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Nebraska institutions try to fight childhood obesity

March 14, 2012
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Sen. Bill Avery introduced the bill to the unicameral in an effort to reduce childhood obesity rates in the state. Photos and story by Kristina Jackson, NewsNetNebraska

Nebraskans worry about rising childhood obesity rates.

Institutions including schools and the state legislature are taking steps to lower these rates and create a healthier future for young Nebraskans. School wellness programs educate students about nutrition and exercise but struggle with funds. A proposal in the unicameral aims to alleviate this problem.

Center for Disease Control statistics estimate that roughly one-third of Nebraska’s children are overweight. Down the road, these children are more likely to suffer from diabetes, heart disease and other severe health issues.

Michelle Welch, wellness facilitator for Lincoln Public Schools, said sometimes budget constraints do not allow for physical activity in schools every day. Welch said she wants to work more closely with families to extend nutrition education into the summer months, as well as working with the district staff to make them models for the students.

“We’re building the future of the students of Lincoln,” Welch said. “We know families are working with limited resources.”

Welch said schools could make an impact by lengthening the school day and incorporating more nutrition education and activity into the regular school day. For Welch and her students, it’s about creating a framework for healthy living. She wants students to learn about weight management and the effect of diet on maintaining their weight.

“They’re with schools most waking hours of their day,” Welch said. “We can have an impact on their plans for the future.”

For its part, the Nebraska unicameral is considering a bill that would put a tax on soft drink sales. The money collected would benefit school wellness programs. LB 753, introduced by Sen. Bill Avery of district 28, aims to combat childhood obesity.

If this bill is passed, soft drinks will no longer be classified as a food item and therefore would not fall under the food exemption for sales taxes.

“There’s no way you can argue that these are food items,” Avery said. “They only contribute to obesity.”


The Nebraska Beverage Association opposes LB 753 because they don’t want their product singled out for taxation when it will not single-handedly lower obesity rates.

According to Avery, the tax will equalize prices because soft drinks bought from vending machines already include a tax, but those purchased at grocery stores do not.

“Nobody would support exempting sugar beverages if the proposal was reversed,” Avery said.

Avery remembers getting physical activity at school every day as a child, and hopes to increase the amount today’s students get, especially because of the health risks of obesity.

“Families can’t afford the health care, and the states pick up the tab,” he said.

LB 753 is currently stalled in the revenue committee. Avery thinks election year politics played a role in debate.

“They don’t want to be accused of raising taxes,” he said. “They lack the spine to do what’s right. I’ll bring it back next year.”



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“Mo”Vember and Sports Injuries

November 15, 2011
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Andrew Mason, UNL Health Center Physical Therapist, helps a patient stretch

Kelsey McGerr, NewsNetNebraska

The University of Nebraska-Lincoln Health Center is promoting men’s health during the month of November. One of the targeted topics is sports injuries and physical therapy. Students were able to ask questions about injuries, get information regarding rehabilitation and familiarize themselves with the benefits the health center offers.

Physical therapy at the Health Center includes evaluation, treatment and rehabilitation of injuries, according to Health Center physical therapist Andrew Mason. He said students can come to the health center to be checked for any discomfort

“A lot of students don’t think to use the resources at the Health Center,” he said. “Students can injure themselves doing the littlest thing, such as walking down the stairs. I help with a lot of treatment for bike injuries, specifically in the head.”

Head injuries he helps with don’t have to mean concussions and brain defects.

“By the time I see patients with previous head injuries, a lot of times it ends up with their posture that is being affected,” Mason said. “The stress from the head can come down and enter the neck, shoulders and back. It can become a serious problem.”

Patients treated at the Health Center get tested, get an explanation of the problem, education on the injury itself and rehabilitation techniques or exercise instructions.
UNL senior Michael Knott received physical therapy at The Health Center for an injury he suffered while playing intramural basketball.

“I pulled my hamstring during the game, and I wanted to know what I could do to speed up the recovery process,” Knott said. “The therapist gave me three stretching techniques and instructions on when to start physical activity again. It all worked out and I recovered by the next basketball game.”

Mason recommends seeing a doctor or physical therapist when there’s swelling or your movement is hindered.

“You need supervision and guidance through the beginning steps of your injury to promote full recovery and return, particularly those who plan to return to higher level fitness, demanding jobs and sports.”

The Health Center is also promoting what it calls Movember, which stands for “Mo”ustache in No”vember for men’s health awareness. It’s challenging men to alter their physical appearance to grow a mustache in order to face men’s health awareness. The mustache challenge by The Student Advisory Board is called “Mr. Movember Contest,” and the contestant with the most votes wins.

