Arts & Entertainment
Nonbinary physician fights COVID-19 without legal protections
LGBTQ healthcare workers are stepping up, saving lives

Dr. Scott Nass and Dr. Ly Pham are LGBTQ physicians on the front lines of the pandemic fight, but only one is protected from workplace discrimination. While Nass is fortunate to be a gay cisgender man practicing in California, Pham is a queer nonbinary doctor working in Louisiana without legal protections.
“Shreveport is a level one trauma center similar to Baltimore,” said Pham who uses singular they pronouns. “The hospital was fairly busy before COVID [but the pandemic] added another layer of stress and anxiety.”
Adding to Pham’s stress is the feeling that LGBTQ people are tolerated but not fully accepted into the larger Shreveport community. While HRC reports both Shreveport and New Orleans ban discrimination on the basis of sexual orientation and gender identity, Louisiana has had a tumultuous history with attempts to mandate a statewide ban.
“I get misgendered all the time,” Pham said before describing a usual day when they arrive at the hospital around 8 a.m. “Mostly by patients coming in and some coworkers. But I’m here to treat the patients and not educate them because they’re in a crisis right now and need to be treated and admitted to the hospital.”
Pham says they allow their patients to interact with them in a way that is emotionally damaging because they feel harms need to be triaged during a crisis. Louisiana governors have sought remedies to this preventable situation.
However, in 2018 the Louisiana Supreme Court struck down Gov. John Bel Edwards’ (D) executive order protecting LGBTQ state employees and contractors from workplace discrimination, according to a report by The Advocate.
The resulting tally from Freedom for All Americans shows Louisiana is one of 28 states where an LGBTQ worker, including essential medical personnel during a global health crisis, can legally be fired or face other negative action on the basis of sexual orientation or gender identity.
“The case of healthcare workers helps illustrate why it is in everyone’s interest that people are able to work regardless of factors that have nothing to do with their ability to do the job,” said Jon Davidson, Freedom for All Americans Chief Counsel. He is also an LGBTQ attorney who attended the Supreme Court arguments on this issue. “I hope the court sees this is not just important to the employees affected, but for society as a whole.”
But not every state will be equally impacted by the ruling.
Davidson explains a Supreme Court ruling on the Bostock v. Clayton County, Altitude Express v. Zarda and Harris Funeral Homes v. EEOC cases determining if Title VII protections “on the basis of sex” includes sexual orientation and gender identity won’t affect the 22 states that already have LGBTQ-inclusive nondiscrimination protections.
In April, Virginia Gov. Ralph Northam signed into law the Virginia Values Act, expanding nondiscrimination protections in his state to include sexual orientation and gender identity and making it the first state in the South with such inclusions.
“We need every healthcare worker possible saving lives,” Davidson emphasized. “So having protections is both important to keep qualified people in their jobs and it is also important that LGBTQ workers not be worried about who might learn they are LGBTQ. If you have to hide your partner [or who you are] because you’re afraid your employer might find out and you might be fired, that’s unacceptable.”
He added it was “just outrageous and cruel” for healthcare workers to endure such uncertainty during a crisis.
HRC, the Movement Advancement Project and other national policy trackers have noted California, where Dr. Nass encountered the initial waves of the deadly virus, has passed a series of increasingly inclusive statewide measures over the years. Their legislative efforts culminated in the recent Gender Nondiscrimination Act in 2011.
As a result, though Nass also finds the pressures of the pandemic to be “incredibly stressful,” he has not faced the added stress of having to conceal his orientation.
“When I’m not working, I am sheltering in place at home with my husband,” Nass said. “A police officer in Los Angeles who is also on the front lines of the pandemic.”
While their lives are at risk, their jobs and identities are not. However, the situation is very different outside of California.
Pham currently shelters-in-place with their fiancee, who uses both female and nonbinary pronouns and identifies as queer in orientation. The couple bought a two-person hammock so they can lie together under the trees and daydream about a future when they can travel. They are also planning their wedding and an eventual move to Los Angeles.
“It’s spring,” Pham said. “And we are appreciating nature and the flowers blooming and a time to slow down.”
