Brown Chicken Brown Cow Podcast

In this MondayMumblings Monkey and Miss Laura talk about gender reveals and what you can do to be an ally and help support people with their gender identity.

www.bcbcpodcast.com

Welcome to our third podcast of the gender spectrum, gender identity and gender transitions month. Today Miss Laura and the Madame get to sit down with an old friend, Q Wilson, to talk about what it means to be Genderqueer, his journey of gender identity, and all the good things therein!

Q is a self-identified gender independent, queer, polyamorous leather boi. His experience and background in many communities as an activist and educator allows him to bring us a unique point of view on gender and gender journeys.

For more information, please visit our website and check out the show notes: www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

About Our Guest:

Q is a self-identified queer, gender independent, polyamorous leather boi. It's well known that flirting is Q's default mode of communication. He can often be found with a charming smile on his face or looking mischievous with the other bois. On rare occasions, this boi might even be found dancing on a table, for the right amount of money…for charity of course! A social justice activist for more than 20 years, Q consistently strives to bring together the various communities to which he belongs. He continues to seek avenues to actively serve as a bridge for the leather community's kinky newcomers and it's more established members, as well as those outside of the community, whenever possible.

Welcome to the third nugget for our month of consent. Today we are excited to be speaking with Chrystal Bartlett, a gender transition coach out of North Carolina.

The Monkey got to sit down with Chrystal to understand what might be involved in gender transition coaching, resources available to people, and all of those important things.

For more information, please visit our website and check out the show notes: www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! We are a 501(c)3 non-profit organization so you can also make a tax deductible donation! Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

Monkey and Miss Laura share their thoughts about a vibrating cockring from Adam & Eve.

Welcome to the third podcast for our month of consent. Today we are excited to be speaking with boy Dana. We were blessed to have Dana with the Professor and Monkey, sharing the details of his gender identity and transition journey, challenges along the way with depression and culture, the loss of family and friends and the arrival at some sage advice and a beautiful view of life.

For more information, please visit our website and check out the show notes: www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! We are a 501(c)3 non-profit organization so you can also make a tax deductible donation! Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

About Our Guest:

A native of Columbia, South Carolina, boy Dana now resides in Baltimore, Maryland with his Owner, Mademoiselle Ceci. he's a charter member of The 7 Guardsmen, BLUF member #2973, an alumni member of Onyx SE, an associate member of HOTFF of Toronto, honorary member of the Panthers LLC of Atlanta and a full member of Hooker & Boys.

Welcome to the third Monday Mumbling for October 2018. This Monday we are really excited to be talking about some of the history of Intersex and Transgender Individuals - roles that they played in important times in our worlds and the changes in perceptions that have followed through from ancient times to today.

There is a lot to talk about this month - and I know we are barely scratching the surface. We would LOVE to hear back from you about more things, topics, comments, and guests we could be talking to - and if you would like us to do another month on Gender in 2019.

For more information, please visit our website and check out the show notes: www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! We are a 501(c)3 non-profit organization so you can also make a tax-deductible donation! Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

This Monday we are really excited to be talking about Gender, including the Journey of Gender Explorations and Questioning and even Gender Transitions. There is a lot to talk about this month - and I know we are barely scratching the surface. In fact we are only in our second week on this topic - if you missed us last week - go check out all of the amazing episodes on Gender including two educational and entertaining interviews with doctors from Mount Sinai, Monkey's own gender identity story involving a loved one, and the Monday Mumbling on the Gender Spectrum.

We would LOVE to hear back from you about more things, topics, comments, and guests we could be talking to - and if you would like us to do another month on Gender in 2019.

Speaking of which - 2019 is JUST around the corner. We have topics for the first few months - and are looking for input from all of you as to what you would like to hear. If you are listening in our App - send us a message, if not, go to our website or drop us an email at [email protected] and let us know about topics you would like to hear. We need ideas for what to talk about, guests to have - remember - we produce content for you to listen to Monday, Tuesday, Wednesday and Thursday every week! So that means we need to hear from you!

So - back to October. Happy October 8 everyone. Do you know what that means? It means it is Monkey and the Professor's favorite time of year - only 3 more weeks (and 2 days if you want to be precise) until Halloween! Let's not mention anything beyond Halloween - this is a sacred time and deserves ALL of our attention. Remember to send us your costume pictures and #sexiestbarnyard!

Today the Monkey and Madame are sitting down to burst some bubbles of misunderstanding around the topic of Intersex and to shed a bit of understanding on this often misunderstood population. This is a bit of a technical discussion around genetics and such but really fascinating!

