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Las Vegas doctor a trailblazer in gender-affirming surgery in Nevada

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Las Vegas doctor a trailblazer in gender-affirming surgery in Nevada


LAS VEGAS (KTNV) — Practically half of transgender adults have skilled mistreatment or discrimination within the healthcare system, in accordance with a research by the Middle for American Progress.

A trailblazer in healthcare desires to alter that in Nevada. Dr. John Brosious, a board licensed gender and reconstructive surgeon in Las Vegas, has grow to be the primary within the state to carry out gender-affirming genital surgical procedures.

Proper now, there are about 100 surgeons in the US who carry out gender-affirming genital surgical procedures in accordance with TransHealthCare.org. Most of them are close to Los Angeles, San Francisco or New York.

Till Dr. Brosious started his work in Las Vegas, there have been none in Nevada. That left trans sufferers in Nevada with out many choices.

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“A transgender particular person does not get up and resolve to be trans. They get up and resolve to be pleased or to deceive themselves,” mentioned Percival Chase, who says he realized he was transgender when he was 14 years outdated.

Chase underwent high surgical procedure when he was 20 years outdated in July of this yr. He scheduled the surgical procedure on his birthday, calling it a “rebirth.”

“I did not ever suppose it was potential to be this pleased. I can vividly bear in mind assuming that there was by no means going to be a time in my life the place I felt comfy wanting within the mirror and seeing myself,” mentioned Chase.

Dr. Brosious carried out Chase’s surgical procedure.

“Dr. Brosious treats me like I am a affected person attempting to get a difficulty solved, and never like I’m a freak.…and that is without doubt one of the most significant issues that may occur to a transgender particular person,” Chase mentioned.

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Dr. Brosious not too long ago opened Vegas Plastic Surgical procedure Institute (VPSI) together with his companion, Dr. Joshua Goldman.

He says trans sufferers aren’t all the time handled with care, and that’s a part of the explanation he began providing this specialty in our valley.

His first transgender affected person years in the past cried throughout their session.

“I believed for positive I had offended her ultimately. And so I apologized and mentioned, you recognize, what did I say? I am actually sorry. That is my first session with a trans affected person. And she or he mentioned, no, you did not offend me. These are tears of pleasure that you are the first physician that ever took me significantly and was prepared to do my surgical procedures in the entire metropolis,” mentioned Dr. Brosious. “That broke my coronary heart, really, you recognize, seeing that there is you recognize, there’s this entire whole neighborhood that well being care is simply sort of left behind.”

Dr Brosious says it didn’t take lengthy earlier than many sufferers from the transgender neighborhood arrived in search of chest surgical procedures, however there weren’t any docs, together with himself, who might carry out genital surgical procedure.

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To fill that want right here in Nevada, Dr. Brosious did years of analysis and noticed surgical procedures throughout the nation to check approach. He expanded his apply to incorporate the specialty in 2020.

“There is a lack of formal coaching as a result of it is a comparatively new space inside cosmetic surgery,” he added.

Coaching wasn’t the one hurdle. Dr. Brosious battled with insurance coverage firms to make sure surgical procedures are lined. He’s additionally needed to discover hospitals that may permit the genital process.

“Earlier than they provide a brand new service line like gender surgical procedure, they need to have a look at the historic information. Are these procedures going to make us cash or lose this cash?” Dr. Brosious mentioned.

There’s additionally wrap-around care wanted.

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Dr. Brosious has needed to discover docs to prescribe needed hormones and psychological well being professionals to do psychological evaluations earlier than surgical procedure.

“It mainly controls my entire life. You understand, these are main operations that I carry out, and I am the one one who is aware of learn how to do the surgical procedures and the one surgeon who is aware of learn how to deal with these issues,” Dr. Brosious.

All of these pricey obstacles, together with the data hole amongst physicians, explains why there are only a few surgeons doing gender-affirming surgical procedures.

There’s additionally backlash that may come from this line of labor. That’s one thing Dr. Brosious says he ignores.

“You possibly can most likely inform simply by taking a look at me, and I am not somebody who usually cares what folks take into consideration me. I am simply myself. And I do what I feel is correct,” Dr. Brosious mentioned.

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It’s that psychological groundwork that makes the world of distinction.

“Many of those sufferers are suicidal. They undergo from what’s referred to as gender dysphoria, and that is mainly the incongruence between their mind and their physique,” mentioned Dr. Brosious. “Irrespective of how laborious these operations are, irrespective of how tense it makes my life. I am saving lives.”

