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Nonbinary physician fights COVID-19 without legal protections

LGBTQ healthcare workers are stepping up, saving lives

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LGBTQ physicians, nonbinary medical professionals, gay news, Washington Blade
Dr. Ly Pham is a queer nonbinary doctor working in Louisiana without legal protections. (Photo courtesy Pham)

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.”

Dr. Scott Nass is a gay cisgender man practicing in California. (Photo courtesy Nass)
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Historiography with heart

Pioneering author John D’Emilio continues to enlighten us in new book ‘Making Gay History’

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(Book cover image courtesy of Duke University Press)

‘Making Gay History, Memoir of a Scholar-Activist’
By John D’Emilio
Dukeupress.edu/making-gay-history

“Dear Dr. Kameny,” wrote the earnest graduate history student almost 50 years ago. “As you know, the academic community only rarely deemed the lives of gay men and women to be worthy of serious scholarly study. To my knowledge, no American history faculty at a major university has yet sponsored a dissertation that deals with gays historically.”  

That student was a young man from the Bronx who would change all that. His name is John D’Emilio. 

“I must be able to uncover ‘manuscript’ sources, that is unpublished and unique historical materials,” he explained to D.C. gay civil rights pioneer Dr. Franklin E. Kameny who lived in a house stacked to the ceiling with “unique historical materials.” In reality, these were piles of correspondence with government officials and politicians, legal filings, mimeograph copies, gay newspapers, press releases, Mattachine Society brochures and picket signs. Frank Kameny, a self-described “pack rat,” invited D’Emilio into his private world of papers and memorabilia to begin uncovering an erased and forgotten pre-Stonewall history. This was one of many such research forays into “basements, garages and overcrowded living rooms” across America conducted by John D’Emilio. He was a young man on fire to complete a Ph.D. dissertation at the frontier of a distant galaxy — writing a scholarly gay and lesbian history backed by original research where there had been none, only a void.

Reading D’Emilio’s memoir “Making Gay History” (2026, Duke University Press) one has the sense of watching an emerging galaxy spinning around a galactic core of New York scholars and their mentors, young activists, and community historians throbbing with the New York City energy celebrated by Walt Whitman a century before in his epic poem “Mannahatta”.   Spinning out of the ‘60s anti-Vietnam War activism; Marxist historical analysis, the Stonewall riots and gay liberation, we can see it coalescing around this one history student’s search for a dissertation topic and himself piecing together a new history that “no one had yet written about … a pioneering work in this newly emerging field.” D’Emilio pitches his idea for a dissertation that “spanned the length of U.S. history, moving from the religious teachings that shaped law and social attitudes … to how the federal government dealt with the increasing visibility of a homosexual world in the twentieth century.” With the blessings of Columbia’s Department of History, he completed his dissertation leading to the publication of his groundbreaking history: “Sexual Politics, Sexual Communities: The Making of a Homosexual Minority in the United States” (1983). When he received his first copy of the bound book in the mail, he “cradled the book in my arm holding it close to my chest….It was as if I had fathered a child.” 

More so, D’Emilio fathered a new history. Historiography is the story of how history gets written, conducting original research, uncovering the data and creating the narrative(s) — often a snoozing read of academic process. But not this historiography. “Making Gay History” is a historiography with heart.

“Nothing was going to stop me from giving everything I had to this effort at making change in society and myself,” he declares while connecting with others who share his “boundless excitement for the collection of documents.” There were many others in this spiral with D’Emilio who are mentioned and play important roles. In the spiral were Jonathan Ned Katz (“Gay American History”, 1976); Allan Berube (“Coming Our Under Fire” 1990), Martin Duberman (“Hidden from History”, 1989); Daughters of Bilitis activists Del Martin and Barbara Gittings; Civil War historian Eric Foner and author/activist Larry Kramer. No libertarians among them. Well, maybe the divine Bette Midler who was well known for performing uptown at the Continental Baths who makes an appearance at a Washington Square rally.

He craved his parents’ approval. Among the most riveting scenes in the memoir are a series of family dinners in the Bronx with his old-school parents who go into near shock when he tells them he is gay. How to evade this any longer, especially now that his dissertation is going to be on homosexuality? It is a moving and hilarious sequence. After he says it out loud, “I am gay”: “No. No. No!” his father gasps. “This can’t be true. It can’t be.” D’Emilio thinks, “Oh my God, he’s going to die. I’ve killed my father.”  