For more information, please visit our website and check out the show notes: www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! We are a 501(c)3 non-profit organization so you can also make a tax deductible donation! Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

Welcome to the second nugget for our month of consent. Today we are excited to be speaking with Elle - founder of the Facebook Community, Girl Inside

The Madame and Monkey got to sit down with Elle about her transition, the support of her family, and the rapidly growing community she has built to tell her story through memes and more on Facebook.

For more information, please visit our website and check out the show notes:www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! We are a 501(c)3 non-profit organization so you can also make a tax-deductible donation!Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

Welcome to the second podcast for our month of consent. Today we are excited to be speaking with Trystan Angel Reese. Trystan became famous several years ago when he became well known as the "Pregnant Man" - choosing to have a baby with his partner Biff and pause his hormone therapy that was aiding him in his transition to appearing male.

The Madame and Monkey got to sit down with Trystan about his transition, changes from becoming a parent, and the journey he continues today as he looks forward to the next steps in making his body his own.

For more information, please visit our website and check out the show notes: www.bcbcpodcast.com And remember - you can like us on all the social media, subscribe to our channel, download our episodes, become a Patreon supporter and so much more! We are a 501(c)3 non-profit organization so you can also make a tax-deductible donation! Website: www.bcbpodcast.com Facebook: https://www.facebook.com/BCBCPodcast/ Twitter: https://twitter.com/BCBCPodcast Instagram: https://twitter.com/BCBCPodcast Patreon: https://www.patreon.com/BCBCPodcast

About Our Guest:

Trystan Reese is a transgender man who has been working in the LGBT movement his entire adult life. He started out as an organizer on political campaigns, spending eight years persuading self-identified homophobes while working on ballot measures all over the country. Last year his family exploded into the national spotlight when they chose to have a biological child that Trystan gave birth to. Trystan lives in Portland with Biff and their three amazing kids. They can collectively be found on social media as "Biff and I."

Welcome to the first Nugget of October 2018 - our month on Gender Identity, the Gender Spectrum, and Gender Transitions. We are really excited about this month so make sure you checked out our three earlier episodes this week - Monday, October 1's Monday Mumbling on the Gender Spectrum, Tuesdays Podcast with Dr. Raj Purohit of Mount Sinai on Gender Affirmation Surgery and Procedures and Monkeys Blog yesterday on his Gender Identity Experiences.

In Today's Episode:

We are really excited about Dr. Chubak's return to the barnyard. If you did not catch her earlier visit - you can go back and listen to her from our month on Professional Services where she spoke to us about good ways to find a doctor that will be your partner in your health journey.

Today, Monkey got to sit down with Dr. Chubak again to talk about Gender. As a reminder, Barbara Chubak is a medical doctor at Mount Sinai and an assistant professor with the Department of Urology. She did many things before becoming a doctor, ranging from secretarial work to being a bioethicist, She is full of so much information and knowledge - we knew she would be a frequent visitor and long-term resident of the barnyard.

In Dr. Chubak's work - she has an intake form where she asks new patients to her practice to fill out a questionnaire. Her first contact with patients, even before meeting them face to face, is to include the questions of preferred name and preferred pronoun as part of her standard intake. She finds this helpful to really relate to her patients. Of course, she does sometimes get pushback from her patients with these questions. She uses those pushbacks to initiate conversations as to the reasons why people are pushing back and why she feels it is important.

Gender Identities and Terminologies:

As always, we do like to find out the definitions people use for some of the common terms around each month's topics.

Cisgender - having a gender identity that is consonant with one's biological sex. In other words, they match.

Transgender -This definition is not universally true as trans-culture is growing and evolving and accepting more in the realm of gender fluidity and non-binary genders. Transgender started its foundations under the binary gender construct where there was a female gender and a male gender. The idea behind transgender was that someone would transition their gender so that their outsides matched their internal identification of gender, which is at the opposite end of the spectrum from the assigned sex at birth.

Gender Transitions are the processes by which someone changes their physical appearance to match their gender identity through a series of physical changes. There are many different choices that can be made along that pathway and many extremes or minimums that can be chosen. Changes may be hormone therapy or surgical actions. There are additional socialization trainings and re-educations that can be undergone as well.

Urology Concerns in Transgender Patients

At every step of the way through the transitioning process, there are different needs from a medical standpoint. The one constant are the emotional needs of the people who are transitioning. It is critical to provide a supportive, reasonably non-judgemental environment so these individuals can feel comfortable and safe. The safety is critical because transgender people are going through extraordinary changes.

Transgender Youth:

Friends and family and a supportive network is really important. Moral and emotional support is really essential. This is even more important when it is children that are transgendered who are going through transition processes. The current medical guidelines around youth are pretty strongly in support of delaying puberty changes in order to simplify the transitioning process once the child is grown enough to provide their own legal consent. This is very controversial both inside and outside the medical community.

