LGBT people in rural areas struggle to find good medical care

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The Heartland Project via CNN
By Jonathan Winston Jones
March 5, 2015

Omaha, Nebraska (the Heartland Project)When Ryan Sallans, an activist in the Nebraska transgender community, first went to the doctor in 2005 to talk about what he medically needed to do for his gender transition, his doctor wanted to offer medical help. That was the good news.

The disconcerting news was the doctor had to Google the issue first to figure out the best medical advice.

“My provider just did a Web search to figure out what dose of hormones I should be on, and put me on the highest dose,” Sallans said. That could have been a dangerous choice. “Starting too high of a dose too quickly can cause a lot of health problems, particularly to cardiovascular health.”

Fortunately, Sallans didn’t have any health complications.

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