose their sexual orientation to healthcare providers.  The study, which examined nondisclosure of sexual orientation among lesbians, gay men and bisexual men and women, found that concealment of sexual orientation from healthcare providers was related to poor psychological wellbeing.

“This study adds to a growing literature that shows that a one-size-fits-all approach to understanding the health of sexual minorities ignores differences among subpopulations within this community,” said Laura Durso Ph.D., Williams Institute Public Policy Fellow.

Nondisclosure was higher among bisexual men of whom 39% did not disclose to any medical provider and bisexual women of whom 33% did not disclose to any medical provider.  Disclosure was much more prevalent among gay men and lesbians among whom only 13% and 10%, respectively, did not disclose their sexual orientation to any medical provider.  Among lesbians, greater nondisclosure was found among racial/ethnic minorities, women with lower educational level, and women with children. Among both gay and bisexual men, greater nondisclosure was found among younger men and men who were born outside the U.S.

The study, entitled “Patterns and Predictors of Disclosure of Sexual Orientation to Healthcare Providers among Lesbians, Gay Men, and Bisexuals,” was funded by the National Institute of Mental Health and is published in Sexuality Research and Social Policy.

Full study: click here.

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Love Wins!

by D Gregory Smith

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Jesse Page, left, and Brendan Taga, exchange wedding vows just after midnight on Sunday, December 9, 2012 at the King County Courthouse in Seattle. Marriage ceremonies were held in the courtroom of Superior Court Judge Mary Yu beginning at 12:01 a.m. on Sunday, the first day same-sex couples in Washington State can legally be married. Many of the judges donated their time to be at the courthouse to officiate at the weddings. Click pic for more…. Photo: JOSHUA TRUJILLO / SEATTLEPI.COM

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The Joys of Parenting

by Timber

Ever since I was a little boy, I wanted to be a father. I even asked for a baby doll for Christmas, much to my parents’ chagrin. However, I actually GOT said baby doll. Her name was Tina! Funny how I can remember that. I took her everywhere around the house with me. Made sure she “ate” and changed her diaper. Mom used to watch me with her and she had decided that I would make a fantastic father, someday.

In church, on Sundays, Mom would often take nursery duty. There weren’t that many infants in those days, but she would bring me with her to “help.” Little did she know that my “help” really WAS help. She used to delight in telling people that little babies/children and dogs really love me. Whenever someone was fussy, into my arms they went. And, they quieted down very quickly.

I spent many years believing that I would, someday, be a father. I got married at 19 partly because of that. Now, never you mind that I had come out at 17 for the first time. My desire to be a parent far outweighed the fact that I am gay. And, I knew that the only way I could ever have children was to be married. This was a direct result of growing up in the church with a minister for a father.

Shortly thereafter, I got divorced. A marriage that lasted 9 months, legally. And, I came out again. All of my hopes of parenthood were dashed and I was preparing myself to never think of children again.

Fast forward some years later. I worked my way out of the “pink haze” and I became an adult. (In maturity vs. age – there is a HUGE difference!) I was spending my time around couples of all genders and sexuality. And, there were children. Who knew?

Again, hope flared. Albeit, briefly. I began to look into adoption, but here in the State of Montana, you are more likely to be able to adopt as a single parent, than as a gay couple. Hopes dashed again.

I met a young man at the theatre where I do some music direction and acting. He was a foster kid and really was one of societies throw-aways. He had been in the foster care system since he was 4 years old and was fast approaching 17. We struck up a friendship and then became a bit closer. I was a mentor to him. Eventually, he started calling me, “Dad.” And a family was born.

Fast forward just a few months later. Around the same time I met the young man, I met a single mother with a wonderful daughter. Come to find out, they were our neighbors across the street. We had only just moved in. Well, my partner and I used to spend a lot of time sitting on the front porch. Very late one evening, we send a text to “Mom” saying, “Kid is home. Isn’t she a bit late?” From that, became a surrogate parenthood of a teenage daughter. As a matter of fact, while I sit here writing this, she is staying at our house while her mother is out of town and I am fretting like any other parent because I am waiting for her to come home, the snow is starting to come down and she just got her driver’s license this summer. . .I digress.

Anyway, I read an article that gave me even more hope. Read it here: Foster Parenting

It would appear that in Los Angeles, they are trying to court LGBT couples to become foster parents! Something that we might consider in Montana. Think about it. . .so many children need stable homes. And, how many of us have had the desire to become parents, but lack the funds to adopt or have surrogacy, etc? (By the way, adopting from the foster care system is usually subsidized BY the foster care system! Or at least the costs are greatly reduced.)

