this post was submitted on 09 Dec 2024
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"Each of us must take into account the raw material which heredity dealt us at birth and the opportunities we have had along the way, and then work out for ourselves a sensible evaluation of our personalities and accomplishments."

Alan L. Hart (1890 – 1962) was a US American 20th-century physician, radiologist, disease researcher, and novelist who pioneered the use of x-ray in detection for tuberculosis. He spent the latter part of his career in public health, undoubtedly saving many thousands of lives across the country expanding tb services and education throughout rural areas. In 1917 Hart was one of the first people to undergo a gender affirming hysterectomy in the United States, and is the first documented case of a female to male transition in medical literature in the English speaking world.

“I had to do it. For years I had been unhappy. With all the inclinations and desires of the boy I had to restrain myself to the more conventional ways of the other sex. I have been happier since I made this change than I ever have in my life, and I will continue this way as long as I live’

interview with Hart about his hysterectomy

Hart begin expressing himself as a boy starting at least age 4, and was largely accepted by his family as male, with his grandfathers obituary in 1921 listing Hart as his grandson. A family friend of his stated in a 1921 interview “Young Hart was different, even then. Boys' clothes just felt natural. Hart always regarded himself as a boy and begged his family to cut his hair and let him wear trousers. Hart disliked dolls but enjoyed playing doctor. He hated traditional girl tasks, preferring farm work with the menfolk instead. The self reliance that became a lifelong trait was evident early: once when he accidentally chopped off his fingertip with an axe, Hart dressed it himself, saying nothing about it to the family.” During childhood school, Hart wrote most of his assignments under his first chosen name of Robert Allen Bamford Jr.

Hart received a total of 4 degrees in his life. He received a pre med degree in 1912 from Portland, Oregon’s Lewis & Clark College, then known as Albany College, followed by a medicine degree doctorate from the University of Oregon Medical Department in Portland (now Oregon Health & Science University) in 1917. His doctorate was originally issued under "Hart, [deadname] aka Robert L., M.D.”. which prompted a legal name change in 1918. He took his first medical job at a Red Cross hospital at this point. In 1928, Hart received a master’s degree in radiology from the University of Pennsylvania and was named director of radiology at Tacoma General Hospital. After working for several years as a tuberculosis consultant in Washington and Idaho, Alan Hart moved with his wife to Hartford, Connecticut, where he received a master’s degree in public health from Yale University in 1948. Around this time, Hart began taking testosterone and is described as having a deeper voice and being able to grow facial hair as a result.


TUBERCULOSIS

Hart devoted much of his career to research and treatment of tuberculosis. By the dawn of the 19th century, tuberculosis—or consumption—had killed one in seven of all people that had ever lived. Throughout much of the 1800s, consumptive patients sought "the cure" in sanatoriums, where it was believed that rest and a healthful climate could change the course of the disease. In 1882, Robert Koch's discovery of the tubercule baccilum revealed that TB was not genetic, but rather highly contagious; it was also somewhat preventable through good hygiene. After some hesitation, the medical community embraced Koch's findings, and the U.S. launched massive public health campaigns to educate the public on tuberculosis prevention and treatment. TB usually attacked victims' lungs first; Hart was among the first physicians to document how it then spread, via the circulatory system, causing lesions on the kidneys, spine, and brain, eventually resulting in death. With no cure for the disease in its advanced stages the only hope for sufferers was early detection.

X-rays, or Roentgen rays as they were more commonly known until World War Two, had been discovered only in 1895, when Hart was five years old. In the early twentieth century they were used to detect bone fractures and tumors, but Hart became interested in their potential for detecting tuberculosis. Since the disease often presented no symptoms in its early stages, X-ray screening was invaluable for early detection. Even rudimentary early X-ray machines could detect the disease before it became critical. This allowed early treatment, often saving the patient's life. It also meant sufferers could be identified and isolated from the population, greatly lessening the spread of the disease. By the time antibiotics were introduced in the 1940s, doctors using the techniques Hart developed had managed to cut the tuberculosis death toll down to one fiftieth of what it had previously been.

In 1937, Hart was hired by the Idaho Tuberculosis Association and later became the state's Tuberculosis Control Officer. He established Idaho's first fixed-location and mobile TB screening clinics and spearheaded the state's war against tuberculosis. Between 1933 and 1945 Hart traveled extensively through rural Idaho, covering thousands of miles while lecturing, conducting mass TB screenings, training new staff, and treating the effects of the epidemic. An experienced and accessible writer, Hart wrote widely for medical journals and popular publications, describing TB for technical and general audiences and giving advice on its prevention, detection, and cure. At the time the word "tuberculosis" carried a social stigma akin to venereal disease, so Hart insisted his clinics be referred to as "chest clinics", himself as a "chest doctor", and his patients as "chest patients". Discretion and compassion were important tools in treating the stigmatised disease.

In 1943, Hart, now recognized as pre-eminent in the field of tubercular roentgenology, compiled his extensive evidence on TB and other X-ray-detectable cases into a definitive compendium, These Mysterious Rays: A Nontechnical Discussion of the Uses of X-rays and Radium, Chiefly in Medicine, still a standard text today. The book was translated into Spanish and several other languages

PBS - TB in America: 1895-1954

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[–] [email protected] 9 points 1 week ago (5 children)

To the girls: how did your interest in sport change during your transition? Did you start to like it less, now it wasn't expected of you to like it?

[–] [email protected] 8 points 1 week ago

I’ve never been that interested in sports tbh.
I’ll watch one if it’s on and it’s entertaining enough, so nothing has really changed I guess.

[–] [email protected] 8 points 1 week ago

I despise sports, but it has nothing to do with transition and more to do with how the big 4 handled COVID. I very much still love hockey and baseball, but yeah. Refuse to watch.

[–] [email protected] 7 points 1 week ago

Kinda started liking it less yeah, but part of that maybe from me starting to realize how bad capitalism is and starting to get sad when the players get injured because its their livelihood.

Actually having more emotions was prob the main thing

[–] [email protected] 6 points 1 week ago

Girl-ish here, still like following the sports and teams I've always liked and additionally got more interested in the WNBA and PWHL

My own athletic stuff is pretty much just gymrat shit and hiking but I've gotten more into having big range of motion and good form for lifts instead of focusing as much on specific weights and one rep maxes (except leg press, I'm still a dumbass masochist for that) but I've also gotten more into flexibility goals and that wasn't really a thing for me pre transition other than being able to touch my toes (can plant my palms on the ground now, let's goooo)

Would like to be able to do fancy bodyweight squat variations like dragon squats eventually but that'll come down the road with losing weight overall and getting more stability in my core and better balance

Would like to join some kind of casual-ish baseball and/or roller hockey league but idk about how to navigate that socially as a big queer weirdo if it isn't explicitly an LGBT org and don't really want the headache of potentially dealing with chuds doing something that's supposed to be fun for me but going to the batting cages or throwing a bullpen sesh or practicing some shooting drills and skating for awhile mite b cool

[–] [email protected] 4 points 1 week ago (1 children)

can i reply to this over DM? i'd love to answer but my reply is weirdly doxxable