Transgender Health, Aging, and Advocacy: A Podcast with Noelle Marie Javier and Jace Flatt

Transgender Health, Aging, and Advocacy: A Podcast with Noelle Marie Javier and Jace Flatt

Author: Alex Smith, Eric Widera June 19, 2025 Duration: 48:24
GeriPal - A Geriatrics and Palliative Medicine Podcast
HealthHealth & FitnessFitnessLifeMedicineScience

Happy Pride Month GeriPal listeners!

Transgender issues are in the news. Just today (June 17th) as we record this podcast:

  • Ezra Klein released a wonderful interview with Sarah McBride, the first openly transgender member of congress

  • A judge ruled that cuts to NIH grants focused on minority groups, including transgender people, were illegal and ordered the government to restore funding. 

  • It's Pride month, and our guests remind us of the leadership of two trans women in the Stonewall riots, which started the modern fight for LGBTQI+ rights and liberation.

Today's guests are Noelle Marie Javier, a geriatrician and palliative care doc who tells her story of transitioning as a faculty member at Mt. Sinai in New York, and Jace Flatt, who started their journey as a gerontology researcher at UCSF and is now faculty at UNLV. Jace was in the news recently for having multiple federal grants cancelled because they included transgender participants. We cover many topics, including:

  • Terminology: gender identity, sexual orientation, gender expression, transgender, nonbinary, intersex, what's in LGBTQI+

  • Gender affirming care

  • Major health and medical issues associated with aging as a transgender person

  • Allostatic load

  • Accelerated aging

  • What can clinicians do - pointers, pearls, and attitudes

  • Dementia risk 

  • Caregiver issues

  • Hormone replacement therapy at the end of life

  • Sexual orientation and gender identity (SOGI) data, what is it, how to collect it respectfully and safely

  • Mentioned: Harvey Chochinov's Dignity Therapy question, and our prior podcast on LGBT Care for older adults and serious illness with Carey Candrian and Angela Primbas

So pleased to sing True Colors by Cyndi Lauper, with Kai on guitar for those of you listening to the podcast.

-Alex Smith


Many links!

-Rainbows of Aging: Jace Flatt's research site.

-LGBTQcaregivers

-Callen-Lorde gender affirming trans health services

-GLMA: organization for health professional advancing LGBTQ+ equality

-Center of Excellence for Transgender Health at UCSF

-World Professional Association for Transgender Health

-Sage advocacy services for LGBTQ+ Elders: focus on impact of Medicaid cuts

-Trans bodies, Trans selves: resource guide 




Hosted by UCSF physicians Alex Smith and Eric Widera, GeriPal-A Geriatrics and Palliative Medicine Podcast creates a vital space for conversation at the intersection of aging and serious illness care. This isn't a dry lecture series; it's a dynamic dialogue where Eric and Alex bring on leading experts to unpack the complexities of geriatric and palliative medicine. They delve into the latest research that should change practice, tackle the ethical dilemmas that provoke debate, and explore the nuanced clinical challenges that professionals face daily. The tone is engaging and often surprisingly lighthearted, with moments of humor and even the occasional song, making profound topics more accessible. Whether you're a clinician, nurse, social worker, or any professional dedicated to this field, this podcast offers a blend of evidence-based insights and practical wisdom you can use. It’s a resource that acknowledges the weight of the work while fostering connection and continued learning. For those seeking formal education credits, AMA PRA Category 1 CME and MOC credit are also available through the show. Tune in to join a community committed to improving care for older adults and those with serious illness.
Author: Language: English Episodes: 100

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GeriPal - A Geriatrics and Palliative Medicine Podcast
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