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Why am I not surprised reading how the BMV handled this
My only experience with them to date has been getting my permit. As a non-citizen I had to prove that I was eligible for a permit by providing documents from either State or Federal bodies. Knowing the run around we'd had with the SSA we over prepared, had more documents than we needed and brought in the list of what was acceptable. When I got called up to the desk I started handing over my documents to prove my identity and that I was allowed in the country. First I pulled out a letter from Homeland Security thinking its Federal and it says I'm here legally so it should help speed things along;

Desk Worker - "We can't accept that"
Me - "I thought that your list said that you accepted letters from Federal bodies" (hands over list)
Desk Worker calls for a supervisor
Supervisor - "I'm sorry but we don't accept anything from Homeland Security"
Me - "Aren't they a Federal body? I thought that the list you provide said that you accept letters from Federal bodies?"
Supervisor reads the list - "Yes we do accept forms from Federal bodies" (Supervisor points to the part on the list confirming that)
Me - "So is Homeland Security a Federal body?"
Supervisor now looking at me as if I'm stupid - "Of course it is"
Me - "Then can I use this letter as proof of ID because it comes from a Federal body?"
Supervisor - "No, we don't accept letters from Homeland Security"
Me - "I thought you said that you took letters from Federal bodies, and that Homeland Security was a federal body"
Supervisor - "We don't accept letters from Homeland Security"

At this point I just gave up and handed her the other paperwork we had to I could get on with it

 d-usa wrote:
I finally suggested to the nurse that it would probably a lot quicker to just go into the room, talk to the patient, and ask "how do you prefer to be addressed, he or she". The patient is probably used to people being a bit confused and that way you honor his wishes and the patient knows you are making an efford to be respectful.

That's probably the best way to deal with it as it reduces the chances of offending the patient, and it also stops staff having to tip-toe around the issue. In that instance to you update the patient's chart saying what their preference is?

 d-usa wrote:
I would. It would be easy to just add an information note stating "patient identifies as female" to help people be aware.

And a separate event to muddy up some of the "born a man, always a man" argument:

http://www.cnn.com/2013/05/15/health/child-sex-surgery-suit/index.html?c=mobile-homepage-t

Good on you, that helps assure the patient that their needs are being taken care of and that people respect their wishes

That link is just mind boggling. I think that it could get nasty and I really want to hear the justification for the gender reassignment if there was no legitimate medical reason.
In my opinion the surgery should not have been performed, and instead it should have been left to the child to make a decision concerning gender when the child came of age.

 Frazzled wrote:
I think before you are permitted to vote you should be required to have to deal with the local tax office or the DMV in the last 6 months, just as a refresher.

Lucky me then. In the past six months I've had the DMV, filed our taxes (first time ever having to do that) and had to deal with Homeland Security Seems that no matter where you live dealing with bureaucrats has the same charm.....

 Frazzled wrote:
No no, the standard Frazzled approach is to just address everyone as "hey dickbag."

 d-usa wrote:
So many of us who usually spend most of our time in the OT disagreeing with each other are on the same page in this thread.

Almost makes me shed a tear...

It's almost like there is hope for the human race

 generalgrog wrote:
There is a fallacy in thinking that the philosophy of the transgendered and homosexual "hurts no one". How many young confused men have been bamboozled into becoming something they are not, because no one had the guts to stand up to the lie they were being told, that there are "alternate lifestyles" and these "alternate lifestyles" are just fine because they hurt no one.

There are many people that have come out of that lifestyle, including transgendered people, who come to realize they were lied to, by the PC Big brother police.

And yes, those people were indeed harmed.. by the enablers, that had no intestinal fortitude to stand up to the so often modern problem of calling what is wrong.... right. And what is right...wrong

GG

Seeing as many jurisdictions make it compulsory to undergo therapy, have to start transitioning to their desired gender over a period of years, take hormones for a protracted period and then are only eligible for surgery after psychological examination I would hope that very few, if any, "confused men have been bamboozled into becoming something they are not"