Deb Hendersen, a registered nurse for the Health Center, says it’s important for male students to start early in checking up on their health.

“I want students to get in the habit of not waiting until you are sick to see someone about it,” she said. “Especially in men, 1 in 2 will be diagnosed with cancer in their lifetime. That’s outrageous. The sooner you know about your sickness, the better.”

Screening techniques are another area Hendersen would like students to be aware of on campus. In your 20s, it’s recommended screening for high blood pressure and eye problems every two years and annually for dental health, testicular cancer examine the skin frequently



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Boot camp brings results

June 29, 2011
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Hilary Kindschuh, NewsNetNebraska



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Ear protection today, hear tomorrow

April 27, 2011
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Noise-induced hearing loss affects 26 million Americans, according to the National Institutes on Deafness and Other Communication Disorders, even though it is the only type of hearing loss that is 100 percent preventable.

Story and photos by Erin Starkebaum, NewsNetNebraska

Don’t you just love singing along to the blaring loud music at parties and concerts? Of course, who doesn’t? And don’t you just love being the only person wearing earplugs?

If you answered yes to the first question and no to the last, you might want to reconsider. Because, according to the National Institutes on Deafness and Other Communication Disorders (NIDCD), about 26 million – or 15 percent - of Americans ages 20 to 69 have permanent hearing loss from being exposed to loud noises at work or in leisure activities.

It’s called noise-induced hearing loss, NIHL for short. The sheer force of energy from a noise that is too loud or lasts too long can damage sensitive hair cells located in the cochlea of the inner ear. Hair cells at the front of the cochlea are especially sensitive to high frequencies and are the first to be damaged by loud noises, which can affect a person’s ability to hear 80 percent of normal speech tones, experts say.

Kelly Wacker, audiologist and assistant professor of practice at the University of Nebraska-Lincoln, said NIHL is the only form of hearing loss that is 100 percent preventable. Many people, however, don’t even know when they are putting their hearing at risk.

“You’re not invincible,” Wacker said, adding she wants to tell students who drive around with their music so loud it can be heard from five blocks away. “I should just stand at the corner and hand out business cards and say, ‘In 15 years, you’ll see me,’” she said.

So just how serious of a risk is noise-induced hearing loss? Ray Rosenow, president of Cornhusker Hearing Center, said the latest research he has seen puts NIHL at a pandemic proportion.

“It’s pretty hard to escape these days,” Rosenow said. “It’s the young ones that use iPods and go to concerts. They can show damage within a couple of days,” he added.

Rosenow, who is board certified in hearing instrument sciences, fits 700 to 1,000 patients with hearing instruments each year. The majority of those patients, he said, have noise-induced hearing loss. He’s seen NIHL in teens and 20-year-olds as well as in 70- and 80-year-old farmers who have been around loud machinery their whole lives.

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Ray Rosenow, president of Cornhusker Hearing Center, shows a graph of what an 88-year-old man’s hearing looks like. It is far below the level of normal hearing and dips even farther in the high frequencies, suggestive of noise-induced hearing loss.

Rosenow was diagnosed with NIHL after being raised in a family of shotgun shooters and began showing signs of hearing loss as early as age 6. It was extremely devastating, Rosenow said, and impacted his grades and attention span.

“While the teacher was talking, I’d be watching clouds out the window,” he said.

According to the National Institute on Deafness and Other Communication Disorders, noise-induced hearing loss causes sounds to be muffled or distorted, making it difficult to understand speech.

Sound is measured on a decibel scale. The higher the decibel level of the sound, the greater the risk of permanent hearing loss. The length of time exposed also plays a role in the danger level of the noise. The louder the noise in decibels, the less time it takes to cause permanent hearing loss. If the noise is loud enough, like an explosion, a one-time exposure can do serious damage.

The National Institute for Occupational Safety and Health (NIOSH) sets a standard on what decibels levels are considered safe and how long a person can be exposed to a sound that is too loud before permanent damage is done.

NIOSH standards say that at 85 decibels, a person can listen for eight hours without risking damage. At 88 decibels, a person can listen for four hours. At 100 decibels, a person can listen for only 15 minutes. By the time the sound is up to 106 decibels, 3.75 minutes of listening is safe.

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The National Institute for Occupational Safety and Health says these are the safe listening standards.