So, my point in all of this is, “FAMILY” is defined many ways. There are many opportunities for us to become parents. There are many ways to help children out there. And, there are times for us to be positive role models to young people.

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That’s a dealbreaker

by MontanaRiverRat

Image

Earlier, Bobbie posted an update about the Helena Non-Discrimination Ordinance. And, in my first post on this blog, I’m going to strongly disagree with her on the preferred outcome related to the locker room amendment.

Bobbie believes that through compromise, this amendment could be modified to an acceptable level. I think this amendment is a dealbreaker and if it remains, is reason enough to oppose the ordinance as a whole.

Now, I want to throw a caveat into this assertion, and a little bit of wiggle room for me to admit that I might be wrong on this: I’m not a transgendered person; I will never assert that I know all of the experiences that a person goes through when dealing with the societal bias and stigma that transgendered people deal with on a daily basis.

That being said, I have a difficult time accepting an ordinance that could put any trans people in a more difficult position. Under her compromise position, Bobbie suggested,:

“the “locker room amendment” should be revised to preclude only those with socially inconsistent genitalia from revealing as much, from exposing such inconsistent genitalia.  To be clear, a pre-op transwoman could be excluded from the female locker room if she exposes her penis, and similarly a transman if he reveals the lack thereof in the male locker room.”

While I understand the sentiment that Bobbie is expressing, I don’t think this gets to the fundamental issue at hand. Currently, trans men and women often face a dilemma when deciding which locker room or restroom to use. This ordinance was introduced in order to make these sensitive situations more safe for all Helenans. I worry that this compromise amendment could leave some of our trans brothers and sisters behind.

Furthermore, there currently is no prohibition on trans people using their self-identified restroom or locker room. I worry that this amendment would codify a law which would leave some trans people in a worse position than when this debate started more than a year ago.

I want to restate though, I am not a trans person, so I’m not going to claim to understand the experiences they’ve been through. But, as a cisgendered homosexual person, I can’t handle the thought of knowing that my rights are being advanced, while the rights of others are being restricted in city code. That’s why, this amendment is a deal-breaker no matter your gender identity.

I hope that Commissioner Haque-Hausrath and Mayor Smith continue to oppose this amendment, and Commission Thweat changes his opinion on this measure.

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Let Me Introduce Myself and Our Democratic Republic

by Timber

Hello all! My name is Timber Venard and I received the honor of becoming a contributing writer with “From Eternity to Here.” I feel very blessed for this opportunity and I hope that you will enjoy what I write. Thank you, Greg!

 

My blogs tend to be a little tongue-in-cheek, but I like to sandwich good information with humor and sarcasm. There really IS a point to the things that I write. So, bear with me on the journey and let’s see where this takes us!

 

I was born into a Christian family. Let me restate that: I am a preacher’s kid! Oh, my poor parents were screwed from the get go! I wasn’t a bad kid, but yes, I am gay. And we all knew it from a pretty early age. Although, that brought its own trials and tribulations over the years. Perhaps, someday I will tell you about them all!

 

I am a HUGE activist for the LGBT community regarding equal rights and marriage equality. I am hoping to use my superpowers (my writing skills, of course) for good! But, occasionally there is wickedness/evil that shows up in my editorials (insert evil laugh here). I also run my own VERY small blog called, Timber’s Morning Coffee. If have have the time, or the inclination, please check it out!

 

So, for our first topic of discussion, Democracy, our rights and our responsibilities.

 

We think that because we live in a democratic republic (notice I didn’t say, “Democracy”), we assume that everything changes simply because of a vote. This isn’t quite the truth. I recently read an article in Advocate Magazine regarding the comparison of civil rights work in China vs. the United States.

 

In some foreign countries, they believe that we have so many more freedoms and that they are all granted by the government. In many ways, that’s very true, but in other ways, that is completely false, and we have fallen into the same trap of believing that we are going to get whatever we want, simply by saying so.

 

President Lyndon B. Johnson signs the 1964 Civ...

President Lyndon B. Johnson signs the 1964 Civil Rights Act as Martin Luther King, Jr., and others, look on. (Photo credit: Wikipedia)

 

WAKE UP!!! Yes, there was a good coup for LGBT civil rights in this last election, but it doesn’t stop there. All of the rest of the States and the Federal Government still have plenty of work to do in recognizing the equality of LGBT people. And, where does this start?

 

With you. With your voice. Knocking on doors, making phone calls, writing letters/blogs. Being visible in the community.

