Welcome to the second installment of the Trans Physician & Trans Scientist Project! This is a transcript of an interview I did with Dr. Ina Amarillo, an associate medical director and associate professor in Pathology and Immunology at Washington University School of Medicine. She is also on the Admissions and Curriculum Committees at WashU. In this interview we discuss her experiences growing up as a trans woman in the Philippines, her activism for better transgender education in medicine, and her research on trans and DSD (Disorders/Differences of Sexual Development) topics.

Jamie Moffa: I wanted to start out with, if you could say your name and pronouns?

Ina Amarillo: I’m Ina, my pronouns are she/her/hers.

JM: How do you identify in terms of gender and sexuality?

IA: Heterosexual. I’m binary. They always ask me, “Do you like girls too?” And I’m like “No, nah.” Does that make me binary?

JM: I mean, it makes you straight.

IA: Heterosexual, yeah.

JM: What is your current job?

IA: I’m an associate medical director and I’m an associate professor. I just got promoted this year.

JM: Congratulations! That’s awesome!

IA: When you get promoted here at WashU, it’s not just science and academics, you really have to do community work and work outside of your field of expertise. So I guess my being on the admissions committee and curriculum and doing community work with our transgender community helps me.

JM: The next few questions are going to be about your personal experiences realizing that you were trans and coming out as trans. When did you start questioning your gender?

IA: Five years old. I vividly remember–this was in the Philippines in a very remote town. Five years old, I remember I was playing with my toy–actually I was six years old. I was playing with my toy truck, and then suddenly something snapped, and I said, “No, I’m a girl.” So I threw away my–it was my only toy–I threw away my toy truck in a river. And I said, “I don’t want to see it anymore.” But that was just myself telling myself that I’m not a boy, I’m a girl. But I grew up in a family–because I grew up with my cousins–where, in the Philippines, being gay is the same as being trans. So all trans women there are called gay. So when you do studies there, you cannot really sort out how much of the gay numbers, or the ‘n’ of gay people that were studied, are actually trans. So the Filipino term for gay man and trans woman is the same.

So I was a gay boy growing up, but very effeminate. I would dress up, I have a gay brother, the brother before me, so he’s 2 years older, but he didn’t transition. But we would always have to dress in my sister’s dresses. And then when my cousins would catch us wearing dresses they’d get mad at us, so they’d punish us by [making us] wear the dress the whole day. Which was like, “Oh, thank you!”

JM: Yeah, like, “Now I get to wear this dress all day.”

IA: Exactly. But they thought it’s embarrassing. So I started transitioning when I was 22. We don’t have transgender clinics in the Philippines, we don’t have medical intervention there. I wish I started when I was 10 years old. I could have hips right now. I could have a higher voice. But in the Philippines we don’t have that. So people there transition late, after puberty. I transitioned when I was 22, and I was a teacher. I was a teacher for 8 years in a university, but I transitioned there. I used to have a crew cut, and then when I started earning money–because the female hormones there are birth control pills–it’s over the counter. So you just buy it, and no dosages, you just do your own dosage. So if you have high risk for cardiac arrest or cardiovascular disease, you’re going to die. I did have friends that died of stroke at a very young age, because they took so much of it. Because you’re in a rush to look feminine or effeminate.

So that’s how it is in the Philippines. There are beauty pageants for trans women. We’re so, what do they call that? We’re die-hard fans of beauty pageants. It’s actually a source of income for trans women. There’s beauty pageants from different places. They take hormones so they can become super feminine. But now you know you don’t have to take hormones to become a woman. You can call yourself a woman no matter how you look like, right? That’s an offline discussion. You really have to look like a typical, society version of a beautiful woman.

So we transition late, and now the kids are actually taking hormones as early as possible. But without the doctors’ intervention. That’s why we want to go there and study for risks of heart disease and everything like that.

So I transitioned while teaching, and in the Philippines, we’re tolerated, but not accepted. You don’t get promoted because you’re a trans woman, you don’t get a job if you come in as a trans woman. You’re on TV, you get these beauty pageants as entertainment. You’re like a mascot.

But now I think it’s a little better, but we need to come a long way. So I took hormones, and then started growing boobs, wearing bras, but I still wore gender-neutral clothes. When I moved to Florida for my PhD, I cut my hair, because I didn’t know how the US is treating trans people.

JM: Mixed bag.