That’s bad news for 22-year-old Andrew Tool, bass player of the local band A Summer Better Than Yours. Tool has been playing bass and guitar for close to six years and hasn’t always worn hearing protection. After being exposed to loud music for so long, Tool said he has already noticed what he thinks are the effects of NIHL.

“I found myself asking people to repeat themselves more than usual because I couldn’t understand what they were saying,” Tool said.

In the past, he has used Hearos ear filters to bring the decibel level of his music down to levels that can be tolerated for longer times before causing hearing loss.

“They worked great,” he said, “until I lost them.”

To see if Tool’s observations were measurable, Dr. Wacker evaluated his hearing by testing what  Tool could hear in each ear. She also asked him to repeat words to make sure he could hear them all. Wacker classified Tool’s hearing in the normal range, but Tool said he could not hear some words well enough to understand and repeat them.

“Dr. Wacker told me that just because I don’t have hearing loss yet, it doesn’t mean it won’t happen,” Tool said.

Wacker recommended that he wear hearing protection at all times around the loud music. If he doesn’t, he will be committing what Rosenow calls auditory suicide.

“It’s not much different than sticking an ice pick in your eye,” Rosenow said. “You’re basically accomplishing the same thing.”

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Impact of social networking on medical field

April 25, 2011
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Story and photos by Will Latta, NewsNetNebraska

With its photos and personal notes, Facebook can shed a lot of light on what someone is like. But many psychologists remain leery of it as a tool for helping them figure out what makes patients tick.

“If a patient thought I was looking into their personal life through Facebook, for instance, I imagine it certainly wouldn’t do any good and probably would cause substantial harm,” said Dr. Ryan Ernst of Nebraska Mental Health Services.

Social media and the Web have changed the way a lot of professions do business. But medical professionals of many kinds are cautious about using the new media. It’s easier than ever to gather info about people on the Web, but their experience raises an important question: how do we know when we are crossing the line and going from acceptable research to invading privacy?

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Illustration by Will Latta.

Indeed, social media and medicine could be a toxic mix. Are blogs really a modern-day window into the soul? Do they reflect the truth about their writers or only what the writers want seen? Then there’s the ticklish issue of consent. Since the material may be open to any viewer, is patient consent even necessary?

The issue has stirred enough interest that as recently as 2010 the American Medical Association (AMA) has published a policy titled: Professionalism in the use of Social Media. The policy calls for doctors to be mindful of their actions online. It says they must “be cognizant of standards of patient privacy and confidentiality.” It directs physicians to “maintain appropriate professional boundaries,” and urges them to draw a bright red line between “personal and professional content online.”

The therapeutic setting seems to be one that could be especially prone to problems stemming from this topic. With therapy, the relationship between doctor and patient is so strongly dependent on trust, that any breach of this could be catastrophic.

“Patients put a lot of trust in you (doctors) and when you breach that… all hell could break loose,” said one psychological patient in Lincoln.

Unless a patient gives consent, doctors who visit their Facebook sites are seeing more than the patient might want to share. In therapy, patients have the ability to share only what they want the doctor to know.

Yet, the temptation for a doctor to use social media to learn that untold information is enormous. Entries on Facebook may amount to journals of people’s lives. They include personal history, hobbies and habits.

Ernst says he has no interest in using Facebook or similar sites to search patient history. He learns enough about a patient in face-to-face sessions and refuses to go beyond them for fear of overstepping his boundaries.

Indeed, the therapist frets that patients might want to use Facebook to reach out to him. He would prefer that they not do so. He wants to keep his Facebook site private and not part of his worklife.

“Anytime we use some of this new media technology or any technology like that, we may opening ourselves up to risks that we’re not even aware of,” said Ernst.

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Dr. Ryan Ernst, therapist at Nebraska Mental Health Centers.

Ernst shared a story about a colleague’s patient who tracked down her address through a photo of her home that appeared online. The patient later unnerved the colleague by showing her a photo of the home that he kept on his cell phone. When photos taken with cell phones appear online, they are encoded with GPS coordinates that knowledgeable people can easily find. Nothing harmful came of the affair, but the potential for problems worries some doctors.

Other potential issues Ernst discussed revolve around his own actions online. For instance, as a licensed therapist, he could open himself up to legal hassles if he offers advice online.

But sometimes social media can literally be a lifesaver. A New York psychiatrist treating an overdose victim learned about the sedatives a suicidal patient took when he was tipped off to the patient’s blog. As described by the Washington Post, however, the doctor was uneasy about invading the patient’s privacy. The doctor had to decide whether or not it was ethical to access the blog in an attempt to save his patient.