But the rest period doesn’t last long for the physician who graduated in the midst of a global crisis. Pham has been out as an LGBTQ person since attending medical school at the University of Texas in San Antonio. Although Texas is another state without LGBTQ-inclusive workplace protections, Pham was able to find mentors who helped them through their personal journey from self-described butch lesbian to nonbinary as well as through their professional journey from student to physician.
Pham details the rest of their current daily routine with almost machine-like precision.
“I park in a parking lot that is gated using my badge,” Pham said. “There I put on my surgical mask that I have in my car. Parking is in the back of the hospital. I walk to the front. There is only one entrance to the hospital. I try to keep six feet from anyone else and I try to see if anyone else is walking toward the entrance.”
“Everyone feels a little more distant than usual,” agrees Nass in less constrained cadence when discussing his own routine, which begins at 6:30 a.m. “And I’ve worked on speaking more with my eyes now that no one can see me smile under the constant masks.”
Pham is a little more reserved beneath their mask as workplace interactions usually lead to misgendering without reasonable recourse, especially during the crisis.
They arrive at a screening station where they answer a hospital worker’s questions and get their temperature checked. When they pass the checkpoint, they get a sticker on their badge.
“Different colors for different days,” Pham explains. “Before I even get to my office, I usually swing by the ground floor and pick up my N95 mask and face shield, if I’m seeing COVID patients.”
But Pham admits it’s hard to know which patients are COVID positive, so they wear an N95 mask whenever they see patients. They also wipe down their keyboard, desk, chair, mouse, phone — everything in their work area.
Nass may be fortunate when it comes to workplace protections, but his personal equipment seems a little less protective than Pham’s, who works in a larger hospital and more closely with COVID patients.
“I stop at the front desk of the hospital to get an ear-loop mask,” Nass explains. “Not the most protective kind, but those are kept even more securely in particular patient areas.”
Nass notes “on administrative days” he doesn’t usually see much of anyone as access into the office space has been limited to reduce the risk of spreading the virus.
“I am not assigned to take care of confirmed COVID-19 patients in one of the two units we’ve designated for that,” he said. “But we have started to treat every patient, and each other, as though we may be carrying the virus.”
And this may be sound advice, though reminiscent of the early stages of the HIV/AIDS epidemic. In March, when PPE distributions were no match for the steady influx of patients in New York City, Kious Kelly, a gay nurse working at Mount Sinai hospital, contracted COVID-19 and died from it.
Kelly’s sister, Marya Patrice Sherron, told BuzzFeed News of a homophobic comment posted to a GoFundMe page set up to help with funeral expenses.
“It was a very, very, very hateful and insensitive comment suggesting that [his death] didn’t matter because he was a gay male.”
Pham faces similar insensitivity from nonbinary erasure even as they struggle to save lives during the crisis.
Pham’s hospital has a dedicated COVID team where they work when they are on call. Pham said in the beginning stages of the crisis it took a week to get test results back so they weren’t certain who was infected and who wasn’t. Now, with better testing, the turnaround has been 24 hours or less.
“We know definitively if they are positive or negative faster, instead of just suspecting that they are,” Pham said. “It helps us triage better.”
Pham also said this is safer for the medical staff since many of the infected are asymptomatic. As a result, everyone is tested regardless of symptoms.
“We stress the importance of social distancing because you don’t know who could test COVID positive and they could be spreading it around unknowingly,” Pham said.
At the end of their shift, Pham removes their gear by following the guidance of a hospital instructional video. They then wipe down their shield with hospital-grade wipes and they toss the mask if it has been visibly soiled.
After cleaning themselves and their workstation again, they wear a surgical mask down to their car. They then clean themselves and the interior of their car with alcohol again. When they get home, they keep a six feet distance from their fiancee and toss their clothes into the washing machine before jumping into the shower.
When it is safe, the two of them can finally relax together and reconnect by cooking, watching Netflix or daydreaming in their shared hammock.
Nass similarly ends his day with a trip to the washing machine and shower before collapsing on the couch with his husband and Boston Terrier. In the hour or two before he falls asleep he catches up on “The Magicians” or “Schitt’s Creek.”
“Sometimes I eat dinner,” he said in a rare consideration of his own health.
“LGBTQ healthcare workers are stepping up to save lives in this crisis,” said Hector Vargas, the executive director of GLMA: Health Professionals Advancing LGBTQ Equality, an LGBTQ medical professionals advocacy organization. “It’s long past time we step up for them to make sure they’re protected under the eyes of the law.”