The D’Emilios — Vincent and Sophie — so resemble the wonderful Castorinis in “Moonstruck,” I am thinking “Oh my God, this is Cher coming out to her parents Cosmo and Rose.” The young graduate student survives the family dramatics even more certain that this was not just his success but “a gay liberation success.” From the family dinner table to the streets, he writes how he marched in the 1973 Pride parade beneath a banner held high: “Gay Socialists.”  This man is a born scholar-activist.

D’Emilio does not seem able to pull back. There are passages that veer into autobiographical minutia, detail about the grind to earn a living from the University of North Carolina Greensboro to the University of Illinois Chicago. He writes, ”I would be living on less than half my usual salary for the year, but with the small amount of royalties that I got for my three books, plus some occasional speaking gigs and dipping into savings…”.   Much of this is gray matter compared to the galaxy John D’Emilio helped energize that even now brightens our sky.

Charles Francis is president of The Mattachine Society of Washington, D.C. and author of Archive Activism: Memoir of a Uniquely NastyJourney” (University of North Texas, 2023)

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How Dolly became a folk saint for Appalachian queers

Judging others is ‘God’s job, not a human responsibility or capacity’

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Dolly Parton (Photo by DFree/Bigstock)

American singer-songwriter and actress Dolly Parton died last month. Parton’s death was announced by the family with a tribute video in which her nephew Bryan Seaver noted that her final wish was to rest in a “beautiful bed of plush cotton” so that she could finally be comfortable after a lifetime of wearing rhinestones. Fans across the country and the Internet thanked her and took up the mantle — wearing rhinestones, cowgirl boots, and glittering hats to honor her legacy and hosted events incorporating her favorite colors (pink and yellow) alongside butterflies in celebration of her life. 

Parton’s memorial has drawn an interestingly pan-generational crowd — from conservative elders to their queer and trans grandchildren and everyone in between who admired Parton not just for her music but also her commitment to putting books in the hands of children across the country to openly and defiantly expressing her love and affection for LGBTQ+ people, including her long-time driver and assistant who is a trans man. But for one group of folks, queer and trans Appalachians, Parton represented something special — the possibility of coexistence. 

Along with being for some the first person who told queer and trans people she loved and affirmed them in her Tennessee drawl, Parton fiercely defended the fact that she and we could hold two things at once. For Parton, this meant being both a devout Christian and an out and proud advocate for the LGBTQ+ community, and for many queer and trans Appalachians, this meant the ability to be LGBTQ+ and people of faith, people from the country, people with accents who don’t have to give up their mountain heritage in order to join communities of affinity and solidarity. 

Parton made clear that loving LGBTQ+ people was not a caveat to her faith, but it was directly the result of it. Parton was an LGBTQ+ ally because of how she was raised and what she believed. It was because she believed in a social justice gospel that she stood in solidarity with the LGBTQ+ community, even in the face of intense criticism (including after her death when eulogized by far right Christian leaders and public figures). 

Dolly repeatedly shared her love for and faith in the LGBTQ+ community, most recently in the face of a Tennessee anti-trans law reported that sharing with The Hollywood Reporter: “I just want everybody to be treated good. They cannot help that any more than I can help being Dolly Parton.” 

“I do not believe we should criticize and judge other people,” she said. “We should be accepting and loving. We are all God’s children.” Judging, she believed, was “God’s job, not a human responsibility or capacity. 

For many LGBTQ+ people raised in faith traditions that continue to deny our existence or who argue that we can be changed to fit a cisgender, heterosexual norm, Parton was the devout Christian “meemaw” who we all knew — for some of us, they knew and loved us as we were and are but for others, the people who spoke and speak with her Appalachian tongue hurt us and continue to do so in the name of faith, continue to shun and try to convert us in the name of the same God Dolly knew.

Dolly never tried to change who we were. She believed that we, just like her, were exactly who we were meant to be. She never spurned her LGBTQ+ friends, questioning if the rumors she was a lesbian were so bad and joking that “if I hadn’t been a woman, I would’ve been a drag queen.” Parton changed lives, I know, by being a proud Christian woman who continued to love and stand with LGBTQ+ people.

