Robert Killeen is a hematologist.
When I started visiting patients in nursing homes, a good many of them had some degree of dementia. In its earliest form, a person with dementia could recall what they were doing when they found out about 9/11, or when Kennedy was shot, or when Pearl Harbor was bombed in the Second World War. However, they couldn’t recall their most recent …
Reportedly, there are at least 1.6 million people who identify as transgendered in the United States. Approximately one-third of them are transgendered male-to-females, referred to as “T-girls.” These individuals have a strong desire to be passable without undergoing surgery, relying instead on hormone therapy. However, hormonal therapy is not without risks. Testosterone, used in protocols for transgendered males, can increase the chances of venous thromboembolism (VTE). Similarly, estrogen, used by …
Hospice faces numerous societal obstacles in providing care for transgender patients. I recently witnessed a striking example of this in our local community hospice. An elderly individual assigned female at birth (MTF) was suffering from metastatic cancer. Chemotherapy had proven ineffective and had left her profoundly weak and infirm. With no connection to her family, she had only a few friends to rely on, but even they were only available …
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