In the end, he checked the blog and the patient was saved.

As social media continue to grow and carry more and more personal information, they could prove to be helpful tools for medical professionals. But, for now, plenty of doctors remain wary.



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Students get help with healthy eating

April 6, 2011
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Dining hall employee Bachhue Tran refills the bin of strawberries at the salad bar in Selleck dining hall after the lunchtime rush.

Story and photos by Erin Starkebaum, NewsNetNebraska

Remember how your parents always told you to eat your vegetables? Well, they’re not the only ones anymore.

The federal government and campus dining services at the University of Nebraska-Lincoln are also chiming in to get students to eat healthier.

The newest edition of the USDA dietary guidelines, released at the beginning of the year, also emphasizes eating vegetables. The guidelines, which are updated every five years, also suggest eating more fruits, whole grains, seafood, lean meat and poultry, beans, peas, nuts and seeds. But now that students at University of Nebraska-Lincoln don’t have mom and dad telling them to eat these healthy foods, the dining services staff has stepped in to fill the role.

Five dining halls on city and east campus serve 63,000 meals each week. To help students incorporate these healthy foods into those meals, dining services management already has several initiatives in place.

In fact, just before the new guidelines recommended consuming no more than 2,300 milligrams of salt a day, the dining services management had begun a project to reduce the amount of salt in its recipes.

“It was good timing,” said Pam Edwards, assistant director of dining services at UNL. Dining management also had changed or incorporated 150 new high fiber and high whole grain recipes into its database of nearly 5,000 recipes.

But university dining management wants so much for students to get good nutrition that a committee was established to help achieve that end. The gNc (Good Nutrition Counts) committee is made up dining services management, the dining services administrative assistant, a health center registered dietitian, the UNL Wellness coordinator, three directors from UNL Residence Life, as well as a handful of students.

One student member, Emily Simpson, said the committee’s primary goal is “promoting balanced, nutritional food choices.”

“Creating healthy, balanced meals and making informed diet and lifestyle decisions often presents a challenge during the transition to college,” said Simpson, a nutrition, exercise and health science and dietetics student.

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WOW (Working on Wellness) was a program created by the gNc (Good Nutrition Counts) committee to promote wellness in every area of UNL students’ lives.

One of the gNc’s programs is the WOW (Working on Wellness) campaign, created two years ago to help students achieve wellness in all areas of their lives. A wheel of wellness featuring the seven elements of wellness – emotional, environmental, intellectual, occupational, physical, social and spiritual – was displayed in the dining halls. Students would spin the wheel, answer a question about the area of wellness it landed on and would win a healthy snack like soy nuts or a piece of fruit.

A more recent initiative is designed to boast the benefits of eating whole grains. The committee puts labels on the bread, cereal and pasta in which whole grains to make it easier for students to select. The committee also created nutrition labels to show students how the amount of calories, fat, carbohydrates and protein are in each serving of food.

Freshman Jenny Hosack said she uses the labels a lot when choosing what to eat in the dining halls. She focuses particularly on the amount of fat and calories from fat in each food, she said.

“If there are an outrageous number of calories for a really small piece of food, I usually stay away,” said Hosack, a secondary math education student from Harlan, Iowa. She said that even though nutritional labels can be very helpful, they still need to be read carefully. “The serving sizes are usually smaller than what people actually eat,” Hosack said.

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Jenny Hosack fills her bowl with fresh veggies at Selleck Dining Hall.

No laws force the university to run these educational campaigns in the dining halls to help students comply with the dietary guidelines.
“We don’t go through and say, ‘we’re doing this and we’re doing this and we’re doing this,’” said Edwards, dining services assistant director. Even if there was a law, the eating habits suggested are personal choices students have to make for themselves.

Hosack agreed that students have to make their own food choices. “The dining halls do a good job of offering a variety of healthy foods, but there’s definitely the option of not eating that way,” said Hosack.

Freshmen Robert Moore and Andrew Borer both said they were unaware of the dietary guidelines. They also said they don’t really pay attention to the dining services’ efforts to promote healthy eating. They choose what to eat based on what they feel like eating or what looks the best.

“Last semester I was a terrible eater,” said Moore, a graphic design student from Omaha. “I was trying to gain weight for football and was eating really bad sugary and fattening foods,” said Moore, who is trying to walk on to the Huskers football team as a tight end.

