A Patient Gets the New Transgender Surgery She Helped Invent WIRED
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But a vaginal cavity made out of skin doesn’t do some things the inside of vagina should (like get wet when aroused) and does others it really shouldn’t (like grow hair, even after electrolysis). Then he shadowed a colleague at Mount Sinai who was a laproscopic surgeon, watching him remove gallbladders from a tiny incision in a patient’s abdomen. Today, more and more transgender men and women are scrambling to schedule gender affirmation surgeries, scared that the Trump administration is sliding shut their recently opened window to accessible healthcare.
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But a vaginal cavity made out of skin doesn’t do some things the inside of vagina should (like get wet when aroused) and does others it really shouldn’t (like grow hair, even after electrolysis). For trans women with genital dysphoria, it’s been the only real option for bottom surgery, and it’s been a pretty good one. But the procedure can still leave many disappointed. During her research though, Anthony came across a paper describing the work of some doctors in India who were building vaginas a bit differently. They were performing surgeries on women with a rare disorder that causes the organ to develop abnormally or not at all. So they had to start from scratch, which requires a lot of material. They found a way to do that with tissue from the peritoneum, which is basically a bag of loose tissue that encircles the inside of your abdomen and holds your guts in place. She brought the paper into her next consultation and showed Ting. “At first he was like, ‘What is this girl doing?’” Anthony says, laughing. “I have no medical training. I’m not a scientist. but then he looked at it and said, ‘Oh, there might be something here.’” Surgeons have tried before to harvest other parts of the body to make more vagina-like vaginas for trans women. About ten years ago some doctors attempted the procedure with small portions of patients’ colons. That didn’t work out. “No one wants a vagina that smells like a stool,” says Ting. no indeed. but alternatives remained elusive, and brainstorming them kept Ting up at night. “I kept thinking, there’s got to be something better,” he says. “But where were we going to find a large amount of pink, hairless, inner skin that secretes fluid?” Advertisement The peritoneum, it turns out. After Susan_B._Anthony first brought his attention to the Indian research, Ting started doing some research of his own. The peritoneum, he found out, regenerates naturally after just a couple days. He was even more intrigued. Then he shadowed a colleague at Mount Sinai who was a laproscopic surgeon, watching him remove gallbladders from a tiny incision in a patient’s abdomen. And he watched videos of surgeries that gave him a better look at the tissue to see how much of it he could harvest with the same technique. “It’s just like taking a tool you’re well acquainted with from a toolbox and using it in a new way,” he says. Ting ’s first patient went under the knife about six months ago. It wasn’t Anthony. Though she wanted to be the first, a change in insurance plan forced her to push out her surgery date to April of this year. But she’s glad she got in when she did. There are more than 100 people waiting for gender affirmation surgeries at Mount Sinai, and Ting is the only one doing them. Though, that should soon change. in July, Mount Sinai launched the country’s first medical fellowship dedicated explicitly to transgender surgery. ting will be training one fellow each year and he’s hopeful they’ll stay on staff once they’re done to help meet the city’s growing demand. Another important part of their job will be to follow up with these surgery patients over the next few years; while the new procedure is showing superior results so far, it will be important to monitor to see how it holds up long term. Today, more and more transgender men and women are scrambling to schedule gender affirmation surgeries, scared that the Trump administration is sliding shut their recently opened window to accessible healthcare. In May, Health and Human Services Secretary Tom Price told a federal court that he’s reworking a provision in the Affordable Care Act that requires states to cover transgender care through their Medicaid programs. The rewrite is likely to free states to refuse coverage for hormones, counseling, and surgeries for transgender men and women. Not that they have to wait; Price said he’s declining to enforce the rule in the meantime. patient that live in left-leaning states that have passed their own protections for trans health care, like New York and California, will have a better chance of retaining access. About seventy percent of the transgender patients at Mount Sinai have insurance through the state’s Medicaid program. This free text article has been written automatically with the Text Generator Software https://www.artikelschreiber.com/en/ - Try it for yourself!
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