On Episode 9, guests Dr. Mitchell Lunn and NephMadness 2023 Transgender Health Region writer Dr. Sehrish Ali join us for a discussion of why the 2 teams in this region should win this year's NephMadness crown: Kidney Care for the Transgender Patient and Gender Affirming Care. We discuss what gender affirming care really means, challenges of glomerular filtration rate estimation in those who are transgender, 3 categories of transitioning: social, medical, & surgical - and that there is no singular transition path for transgender people. Our guests and the Nephrons also share their bracket picks for this region. Which team is your pick? Submit your brackets and try to match the Blue Ribbon Panel's bracket at nephmadness.com by the end of March 2023. Nephrons: Elinor Mannon, Sam Kant, Matthew Sparks, Samira FaroukGuests: Mitchell Lunn, Sehrish AliLinks from the Show:02:13 Growing awareness for gender-affirming care03:15 Lack of evidence based guideline on assessing estimated glomerular filtration rate (eGFR) in patients receiving gender affirming hormonal therapy (GAHT)05:12 Effect of GAHT on kidney function06:42 Creating a welcoming environment for the patient09:17 Addressing patients with the correct pronoun11:50 Health surveys offering limited assessment of gender identity16:57 Lack of post graduate medical training in addressing disparities in LGBTQ+ community 22:50 Acute kidney injury and chronic kidney disease in transgender individuals on GAHT25:54 The effect of gender affirming medical interventions on improving mental health 26:27 Gender affirming surgery