a&e features
Ryan Murphy’s ‘Monster’ vilifies the lesbian
Netflix show promotes stereotype that queer women are dangerous
Ryan Murphy’s “Monster: The Lizzie Borden Story” just premiered on Netflix and became the most watched show on the platform. Murphy and his series are deeply controversial. The past three seasons have focused on convicted killers Jeffrey Dahmer, Lyle and Erik Menendez, and Ed Gein, and have garnered considerable criticism for sensationalizing real-life trauma, exploiting victims for entertainment, and glorifying the perpetrators.
But his newest season centers on Lizzie Borden, the white, affluent Massachusetts woman still referenced today in nursery rhymes who was never convicted of killing her parents Andrew and Abby Borden. As with Murphy’s other seasons, the show plays fast-and-loose with real-life history, instead turning a real-life crime into a psychosexual spectacle.
In real life, Lizzie was found not guilty by an all-male jury in the highly publicized 1892 trial, largely due to a lack of evidence including blood on her clothing and a murder weapon. Her initial statement contradicted her later testimony but her defense team argued that the morphine a doctor repeatedly gave her likely caused her confusion. But despite the fact that Lizzie was acquitted in court, she was ostracized by her community during her life and has been branded a murderer ever since.
Murphy’s highly fictionalized retelling of Lizzie’s story leans into this accusation not only that Lizzie murdered her father and stepmother with an axe but that she was successful in covering it up with the help of the maid Bridget Sullivan. Murphy not only concocts a sapphic relationship between Lizzie and Bridget, pinning the idea of killing Lizzie’s parents on the widely traveled woman who dyes her hair and is repeatedly called a lesbophobic slur by Lizzie’s stepmother, but also portrays Lizzie as an inspiration to Aileen Carol Wuornos, a woman who killed seven men who solicited sex and was also in a relationship with a woman.
Further, Murphy’s retelling creates a false ending to Lizzie’s story. While in real life, Lizzie and her sister Emma buy a house called “Maplecroft” and live there for the rest of their lives, Murphy instead imagines Bridget returning sporadically for romantic rendezvous with Lizzie and eventually moving back in with her and marching together for women’s right to vote. In real life, Bridget left town immediately after providing testimony and lived in Montana until she died.
Lesbophobia is at the heart of this retelling of Borden’s story. Despite the fact that Murphy depicts Lizzie and Bridget having sex and possibly getting married or at least promising themselves to one another wearing flower crowns, there is no evidence that Lizzie and Bridget had any romantic or sexual relationship. If they did have a relationship, it would likely have been hidden and any evidence destroyed, but records show that Lizzie herself refused to call Bridget by her real name, instead referring to her as “Maggie,” the name of their previous maid. It was only Lizzie’s stepmother Abby who called Bridget her real name. In Murphy’s retelling, it’s Lizzie’s stepmother Abby who refuses to learn or use Bridget’s actual name and treats her with disdain along with her stepdaughter.
Some people online argue that we are witnessing Lizzie’s story retold through Wuornos’s perspective, so adding in elements of child abuse and sapphic relationships would make sense, but there is no record that Wuornos ever visited Lizzie Borden’s home, or that she was inspired by Borden throughout her life. Instead, Murphy and his co-creator Ian Brennan use (or I would say exploit) Wuornos as a thematic device to make broad stereotypes about female rage across generations. In doing so, they conflate two real-life examples of violence to sapphic individuals.
Depicting a lesbian relationship in this way is not progress, nor is it fruitful representation today. As sapphic shows are increasingly cut and cancelled, Murphy’s inclusion just reinforces the lesbophobic and sexist stereotype that lesbians and queer women are “dangerous” to straight women and abet or incite violence against men and a family unit. At a time when anti-LGBTQ+ legislation and real-world violence and murder of LGBTQ+ people, especially queer and trans people of color, is exploding, stories that frame murder of a family unit as germinating from a sapphic relationship feed into far right narratives.
They further the myth popularized by far right leaders (including those in the highest echelons of government) that LGBTQ+ people are dangerous, a threat to heterosexual norms and family life, despite the data showing that children of same-sex parents have above average health and well-being according to research by the University of Melbourne.
