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A pregnant man's tragedy tests gender notions

By The Associated Press

When the man arrived at the hospital with severe abdominal pains, a nurse didn't consider it an emergency, noting that he was obese and had stopped taking blood pressure medicines. In reality, he was pregnant ̵

1; a transgender man in labor that was about to end in a stillbirth.

The tragic case, described in Wednesday's New England Journal of Medicine, points to larger issues about assigning labels or making assumptions in a society increasingly confronting gender variations in sports, entertainment and government. In medicine, there is a similar danger of missing diseases, such as sickle cell and cystic fibrosis that largely affects specific racial groups, the authors write.

"The point is not what happened to this particular individual but this is an example of what happens to transgender people interacting with the health care system, ”said the lead author, Dr. Daphna Stroumsa of the University of Michigan, Ann Arbor.

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