IA: I know. And it still is in Florida. And I didn’t know, I didn’t have good health insurance, so I didn’t have hormone therapy for 5 years, five and a half. So my face became masculine. My boss, though, my PI was very kind. He said, “Oh, so you’re transitioning, you have to pick one name. Either Ina or my deadname.” And I said, “Oh, you can use both.” You know how you’re scared. No. You have to use just one. And then I said, “Okay, Ina.” And he emailed everybody: “From now on, you have to call Ina, Ina.” It was so nice.

And then I moved to New York, and that’s where I started going back to taking hormones, getting breast implants, and moved to UCLA, hoping that bottom surgery would be covered by health insurance–it’s not. Then I moved here, and then I think 2 years later was when it got covered. It started with students. And then I complained, “Why are students getting free covered insurance for bottom surgery, and the faculty are not?” So actually, I got 2 months of family leave. They actually granted me 3 months, but I said, “2 months is enough.”

WashU, at least my department, is very supportive of me. I mean, my legal name is still my male name, because I’m not a citizen. So every now and then I get letters with my name here. And I think my whole lab knows about it, because one of the lab techs went to my secretary and asked: “I think this is the male name.” And the secretary said, “I think they know.” And it’s like, “Okay, fine, it’s fine.” And I think it’s okay. I need to be very visible, because I do the work. If I have to do research about this, I think it’s easier when you’re visible. Sayer at MTUG¹ would always forget I’m a trans person. Sayer, I have to remind him that I am a trans woman.

JM: I’m going to back up a little bit, and then we can continue. But when did you first come out to someone else, and what was that like?

IA: Oh my god. I didn’t even have to come out at all. Well…

JM: It could even be, like, if you had to come out when you got to the United States.

IA: So this is the thing: I always assume that people know. Filipinos, they can tell. So I come in, I walk with a kind of environment. One classic example is this person I work with. She didn’t know until I said, “Oh, because trans people like me,” and I told her that. [She asked,] “What are you saying?” It’s like, “Oh, you didn’t know?” Like, no! And then my chairman, too. Because when I applied for the medical leave, he’s like, “It’s up to you, I know this is personal, I’m not supposed to be asking you, but if you want to share, what is this for? Feel free to do so.” So I told him that I’m going to do the surgery, and he got so confused. “What do you mean?” So I think this is my personality. I’m going to come out to you and I’m not going to put the burden on me of being shy, of being ashamed about it or being confused about it. You will be the one who will carry the burden. So I didn’t have issues coming out. I come in thinking that everyone knows I’m a trans person.

JM: When you were applying for jobs here in the US, I assume that you were open about your gender?

IA: No. When I applied to Florida, because I had my cut hair. For UCLA–because NYU, that’s where I started hormones and had my breast implants. It’s so funny, because when I sent all my papers, it’s my old, my legal name, and my sex at birth. So when I came there, I had a meeting with human resources, they were expecting someone else. And she’s a Filipino, so she knows that this name is for a male, and then when I come in, she was shocked. She’s like, “Oh, you are…” And then you have to do health when you’re applying, when you’re starting for a job you have to do medical stuff. So there I’ve never experienced being put to shame–or probably it’s just me that I always expect it’s going to happen. So one example was at NYU, the person called me over and was like “Come here, come here.” And quietly she said, “There’s another Amarillo here, but it’s not Ina.” And I said, “That’s me.”

So applying for jobs, I don’t really have to divulge that I’m a trans person. When I came here, they realized that I’m a trans person when they see all the papers. They didn’t really punish me for that. I know a lot of people ask, some people would demand that you have to come out when you’re applying for jobs, and I said, “If they cannot take me, then fine. I can go somewhere else.” But it’s a lot of work.

And I think that’s one hesitation I have too, for applying for jobs. Like, “Oh my God I have to deal with this situation again.” I can’t wait for January, because I have to apply for my citizenship, and hopefully, if it gets approved, I can change my name.

JM: Yeah, so then it’s all you. There’s no confusion.

IA: I mean when I go to Spain, they call me ma’am. And my first name is very Spanish, and they know for sure that’s not a female name. They still call me ma’am.

JM: Yeah, so what is it like on an emotional or personal level when you have to apply for a new job or go to a new space where people don’t know that you’re trans. What does that feel like for you?

IA: Again, I’d say I’m a brave person. As I said, whatever. Take me for who I am. Probably that’s my personality. Growing up, if I’m always scared, nothing is going to happen to me. I have to come in, and that’s why I’m involved in curriculum, I’m involved in the admissions committee. It’s not just visibility, but making an impression that I’m proud or I’m a trans person and I need to be here. Insert me here.

JM: Yeah, like, “This is important, I need to be here.”

IA: Exactly. And I think you will sense that they don’t like you, because they will really make you feel like you don’t belong here. And so far, I’m not very good at sensing people that don’t like me. I always feel like everyone likes me.

JM: I feel like you’re a very likeable person.

IA: Thank you. I think I’m really convinced that I need to be in this project or in this position because it’s important. Something like that. Visibility.

JM: Do you think that the medical or scientific community as a whole is accepting to transgender scientists? What could be done better in that area?

IA: So, again, there’s a difference between tolerance and acceptance, right? I think that a lot are tolerant, but say, for example, if you don’t have disclaimers that we’re not supposed to discriminate against people, I think we’re going to be discriminated against a million times. We’d get fired many times.

JM: Which makes it kind of scary that the current administration is trying to be like, “Oh, yeah, you can discriminate if they’re transgender.”

IA: Exactly. It’s been on the back of my mind all the time. I think Missouri–

JM: We don’t live in the best state for this.

IA: I’m not sure if the people above me have actually thought about it. Like, “Okay, we need to fire her,” or something, “because she’s trans.” Although there’s some–it’s not concrete–but some people told me that some of the people above me don’t like me because I’m a trans person.

JM: Forget the haters.

IA: I think that’s how I grew up. Because I grew up with so much hate in the Philippines. You get laughed at, you get bullied–I mean not really bullied. But yeah, if you’re walking, people will yell at you, and call you gay, the Filipino definition. And make fun of you, laugh at you. So yeah, I think that’s still the Ina that walks on Earth right now. But I don’t get it here. People are not so obvious when they want to discriminate or make fun of you. They don’t make it so obvious in front of you.

JM: So what could the scientific community do better to not just tolerate trans and gender nonconforming people?

IA: That’s why I always, when I’m invited for talks and panels, I always use the term deliberate. If you can put one LGBTQIA person in your lab, you should. Something like that. And I think NIH is doing a good job of helping laboratories that improve diversity. And, actually, one study that I want to do is, counting the number of trans men and trans women in science.

And part of our project here, actually, is improving the workforce. We need to bring into WashU more transgender people, more DSD (Disorders/Differences of Sex Development). I know one DSD person who’s doing their school at Stanford. And she’s amazing, she’s one of our international network–she’s one of the student leaders. So, we need more. We do have a fellow who’s applying for endocrinology. He’s gay, he’s interested in pursuing trans research. But that’s a good study, right? I’m sure there’s a lot of trans men, it’s still a man’s world.

JM: Have you ever felt like being transgender conflicts with your role as a scientist?

IA: Not really. Not really. Because I come from a background, from plants, animals, molecular genetics, cytogenetics–I have a grasp of–and I taught for 8 years, different kinds of biology. So, I think it doesn’t. Say, for example, if somebody asked me: “Is there a genetic basis for transgender?” I would say, I think there is, but I cannot say it for a fact. As a scientist, I would move forward all of the research projects, and actually say that there is, or there is not.

JM: Do you worry that that people would use that sort of research to negative ends?

IA: That you could treat them? Yes. But, you know what, as I was telling people, I never had hormones for a long time. But it never changed. It never switched. I didn’t waver in that I want to be a trans woman. And this is a good study for the Philippines, because a lot of trans people there don’t take hormones. And a lot of my friends that are old now, they don’t take hormones, for sexual reasons. They are pre-op, they still have their male genitalia. They don’t take hormones, but they think they’re female. It’s a very complex concept. I do know a lot of trans women that–not a lot–but I know some that desist from being trans. They want to be not trans anymore. Those are the people who probably might jump into the, “Oh, can you cure me?” But I don’t think I will be that person who will actually go to do a gene therapy just to make myself not trans anymore. I’m so proud. I would always tell people–the haters–you’re just jealous I’m a trans person. That’s why, now, there’s a sentiment that being trans–because they’re saying that there’s so many trans people now because it’s a fashion. Oh my God, like, excuse me? Do you want to know how painful it is to dilate after surgery?

