Connect with us

Opinions

My visit to Inova hospital marred by binary intake form

‘M’ or ‘F’ excludes trans, non-binary patients from affirming care

Published

on

When Inova opened its Pride Clinic in Falls Church last year, an official hailed the new center as an inclusive space where LGBTQ+ patients would be welcomed at the door with the questions, “What are your pronouns? How do you prefer to be addressed?”

But that was not at all my experience when I visited the emergency room of an Inova hospital just a few miles away.

At Inova Alexandria Hospital, intake forms listed only two boxes — M or F — for me to be able to disclose my gender. I did not know how to answer. I am transgender. I am non-binary.

On forms and in life, it is very hard when you can’t find a box that fits you to be able to say who you are. I know this from hard experience.

So I took the intake form to the hospital intake employee who had asked me to fill it out. I pointed to the “X” marker on my gender on my driver’s license.

“The DMV has a box for me to say who I am, but Inova doesn’t,” I said.

The employee was empathetic, but told me she doesn’t make the forms and that I could refuse to answer the question. The point is, I want to be able to answer. I want to be able to say who I am. But the forms did not let me.

“If folks can’t get in the door and be called their proper name and proper pronouns and get their information collected, it doesn’t surprise me they’d be reluctant to come in the door and it doesn’t surprise me that disparities exist,” Alex Waad, health equity manager in ChristianaCare’s Office of Health Equity in Delaware, said in a telephone interview.

Waad, who could not comment on the practices of Inova or other hospitals, was part of a team of researchers at ChristianaCare and the University of Delaware who published a study after surveying dozens of hospital registrars about how they seek and record information on gender.

The researchers found, in some cases, electronic healthcare record systems just did not allow for reporting on nonbinary patients. That affects thousands of would-be patients. According to the Virginia Mercury, more than 5,000 Virginians have recorded their gender marker as nonbinary with the DMV since a 2020 law allowed the designation.

Despite large, unwieldy electronic health systems, change is possible. In January, after all, the nation’s largest healthcare provider, the Department of Veterans Affairs, announced its own medical record system would change to include transgender options for gender.

“All veterans, all people, have a basic right to be identified as they define themselves,” VA Secretary Denis McDonough said at the time. “This is essential for their general well-being and overall health.”

Luckily, my bicycling accident left me scraped and sore but without any broken bones. The clinical care I received at Inova was prompt and professional. Still, a few days later, I told hospital officials about my concerns.

“Your forms have only a male and female box and solicit no information at all to indicate preferred pronouns or any trans existence at all,” I wrote in an email. “I understand it can be important from a clinical perspective to understand somebody’s (assigned) gender at birth, but it’s equally important to understand the entirety of somebody’s identity and experience.”

This goes far beyond hurt feelings. It’s about respect and accuracy. What’s more, after this sort of experience, the next time a trans person has to decide whether they will go to the hospital, they might opt to stay home instead, at a time when they could need critical and life saving care. 

In response to my inquiry, a hospital spokeswoman said Inova would, indeed, be updating its forms and training across its system. More than 2 million patients visit Inova’s hospitals, primary and specialty care practices and other medical offices each year.

“We strive to provide a welcoming and safe environment for all of our patients from the moment they walk through the doors,” Inova spokeswoman Tracy Connell wrote in an email.

Connell also said the nonprofit health system had updated its patient electronic medical records (EMR) back in 2020 to let patients note their affirming gender identity, along with pronouns, legal sex, sex assigned at birth and other inclusive values.

However, she added, “unfortunately, our paper forms do not yet align with our EMR.”

This news of updated, inclusive forms is welcome, if belated.

I asked Connell to send me a copy of any new intake forms, and I’ll be sure to follow up when that happens.

In the meantime, slow down motorists and keep a watchful eye for bicyclists, because I’m not looking to return to the ER anytime soon.

A former newspaper reporter, Jamie McElhatton is a private investigator and organic grocery store worker. They live in Alexandria, Va.

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

Opinions

Matthew Rosenstein in ‘Make Me French’ a hit at Clear Space Theatre

‘A bagel who dreamed of being a croissant’

Published

on

(Photo by Peter Rosenstein)

Clear Space Theatre Company was founded in 2004 and has become a huge success in Rehoboth Beach, Del. They present performances all year long, and always have a great summer season when the town grows by the thousands. Not only do they have some great main productions this year, “The Cher Show,” “Pretty Woman,” and “Mean Girls,” but they also have a strong series of cabaret performances. 

Matthew Rosenstein’s show, “Make Me French!” was part of that series. While I haven’t seen them all, it will be hard to beat his show. He is a superb storyteller and singer. He blends his real-life experiences, with music from different genres, including showtunes and French disco. Some of the songs he uses to tell his story include: “Belle / Go the Distance” (Menken/Ashman; Menken/Zippel), “Ahh, Paree/Les prénoms de Paris” (Sondheim; Brel); and “Hymne à L’Amour” (Marguerite Monnot/Edith Piaf/Hiroyuki Takei/Fumiaki Uemura). 

He has a way of making you feel part of his life story. The show is directed and co-authored by cabaret icon Robbie Rozelle, and it features music direction and arrangements by the incredibly talented Michael Cuschieri, who also plays the piano. The backup band included, Jim McGiffin on bass; Joshua Getka on drums; and Jessica Brams-Miller who sings backup and banters with Matthew, in a wonderful French accent. They are all immensely talented. 

The blurb I received from Clear Space said about the show: “A bagel who dreamed of being a croissant, young Matt Rosenstein longed for a life that was far more sophisticated, and interesting, than his own as a suburban New Jersey teenager in the 1990s. His one prayer? “Make Me French!” Matt was determined to not just learn French but to be as French as possible.” Matt went so far as to call Air France from pay phones as a youngster, just to practice speaking with a real French person. 

He eventually got the chance to move to Paris to fulfill his dream, and learned some hilarious lessons along the way. Matt shares what he’s learned about what he calls our most ‘misunderstood’ ally. The stories and songs are about: Why do French people not get fat? Are they rude? And do they hate Americans? He talks, and sings about these things in a wonderfully humorous way. You get caught up in the stories and then realize not only is Matt a great story teller, but he has a really strong voice. He generally stays away from politics in the show but does suggest he left the United States when George W. Bush became president, and returned when Obama was elected. He didn’t actually say what he wants to do today, but the audience did get the idea. 

After living in Paris, he came back to the U.S. and had what he calls, ‘a second awakening.’ He worked with a vocal coach, met and became friends with many in the theater world and did his first show, “A Pleasure to Have in Class,” which is stories and songs about his life as a people-pleaser, from childhood to his gay divorce. This second show he shared with the public for the first time in 2023 at The Green Room 42. 

Matt told Broadway World, “to do a one-man show, you first have to have the confidence you have a story to tell, that you have something to share with people. Not just something that you want to say, but something relatable that will connect with the audience. And then you have to work with a good team. You need a director that can help you shape an arc out of the story and make sure that it’s not just therapy on stage. So having a good team, making the right musical choices, making sure that you’re not coming from too self-centered of a place, has been key for me.” Matt followed all that advice well, and the result is the wonderful “Make Me French.”

This is the first show Matt has done outside of New York. I hope for audiences it won’t be the last. The world awaits this talented performer. You can follow Matt on Instagram and on his website, showtunesmatt.com. The Clear Space cabaret series continues all summer; visit clearspacetheatre.org for tickets.

Now the disclaimer: I am not related to Matthew Rosenstein, and this is an unbiased review. It would be nice to be related to such a talented guy, but we have found no indication we share any relatives at all. I first met Matthew after his show at Clear Space Theatre in Rehoboth Beach. 


Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

Continue Reading

Germany

We must not scapegoat refugees after Berlin Pride terrorist attack

‘LGBTI people must not be instrumentalized to spread hatred against others.’

Published

on

A memorial near the Brandenberg Gate in Berlin on July 27, 2026. (Courtesy photo)

On Saturday, during Berlin’s Christopher Street Day, one of Europe’s biggest LGBTQ Pride events, a 21-year-old religious extremist drove a van into the crowd and then used a knife to stab multiple people. One person died and 29 others were injured.

When I saw this news on social media, I sincerely felt scared, and not because one more bigot used his religion to justify violence against people like me. It has, unfortunately, happened too often. Despite being happy to see the overwhelming support for the queer community and the condemnation of terrorism, I was terrified by the wave of Islamophobic and anti-immigrant statements that came even from “left” and “progressive” people who should know better, who generally support refugees, who know that all people are equal, and that you shouldn’t treat others as less human because of their religion.

In 2020, a Russian MP threatened to start a criminal case against me after I interviewed Muslim women about why they called themselves feminists and wrote about my own relationship with feminism and Islam, mentioning that I was following events in Syria and had read some academic books on the Islamic State. Surprisingly, the MP claimed that I was recruiting women to ISIS by using feminist ideas, which, of course, was absolutely ridiculous for many reasons, including the fact that I was an openly nonbinary transgender person. But some media outlets and queer people online, including those who called themselves progressive, refused to support me or believed the lie. This is what an anti-extremist witchhunt looks like. If I had been in Russia, and not in the UK, I probably would have been in prison.

It is extremely important to oppose extremism by knowing the actual facts about terrorist groups and not starting a moral panic.

Here are four examples of what media coverage and queer people online often misunderstand about the events in Berlin, and why it’s important.

1. Islam is not the problem

Despite a common misunderstanding, this terrorist act wasn’t even about Islam. 

Islam, just like Christianity and Judaism, has a variety of views on LGBTQ rights, from affirmative to condemning. I think everyone in the American Bible Belt has met Christian fundamentalists who praised violence against LGBTQ people or used violence against their own queer children, so it is a universal problem. But the thing is Abdul Ballout was not an ordinary conservative Muslim. He was known for wanting to join ISIS. It is an apocalyptic cult that teaches that we are living in the last era, so they are trying to re-create the caliphate that they believe should be restored before Doomsday. 

Most of the Muslim people I know, including conservative Salafi Muslims, see the group as dangerous criminals, or don’t see the group as a Muslim group at all. The vast majority of ISIS victims are not Western people or queer people, but cisgender heterosexual Muslims in the Middle East and Africa who the group considers to be infidels. ISIS is widely condemned by Muslim communities and scholars, and blaming Islam for the actions of cult members is like blaming Christianity and all Christians — or even all Christian fundamentalists — for the actions of Branch Davidians members or for the mass murder-suicide committed by members of the People’s Temple.

2. Refugees are not the problem — and Germany is not a safe haven for refugees

First, the attacker was a German citizen. But the media continue to blame migration. Germany is seen as a safe haven for refugees and asylum seekers in the U.S., the UK and beyond. But the time when Germany was safe is long gone. For refugees from Russia between 2022 and 2025 alone, around 90 percent of refugee claims have been refused by Germany, including the claims of political prisoners. The situation for non-White Muslim refugees is even worse, especially in regions such as Bavaria.

I have personal experience working with some refugees in Germany who are also Muslim. The way the migration service mistreated them is beyond anything I saw while working with refugees and being a refugee in the UK. I saw cases in Germany where an asylum seeker’s family was threatened back home because of social media posts the asylum seeker had made, or where a person was detained and sent back to their homeland despite having a history of persecution and torture by the government. Very often, when a person is taken by the immigration service, their loved ones don’t know where they are. Queer refugees also report homophobic and transphobic attitudes in the system.

The narrative that Germany is too generous to refugees was created by the far right and has little to do with reality, and it harms actual refugees, including queer refugees, by silencing their voices.

3. There is no collective responsibility

It is an extremely old and dangerous idea.

Just as all gay men shouldn’t be blamed for what the American serial killer Jeffrey Dahmer did just because he was gay; we shouldn’t blame all Muslims, all people of Middle Eastern origin, or any other large demographic group for the crime of one terrorist. Even if the terrorist had been a refugee and a Muslim, it shouldn’t actually matter, because under the law in any modern non-authoritarian country, an individual shouldn’t be held responsible for the actions of their social group.

After all, when a white, Christian, cisgender, heterosexual, neurotypical person commits a crime, it is almost always seen as an individual’s fault. Why is it different for marginalized groups? The idea of collective responsibility harmed the gay community for decades and is harming the trans community right now, for example after Charlie Kirk’s murder. The best thing we can do is stop this narrative, because it will be used against us.

The only reason I explained about ISIS and the refugee experience in Germany is to show how far from reality the popular accusations are.

4. Witch-hunts and scapegoating serve the far-right agenda and are extremely anti-queer

From my own experience, as an openly trans person speaking against Islamophobia, sexism and queerphobia who was accused of supporting the cult that kills queer people, promotes the sexual exploitation of women and sees the majority of Muslims as legitimate targets, I can say for sure that moral panic can go wild.

People who remember the Satanic Panic of the 1980s, or even the attacks on Muslim communities after Sept. 11, should know this.

Now even queer people are attacking refugees and Muslim communities online while the German government is introducing more draconian measures against those groups.

ILGA-Europe, the biggest LGBTQ organization in Europe, made a statement warning against any attempt to weaponize the attack. 

“This tragedy must not be used to fuel hatred against migrants, foreigners or Muslim communities. We reject any attempt by anti-democratic actors to exploit what happened to divide communities, scapegoat minorities or turn one group against another,” Chaber, the group’s executive director, said. “LGBTI people must not be instrumentalized to spread hatred against others, nor should the existence of racism, Islamophobia or anti-migrant hatred be used to minimize the threats faced by LGBTI people. The rights, safety, and dignity of all people must be defended.”

People who live at the intersection of multiple marginalized identities — LGBTQ Muslims, LGBTQ people of color and LGBTQ refugees — will probably suffer the most from this moral panic. Moreover, these are the same political groups that target refugees, Muslim communities and queer people. If this hatred isn’t stopped now, everyone is potentially at risk. 

Condemning terrorism is important, but it is no less important to stop creating more victims.

Continue Reading

Opinions

Pentagon says hormones make trans troops unfit but gives them to men

A man who needs a screening program to feel like a warrior is telling on himself

Published

on

(Photo by bernardchantal/Bigstock)

Last week, the Secretary of Defense posted a video to announce what he called the “High-T Department of War.” In it, Pete Hegseth ordered annual testosterone screening for every service member over 30 and offered testosterone therapy to those who want it, all in the name of keeping American warriors, in his words, on the “leading edge of lethality.” A hormone, he explained, is part of “the biological foundation required to sustain the fight.”

I have spent years writing about masculinity, so I know a performance when I see one. But this one is different, because at the exact moment Hegseth is prescribing testosterone to the men, his department is throwing other Americans out of uniform for taking it.

Here is the contradiction, and I promise I am not the one straining to find it. Since early 2025, the administration has worked to remove transgender troops from the military. One of its stated reasons, laid out in the executive order and in the government’s own court filings, is that these service members require ongoing medical treatment the military cannot easily sustain. Hormone therapy, the argument goes, means cost, monitoring, lab work, and stretches of non-deployability. A soldier who needs a standing prescription, the logic runs, is a burden the force cannot carry.

Then the same department launched a program to put a standing hormone prescription in the pocket of any man over 30 who wants one.

You do not have to take my word for the hypocrisy. A federal judge has already put it on the record. Last Wednesday, in the case challenging the transgender ban, Judge Ana Reyes took formal notice of the new testosterone program and ordered the government to explain how the very same class of treatment can be readiness-enhancing for one group of troops and disqualifying for another. It is the question at the center of the case now. Reyes has been skeptical of the medical argument from the start. Last year she pointed out that the military spent roughly $41 million on Viagra in a single year, and called transgender care, by comparison, “not even a rounding error.”

That is the tell. It was never really about the medicine. Testosterone is testosterone. The prescriptions, the monitoring, the lab work, the deployability questions are identical whether the person filling the vial is a trans man or a cisgender colonel chasing his youth. The only thing that changes is who is holding it. When the man taking the hormone fits the picture of a warrior, the treatment becomes “lethality.” When the man taking it is transgender, the identical treatment becomes a fatal risk to readiness. The medicine did not change. The identity did.

I want to be fair, because the argument only works if it is honest. The government has other claims in the case that a court has not yet resolved, about surgeries, about facilities, about unit cohesion, and it insists that cisgender men on testosterone and transgender men are simply “not similarly situated.” Those arguments can be debated on their merits. But the medical one, the claim that hormone therapy itself is too much for the military to manage, is the one Hegseth’s own policy just detonated. You cannot brand testosterone a warrior’s birthright on Monday and a disqualifying liability on Tuesday and expect a judge, or the rest of us, not to notice.

And notice what the whole spectacle is actually selling. A “Department of War” rebrand. A hormone reframed as a weapon. A Secretary who mocks “dudes in dresses” while rolling out mandatory bloodwork so the men can optimize their manhood by the milligram. This is not a medical policy. It is a theory of masculinity, the same tired one, that a man is a number on a lab report and a posture for the camera. It arrives, not coincidentally, as the administration moves to loosen testosterone prescribing across the country, turning manhood into a supplement you can top off.

I have known a lot of strong men. My father crossed an ocean as a laborer to build a life; the strongest men I was raised by never once measured themselves in a vial. Real strength was never a hormone level, and the men who most need to announce their lethality are, with remarkable consistency, the ones least sure of it.

The House declined last week to write the transgender ban into law, so it still rests on nothing sturdier than executive will and a medical excuse. That excuse just ran out of testosterone. A man who needs a screening program and a war-department rebrand to feel like a warrior is telling on himself. The rest of us should say so out loud.


Dimitrios Aletras is a queer, first-generation Greek-American writer and survivor-advocate, with work published in Salon, The Advocate, and the Reading Eagle.

Continue Reading

Popular