When it comes to gNc’s nutrition labels, they said they’ve noticed more women paying attention to them than men. “It’s always the girls who don’t need to be on a diet that pay attention to calories,” Moore said.

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One of the gNc committee’s projects was to label all food in which whole grains could be found to make it easier for students to work more whole grains into their diet.

High calories aren’t the only factor that can make certain foods unhealthy. According to the dietary guidelines, Americans consume too many calories from solid fats, added sugars and refined grains. Moore and Borer were examples of this last semester. They’ve only just recently discovered the benefits of choosing healthier foods and drinks, they said.

Borer, a music education student from Norfolk, Neb., said last semester he and his roommate were drinking 48 cans of pop a month. Moore said he used to go through eight cans every day. After realizing how much better they felt and performed when playing basketball at the rec center, they decided to cut way back.

Now the two are both down to a glass or less of pop a day and Borer’s new eating habits follow the rule of eating whatever makes him feel better.

Though it may not have been the gNc’s campaigns or the dietary guidelines that changed Borer and Moore’s way of eating this semester, they still learned what the gNc committee and federal dietary guidelines wanted them to –to eat healthier.

“I feel like you’re happier when you’re healthier,” Borer said.



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Transgender activist seeks acceptance for his community

April 4, 2011
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Sallans, 31, shares candidly his knowledge and experiences on transgender issues.Photo by Ruth Angelina, NewsNetNebraska

Story by Ruth Angelina, NewsNetNebraska

Some see it as strange. Others see it as a psychological problem. Ryan Sallans sees transgenderism as his occupation.

“I feel this is my job,” said Sallans, who has become a male over the last six years. “And it’s very important for me to continue the work.”

Sallans, 31, lectures students at his alma mater, University of Nebraska-Lincoln, and other campuses across the United States about the transgender world. Born Kim, a female, he now talks candidly about his sexuality as a speaker specializing in the area.

Although people in the transgender world do not see this as an illness, many medical experts disagree. People who feel they are a members of one sex trapped in the body of another are identified as mentally ill in the fourth edition of Diagnostic & Statistical Manual of Mental Disorders.

Whether mainly mental or physical, people who want to change the gender they were born into are dissatisfied with their bodies and want to have a body of the opposite sex. They undergo prolonged and grueling operations and subject themselves to a lifetime of taking hormone treatments to maintain the change.

Medical experts call the confusion about sexual identity Gender Identity Disorder (GID) and consider it a real problem. They are split, nonetheless, on whether GID is developed through nature or nurture.

For Sallans, it is nature.

“I was assigned female, but psychologically my brain has always been male,” Sallans said. “When I was born, my brain was developed as a male brain. And I would argue that until I’m blue in the face because as far as my mannerisms, anything about me, it’s always been like this. I’ve never tried to change in the ways that I’ve acted.”

Sallans brother, Greg, agrees. After watching a documentary on transgenderism, Greg realized that documentary just described his sibling.

“It’s definitely nature,” his brother Greg said. “Because our household is very traditional, we have strong father figure and mother figure. There was no way it was the upbringing that affected Ryan because our surroundings were very conservative.”

Greg, alone in the family, accepted Sallans’s change from the outset in about 2005. Sallans’ parents went through anger and denial upon being informed about it, and Sallans’ dad even claimed his daughter Kim was dead for a period of time. However, at Sallans’ grandmother’s funeral, he finally acknowledged his ‘son’ Ryan. Sallans’ mother has come around, too.

Sallans said the mismatch between his outer appearance and the male he felt to be was apparent to him even as a child. He preferred toys that are normally for boys although his parents always tried to throw in Barbie dolls for him to play with.

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Ryan was known as Kim Sallans in the community he grew up in, Aurora, Neb., until the age of 25 when he decided to “transition.”Photo courtesy of Ryan Sallans

For Sallans the road to full maleness has been at least a six-year journey. As a female, Sallans began exploring her sexuality in March 2004 when she came out as gay. Within a month, she met a partner, but she said she felt more uncomfortable over time as she used the word “gay” when coming out to friends and family.

Nine months later, she experienced a self-discovery moment. “I decided and understood that I was transgendered in December 2004,” Sallans said. She found a book “Body Alchemy” by Loren Cameron. When Sallans saw pictures of the trangenders in the book, she saw herself.

Sallans then completed her first surgery, called a bilateral mastectomy with nipple grafts (chest surgery), on May 6, 2005 by Dr. Perry Johnson in Omaha, Neb.

