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Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. The following video was produced for the gala. If you have a visit for gender-affirming hormones at our clinic, you may be given an informed consent form to sign that explains the risks, benefits, and other important details about the medications. Transgender Health Program Community Advisory Board: This group is made up of transgender and gender-nonbinary people who have received program services or who represent served communities. Injections into a muscle every three months. We do not make appointments or directly provide health care. They protected me. OHSU providers work together to make sure you get the care you need. When a family member transitions, it can put a strain on family dynamics. They treat hundreds of patients a year. Suppressants may not be effective if an adolescent has gone through most stages of puberty. It may be safer for teens to appear physically mature as they get older. This includes supportive therapy for children, adolescents, and adults who are in the early stages of exploring/questioning their gender identity, as well as assessment and letter-writing for clients pursuing hormones and/or surgery. Psychological, medical or social problems that could disrupt treatment have been addressed. You'll find: Puberty specialists who treat hundreds of patients a year. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. Primary care: We coordinate with pediatricians and family medicine providers to make sure patients get comprehensive care. I have experience working with children, teens and adults who are questioning their gender, going through gender transitioning, or just needing a safe space to discuss life as a gender non-conforming person. And I'm here to write letters to help with accessing medical care too. We take most health insurance, including OHP. I have worked with people who identify as male, female, transgender, gender neutral, non-binary, agender, pangender, genderqueer and all, none or a combination of these. As a queer person, it is important to me to create space in my practice to serve my community. The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. Hand numbness, tingling or pain can have many causes and treatments. If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. Responsibilities include rooming patients, collecting patient information, preparing patients for examination, assisting with procedures, and assisting with overall delivery of patient care. Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? We look forward to partnering with you on your comprehensive health care needs. Minors aged 13 to 18 can withhold mental health records from parents for " sensitive " conditions, which include both "gender dysphoria" and "gender-affirming care." Insurers in Washington must cover a wide array of "gender-affirming treatments" from tracheal shaves to double mastectomies. To schedule a medical appointment, please call503.535.3860and select option 1. Current wait list for a surgery date: 12 months. Our team is focused on the entire well-being of each patient. Injections are only available with a minimum of one hour of electrolysis. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. Outside In is an Equal Opportunity Employer. Do you need a letter, or support on your gender journey? Below are some resources available within our Moda and Kaiser plans. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. Fax: 207-662-5528. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. My practice focuses on queer, trans and non-binary people, including youth ages 14+. Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. Fertility services: Some treatments affect fertility. I have taught masters level classes for other therapists on how to support clients around gender, and helping people explore their own gender identity is one of my favorite parts of being a therapist. Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. Meet our Doctors More than 100 doctors provide comprehensive, specialized care for you and your family. Puberty specialists who treat hundreds of patients a year. COVID-19 clinic information and resources. Hormone therapy mimics the bodys production of estrogen or testosterone. We repect your privacy. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Appointments highly encouraged. Gender identity and gender exploration is the main focus of my work. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. You are invited to our quarterly Grand Rounds. I am also qualified to write letters of recommendation for gender-affirming surgeries. Help the Transgender Health Program build access to inclusive, affirming health care. On average, the typical first clearance will be an average of 6+ hours. Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. Outside In is a Health Center Program grantee under 42 U.S.C. Not necessarily. Trans man who transitioned when he was ELEVEN says denying young children treatment to change their gender is 'transgender genocide' - even as he admits his own double mastectomy at 15 was 'too . Because of him I am now a complete, functioning attractive woman. 2021 Outside In - All Rights Reserved. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. I found Outside In. We will monitor your child for potential problems. Portland, ME 04103 Tel. Members apply to serve two-year terms. Then we generally follow WPATH guidelines for recommending treatment. Some parts of this site won't work without it. Testosterone: Testosterone is usually injected into muscles or just under the skin. OHSU clinics you may visit set their own charges, though. Our services for patients under 15 are limited for this reason. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. She is also a member of . In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. Sometimes gender identity is confused with gender expression. Pediatric Specialty Care The Gender Clinic Developmental Behavioral Pediatrics Endocrinology Diabetes Gastroenterology Genetics Infectious Disease Nephrology Pulmonary Medicine Contact Us Phone:207-662-5522 Toll Free: 866-860-6277 MaineHealth Maine Medical Partners Practices Pediatric Specialty Care Pediatric Specialty Care LGBTQ HEALTHCARE SERVICES. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. 207.878.6170 Fax 207.878.6172. about. TPC email access. E-mail is not an appropriate way to contact us regarding anything urgent or critical. We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). I am trained in LGBTQIA+ related concerns, and have been educated by past experiences working as a trans counselor with gender diverse clients and supervisors. Delaying puberty has two main goals, according to WPATH: Pubertal suppressants (GnRHa or GnRH) are modified natural hormones that stop your childs body from making estrogen or testosterone. Family support from a psychologist, psychiatrist and social worker. Find a Location Connect with us at one of our Portland-area locations. for details. Email us today to reach our intake specialist. Not all non-binary people identify as transgender. I also support parents looking for resources while they may have a child transitioning. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. 2001-2022 Oregon Health & Science University. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. Medical treatment usually doesnt begin until puberty. Many teens want to go through puberty with their peers. Training for OHSU employees and for health care professionals in the community. Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. who we . Expertise: OHSU providers who work with the THP specialize in gender-affirming health care. He started performing Vaginoplasty at OHSU in 1993. I work with families and individuals to explore the gender spectrum in support of exploration with who we are as unique human beings and how to navigate systems: society's idea of who we are (binary polarities) and other essential areas. Relaxing on the sofa, the expectant mum displayed her tummy by lifting up her sweatshirt to show the kids her bump - which was covered by leather-look leggings. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. It can also put teens at higher risk of mental health problems and substance abuse. This study was from a gender clinic in Dallas, Texas. Portland, OR. . We're all struggling. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. Sex is decided based on anatomy, hormones and DNA. The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. I am a non-binary gender therapist with lived experience and interest in unique identities. For example, several key staff members from The Meltzer Clinic are still based in Portland. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. Prism Health provides free and fast screening for HIV and other STIs through our dedicated walk-in clinic, Pivot, as well as a stigma free environment to address any of your sexual health concerns. If you dont see the number you need below, call OHSUs main number: who liststransgender careamong specialties and/or practices at one of the locations below. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Prism Health offers affirming pharmacy services for our community through our on-site pharmacy, or you can receive your prescriptions directly to your home through mail-order! Master of Arts in Marriage, Couple, and Family Therapy. Therapy can aid in navigating to understanding your gender identity to feel more at ease and comfortable while you become the self you want to be. How can you contact us? When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. OHSU clinics you may visit set their own charges, though. Read this first. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. We work with community partners to provide advocacy, to shape policies and to train health care professionals. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. You will also find gender-neutral restrooms across our campuses. Taking several meds or supplements? Patients need a referral, usually from their pediatrician, to be seen at one of our. Stepping into who you are and living (safely) from that place, is sometimes a delicate balance - and, in my eyes, essential to being home in ourselves. Gender affirmation surgery (previously gender confirmation surgery) for individuals looking to transition: transfeminine or transmasculine. As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community. I also worked on a project with 29 brave individuals honoring their journey in gender expression. 2001-2022 Oregon Health & Science University. My experience includes academic training as well as my personal experience. I've spent years supporting my clients to come more deeply into their true expression. The THP serves as an umbrella for gender-affirming services at OHSU. Some common signs of a gender dysphoria include cross-dressing, a feeling of being in the wrong body and a desire to live as a person of the opposite sex. http://bethannshort.com/gendersummit.html. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. We give treatment to children and their families from childhood through adolescence." Maryland 19. New York ACLU - Changing Your Name and Gender; Please contact the TYP clinic to speak with our social worker if you have any questions or concerns about this process. Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. WPATH standards of care are used in therapy and letter writing. The Medical Assistant (MA) I works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. Opportunities to help advance our mission by becoming a volunteer or supporter. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! Your provider would answer any questions that you have, and make sure that you fully understand everything on the form before you sign it. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. Estrogen: Estrogen can be given in a pill, skin patch or injection. Most of my clients are transgender and/or non-binary. I couldnt have asked for a better experience with Dr. Meltzer and his staff. We can also provide you with follow-up materials and walk you through the process of how to change your name or gender-marker on other documents once you receive a judgment from the court changing your name or gender marker. But we can connect you with OHSU providers. See our insurance page to learn more about payment options. All Rights Reserved. What to expect: We usually do not prescribe medications during the first visit. We dont charge for support, information or patient-education classes. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. TriMet Stop ID: 408SE Belmont & 23rd Eastbound. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. You will start by getting a referral, usually from your childs pediatrician. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. The Portland Clinic Blog Health Matters Categories: #COMMUNITY #FITNESS #FOOD&NUTRITION #MEETYOURDOC #NEWS #YOUR HEALTH #YOUR HEALTH If it tingles, it's carpal tunnel, right? Portland, OR 97239 : F : English : Ross Passo, M.D. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. I've worked with hundreds of transgender and gender variant people since 2015. We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. We appreciate your patience and will respond to you as soon as possible. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Were working with the Pediatric Endocrine Society to develop more research and education about gender-affirming health. They were always there for us anticipating our needs. The team of compassionate doctors and medical practitioners specialize in . If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. Dr. Meltzer is board-certified in both General and Plastic Surgery. Deciding on suppressants involves weighing physical risks against the mental health risks of gender dysphoria, which can include: Long-term effects: Suppressants have been used for decades to treat children who start puberty too early. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. A Catholic Response to Gender Identity Theory addresses "tsunami" of gender ideology "We are heavily influenced by the culture around us," says Archbishop Alexander Sample of the Archdiocese of. Currently, there is limited information about the long-term effects in gender-diversepatients. The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. Typically, we see patients every three to four months. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. Finally, we werent hungry anymore and we were safe. MA in Marriage, Couple and Family Therapy. Many are also international experts who publish studies and who speak across the nation and overseas. We do not approve of any kind of conversion therapy. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. They may be prepared for transition mentally, physically and emotionally. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. The group meets quarterly to advise the program about programs and services. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. Hillsboro Medical Center Cardiology Clinic 7th Avenue Medical Plaza 333 SE 7th Ave., Suite 2500 Hillsboro, OR 97123 503-844-8280 . Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. Outside In offers a range of services dedicated to transgender and other gender diverse patients. Fax: 207-662-5528. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. Sometimes we refer to sex as By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. I have attended several specialized trainings for working with gender identity issues before and during that time. We believe that trying to change a persons gender identity is harmful. PrEP, a once-a-day medication to prevent HIV transmission, might be a good choice for you if you are at risk for HIV transmission or want to add more peace of mind to your life. The wonderful and fresh food, the health care, the accommodations, the hospitalities. Members apply to serve two-year terms. One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. of care. We consider timing, especially for teens seeking surgery before leaving for college. Non-binary describes people who do not identify (or do not exclusively identify) as male or female or man or woman. They may identify as no gender, as a gender other than male or female, or as I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. We will discuss risks and fertility-saving options with you. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. Additionally, in children, gender dysphoria can manifest itself as feelings of disgust with their own genitals and a certainty that they will grow up to be the opposite sex. This group is for parents and guardians of active patients at The Gender Clinic. Throughout my training, I have focused on working to apply what I have learned to help people navigate gender. 7025 N. Scottsdale Road #302. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. Gender identity is a persons internal sense of gender, or what a person feels their gender is. Gender Clinic; OUT Maine; LGBTQ+ Resources At Northern Light Health, we provide high-quality care that is focused on the needs of each person regardless of sexual orientation or gender identity. The OutList is open to all healthcare providers of any identity, distinction, and specialty. Transgender describes people whose gender identity or expression differs from their assigned sex at birth. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. Call 401-444-4712 to make an appointment. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . Our providers publish papers in academic journals. natal sex or sex assigned at birth.. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more I wanted independence and stability. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission.