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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.

ā€œShreveport is a level one trauma center similar to Baltimore,ā€ said Pham who uses singular they pronouns. ā€œThe hospital was fairly busy before COVID [but the pandemic] added another layer of stress and anxiety.ā€

Adding to Phamā€™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.

ā€œI get misgendered all the time,ā€ Pham said before describing a usual day when they arrive at the hospital around 8 a.m. ā€œMostly by patients coming in and some coworkers. But Iā€™m here to treat the patients and not educate them because theyā€™re in a crisis right now and need to be treated and admitted to the hospital.ā€

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 Edwardsā€™ (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.

ā€œThe case of healthcare workers helps illustrate why it is in everyoneā€™s interest that people are able to work regardless of factors that have nothing to do with their ability to do the job,ā€ said Jon Davidson, Freedom for All Americans Chief Counsel. He is also an LGBTQ attorney who attended the Supreme Court arguments on this issue. ā€œI hope the court sees this is not just important to the employees affected, but for society as a whole.ā€

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 ā€œon the basis of sexā€ includes sexual orientation and gender identity wonā€™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.

ā€œWe need every healthcare worker possible saving lives,ā€ Davidson emphasized. ā€œSo 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 youā€™re afraid your employer might find out and you might be fired, thatā€™s unacceptable.ā€

He added it was ā€œjust outrageous and cruelā€ 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 ā€œincredibly stressful,ā€ he has not faced the added stress of having to conceal his orientation.

ā€œWhen Iā€™m not working, I am sheltering in place at home with my husband,ā€ Nass said. ā€œA police officer in Los Angeles who is also on the front lines of the pandemic.ā€

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.

ā€œItā€™s spring,ā€ Pham said. ā€œAnd we are appreciating nature and the flowers blooming and a time to slow down.ā€

But the rest period doesnā€™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.

ā€œI park in a parking lot that is gated using my badge,ā€ Pham said. ā€œThere 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.ā€

ā€œEveryone feels a little more distant than usual,ā€ agrees Nass in less constrained cadence when discussing his own routine, which begins at 6:30 a.m. ā€œAnd Iā€™ve worked on speaking more with my eyes now that no one can see me smile under the constant masks.ā€

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 workerā€™s questions and get their temperature checked. When they pass the checkpoint, they get a sticker on their badge.

ā€œDifferent colors for different days,ā€ Pham explains. ā€œBefore I even get to my office, I usually swing by the ground floor and pick up my N95 mask and face shield, if Iā€™m seeing COVID patients.ā€

But Pham admits itā€™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 ā€” 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 Phamā€™s, who works in a larger hospital and more closely with COVID patients.

ā€œI stop at the front desk of the hospital to get an ear-loop mask,ā€ Nass explains. ā€œNot the most protective kind, but those are kept even more securely in particular patient areas.ā€

Nass notes ā€œon administrative daysā€ he doesnā€™t usually see much of anyone as access into the office space has been limited to reduce the risk of spreading the virus.

ā€œI am not assigned to take care of confirmed COVID-19 patients in one of the two units weā€™ve designated for that,ā€ he said. ā€œBut we have started to treat every patient, and each other, as though we may be carrying the virus.ā€

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.

Kellyā€™s sister, Marya Patrice Sherron, told BuzzFeed News of a homophobic comment posted to a GoFundMe page set up to help with funeral expenses.

ā€œIt was a very, very, very hateful and insensitive comment suggesting that [his death] didnā€™t matter because he was a gay male.ā€

Pham faces similar insensitivity from nonbinary erasure even as they struggle to save lives during the crisis.

Phamā€™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 werenā€™t certain who was infected and who wasnā€™t. Now, with better testing, the turnaround has been 24 hours or less.

ā€œWe know definitively if they are positive or negative faster, instead of just suspecting that they are,ā€ Pham said. ā€œIt helps us triage better.ā€

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.

ā€œWe stress the importance of social distancing because you donā€™t know who could test COVID positive and they could be spreading it around unknowingly,ā€ 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 ā€œThe Magiciansā€ or ā€œSchittā€™s Creek.ā€

ā€œSometimes I eat dinner,ā€ he said in a rare consideration of his own health.