At the time, Sallans was unsure if the full physical change was final because she had a female partner who did not want Sallans to be a male. However, Sallans decided to do this surgery because she did not want female breasts.

The surgery cost $5,350. It took two hours to complete and 45 minutes to be awake from the anesthesia.

For recovery, Sallans spent a week on reclining couch, sleeping and drinking lots of fluids. He had to battle waves of nausea and could not raise his arms for the first three days after surgery.

Today, his scars are flat and a shade of white or light pink.

Despite the objections of his partner, Sallans soon decided to go the full transgender route. The partner, who is no longer with Sallans, opposed the procedures because she wanted a gay relationship with a female.

A month after his chest surgery, Sallans took his first shot of testosterone on June 3, 2005. Michelle Cooley, a nurse who specializes in transgender health issues and has worked with Sallans, said testosterone is not only to block the internal estrogen level, but also to bring out the male characteristics of deepening of the voice, facial hair growth, and widening of muscles.

Sallans is still on testosterone today and will be dependent on this hormone for the rest of his life.

Medical experts suggest transgenders start changing their names to experience and feel how is it to be the opposite sex during the first year of hormone treatment.

Sallans began to change his name four months after his testosterone treatments.

One typically has to wait at least two years before continuing to the lower surgery.

Sallans had two choices for his lower surgery: a procedure that enlarges the clitoris to turn it into a penis called metoidioplasty or phalloplasty that would involve taking tissues from other parts of the body such as the forearm to build up the penis.

Sallans chose to do metoidioplasty in Belgrade, Serbia on May 7, 2008.

He said he is more physically comfortable with this procedure because doctors only worked with the part that he already had naturally. Sallans said he is able to feel the full sexual pleasure a regular man feels with the completed metoidioplasty, the difference is he is not able to ejaculate.

Although he has a friend who had a phalloplasty and enjoys his sexual experience since, Sallans was not going to take the significantly higher complication risks that came with the procedure.

Phalloplasty would have required more stages of surgery to complete, but Sallans only had to visit Serbia twice. His second time in April 2010 was for what he called a “revision.” It applied a final touch to his transition.

In addition, metoidioplasty is less costly. His two trips to Serbia for this procedure overall cost almost $27,000 versus $30-60,000.

In metoidioplasty, doctors use the effects of testosterone treatments to enlarge the clitoris. The doctors then incised the skin surrounding the enlarged clitoris to free the clitoral tissue from the pubic bone.

Sallans said his pains have all been worth it with the results that he has today, a sense of self-acceptance finally.

“It just made sense, all my insecurities while growing up are finally answered,” Sallans said.

Along with talking about sex changes, Sallans lectures on eating disorders. As Kim, he used to suffer with eating disorders and depression for six years prior to the transition. He was never satisfied with his body image before the transition.

“This was my challenge, to see if I could truly accept the inner being of who I am and if I could be open enough to share it with everyone,” Sallans said.

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Ryan Sallans, born a female who has transformed into male in his lifetime, educates University of Nebraska-Lincoln on sexuality.Photo by Ruth Angelina, NewsNetNebraska

Sallans said one in 500 people in the United States are transitioning in United States. He said a campus with about 25,000 students like UNL would have at least four to eight people transitioning. This can be tricky, however, when everybody’s identities are different.

“So you can’t put them into x, y, z boxes. There’s so much diversities in communities,” Sallans said. “I just tend to fit more into that male norm box, but doesn’t mean I don’t accept people in the other continuum.”

Cooley said Sallans has completed the stages in transitioning to a new gender. “The idea of gender and sexual ID is a personal thing for everybody,” Cooley said. “Keep in mind that it is difficult to grasp. There are health issues, barriers to take care of.”

Cooley said she sees increasing people identifying transgender issues and seeking care for it, just like Sallans because it is being more publicized today.

Sallans’ brother, Greg, is happy for Sallans because he finally gets to stop fighting that internal fight. “I see Ryan as truly happy now,” he said. His biggest worry for Sallans is possible damage a lifetime of hormones could cause for Ryan’s liver and heart.

Sallans wants to tell his story and work on behalf of the transgender community for the rest of his life.

“When that point comes that people are not interested in me anymore, as far as my own personal story, I hope to work with the medical professionals, psychologists, therapists, schools, university administrations,” Sallans said.

Sallans doesn’t mind standing out and speaking out about his change so others like him can someday easily blend into the community.



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Stay healthy now to stop heart disease

February 23, 2011
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Video report by Erin Starkebaum, NewsNetNebraska.



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