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In this episode, VP of the APTA Connecticut Chapter, Dr Stephanie Weyrauch, CEO of Inclusive Care, Dr Krystyna Holland, and Obstetrics and Gynecology faculty member at Denver Health, Dr Jennifer Hyer, talk about bottom surgery and gender-affirming care.

Today, we talk about vaginoplasty complications, pelvic floor goals post-vaginoplasty surgeries, and setting post-operative expectations. What are the barriers that trans people face when trying to access gender-affirming healthcare?

Hear about pre-operative education, hysterectomy versus vaginoplasty outcomes, trauma-informed care, and hear their advice to healthcare providers, all on today\\u2019s episode of The Healthy, Wealthy & Smart Podcast.

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Key Takeaways

• \\u201cYou only have one time in your life to be post-op.\\u201d
• \\u201cThe only way out of this is through.\\u201d
• \\u201cGive yourself grace, because you need to heal.\\u201d
• \\u201cTrauma-informed care is a commitment to continuing to try to reduce our own propensity for perpetuating harm.\\u201d
• \\u201cOnce you start, you\\u2019re going to see a lot of folks that need this care.\\u201d
• \\u201cBe honest about who you can help and what feels good for you.\\u201d
• \\u201cNot everyone currently is a safe person for trans and non-binary people, and that\\u2019s okay. We are not all for everybody.\\u201d
• \\u201cWe are seeing patients who are gender-diverse, and we need to be able to provide good care to people.\\u201d
• \\u201cIf you don\\u2019t change your environment, it\\u2019ll change you.\\u201d
• \\u201cThe hard work is always worth it.\\u201d

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More about Dr Stephanie Weyrauch

Dr. Stephanie Weyrauch is employed as a physical therapist at\\xa0Physical Therapy and Sports Medicine Centers\\xa0in Orange, Connecticut. She received her Doctorate in Physical Therapy and Master of Science in Clinical Investigation from Washington University in St. Louis.

Dr. Weyrauch has served as a consultant for a multi-billion dollar company to develop a workplace injury prevention program, which resulted in improved health outcomes, OSHA recordables, and decreased healthcare costs for the company\\u2019s workforce. She has served on multiple national task forces for the American Physical Therapy Association (APTA)\\u2014most recently, she was elected to the APTA Nominating Committee\\u2014and actively lobbies for healthcare policy issues at the local, state, and national levels of government.

She currently serves as Vice President of the American Physical Therapy Association Connecticut Chapter and is a member of the American Congress for Rehabilitation Medicine. Dr. Weyrauch has performed scientific research through grants from the National Institutes of Health and National Science Foundation at institutions including Stanford University and Washington University in St. Louis.

Her research examining movement patterns and outcomes in people with and without low back pain has led to numerous local, regional, and national presentations and a peer-reviewed publication in Archives of Physical Medicine and Rehabilitation, a top journal in rehabilitation.

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More about Dr Krystyna Holland

Krystyna Holland, DPT (she/her)\\xa0is the founder and CEO of Inclusive Care, a physical therapy office in Denver, Colorado specializing in the provision of trauma informed pelvic floor care to individuals across the gender identity spectrum. Krystyna\\u2019s journey as a provider started as a patient. Traumatic experiences in her own medical treatment inspired her to open Inclusive Care.

In addition to helping folks feel confident in their ability to live without leaking and have intimacy without fear, Krystyna aims to change the fundamental patient-provider relationship from one that centers the provider as a problem solver to one that focuses on collaboration between the patient and the provider.

She is a well-known Instagram educator (@Krystyna.Holland), an instructor of trauma-informed care trainings, and a healthcare consultant.

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More about Dr Jennifer Hyer

Jennifer Hyer, MD joined the Obstetrics and Gynecology faculty at Denver Health in 2007. She is an Associate Professor of Clinical Practice in Obstetrics and Gynecology at the University of Colorado School of Medicine. She completed medical school at the University of Tennessee Health Sciences Center and completed her Obstetrics and Gynecology residency at the University of Colorado. She is a Fellow of the American College of Obstetrics and Gynecology and a Diplomate of the American Board of Obstetrics and Gynecology. She is a member of the 2017 class of the Association of Professors in Gynecology and Obstetrics (APGO) Academic Scholars and Leaders Program. In 2022, she joined the Denver Health Medical Staff Executive Committee.\\xa0

In 2021, she was honored by her peers with the Denver Health Outstanding Clinician Award. Her clinical activities include full scope practice of Obstetrics and Gynecology at Denver Health Medical Center as an attending physician. She has been providing surgical management for transmasculine patients since 2016. In 2018, she expanded her surgical skill set under the direction of Dr. Marci Bowers and Dr. Chris Carey to include vaginoplasty for transfeminine patients. She continues to provide these surgical services and is the only transfem bottom surgeon at Denver Health. She has presented Denver Health gender affirming surgical data at both national and international conferences. She hopes to expand the Denver Health Gender Affirming Surgical Program and participate in research opportunities to improve care of all LGBTQ+ patients.\\xa0

She also has a research interest focused on maternal mental health, and she has presented on this topic at both the national and international level. She has received grant funding from the Denver Health Foundation and Zoma Foundation to support integration of behavioral health into obstetrics clinics. Additionally, she has partnered with colleagues at academic institutions within Denver to collaborate on projects to improve maternal mental health and access to support services.\\xa0

Suggested Keywords

Healthy, Wealthy, Smart, Gender, Transgender, Surgery, Gender-affirming care, Education, Advocacy,

To learn more, follow Drs. Weyrauch, Holland, and Hyer at:

Website:\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 www.inclusivecarellc.com.

\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 Dr. Stephanie Weyrauch.

\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 www.denverhealth.org.

LinkedIn:\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 Krystyna Holland PT, DPT.

\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 Stephanie Weyrauch DPT.

Twitter:\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 @TheSteph21.

Instagram:\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 @thesteph21.

\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0\\xa0 @krystyna.holland.

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