ā€œLGBTQ healthcare workers are stepping up to save lives in this crisis,ā€ said Hector Vargas, the executive director of GLMA: Health Professionals Advancing LGBTQ Equality, an LGBTQ medical professionals advocacy organization. ā€œItā€™s long past time we step up for them to make sure theyā€™re protected under the eyes of the law.ā€

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

PHOTOS: Taste of Point

Annual fundraiser held for LGBTQ youth scholarship, mentorship organization

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Taste of Point DC (Washington Blade photo by Michael Key)

The Point Foundation held its annual Taste of Point fundraiser at Room & Board on May 2.

(Washington Blade photos by Michael Key)

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Theater

Miss Kitty tackles classical mythology in ā€˜Metamorphosesā€™

Folger production seen through the lens of the African diaspora

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Miss Kitty (Photo by Sarah Laughland Photography)

ā€˜Metamorphosesā€™
May 7-June 16
Folger Theatre
201 East Capitol St., S.E.
$20-$84
Folger.edu

Miss Kittyā€™s words are thoughtful and measured, occasionally punctuated by flamboyant flourishes and uplifting proclamations. Her tried and tested tagline is ā€œlive in fierce not fear.ā€Ā 

She describes herself as ā€œAMAB (assigned male at birth), nonbinary, genderqueer, transfemmeā€ as well as ā€œchanteuse, noble blacktress, and dancer.ā€ 

Currently, Miss Kitty is testing her talents in Mary Zimmermanā€™s ā€œMetamorphosesā€ at Folger Theatre on Capitol Hill. 

At 90 minutes, ā€œMetamorphoses,ā€ is made up of interwoven vignettes from classical mythology including the tales of Midas and his daughter, Alcyone and Ceyx, and Eros and Psyche. 

ā€œItā€™s all stories that relate to the human condition: the follies, the happiness, the love, the loss,ā€ Miss Kitty explains. ā€œAnd a thorough knowledge of mythology isnā€™t a requirement for enjoyment.ā€ 

The language is contemporary and with its 11-person ensemble cast ā€“ comprised exclusively of Black or indigenous people of color ā€“ theyā€™re adding their own spin to its present-day feel, she adds. 

In Zimmermanā€™s famously staged premiere production, the actors performed in and around a pool of water. At Folger, director Psalmayene 24 has ditched actual aquatics; instead, he suggests the element by introducing Water Nymph, a new character constructed around Miss Kitty. 

Water Nymph doesnā€™t speak, but sheā€™s very visible from the opening number and throughout the play on stage and popping up in unexpected places around the venue. 

ā€œItā€™s a lot of dancing; I havenā€™t danced the way Tony Thomas is choreographing me in a very long time. At 40, can she still make theater with just my body as her instrument?

The name ā€œMiss Kittyā€ was born over a decade ago. 

Miss Kitty recalls, ā€œShe was still presenting as male and going by her dead name. Someone commented that with the wig she was wearing for a part, she looked like Eartha Kitt whom she deeply admires.ā€

Her penchant for illeism (referring to oneself in third person) isnā€™t without good reason. She explains, ā€œItā€™s to reiterate that however she might look, sheā€™s always there; and if you misgender, she will let you know.ā€

Initially, the moniker was a drag persona at Capital Pride or the occasional fabulous cabaret performance at a nightclub.

But as time passed, she realized that Miss Kitty was something she couldnā€™t take off. She had always been a part of her. 

ā€œSheā€™s helped me to grow and flourish; sheā€™s given me the strength that I never would have had before. Iā€™m so proud of myself for realizing that before it was too late.ā€ 

Bringing Miss Kitty into her theatrical career presented some concerns. Would theater folks be open to the new her, especially those sheā€™d worked with before? 

Not always, but sheā€™s found new companies whoā€™ve welcomed Miss Kitty with open arms including Avant Bard, Spooky Action Theater, and now Folger. 

Last fall, Miss Kitty appeared in Spooky Actionā€™s Agreste (Drylands), a stunning queer story penned by gay Brazilian playwright Newton Moreno. 

After being invited to audition and reading the script, Miss Kitty was determined to be a part of the production. 