And unlike other LGBTQ+ allies in name only, Parton’s allyship was never performative. Parton co-owned Sandollar Productions, one of the companies that produced “Common Threads: Stories from the Quilt,”the 1989 documentary about the NAMES Project AIDS Memorial Quilt. She wrote the Oscar-nominated song “Travelin’ Thru” for the 2005 film “Transamerica,” and when a Dollywood visitor was asked to turn a shirt recognizing marriage equality inside out to cover the message, she publicly apologized, offered refunds, and reinforced that “all families are welcome” at the park. 

Hers was a Christian faith that stood firmly on action (best seen in her support of marginalized communities across the country), and for queer and trans people, including The Skeptic Pastor, also known as Jeremy Steele, it was a ministry. Steele put it best when he described Dolly Parton as “a lifeline and honestly a minister to me.” “When I hear these things, when I see these videos, she’s talking to me, and especially growing up in the Deep South, closeted queer, this was everything.” 

This was another critical part of Parton’s legacy. The 80-year-old was also fiercely open about and proud of her Tennessee heritage. Despite continued attacks on her appearance, her background, and the way that she spoke (something many people from the mountains experience), Parton did not try to cover up her humble beginnings and how they shaped not just her understanding of faith but her legacy of action.

For many LGBTQ+ people born and raised in Appalachia (along with the South and Midwest), we rarely see representation of our strong and mighty communities in the media. In all three regions, gay bars served as vital sanctuaries and community hubs in rural and blue-collar regions, although many are shuttering after the economic downtown during the COVID-19 pandemic and communities shifting increasingly online. From The Shamrock in Bluefield, W. Va., to The Jungle in Nashville, and The Mark III Tap Room in Muncie, Ind., these gay bars show us that LGBTQ+ people have always and will always live across the country. 

While depictions of thriving queer communities on screen are largely contained to the East and West Coasts, the queer and trans people raised with accents and communities like Dolly’s know that there is a rich queer subculture at home, one that our ancestors created for us and we continue to nurture and celebrate. But largely because of continued trauma from far right religious pundits, of continued caricatures of “red necks,” and out of fear that people with our voices and our backgrounds will be bigoted and close-minded, we are hesitant to share who we are, to show up as ourselves in spaces of affinity and solidarity. 

Parton’s legacy, as queer artist Grace Haley painted beautifully on a bright pink horse after the icon’s passing, was that “it’s okay to be gay in Tennessee.”

As someone who was incredibly hesitant joining queer spaces in Washington, D.C. because of growing up in the Midwest and going to school in the Rust Belt, I didn’t know if I’d fit in, but as soon as I walked up to the doors at the Adams-Morgan gay bar Pitchers and saw that cardboard cut out of Dolly Parton in the window, I realized I was welcome — not just the part of me that is queer but also the part of me that pronounces it “pee-can” pie. 

Yes, Parton was and is controversial for many reasons. Some have argued that she could have been louder on some issues, especially the ongoing human rights crisis in Gaza, and some have pointed out that she died a millionaire. Although she gave away much of her money and established programs promoting literacy and healthcare in rural parts of the country, including in Tennessee where she grew up, some pointed out that she still contributes to a system of capitalist exploitation that extracted humanity out of her own community. Others have also criticized her involvement with the U.S. military.

But it’s important to remember that Parton was human. When people call her an angel, we all know what they mean, but it can sometimes make it hard for us to feel that we can ever be who she was or that we should even try.

Instead, people online are urging others to remember her instead as a folk hero, as a folk saint — complex and human but also someone that we can become, someone whose memory we can call on for strength and hope in times of struggle. As the LGBTQ+ community mourns her passing, I am heartened to see her recognized in this way, to see her canonized in the queer community as a folk saint of Appalachia, a folk saint of queer allies, and a folk saint of the Appalachian queers just like me. 

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PHOTOS: SUNFESTIVAL

Annual dance party held amid weekend festivities in Rehoboth Beach

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A scene from the SUNFESTIVAL Night of Dance at the Rehoboth Beach Convention Center on Sept. 6. (Washington Blade photo by Daniel Truitt)

The annual CAMP Rehoboth fundraiser, SUNFESTIVAL, was held over Labor Day weekend in Rehoboth Beach, Del. The festival included a massive dance party at the Rehoboth Beach Convention Center on Sunday.

(Washington Blade photos by Daniel Truitt)

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