“you Have To Make Decisions Without Much Information And Data,” Mr.

Another adolescent said that clinicians glossed over their identity, calling it “ just a phase .” Hayden Wolff, who graduated from Tufts University in Massachusetts in 2021, started his medical transition at 18. He recalled a visit to his school’s clinic, where his electronic health records were outdated. “Here I am with a high fever, trying to get care, and I get misgendered in front of everyone else in the room,” Mr. Wolff said. Hayden Wolff, a Tufts University graduate now living in the Bay Area, recalled being misgendered by medical staff and treated like a “trans specimen” by one doctor.Credit...Anastasiia Sapon for The New York Times The review’s authors also noted that more research was needed on the long-term effects of gender-affirming treatments. When Mr. Wolff met with doctors in Boston, he was urged to hold off on hormones if he was worried about fertility. Doctors in California told him not to worry, even though they were not sure of longer-term outcomes. “You have to make decisions without much information and data,” Mr. Wolff said. He decided to freeze his updated blog post eggs. The doctor who saw him in Boston had never treated a transgender patient before and made Mr. Wolff feel like a “trans specimen,” he said. Nurses at the clinic asked Mr. Wolff invasive questions that were unrelated to the egg-freezing procedure. “Lab nurses would ask me if I was going to get my penis after this, which ultimately is none of their business,” he said. “If you’re a kid, you don’t feel like you have the power to say to someone, ‘You’re making me uncomfortable.’” Clinicians said that it would not take much to begin to improve the health care experience of young transgender patients. For instance, patients should be allowed to list their own name and gender before seeing a doctor. “This hit me the closest as a trans person who has received medical care, waiting for them to call my wrong name or waiting for them to address me as ‘mister,’” said Dr. Baer Karrington, a pediatric resident at Seattle Children’s. In the examination room, Dr.

https://www.nytimes.com/2021/09/28/science/transgender-health-care.html [Insurance]

Image: Lorde Behind the scenes of Lorde’s mini album in Māori, New Zealand’s indigenous language The Polynesian language was “knocking on the door of extinction” after British colonization, but in recent decades there’s been a movement to revitalize it. Lorde performs at the Corona Capital Music Festival in Mexico City, on Nov. 17, 2018.Claudio Cruz / AFP via Getty Images file Sept. 22, 2021, 7:19 PM UTC / Updated Sept. 22, 2021, 10:26 PM UTC In the song “Oceanic Feeling” from her new album, “Solar Power,” singer Lorde alludes to a jump into a lake at Bulli Point , a beloved swimming spot in her homeland of New Zealand: “When I hit that water/When it holds me/I think about my father/Doin’ the same thing/When he was a boy …” As an accompaniment to her latest work, Lorde — who became an international star with the smash hit “Royals” in 2013 at age 16 — has taken a different kind of leap: In homage to the history and landscape of her country, she recorded a set of songs in its indigenous language, Māori.  “Many things revealed themselves slowly to me while I was making this album, but the main realization by far visit your url was that much of my value system around caring for and listening to the natural world comes from traditional Māori principles. There’s a word for it in te reo: kaitiakitanga, meaning ‘guardianship or caregiving for the sky, sea and land’. I’m not Māori, but all New Zealanders grow up with elements of this worldview,” Lorde, 24, wrote in a Sept. 9 email announcing the record.  “I know I’m someone who represents New Zealand globally in a way, and in making an album about where I’m from, it was important to me to be able to say: this makes us who we are down here.” A team knowledgeable in Māori language and culture assisted in reworking five songs from “Solar Power,” the third album by Lorde, whose real name is Ella Yelich-O’Connor. She released the set of Māori songs as “Te Ao Mārama,” or “World of Light.” Among those who helped Lorde make it happen: Performer/producer Dame Hinewehi Mohi , who created shock waves when she performed New Zealand’s national anthem in Māori, not English , at the 1999 Rugby World Cup. Bringing the language to the world stage in that way was a big deal — and a far cry from the lived experience of Mohi’s family and that of other Māori, a population that still struggles with a colonial history that resulted in the loss of land, language and identity.  “I didn’t learn Māori growing up until I was 10,” Mohi told NBC Asian America. “My grandparents were disciplined and were not allowed to speak Māori at school ... They would get strapped, caned; they would have their mouths washed out with soap.” The collaboration with Lorde became another big milestone in an ongoing mission: By the time she joined forces with the Grammy winner , Mohi had already worked with some of New Zealand’s top stars on rerecording their hits in Māori to celebrate and revitalize the language.  Once Lorde committed to the Māori recordings, Mohi said, “She threw herself into it fully. And we involved expert language consultants to support her in the translation process because it’s not a literal translation that you hear.” It’s an interpretation that “reflects the Māori worldview” and is “also something that we see as a powerful platform for the language, to share with the world.” Hēmi Kelly , a lecturer in Māori language at Auckland University of Technology, who worked with Lorde on reimagining her music, said the translations were particularly challenging from both a technical and a creative perspective.  “In Lorde’s song ‘Solar Power,’ [ she] has a line there where she says, ‘And I throw my cellular device in the water...’ if I was to translate that literally into Māori, it would just sound silly,” he said. The Māori line ultimately came out more akin to “I throw all my worries away” — different phrasing, but evoking the sense of what Lorde wanted to convey.   Kelly recalled that in the same title track, Lorde refers to herself as “kinda like a prettier Jesus.”  “Christianity is not foreign here within the Māori world, but we have our own belief systems as well,” Kelly said. To align it with a Māori sensibility, he said that he instead used the lyrics “My likeness is that of Hinemoana ,” the ocean maiden. “Rather than referring to the Christian narrative, I refer back to our own religious narratives.” New Zealand’s ethnic Māori population was about 855,000 of a total of 5.1 million people at the end of 2020, according to government estimates. The current drive to stay true to the richness of the language — and elevate it for speakers, nonspeakers and those in between — is rooted in its historical suppression in New Zealand (or, as it’s called in Māori, Aotearoa ).


Evangelista was promised a more contoured appearance; instead, the target fat cells actually increased in number and size and formed hard, bulging masses under her skin,” it said. According to CoolSculpting, its procedure has been cleared by the Food and Drug Administration for the treatment of visible fat bulges. In response to questions, the F.D.A. said in an email that it could not comment on litigation, but that it was “committed to ensuring medical devices are safe and effective and that patients can be fully informed when making personal health decisions.” It said that it monitors reports from consumers of adverse events after a device reaches the market and would “take action where appropriate.” Cryolipolysis, the name of the nonsurgical fat-freezing procedure, uses cold temperature to break down fat cells, according to the American Society of Plastic Surgeons. It is mostly used by patients who want to reduce a specific fat bulge that they have been unable to diminish through other means. Generally, the area of concern is “vacuumed” into the hollow of an applicator, where it is subjected to cold temperature. The surgeons’ society said the complication rate was low, with less than 1 percent of patients who may develop paradoxical fat hyperplasia, which is an unexpected increase in the number of fat cells. The side effect is more common in men than in women, the society said. Ms.