A work dealing with love and being trans, and transphobia, and how people can turn on a dime once they learn the truth about someone, resonated deeply with the actor. 

ā€œThe play speaks to the idea that if people just let people be who they are and love who they want to love weā€™d all be a lot happier,ā€ she says. 

For her sublime efforts, Miss Kitty nabbed a Helen Hayes Award nomination in the Outstanding Lead Performer category (winner to be determined on Monday, May 20 during a ceremony at The Anthem). 

Itā€™s her first time nominated and first time attending. Sheā€™s thrilled. 

Miss Kitty grew up in Oxen Hill, Md., and now lives near Washington Harbor. Her entry into performance was through music followed by high school plays. She graduated from Catholic University with a degree in music/concentration in musical theater, and from there dove directly into showbiz. 

Looking back, Miss Kitty says, ā€œbeing a person of color AND queer can be a double whammy of difficulty. You have to live in light and do the things youā€™re afraid to do. Thatā€™s the game changer.ā€ 

Presenting ā€œMetamorphosesā€ through the lens of the African diaspora (the cast also includes Jon Hudson Odom and Billie Krishawn, among others) helps us to realize that every story can be universal, especially for marginalized people ā€” South Asian, Native American, or fully queer perspectives, she says.  

ā€œHaving an all-Black ensemble opens all new worlds for everyone.ā€

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Travel

Pride journey: Las Vegas

Start planning now for the October celebrations

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Las Vegas (Photo courtesy of Joey Amato)

Las Vegas, known for its vibrant and inclusive atmosphere, embraces LGBTQ culture with open arms, making it a thriving hub for the community. Iconic events like the annual Las Vegas Pride Parade and Festival bring together people from all walks of life to celebrate diversity and unity. The 2024 Las Vegas Pride festival is scheduled for Oct. 12, so start planning now.

The city’s commitment to inclusivity is reflected in the diverse range of LGBTQ-friendly accommodations, ensuring that visitors feel welcome and respected. Beyond the nightlife, Las Vegas hosts a variety of LGBTQ-focused community organizations, support groups, and cultural events that contribute to the rich tapestry of the city’s inclusive ethos. Whether exploring the famous entertainment offerings or participating in community-driven initiatives, LGBTQ individuals and allies alike find a warm and accepting home in the vibrant tapestry of LGBTQ culture in Las Vegas.

Ever since I was young, I have always wanted to stay at Bellagio. Its iconic foundations have fascinated me for decades. The hotel stands as an epitome of luxury and sophistication, offering an unparalleled experience that seamlessly blends opulence, entertainment, and fine dining. From the moment you step into the grand lobby, it’s evident that Bellagio is committed to providing a world-class stay, especially when you glance at the ceiling adorned with Chihuly glass sculptures.

I stayed in a recently renovated room in the Spa Tower with an unobstructed view of the Vegas Strip and the fountains. The attention to detail is evident in the tasteful decor, plush furnishings, and modern amenities. Beginning at 3 p.m. on weekdays and noon on weekends, the choreographed water show set against the backdrop of the Las Vegas Strip is a mesmerizing display of artistry, combining music, light, and water in perfect harmony. It sets the tone for the exquisite experiences that await within Bellagio.

Bellagio is also home to the famous Conservatory and Botanical Gardens, a lush oasis that undergoes seasonal transformations, displaying stunning floral displays and thematic installations. This botanical escape provides a serene contrast to the lively atmosphere of the casino and the bustling Strip. During our stay, the staff were completing the new springtime exhibition, which gave us Alice in Wonderland vibes. 

For those seeking entertainment, Bellagio offers the spectacular “O” by Cirque du Soleil, a water-themed extravaganza that complements the hotel’s overall theme. Bellagio Gallery of Fine Art is another cultural gem within the hotel, featuring rotating exhibitions that display masterpieces from around the world.

Although it is possible to never leave the hotel, we wanted to experience other MGM Resorts properties, so we headed to LPM at the Cosmopolitan of Las Vegas for dinner. LPM offers an exquisite dining experience that effortlessly marries Mediterranean charm with the vibrant energy of the Strip. From the moment you step through the entrance, you are greeted by an ambiance that strikes a perfect balance between sophistication and conviviality.

