Pride Edition 2022 | Page 16

Queer Med Perspectives in Medicine

by Julia McDonald, DO '11

About the Author:

Julia McDonald (She/Her/They/Them, UNECOM ‘11) is a queer artist, writer, and physician based in central Maine. Named the state’s 2019 Physician of the Year by the Maine Academy of Family Physicians, they provide full-spectrum medicine including obstetrics, addiction medicine, and sexual and reproductive health at Maine Dartmouth Family Medicine Residency. They serve as Medical Director at Mabel Wadsworth Center in Bangor. They completed residency and served as Chief Resident at Greater Lawrence Family Medicine Residency in Massachusetts and hold a Masters of Public Health. They spent 2021 working in Ethiopia and DRC with Medecins Sans Frontières/Doctors Without Borders and travel regularly to Honduras to work alongside local medical colleagues there. You can follow them on IG (@drjuliamcdonald) and blog.

Photo by ??

As I glanced over my schedule to prep my morning clinic, I saw an unfamiliar name. Clicking into the chart, I saw the patient had never been to our clinic before and he had no scanned health records to indicate what his health needs might be. A part of me loves the challenge of meeting a brand new patient in the middle of a busy clinic: establish rapport and glean the most relevant medical history in 20 minutes or less. When I walked into the room, I saw a slightly disheveled, twenty-something year old Caucasian male slumped into his seat. I introduced myself in my normal manner: “Hi, I’m Julia McDonald, my pronouns are she/her/they/them. Welcome to the FMI.” Smile and elbow bump.

The patient instantly became animated and sat up, a smile appearing like the sun from behind a cloud. Hearing me open the visit with my pronouns invited a reciprocal introduction, indicated that I did not assume that someone’s appearance indicated their gender, and suggested that I would treat whatever arose with respect.

A torrent of words flowed: “I go by she/her pronouns! I mean, I did before I had to move back home and no one here even knows!”

William Osler said “Listen to your patient, he [or she] is telling you the diagnosis.” And sure