JM: Yeah, you don’t want that part.

IA: It’s not easy, you know? They thought, we just want to be like this, we just want to be like that, because it’s a fad or it’s a fashion. It’s the “in” thing.

JM: They just want to be that fabulous.

IA: I know. Well, I cannot say for those–the trans people that don’t have health insurance, who are struggling, there’s a lot of them in the community, so…

JM: Yeah, absolutely. That kind of dovetails into the next question, which is: What kinds of advocacy are you involved in for the trans or LGBTQ community?

IA: Yeah, so when I apply for funding for trans research and DSD research, I really want to think about those trans and DSD people that don’t have health insurance. The ones that are in our database are the ones that have health insurance, and it’s easy to reach them. But those that are in remote areas, the underserved, the ones in jail, the ones who are–some of them have autism. I actually want to focus on those, the ones that are minorities among the minority. Those that are not US citizens. The ones that are being sent out of the country. They call them illegal immigrants, and refugees. And then of course, the African Americans, the victims of violence. So that’s what I really want to focus on. That part of the community. I had a meeting yesterday with Audrey for the Saturday Neighborhood Clinic², because I’ve been thinking about building a better relationship between our medical students and the community. Because you guys are the future. These old people that don’t want to do LGBTQIA health, fine, but we need to start doing it in your generation. It’s very difficult to actually send you to the community, because there’s so much liability and legalities to complicate it. I want it to be WashU official, which is the SNHC. It’s every Saturday. But I want to know if the clinic is actually socioculturally competent. That the staff there could actually accommodate trans people or DSD people with no health insurance or things like that. And how could we improve it. I have so many plans…

JM: That’s so exciting!

IA: I don’t penalize the LGBT med students who don’t want to do this, but I think when you really advertise this, people are interested in it.

JM: Especially as we continue to recruit more diversity in the LGBT community.

IA: Yeah, we need more trans researchers, trans women researchers…Where are the trans women? So there’s another trans woman faculty, I know you know her. We used to be three here, one left.

There’s also surgeons that are trans women. There’s two of them. One is the very famous Mercy Bowers, she’s part of the WPATH and USPATH³. So I’m a member. I became a member on the day of Transgender Rememberance. So I remember…so I can pay for the fees, you know. So I really want to check–nobody’s really doing a lot of genetics and genomics for the transgender population.

JM: So we covered how your position as an advocate dovetails with your role as a researcher…

IA: So, for I think for me to accomplish that, I really need to bring in with me WashU. Having WashU doing community is very pleasing and attractive to funders.

You don’t treat them [research study participants] like they’re guinea pigs or they’re research subjects, but as a participant. And you need to bring it back to them, and make them understand what happened, come back to them, because a lot of projects, once it’s published, it’s done. But we need to bring it back to the level of the communities so that we can really understand it. I think that’s one thing that’s really lacking and needs to be improved, because a lot of the transgender community is scared of doing research. They always think that they’re just getting Amazon cards and everything. That’s why, they know that I’m trying to do it with curriculum and admissions, doing my part here at WashU.

JM: Yeah. I really think this is important. I have a few more questions. So, does your role as a researcher influence your views on current issues in the transgender community?

IA: No, not really. I’m always very objective. I have my subjective lens, but I always use my objective lens. You can come to me with your own opinion, you can be a Republican with me. I know a lot of people don’t like Caitlyn Jenner, but when you ask me, I will say, “Look, she’s a person who struggled her whole life, and she just came out now as a trans person, so painting her nails is a big deal for her.” Things like that. Because my ex was like, “She’s not helping the community.” And it’s like, you don’t expect everyone to be like me. To be “helping the community.” I mean, you have to let people be. So if you come to me with an opposing opinion, or a different kind of idea–I want to work with an endocrinologist who’s very anti-trans. But we’re understanding him now, I don’t know if you know [name redacted], he’s one of the big names in endocrinology, but he didn’t want to have a pediatric transgender clinic. Because he’s saying that there’s no data that doing hormone therapy is good for the kids. It’s harming the kids, according to him. And I think he doesn’t buy that the mental health is important for these kids. And he’s part of the DSD team too, and we talk, we’re very civil. And I think he’s excited that we’re trying to do transgender research, because that will really answer his questions, if it’s doing harm or not to the kids.

JM: I think that’s really important.