LPM’s interior is a visual feast, adorned with chic decor, warm lighting, and an intimate atmosphere. The combination of contemporary design elements and classic French accents creates a welcoming space that feels both elegant and comfortable. Whether you’re celebrating a special occasion or seeking a romantic dinner, LPM’s ambiance sets the stage for an unforgettable dining experience.

LPM’s menu is a culinary triumph, highlighting the rich and diverse flavors of the French Riviera. The emphasis on fresh, high-quality ingredients is evident in every dish. We began our meal with a variety of appetizers, including the Yellowtail Carpaccio, Escargots, and their signature Burrata prepared with heritage tomatoes and basil and topped with white truffles. For our main courses, we decided to focus on seafood entrees, so we tried the Lobster Risotto and grilled Chilean Bass. Both were prepared to perfection and paired very well together if you are looking to share entrees.

Of course, one of the biggest attractions of Las Vegas is the Strip itself. Spend a few hours meandering through each hotel and taking in the Vegas vibe. There is no other place in the world quite like it.

If you are in the mood for a little adventure, head to Area15, located about 10 minutes from the strip. Area15 is an immersive entertainment complex that blends art, technology, and entertainment in a unique and captivating way. Boasting an otherworldly exterior and a dynamic interior, Area15 is home to a variety of innovative experiences, including interactive art installations and virtual reality adventures. Its anchor tenant, the Meow Wolf’s Omega Mart, is a surreal supermarket-like environment filled with mind-bending art and hidden mysteries. The venue also hosts concerts and live events including Beyond Brunch, a variety show hosted by drag queen extraordinaire Andrew Ryan. The two-hour spectacle includes a wonderful buffet and performances by talented acts ranging from hoop dancers to Cirque-style entertainers. The show is well worth the price of admission; it is not your typical drag brunch.

Spend the afternoon touring Area15 or head to The Sphere, Las Vegasā€™s newest concert venue. Rock icons U2 opened the venue with a 40-night run, but guests can purchase tickets to Darren Aronofsky’s multi-sensory film ā€œPostcard from Earth.ā€

For a trip down memory lane, especially if you are in you were born in the ā€˜70s or ā€˜80s, check out Retro by Voltaggio at Mandalay Bay. The restaurant owned by Top Chef stars, Bryan and Michael Voltaggio, takes diners on a nostalgic journey through time, blending modern culinary techniques with comforting flavors reminiscent of classic American dishes set in a retro-chic environment. The space is adorned with quirky memorabilia, neon accents, and a colorful palette that captures a sense of nostalgia without feeling overly kitschy, creating a welcoming environment for diners to unwind and enjoy the culinary adventure.

Retro by Voltaggio’s menu is a playful exploration of classic American favorites. We started our dinner with the deviled eggs with smoked trout roe along with the beet steak tartare, which was incredible. Next came the bluefin tuna ceviche served over coconut crushed ice. For our entrees we tried the trout meuniere, which was served in a lemon and caper sauce, as well as the lobster thermidor with lobster waffles ā€” yes, you read that correctly. It was as delicious as it sounds.

Save room for the dessert cart, which contains innovative creations that satisfy the sweet tooth. Whether you’re a fan of nostalgic flavors or simply seeking a unique and enjoyable meal, Retro by Voltaggio is worth the visit.

After dinner, catch a performance of Michael Jackson ā€œONEā€ by Cirque du Soleil also at Mandalay Bay. The show is a captivating tribute to the King of Pop that seamlessly blends the magic of Cirque du Soleil with the timeless music and iconic choreography of Michael Jackson. From the moment the lights dim to the final bow, the show is a high-energy, emotionally charged celebration of the legendary entertainer’s life and legacy. This isnā€™t your typical Cirque du Soleil show and is more like a concert featuring all of Michaelā€™s greatest hits, memorable dance moves, and state-of-the-art production. I felt like ā€œONEā€ is the type of concert Michael would have wanted to perform if he were still with us.

The thing I like most about Vegas is it is always evolving. Every time you visit, there is something new to see or do. Viva Las Vegas!

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