Don’t Be A Jerk

Dr. R Nick Gorton and Dr. Kara Toles are back to talk about transgender care in the Emergency Department. Did you know you already have the skills to advocate for and care for transgender patients? You do! Let’s sum it up in four words: DON’T BE A JERK! Treat your patients like you’d want your family member to be treated. We’ll explore some of the challenges and concerns specific to transgender patients — JM Jaffe shares a very personal account of their experience. Drs. Gorton and Toles then review Nick’s recent paper on the topic and give us some practical tips to help us gracefully navigate the complexities of the gender spectrum in the ED. How does your department (or residency, med school, etc.) address the topic of transgender care? Join the conversation on social media, @empulsepodcast, or at ucdavisem.com. Hosts: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guests: JM Jaffe, Trans Health Manager at Lyon Martin Clinic Dr. Kara Toles, Assistant professor of Emergency Medicine at UC Davis and Emergency Physician at UTMB Health. Dr. R. Nick Gorton, Emergency Physician at Sutter Davis, and Primary Care Physician at the Lyon-Martino Clinic in San Francisco. Resources: TRANSLINE national online transgender medical consultation service – free and confidential. Lyon-Martin Health Services, San Francisco, CA. Improving the Quality of Emergency Care for Transgender Patients Gorton RN, Berdahl CT. Ann Emerg Med. 2018 Feb;71(2):189-192.e1. doi: 10.1016/j.annemergmed.2017.12.003. Epub 2018 Feb 5. “Sometimes You Feel Like the Freak Show”: A Qualitative Assessment of Emergency Care Experiences Among Transgender and Gender-Nonconforming Patients Elizabeth A. Samuels, Chantal Tape, Naomi Garber, Sarah Bowman, Esther K. Choo Ann Emerg Med. 2018 Feb;71(2):170-182.e1. doi: 10.1016/j.annemergmed.2017.05.002. Epub 2017 Jul 14. Transgender and Gender-Nonconforming Patients in the Emergency Department: What Physicians Know, Think, and Do Makini Chisolm-Straker, Cathleen Willging, Adrian D. Daul, Shannon McNamara, S. Cham Sante, Daniel G. Shattuck II, Cameron S. Crandall Ann Emerg Med. 2018 Feb;71(2):183-188.e1. doi: 10.1016/j.annemergmed.2017.09.042. Epub 2017 Nov 3. Improving Care for Lesbian, Gay, Bisexual, and Transgender Patients in the Emergency Department Ann Emerg Med. 2015 Oct;66(4):417-23. doi: 10.1016/j.annemergmed.2015.02.004. Epub 2015 Mar 5. Sara Jalali, Lauren M. Sauer *************************************************************************************** Join us in Maui for Emergency Medicine Hot Topics! November 6-10, 2018. Registration is now open at www.cevs.ucdavis.edu/confreg/?confid=960 Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services. <img width="150" height="150" src="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?resize=150%2C150&ssl=1" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" loading="lazy" srcset="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?resize=150%2C150&ssl=1 150w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?resize=50%2C50&ssl=1 50w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?zoom=2&resize=150%2C150&ssl=1 300w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?zoom=3&resize=150%2C150&ssl=1 450w" sizes="auto, (max-width: 150px) 100vw, 150px" data-attachment-id="1628" data-permalink="https://ucdavisem.com/2018/07/17/dont-be-a-jerk/fullsizerender/" data-orig-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?fit=1242%2C694&ssl=1" data-orig-size="1242,694" data-comments-opened="1" data-image-title="FullSizeRender" data-image-description="" data-image-caption="Episode 8 " data-large-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/FullSizeRender.jpg?fit=1024%2C572&ssl=1" /> <img width="150" height="150" src="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?resize=150%2C150&ssl=1" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" loading="lazy" srcset="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?resize=150%2C150&ssl=1 150w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?resize=50%2C50&ssl=1 50w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?zoom=2&resize=150%2C150&ssl=1 300w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?zoom=3&resize=150%2C150&ssl=1 450w" sizes="auto, (max-width: 150px) 100vw, 150px" data-attachment-id="1617" data-permalink="https://ucdavisem.com/2018/07/17/dont-be-a-jerk/img_2803/" data-orig-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?fit=1380%2C970&ssl=1" data-orig-size="1380,970" data-comments-opened="1" data-image-title="IMG_2803" data-image-description="" data-image-caption="Don&#8217;t Be A Jerk! " data-large-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2803.jpg?fit=1024%2C720&ssl=1" /> <img width="150" height="150" src="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?resize=150%2C150&ssl=1" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" loading="lazy" srcset="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?w=1280&ssl=1 1280w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?resize=150%2C150&ssl=1 150w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?resize=300%2C300&ssl=1 300w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?resize=1024%2C1024&ssl=1 1024w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?resize=320%2C320&ssl=1 320w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?resize=50%2C50&ssl=1 50w" sizes="auto, (max-width: 150px) 100vw, 150px" data-attachment-id="1619" data-permalink="https://ucdavisem.com/2018/07/17/dont-be-a-jerk/img_7233-1/" data-orig-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?fit=1280%2C1280&ssl=1" data-orig-size="1280,1280" data-comments-opened="1" data-image-title="IMG_7233 (1)" data-image-description="" data-image-caption="Rainbow Stickers " data-large-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_7233-1.jpg?fit=1024%2C1024&ssl=1" /> <img width="150" height="150" src="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?resize=150%2C150&ssl=1" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" loading="lazy" srcset="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?resize=150%2C150&ssl=1 150w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?resize=50%2C50&ssl=1 50w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?zoom=2&resize=150%2C150&ssl=1 300w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?zoom=3&resize=150%2C150&ssl=1 450w" sizes="auto, (max-width: 150px) 100vw, 150px" data-attachment-id="1616" data-permalink="https://ucdavisem.com/2018/07/17/dont-be-a-jerk/img_1269/" data-orig-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?fit=960%2C1280&ssl=1" data-orig-size="960,1280" data-comments-opened="1" data-image-title="IMG_1269" data-image-description="" data-image-caption="Dr. Kara Toles " data-large-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_1269.jpg?fit=768%2C1024&ssl=1" /> <img width="150" height="150" src="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?resize=150%2C150&ssl=1" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" loading="lazy" srcset="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?resize=150%2C150&ssl=1 150w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?resize=50%2C50&ssl=1 50w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?zoom=2&resize=150%2C150&ssl=1 300w, https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?zoom=3&resize=150%2C150&ssl=1 450w" sizes="auto, (max-width: 150px) 100vw, 150px" data-attachment-id="1618" data-permalink="https://ucdavisem.com/2018/07/17/dont-be-a-jerk/img_2930/" data-orig-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?fit=1280%2C853&ssl=1" data-orig-size="1280,853" data-comments-opened="1" data-image-title="IMG_2930" data-image-description="" data-image-caption="Sarah &#038; Julia " data-large-file="https://i0.wp.com/ucdavisem.com/wp-content/uploads/2018/07/IMG_2930.jpg?fit=1024%2C682&ssl=1" />

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Don’t Be A Jerk

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