 

You see, we can’t just vote in our own civil rights. The point of a democratic republic is that we elect representatives to vote FOR us. This means, as our representatives, they need to listen to their constituency. Although, that’s not a guarantee that they will.

 

At this point, it is going to take thousands of little victories in order to gain the BIG ONE! Each city that passes a non-discrimination ordinance (C’mon, Helena!!) is a step in the direction of equal rights. If we can look back to the racial civil rights, look at what a slow process that was. It didn’t just happen over night. From the Emancipation Proclamation to the first desegregated schools it took well over 100 years.

 

Because of information technology, some of these things can happen faster than before, but it’s still going to take the same amount of work on our (the average citizen’s) part.

 

I, for one, have a good (choke. . .republican) friend in the Montana Legislature. He has slowly been changing his views on civil rights for the LGBT community because he has gotten to know me and my partner. We are real people to him. And yes, he and I will be having several discussions regarding our views on civil rights. I may not sway him, but perhaps I can get him to think and maybe even compromise.

 

That’s the point. We are not going to win the battle in one fell swoop. We are going to win it one heart and one mind at a time. Settle in, kids. It’s going to be a bumpy ride, but it will definitely be worth it!! And, if you don’t get involved, how are things ever going to change? But, if you DO get involved, then we will send you a plaque and a voucher for a toaster oven! (I’m shooting for the cruise!)

 

Not really, but you WILL get to say that you were in the forefront of changing American History. How often do we get to say that we were a part of making history? Usually for me, it’s just making things covered in glitter and feathers and although some of those things are EPIC and should be in a museum, they don’t further my equality as a human being!

 

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Sip 4 Pride at Yellowstone Cellars to Feature ‘TransMontana’ Reading‏

by D Gregory Smith

Annual TAP 365 event features Montana’s first openly transgender attorney and author

The new grassroots advocacy group TAP 365 will partner with the YMCA Writer’s Voice for SIP 4 PRIDE: A Meet & Greet with Montana author Bobbie Zenker. The free event will held from 6 – 8 PM, Thursday, December 6, at the Yellowstone Cellars Winery, 1335 Holiday Circle, in Billings.

Bobbie Zenker is the author of the new book, TransMontana: a Memoir of Transformation of Body, Mind & Spirit. TransMontana is the story of Montana hunter and former county attorney Robert Zenker’s transition from a male, popularly elected official to modern, professional woman. She will read from and discuss her book, and sign copies available for purchase.

Robert Zenker was a married man and father of two, boxed in the psychologically complicated, emotionally taut web of secrecy, shame, fear, doubt and ambiguity of self of a transsexual deeply in denial. Roberta inhabited that body and all the accoutrement of the life of a man in Montana for nearly 50 years before her transition from man to woman in 2007.

The remarkable story charts a complex, courageous and sometimes dangerous journey involving not only physical transition, but also alcohol recovery and the result of both – a spiritual transformation. Bobbie is now a beloved daughter, LGBTQ activist, and a supportive friend to many women.

Tap 365 is a grassroots, non-profit organization, campaigning to unite the diverse communities of Montana, creating strong social ties that oppose discrimination and promote acceptance. The mission is to create a sense of place and connection, fusing together all people, regardless of their differences. TAP 365’s “4 PRIDE” Event Series engage the greater Yellowstone region in issues of critical to their mission. Join TAP 365 and learn about their work in the Billings area on LGBT issues.

Founded in 1985, Pride Foundation inspires a culture of generosity to connect and strengthen leaders, students and organizations creating LGBTQ equality in the Northwest.

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Boise Approves Transgender-inclusive Non-Discrimination Ordinance

by D Gregory Smith

Boise just did something Helena was terrified to do – made discrimination against anyone because of sexuality and gender identity illegal.

From the Idaho Press-Tribune:

The Boise City Council unanimously approved a nondiscrimination ordinance for the city of Boise Tuesday evening.

“… Big win for equality in Boise,” the city tweeted Tuesday.

The ordinance, proposed by Council President Maryanne Jordan and Council member Lauren McLean, prohibits discrimination on the basis of sexual orientation and gender identity/expression in employment, housing and places of public accommodation in the city.

There are exceptions for religious corporations, associations, education institutions and societies. The U.S. Government and state of Idaho and any of their departments or agencies except the city of Boise are also exempt.

During a packed public hearing on the ordinance in November, the Council heard from 60 people (who) supported it and 12 opposed.

The new law takes effect Jan. 1, 2013.

Read the full ordinance here.

It includes perceived sexuality and gender identity. Which is amazing for any city.

I just can’t believe Boise beat Helena to the punch…. Or maybe I can.

Sigh.

 

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