By Relevant Press
When a person arrives at a hospital with a serious illness, a nurse is not considered an emergency , he is obese and stops taking blood pressure medications. In fact, she is pregnant – a transgender man in labor who is about to give birth.
The tragic case, described in the New England Journal of Medicine on Wednesday, refers to a larger issue regarding the designation of labels or making assumptions in a society increasingly arising from the diversity of sports in sports, entertainment and government. In medicine, there are similar dangers to missing diseases such as sickle cell and cystic fibrosis that significantly affect a particular racial group, the authors write.
"The point is not what happened to a particular individual but it is an example of what happens to transgender people who are in contact with the health care system," said the top author, Dr. . Daphna Stroumsa of the University of Michigan, Ann Arbor.
"He is well-regarded as a man" in medical records and men appear, Stroumsa said. "But that classification has thrown us from the consideration of his real medical needs."
Stroumsa will not tell where or when the case has taken place, and the patient has not been identified.
Transgender men, who are regarded as women at birth but identified as men, may or may not use masculinizing hormones or have surgical removal, such as the removal of the womb.
The 32-year-old patient said her transgender nurse when she came to the emergency room and her medical electronic was listed as a man. He has no time for years and performs a testosterone, a hormone with a masculinizing effect and can reduce ovulation and menstruation. But he stopped taking hormone and blood pressure drugs after he lost his insurance.
A positive diagnosis of pregnancy at home was positive and he said he was "peed himself" – a possible sign of ruptured membranes and labor. A nurse ordered a pregnancy test but considered her stable and her problems were immediate.
After some time, a doctor checked her and confirmed the hospital's diagnosis. An ultrasound demonstrates an illustration of infant fetal activity, and a test revealed that part of the umbilical cord fell into the birth canal. Doctors prepared to make emergency cesarean delivery, but in the operating room no fetal heartbeat was heard. Shortly afterwards, the man delivered a dying baby.
A woman showing similar symptoms "has been tested and evaluated more easily for pregnancy-related problems," writes the authors.
"It's so huge Dr. Tamara Wexler, a hormone specialist at the NYU Langone Medical Center said
" Medical training should include exposure to transgender patients "so health workers are better meet their needs, said Wexler. "A lot of practicing doctors are out of practice" but can still learn from patients like today.
Nic Rider, a transgender health specialist and psychologist at the University of Minnesota, said training was not enough
"There are indications that biases need to be met," says Rider.
Health notes can use male / female template for sex but "this does not mean we just throw critical thinking or think how people are different," said Rider.
The case is scary but " It's not surprising, "says Gillian Branstetter, spokesperson for the advocacy group, the National Center for Transgender Equality in Washington.
problems with getting sexually-specific health care such as screening of cervical cancer, birth control and prostate cancer screening.
More needs to be done to improve medical awareness and diversity because "the consequences may be. You have also lost this case," Branstetter says.
FOLLOW THE NBC TO AT TWITTER FACEBOOK & INSTAGRAM