At a recent WPATH conference, several conversations were held around these topics. Several doctors noted that they have been encouraging parents of transgender youth to allow the kids to receive the medications to slow or prevent puberty as the kids grow up and explore their gender identities and dysphoria. The World Professional Association for Transgender Health (WPATH), formerly known as the (Harry Benjamin International Gender Dysphoria Association (HBIGDA), is a 501(c)(3) non-profit, interdisciplinary professional and educational organization devoted to transgender health.

Further complications involve the fluidity and ever-changing aspect of each of us as we grow and live and experience the world. The benefit of simply delaying puberty is that nothing is being done that is permanent - time and space are being provided so that the transgender kid can really make a final decision as to proceed or return to puberty. There are minimal risks to delaying puberty - of course, any medication does have risks. That is the nature of the game, but delaying puberty is fairly minimal from a medical stance. There are also social and cultural considerations that need to be considered - being the only kid in school not going through puberty can be stressful on a different level.

Advice to People Considering Transitions:

Dr. Chubak suggests that if someone is interested in moving through the transition, that they just throw it out there to your primary care physician, and asking if they are comfortable helping you through the transition. Additionally asking for referrals to other doctors. It takes a team of different medical experts working together to facilitate a safe and healthy transition.

Medical Ethics and Transgender Patients:

Historically, transgender patients were not always treated very well or kindly by the medical field. Over time that has changed.

Currently, in the medical field, the pathologization of transgender is really the most important shift. The medicalization of any conditions and functions is morally controversial. Whereas in the past, being transgendered was very clearly defined as being mentally unwell or ill or suffering from insanity. In recent years, the DSM has been updated to remove these conditions. This means medical thought has had a shift away from suggesting these patients as crazy and sick and instead suggests that these conditions are part of the human condition. Variations in the human experience are accommodated by the medical field - not vilified.

The caveat to all of this is, of course, the way that once accesses medical anything. All medical treatments require a diagnosis. That means there is still a bit of tension between doctor and patient - a diagnosis if gender dysphoria must be made to justify doing the medical procedures and to work within the realm of insurance and such.

Barbara is still a part of barnyard as a proud sheep! Come visit her!

About Our Guest: Dr. Barbara Chubak, MD, is an Assistant Professor of Urology at the Icahn School of Medicine at Mount Sinai. In addition to providing general urologic care, she specializes in the diagnosis and treatment of sexual dysfunction for all patients, regardless of sex, gender, orientation, or congenital condition. She is particularly committed to addressing the sexual health needs of women and other populations who have been historically marginalized and underserved, while also attending to the voiding dysfunctions and pain syndromes with which they are frequently comorbid. Dr. Chubak received her medical degree from Johns Hopkins, while also earning a master's degree in the history of medicine. Her residency training at Montefiore Medical Center-Albert Einstein College of Medicine was bracketed by fellowships in bioethics and sexual medicine at the Cleveland Clinic. Her clinical and research pursuits are informed by all of these disciplines, to ensure care that is culturally competent and respectful of differing perspectives without compromising reliance on scientific evidence. In addition to this academic training, Dr. Chubak is certified in prosthetic surgery by the Sexual Medicine Society of North America and in vulvoscopy by the International Society for the Study of Women's Sexual Health. As a member of these and other professional organizations, she is active in medical education and peer-review both in the United States and abroad and has been recognized by the American Urological Association for excellence in research. Currently, Dr. Chubak's research is focused on cross-cultural comparisons in care for sexual dysfunction, and on expanding patient-centered outcomes to include intimate partners. She is also concerned by the scarcity of scientific evidence available to support some of the most popular and expensive energy, stem-cell, and cytokine-based therapies currently in use for treatment of female sexual dysfunction. As a clinician, she is dedicated to providing safe, effective, and patient-empowering medical and surgical care. For more information about Dr. Chubak and to provide her your feedback, please click here: http://www.mountsinai.org/profiles/barbara-m-chubak or by Twitter @drbarbarachubak.

Resources and Links:

https://www.transadvocate.com/transgender-pathologization_n_12247.htm

http://transformingcareconference.com/wp-content/uploads/2017/11/Biological-Sex-and-the-Pathologization-of-Transgender-Identities.pdf

https://www.huffpost.com/entry/gender-dysphoria-dsm-5_n_3385287

https://www.scientificamerican.com/article/where-transgender-is-no-longer-a-diagnosis/

https://www.advocate.com/news/2011/11/17/how-do-i-find-trans-friendly-doctor

http://transcaresite.org/

https://www.nbcnews.com/health/health-news/transgender-healthcare-why-finding-trained-doctor-still-hurdle-n594741