IA: You have to read his pieces online. So he gets invited to support anti-trans therapy, for law. For when mom and dad are suing each other over who gets to decide about transition.

To me, I really understand it, because he’s Catholic. If I’m Catholic, I’d probably be lining up at Planned Parenthood too. Something like that. If I’m very dogmatic. But it doesn’t influence, I respect–as long as you don’t kill me or murder me, as long as you don’t deprive me of hormone therapy.

JM: What are your thoughts on gender dysphoria as a diagnosis vs. an informed consent model where you don’t have to be diagnosed with dysphoria?

IA: Yeah, so I’m familiar with that, because, as an adult person, I have to go through psychiatry. And a part of me would ask, “Why do I need psychiatry to make a decision?” I already know that I need to have a surgery–If I could do it when I was 10 years old I would do it. As a diagnosis, the thing is, if you don’t have the diagnosis–I’m not sure if this is true–if you don’t have a diagnosis you’re not going to get hormone therapy. Or covered by health insurance.

JM: Probably not covered, and I think that’s one of the major arguments for keeping the diagnosis, is that you need insurance approval.

IA: My clinician has to lie that I’m a post-menopausal woman. Just so that they can justify my hormone therapy. You know, things that your clinician has to do if they’re really supporting you. So this is another field of research that I’m really interested in, is the reference levels for male and female trans women and trans men. So there’s this scientist from Seattle, Dina Greene, she’s very famous in the pathology world. She’s the one really studying standardizing, or setting up the reference levels for trans women and trans men. Because if you compare my levels to women, it’s abnormal, and if you compare my levels to men, it’s also abnormal. And if there’s a live blood transfusion, it’s male and female-based, creatinine and things like that. So she’s one of my invited speakers too, to come here and talk about those reference levels. I might invite her this year–next year as well. So personally, I don’t–I’m okay. I’m very, what do you call it, because I come from the Philippines, I’m very Machiavellian. Call me whatever, as long as I get what I want or what I need, it is fine with me. So that’s why, when the first time I heard about people not liking the term disorder, I think that made me really confused. Because I thought, “Oh, you need to have this term to get therapy or to get treatment” and things like that. I haven’t really sorted it out, to be honest. I’m neutral when it comes to this topic, especially coming from the medical world, and as a trans person as well, and doing research as well. I guess that’s my conflict, no? Yeah, so I don’t have a reaction. I mean, I don’t have a negative reaction about it. Should I have?

JM: You should have whatever reaction you do have.

IA: Yeah, so I think I’m coming from the notion that you need to have a diagnosis to have therapy, to get the hormone therapy. Right?

JM: But I think the question is, “Should you need to?”

IA: Should you need to…I think for surgery, I don’t think so. Yeah, I mean, we always say, we always preach that it’s your body, it’s your decision. For adults. Although, I think at the surgeon point, you need to have guidelines as well. You need to have criteria. If you’re a person that is mentally stable–it’s like guns. If you’re a person that has a history of schizophrenia and probably when you have autism, I don’t think you should be making decisions. You should be guided, at least.

JM: I feel like it depends. That would depend on the severity.

IA: Exactly. So it’s, I guess, personalized medicine.

JM: Personalized medicine.

IA: Exactly, yeah. So if it’s me, I think I’m very good at making decisions, and if I do make a decision that I think is not correct, I don’t regret much. I stand by it like, “Well, it’s already happened.” I mean certainly surgery, I should have gone to a better surgeon, but it’s like, whatever. It happens. What else can I do, another surgery? Yeah, so I think that that’s how I see it. It’s, um, I don’t want to call it empowered. Or maybe, shine a positive light to it? I’m a very positive person, I don’t know why.

JM: I think that it’s very admirable though, specifically referring to what you were saying earlier about wanting to work with people who don’t necessarily agree with you. Because I think that’s very important when it comes to–

IA: I think it can move your goal forward better.

JM: You can, and you can sort of move acceptance forward, because if people interact with you and they’re like, “Oh, I talk to this person all the time, and she’s a very cool person, and like, oh she’s trans, whatever,” then if the person previously had a negative opinion of trans people, they might start to be like, “Oh, well, now I know a trans person.”

