I'm so tired of the healthcare system. I work as a nurse for one of the largest and most reputable organizations in the US. And getting culturally competent care is ridiculous. There are only 2 providers in the entire organization who are willing to take trans patients, and I'm outside of their geographic area (never mind the fact I was given a referral by the trans specialty clinic when I explained I don't need transition services, just a doctor that knows the basics of lgbtq health).

I know people have it worse than me, but it's still bullshit I can't just call and make an appointment. This is already the third round of calls I've had to make just to get an appointment set up.

I think the worst part is I had a job in gender affirming care I was fired from (for daring to suggest we have signs for our clinic, or trans patients be able to call the regular line). I loved the work and the patients, and it felt so good to be able to help people like me get the care they need in a respectful and competent manner. But now I'm back to taking care of old, entitled, and almost exclusively white cis het patients. I hate being part of a system that perpetuates disparities, but I'm stuck because I can't find any way to provide this care without earning another degree.

Thanks for letting me vent.

Not sure if this is the place to post, but I've moved a lot recently and there aren't really any queer folks where I live. I'm looking for some kind of discord or something to chat and vent and just feel a little less alone.

I'm pretty old and I've "completed" my transition, and I'm always happy to share my experiences or knowledge if people are interested.

And apologies if this isn't the right spot for this post.

Moved up to the "Big City" in October. Today I was fired by a woman with a smile on her face.

My biggest complaints were being isolated from my peers, not having enough work to do, and not receiving feedback on my work performance directly.

I was accused of working outside of scope, not being able to separate my personal feelings from work, and not responding to doctors in a timely fashion. No specific or documented instances of any of these accusations were provided to me.

So now I'm alone, in a way more expensive city, with about the same amount it cost to move here left in the bank.

I think I'm done with healthcare. As a trans person, working inside of it is fucking awful, especially in large hospital organizations. I don't think it helps I graduated from nursing school in 2020.

What now? This was my dream job, at an organization (I thought) had their shit together. It was a nightmare on the inside - no support, no community. Call staff couldn't "handle" trans patients, so we have to call a separate line that might have someone call you back.

I came up with so many ideas, ways to improve, best practices we aren't following. Patients getting dead named and misgendered in charts, at the pharmacy, to their face. Asleep in the OR during surgery.

I've never been more confused about a job ending. I literally said I would do anything, work overtime, adapt my style, learn 6 different specialties, anything I could to help.

They never even listened to me. Why did they bring me all this way just to ignore me?

The worst part, I think, is that I don't know if I will ever really trust another human the same way. I thought this was a safe place where I could talk openly about what was deficient, and how to alleviate that. But I did that, and they didn't want to hear it, and now I'm on my own again.

I really thought we could build something truly special. I guess I'm just disappointed I'll never get a chance to see what that could have been.

Come correct or don't cum at all.

I'd say about 100% of my woes could be solved by covering me in a creamy, white sauce.

I just got my dream job helping run a trans healthcare program, and I'm looking for input from the community on on what would make you feel more comfortable or engaged with your medical provider. We provide everything from HRT to surgery to non-trans medical care. My goal is to have the happiest, healthiest patients in the country!