Joe Ramirez is a 25 year old

Joe Ramirez is a 25 year old Latino who identifies as a transgender female to male person (TGFtM). His name and gender at birth, and as identified on legal documents, is Josephine Ramirez and female. Joe presents at the clinic for a flu shot and a physical. His last visit with a primary care physician had been several years ago, and the only other healthcare professional he has seen lately and regularly is his endocrinologist. Joe has been taking testosterone prescribed by the endocrinologist for well over a year now. Except for a surgical procedure at 22 (a mastectomy and chest reconstruction), he has avoided most doctors. No other masculinizing interventions have taken place or are planned at this time. Joe is in a committed relationship with his cisgender female partner. The community clinic practice is relatively new–full of young, hardworking nurses and doctors, and unlicensed assistive personnel. The practice prides itself on a team-based approach to healthcare and is committed to addressing the needs of ALL patients in the community. Question: How were physical and mental health aspects interrelated in this case?

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