IA: I think that’s what’s happening with me. I think I’m approaching it that way, because a friend of mine, he’s from Infectious Disease, he’s working with this woman who’s very anti-trans. But she made a comment, like, “Oh, I actually like Ina.” I guess she’s biased because I was nice to her, and she knows that I’m a faculty. But I don’t think–I told my friend–I don’t think that she should be loving and hating trans people because of occupation. She should be loving all kinds of trans people, no matter what. And so, it’s like, I told my friend, like, you better tell her that. That it should not be a matter of your status in life.

JM: Yeah, absolutely.

IA: You should be able to accept whoever, whatever, kind of person.

JM: Yeah, so, a few final questions. What is the biggest challenge you’ve faced as a transgender researcher?

IA: Funding. I don’t know, maybe I’m not getting funded because I’m a trans person. This is just my feeling, I think the reason why–maybe I’m blind, or, maybe if I had a better lens of sensing people, reasons why they don’t want to work with me…I don’t know, I feel like everyone wants to work with me.

I think it’s because there’s always this question, when you’re a minority, you have to put extra effort into things, so that, instead of people focusing on you being a minority, they’ll focus on your achievements. So we tend to overachieve in things. I think I’m an overachiever. And you know how people are always blinded by your achievements. I have many projects that are really interesting to people, and I don’t really get mad if they don’t really work with me. But a lot of people, when they do have time to actually work on a project, they work with me. And I think the only reason, it’s not because I’m a trans person. It’s because they don’t have time, I don’t have funding, or it’s too much work. I think it’s the same thing with teaching. I make things easier to understand, and make pursuing a project more fun to do. Make it more relevant, and I’m a people person. I can read people as well as, “Oh this person, this is how this person is.” I think that’s the reason why my lab staff like me a lot, loves me a lot. Because I don’t really focus on their attitudes, I focus on their strengths. Like, how can you make this project better? And this is how, I think this is how you can do it.

JM: On the flip side, what is the best or most uplifting experience you’ve had as a transgender person in science?

IA: Because I’m in pathology and immunology, a lot of us are expected to cancer research. But I’m doing trans and DSD research. At first they were questioning, “Why are you doing this?” And, again, they know that it’s not cancer, it’s not cardiovascular disease, it’s not bone disease, it’s not diabetes, these are the well-funded, easily funded projects. And through time, they really understood that this is my passion. I worked for years without funding. I published without funding. So, they finally, instead of questioning me, they’re always asking me, “How is your DSD research going, how is your trans research?” and they fund me, my department gives me funding, little by little. But I’m not all of us–I’m not expected to do research, actually, I don’t have to do research, it’s not even required. I can survive without the research, but I do a lot of my time. I’m just neglecting it a little bit right now because I’m in the admissions committee and the curriculum committee as well. I’m very positive, right?

JM: Yeah, I can tell.

IA: Yeah, I mean it’s very tiring, when you don’t have funding, that’s huge. But I think I just need to focus on writing the grant.

JM: One final question: What is your message to upcoming generations of transgender or gender non-conforming physicians or scientists?

IA: Oh, this is my spiel all the time. I know you all are wanting to be cardiovascular surgeons, and only very few of you are interested in pursuing LGBTQIA health research, education, advocacy. But I always want you to be at least spend a portion of your time to give back or to really do advocacy and helping to improve medical education for LGBTQIA health. Yeah. That’s what I always tell them. I always even tell my friends that are LGBTQIA, like, can you help here? Because the workforce is really lacking. We’re overworked, in addition to what we do as clinicians, and then you have to do all these things too. So, it’s advocating as students and as trainees, you advocate for LGBTQIA health to your peers as well. Or even to non-LGBTQIA people. Because there are many people who are non-LGBTQIA who are wanting to help. I know a lot of the research is done by non-LGBTQIA, and now we’re bullying them that, why don’t you have an LGBTQIA person in your group? So I think that’s my, not advice, but my beg, or my message. I wish there will be more and more LGBTQIA students or trainees who would really dive into this world. Because we need more, there’s more stuff to do.

JM: Yeah, there’s always more stuff to do, and we need to lift each other up.

¹Metro Trans Umbrella Group-https://www.stlmetrotrans.org-A St. Louis-based organization for transgender advocacy.

²The Saturday Neighborhood Health Clinic, or SNHC, is a clinic run by WashU medical students for uninsured and underinsured patients.

³World/US Professional Association for Trans Health-https://www.wpath.org

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4) If you want to help with transcribing or some other part of the production process, let me know on the contact page as well.

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Previous Articles on LGBTQ+ Subjects: