I met my patient whom I will call “Luna” about three years ago. She identified as a transwoman and had transitioned about 10 years earlier — after living most of her adult life identifying as a man, having been married and raising now adult sons and daughters. I feel it necessary to describe my initial sense of discomfort.
Having practiced medicine for more than 30 years, I have met patients from a multitude of backgrounds and nationalities. I enjoy a collaborative practice with my patients, and I love to incorporate their philosophical and cultural beliefs into their health care. Yet, I felt uncomfortable caring for her.