Today, many LGBTQ+ people feel they have to be (or are forced to be) idealized versions of themselves in order to stave off anti-LGBTQ+ stigma, policing and violence. These “acceptable” behaviors and appearances are rooted not only in cisgender, heterosexual norms but also white supremacy, colonialism, xenophobia, and ableism. It is respectability politics that tell us how we can and should behave (including those perpetuating in the wider LGBTQ+ community) and push LGBTQ+ people to assimilate into a society governed by queerphobic normativity.
I hope it’s clear that I’m not trying to argue that we cannot and should not have shows that depict queer women who kill, or at the very least queer women who are unethical or morally complex. We need these depictions because they ask difficult questions and they reference how some LGBTQ+ people can be and are unethical. In fact, several public LGBTQ+ figures are associated with employee abuse and exploitation, ableism, and fat phobia.
But when Lizzie’s sapphic identity is invented to drive the story along, arguably to generate interest (especially straight men’s interest) in this spectacle of historical slop, it’s not a story that invites discourse and dimensionality, it’s one that collapses Lizzie, Wuornos, and queer women’s identities and relationships to plot devices. It objectifies and fetishizes queer women, arguably committing violence against not only Lizzie but also Wuornos.
And when there is so little representation of sapphic relationships on mainstream television or streaming platforms, it makes this the vast majority of representation that queer girls and women will see of themselves first, and that the straight public will see. Historians will know that Murphy’s depiction of Lizzie’s life is wrong, but many viewers will not and may not go digging for the truth.
Why not focus on the stories of bisexual, lesbian, and queer women who really existed, shared their identities (sometimes covertly, sometimes not), and had long-term partners? In fact, “Boston marriages” were common in this time period and referred to women living together when sexual and romantic relationships between women were illegal, partially because penal systems didn’t know how women could have sex with one another and didn’t want to put the idea in “impressionable” women’s minds. Why not focus on these stories instead of creating a fictionalized account? We have always existed; we do not need to invent relationships.
Murphy’s depiction of Lizzie Borden is deeply problematic. Lesbophobia is not the only issue at the heart of Murphy’s drama, but it merits a broader discussion about how mainstream media routinely hurt queer women and is part of perpetuating queerphobic violence, and what we all lose in the process.
Arts & Entertainment
Vote now! Best Of LGBTQ DC readers’ choice awards
Halloween party set for Oct. 22 to celebrate the winners
The Blade is excited to celebrate the 25th anniversary of our Best Of LGBTQ DC awards this year. We’re pulling out all the stops for our annual party with celebrity emcee Ashley Darby and acclaimed DJ Michael Navarro. The party is set for Oct. 22 at Longview Gallery with pop-up performances, cocktail and food tastings, open bar, and a Halloween costume contest with the theme, “Murder on the Dancefloor.”
But first, you have to vote. You nominated and now we have our finalists for the 2026 Best of LGBTQ DC Awards.
Vote for your favorites through Oct. 8.
We’ll honor the winners at the Best of LGBTQ DC Awards Party on Thursday, Oct. 22, and showcase them in our special issue released Friday, Oct. 23.
Bars & Parties
Lesbian Bar Project co-founder: purity politics could destroy our remaining spaces
Last Ditch’s decision to lift its mask requirement for one night a week has sparked intra-queer controversy
Uncloseted Media published this story on Sept. 29
By ERICA ROSE and THE LESBIAN BAR PROJECT | As a professional lesbian and Massachusetts native, I’ve recently been asked by a lot of folks what I think about the saga unfolding at Last Ditch. The now-viral story, first reported by the Boston Globe, centers on a Western Massachusetts lesbian bar that lifted its mask requirement for one night a week to help drum up business.
The decision ignited an intra-queer controversy that has been feasted on by media outlets across the political spectrum — from the New York Post to LGBTQ Nation — and is even reportedly being eyed for a Hollywood adaptation. Apparently nothing is more entertaining than a bunch of lesbians and queers fighting with each other over KN-95s.
What has been lost in all of the chatter and media coverage is the very real possibility that Last Ditch, which just opened in April 2025, will have to close its doors. The venue’s one remaining founder, Jackie Matellian, revealed in a community Zoom meeting that she’s working four jobs, is now solely responsible for the bar’s $50,000 business loan and is struggling to keep up with the bills. So as we laugh about the controversy’s similarity to a “Portlandia” skit and how one of the bar’s founders left to enroll in clown school, we forget that yet another lesbian bar is facing an existential crisis — and this time the call is coming from inside the house.