His life work helps sufferers like Chase really feel eager for the longer term.

“I do suppose that there’s a time that’s coming the place you possibly can simply go to the physician and say, I do know that I am trans. Are you able to assist me? And they’re going to simply say, sure,” mentioned Chase.

Dr. Brosious additionally trains resident physicians at UNLV, passing his data alongside to future generations.

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Dr. Goldman, who’s Dr. Brosious’ companion, additionally performs facial feminization surgical procedures amongst his different specialties.

Finally, they want to develop their work to incorporate phalloplasty for transgender males and wrap-around companies with psychological well being professionals, hormone docs and social advocates all below one roof.





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Can Nevada ride out Russ Vought? • Nevada Current

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Can Nevada ride out Russ Vought? • Nevada Current


The semi-celebrities and quacks (not that they’re mutually exclusive) get a lot of attention, but one recent appointment announced by Donald Trump is cause for even more concern, and especially for historically anti-government states like Nevada.

Trump on Friday named Russ Vought his director of the Office of Management and Budget.

Of all the Project 2025 authors, none is more eager to create chaos within and dismantle much of the federal bureaucracy than Vought

“We want the bureaucrats to be traumatically affected,” Vought has declared. “When they wake up in the morning, we want them to not want to go to work because they are increasingly viewed as the villains.”

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Minimizing the the federal workforce and traumatizing what’s left of it is Vought’s raison d’etre.

That might sound all “ooh, cool, that’ll teach ’em” — until the federal government can’t competently distribute grandma’s monthly Social Security benefit or process your federal income tax refund.

In Nevada, there are many dedicated state and local government employees who work hard to deliver a vast array of programs and services – from nutrition programs for low-income families to processing tax abatements for multi-billion-dollar corporations.

As in every state, those myriad programs and services and initiatives are contingent on federal money, or federal cooperation, or clarity and timeliness of federal rules and regulations.

And while there are many dedicated Nevadans working to provide and/or administer government programs and services the best they can, there are very rarely enough of them. Nevada can be very generous to big business. But when it comes to financing government, Nevada has always been a notoriously cheap state – bottom of the good lists, top of the bad lists, etc.

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Vought’s – and Trump’s – crusade against federal civil servants promises to wreak havoc on the delivery of programs and services in every state, red and blue alike.

All states will struggle to compensate for the carnage Vought vows to inflict on the United States civil service.

The states that will have the best fighting chance of safeguarding continued and competent delivery of vital services will be those with something approaching adequately funded and staffed state and local government. Nevada has never been one of those.

***

A pleasant (if short-lived) surprise. But back to the aforementioned quacks and semi-celebrities… it’s as if Trump has been deliberately debasing his own supporters, nominating obviously outlandish and offensive people to jobs they have no business being anywhere near, for the depraved satisfaction of watching his followers – both those who are elected and those within the electorate – obsequiously go along with whatever he says or does.

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Initially it looked as if Republican senators were prepared to surrender unconditionally, and  grovel in submission while Trump insults their intelligence and rubs their noses in it.

So their willingness to tell Trump to shove his nomination of Matt Gaetz you know where, is a fine thing.

So that’s on the bright side.

On the not so bright side… Yes, though it’s a low bar – subterranean, even – Pam Bondi, the person Trump has named to be AG instead of Gaetz, is far more competent than Gaetz. But she’s also no less loyal to Dear Leader, meaning she could be even worse for the nation and the rule of law than Gaetz. And not surprisingly – her being an extreme Trump loyalist and all – she has documented dalliances with corruption (shielding the Trump University grift) and rejecting reality (election denier).

Stay strong, Republican senators,

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Portions of this column were originally published in recent editions of the Daily Current newsletter, which is free and which you can subscribe to here.



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NEVADA VIEWS: Lessons from Nevada’s Question 3

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NEVADA VIEWS: Lessons from Nevada’s Question 3


A majority of Nevada voters rejected Question 3 on the Nov. 5 ballot. This complex amendment would have eliminated party primaries, advanced five candidates to general elections and introduced a new voting method in general elections

I moved to Nevada in 2021 to care for my aging mother. Before that time, I lived in Maine, where I led efforts that opened Maine’s primaries to all voters and protected the nation’s first statewide ranked-choice voting law.