In 2020, my friend Elina Street and I created The Lesbian Bar Project, an Emmy-, Webby- and GLAAD Media Award-winning docuseries and initiative that tells the stories of lesbian queer bars around the world. We were moved to act because at the time there were only an estimated 16 lesbian bars in the United States, and the pandemic threatened to bring that number down even further.
There are now more sapphic bars than there were just before the pandemic — about 36 of them in total — but this is down from approximately 200 in 1980. Maybe that doesn’t mean much to you, but for the millions of sapphics living in the U.S., this number is calamitous.
As the world laughs at lesbians and sapphics, I want to take a second and tell you what I feel when I walk into one of these bars, which are all unique and irreplaceable in their own way: I feel seen.
Sometimes I think Cubbyhole in New York City’s West Village neighborhood knew I was gay before I did. When I walked in there for the first time, before I was even out, I was transfixed by the colorful array of tchotchkes hanging from the ceiling and how the women standing next to me were completely unafraid to express their desire for one another. I knew the minute I was ready to come out, I had a home. I also felt the joy of a new couple falling in love at Seattle’s Wildrose, the quiet confidence of a short king lining up her shot at the pool table at Ginger’s in Brooklyn and the kick of cayenne pepper in Julie Mabry’s crawfish at Houston’s Pearl Bar.
Lesbian bars don’t just serve lesbians; they serve queer folks across the spectrum, including bisexual, pansexual and trans people. As Elina and I traveled across the U.S. and Europe and to parts of Latin America to document the bar owners, staff and patrons that make up the ecosystems of these spaces, we also became uniquely acquainted with the factors that threaten their existence: gentrification, wage gaps, sexism, environmental disasters, gun violence, rising insurance premiums and political administrations working to annihilate queer people and their families.
Lesbian bar owners, like all leaders and entrepreneurs, are imperfect. There have been significant issues over the years at lesbian bars: employee harassment, racism, lack of accessibility, sexual assault and transphobia. All bar owners should be held accountable and should listen to their communities to evolve into safer and more equitable spaces. I also acknowledge my privilege: I am able-bodied, white, cis and from a family system that loves me for who I am. Not everyone has that.
Queer people, especially trans and bisexual people, are suffering from disproportionately high levels of depression, and our mental health system isn’t equipped to support them. Immunocompromised people and long COVID are real, and many of my friends are suffering to this day. The people with the least safety net are often the ones for whom a bar closing costs the most. And yet, as we’re seeing with Last Ditch, the queer community often lashes out at each other. It’s also the mainstream media taking the internal conflict and making a mockery out of it, distracting from the real possibility that this bar could close due to financial pressures. A bar that many people loved and needed is facing extinction. Perhaps it’s safer to dissent with one another than with the larger forces trying to eradicate us, but in doing so, we risk destroying the few spaces we have left.
Due to the constraints of purity politics — some in good faith, some not so much — lesbian bar owners, almost all of whom are queer women themselves, are forced to be everything for everyone, similarly to how women are forced to be everything for everyone. By asking these bars to uphold impossible standards — standards very few other third spaces are asked to consider — we all end up losing.
I want to move as a community toward dialogue, compassionate dissent and collaboration to make our spaces better with the goal of keeping them OPEN and thriving, rather than destroying them from the inside with expectations that are arguably unattainable.
While I have your attention — for this fleeting second of the news cycle — may I urge us to spearhead a way to keep these small businesses afloat without attacking our own community along the way? Bar owners are left with an impasse: They want to be community-centered, but they also have to make money to keep their doors open. Sometimes they might make business decisions that don’t work for everyone — and that’s partly because different patrons have different priorities and want different things — but these owners deserve the opportunity for productive dialogue. We have to work with them and with each other to keep our spaces open, to keep them growing.
Lesbian bars raised me into the queer woman I am today. One thing I think about as I reflect on the six years of work we’ve done to document these spaces is that shared, unspoken language I have with a stranger the moment we both walk into one of these bars: the nod, the ease, the not having to explain ourselves. I don’t want to lose that, and neither should you.