My values and experience inform me that initiatives to change how we elect our leaders should make their way to voters as the result of home-grown and grassroots movements that are thoughtful, collaborative, strategic and patient.

I am dumbfounded that out-of-state donors and advocates would come into Nevada, steamroll stakeholders and potential allies, rush a constitutional amendment to ballot and spend millions to score a quick win for their preferred policy prescription to our political ills.

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As a recent Review-Journal editorial noted, the national coalition behind Question 3 pushed similar initiatives in other states in 2024. Voters rejected each of these proposals.

Here are a few of my takeaways from these failed efforts:

■ Mission and strategy must align. Election reform is inherently hopeful and optimistic. Ramming through policy changes and seeking to buy elections are anti-democratic and deeply cynical approaches to politics. Coalitions with antithetical missions and strategies will almost always fail to achieve the real and lasting change that they seek.

■ Patience is practical. Process matters. How change is made can be as important as what change is made, especially when it comes to process reforms. Elections and voting reform initiatives must be organized by local leaders who will build coalitions and recruit volunteers to secure majority support for their cause, one voter and one conversation at a time. The proper role of national groups is not to lead or dictate, but to support.

■ There is no single solution to fix our broken politics. There are 50 states and more than 50 ways of conducting elections and voting in the United States. While policymakers and advocates should learn from one another, we should be skeptical of anyone or any group that promises a silver bullet or pushes a one-size-fits-all solution.

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Voters aren’t stupid. We have a sense when politicians and special interests are trying to put one over on us. Question 3 didn’t pass the straight-face test.

That’s too bad because my experience with ranked-choice voting in Maine has taught me that it works to eliminate vote-splitting and ensure majority winners. You have the freedom to vote for the candidate you like best without worrying that your vote will be “wasted” or that you will help to elect the candidate you like least. In both Maine and Alaska, ranked-choice voting has stopped extreme candidates from winning congressional races.

Ranked-choice voting also increases voter turnout, reduces negative campaigning and encourages more women and minorities to run for office.

Surveys from the states and cities in which millions of Americans rank their vote indicate that voters find it to be simple and easy to use and preferable.

One of the most disappointing false attacks on ranked-choice voting is that communities of color might find it difficult to rank candidates. To suggest that white voters are intellectually superior to voters of color is a racist argument.

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Nevadans are frustrated with politics as usual. We know that our system isn’t working like it should. We know that billionaires and corporations have too much power and influence over decisions that affect us all. We want to strengthen our democracy for future generations.

Had the national advocates behind Question 3 approached this effort differently, I believe that there might have been a different outcome.

Kyle Bailey moved to Nevada in 2021 and previously served in the Maine House of Representatives.



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Nevada high school football championships 2024: How to watch state finals online

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Nevada high school football championships 2024: How to watch state finals online


The Nevada state high school football championships are here. Here’s how you can watch any of the championship games online on NFHS network.

Watch: Nevada High School football championships

The NIAA state football championships will air from Nov. 23 to Nov. 26 in Las Vegas, Nevada.

How can I watch Nevada high school football? Fans can subscribe to NFHS Sports Network, a nationwide streaming platform for more than 9,000 high school sports. You can find the list of available schools here.

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How much does an NFHS subscription cost? Is there a free trial to NFHS Network? An annual subscription costs $79.99, or you can pay monthly for $11.99 per month.

Can you watch NFHS on your phone or TV? NFHS Network is available on smart TVs like Apple TV, Roku, Amazon Fire and Google Chromecast, as well as on iOS and Android smartphones.

Nov. 23:

10 a.m. PT: 2024 NIAA 2A Football Championship Incline Vs. Pershing County

1:30 p.m. PT: 2024 NIAA 5A Div. II Football Championship Faith Lutheran Vs. Bishop Manogue

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Nov. 25:

Noon PT: 2024 NIAA 5A Div. III Football Championship Galena Vs. Centennial

Nov. 26:

9 a.m. PT: 2024 NIAA 1A Football Championship Pahranagat Valley Vs. Tonopah

12:20 p.m. PT: 2024 NIAA 3A Football Championship Truckee Vs. SLAM Nevada

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3:40 p.m. PT: 2024 NIAA 4A Football Championship Canyon Springs Vs. Mojave

7 p.m. PT: 2024 NIAA 5A Div. I Football Championship Arbor View Vs. Bishop Gorman

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Thank you for relying on us to provide the journalism you can trust.



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