>>i thought uncomfortable. i felt ashamed. i felt embarrassed all around sad. >>from the shackles of society can be tough >>enough. >>then there are hurdles. >>right there, and i have the doctor straight up. turned me away. this community has been marginalized within medicine. >>today we look at the challenges facing those looking to transition. >>there's people who turned 60 or 70. now they're like, ok, i feel comfortable with doing this. ok, i'm ready now. almost there. mentally, i'm there physically. the surgery will be the last thing.

much for joining us today. well, this pride month we are focusing on issues facing the lgbtq plus community specifically, trans men and women are often denied treatment by health care workers who simply aren't equipped to handle their unique medical needs. we look into how they're working past that challenge, and we'll be joined live by the ceo. the san francisco community health center. well that conversation in just a few minutes, but 1st a look at your news headlines. oakland mayor sheng thao says she is innocent and has no intention of stepping down today. she spoke publicly for the 1st time since the fbi raided her home last week. the mayor said she is not the target of the investigation. i i want to know what probable cause the fbi has what evidence have they collected? that justifies raiding the home of a city mayor. without notice and without the courtesy of a

conversation. i'm not going down like that. we're not going down like that. let's hope to me just minutes after the mayor read her statement, a group organizing the recall campaign against her held a rally outside at frank ogawa plaza. rather deflect rather play victim, which we don't need anymore. we don't need any more victims of real victims and oakland are the people who are suffering. will not survive this. we're not mayor. now also questioned the timing of the fbi raid, which came just days after the registrar's office verified enough signatures to move forward on the recall. the fbi still has not released any details about what they were looking for at the mayor's home last thursday, agents were seen leaving with several boxes and duffel bags. they also raided a home linked to andy .... he's the member of the family that owns cow waste solutions we saw fbi and a i r s agents taking by boxes from cal waste

solutions office and several people confirmed the vietnamese american business association office in that very same building was also rated by federal agents. breaking news from san jose, where a vta train derailed. this is video from our chopper from just the past hour, the train was headed southbound capital expressway. we're told 10 people were on board that train. luckily no 1 was injured, congresswoman nancy pelosi is calling on house republicans to pass the right to contraception act. she spoke today in san francisco, marking 2 years since the supreme court overturned roe versus wade. she was joined by the ceo of planned parenthood north america this week. medical professionals rallied in front of east san jose regional medical center today, they say plans to close the trauma center and reduce strokes stroke center services on august 12th will negatively impact emergency care in that area regional put out a statement saying it's making

changes in line with the evolving needs of the community. and it was a wild scene on the bay bridge this weekend, people shooting off fireworks during a sideshow just after 2 a.m. yesterday you can see cars blocking the eastern span of the bridge spectators looked on, the chp says officers broke it up about 20 minutes after the 1st reports came in. they arrested at least 3 people. all right on of our 1st alert weather. now we're actually tracking a chance of showers. even the possibility of lightning. i look at black mountain right now. meteorologist darren peck is in our virtual view studios darren, are we actually going to get some >>rain? we're getting some liz and that camera that you were showing is the best 1 to look at. just for perspective. we're looking over the santa clara valley here. this is actually a time lapse. liz was showing you the live view. i want you to see what this has looked like over the last hour. because now you can see it. the rain coming down there. we haven't gotten much rain down here that's measurable in the santa clara valley, but you can see some of those drops working their way across that southern and

eastern edge of the santa clara valley kind of heading over towards milpitas that's 1 view pretty dramatic to be able to see it from the camera that we've got on those mountains on the west side of the santa clara valley. best thing to do is to take a look at 1st alert doppler couple of things about this. your whole lot more activity to this in the central valley. what we're experiencing here is just the very far northwestern edge of a complex of thunderstorms, which is over producing right now, and by that, i mean, this is more impressive than it looked like this would be when we were looking at high resolution forecast models on this yesterday. so a closer look at that shower that's moved across the santa cruz mountains. if you watch this, and we'll slow it down. see that line of rain there. within about the 45 minutes ago that was able to produce a strike of lightning, which is really what we're going to care most about here. it's not so much that the rain is going to have a big impact. it's that we want to watch for any lightning on the landscape right now, considering we have already started fire season for the finer fuels. we've seen plenty of that over the last

few weeks. whether it's the grasses or the smaller twigs and not necessarily our forests, which are still doing okay in terms of their moisture availability from the winner, but the finer fuels are quite flammable at this. so the lightning strikes are the biggest concern. that's where things look at this with this very isolated cell, having just moved over the santa cruz mountains. we don't have any reports from that lightning strike having started anything. but there could be more so here's the way we'll look at this. we're going to switch from live 1st alert doppler as we track that shower over the south bay and tomorrow looks like it has perhaps slightly elevated odds to see a little more of this, so we've we left behind live radar. we're looking at the future cast now and we're going to bring this ahead until tomorrow late morning, and you're going to see this. little bit of a bloom right there. so the time frame on this is tomorrow morning, and this is where the high resolution forecast models have been on this for at least the last 24 hours ago. we were looking at this as of last night's forecast and putting the focus on the possibility here that once we get into

tuesday morning through the afternoon, we're going to pull some of this energy right over the bay, and that would be about our 10 to 20% chance to see an isolated shower in occasional strike of lightning. let's watch how that plays out from the morning into the early afternoon. there we are like late morning. and then once we get into the early afternoon, most of the action moves off to the east from us. it's a fairly complicated scenario to forecast this is actually leftovers of what was tropical storm alberto like a week ago. that 1 made headlines when it came onshore through mexico and corpus christi, in texas. so we're getting the left over moisture and available energy. you got to have everything come together just right if you're going to get thunderstorms in the bay, and we've got some of those ingredients for about the next 36 hours to watch for, so that's the headline. let's go ahead. look at the 7 day forecast, and i'll show you that as we look at tuesday. you can see the cloud on here. you could call this a 10% chance of thunderstorms, but they're going to be really isolated, so

it's not. i mean, you're part of the bay. likely wherever you are. equally, we all have about a 10% chance of that tomorrow. then things will calm down by wednesday and in other weather news besides the small change of thunderstorms, we're going to get a cool down, but later in the week, look at those daytime highs. those inland valleys will go down into the mid 80s. that's a big improvement from the upper 90s, which is where you were just up until about yesterday. and here are the numbers for the bay will keep an eye on that list. we're going to have much more on this. paul will be in the 5:00 newscast. and we'll be tracking what little action there could be from those showers for now, back to you. >>what else? we mark fried month. we are celebrating the lgbt. q plus community. and also recognizing the unique challenges they face among them health care, according to the latest study by the american cancer society experienced discrimination and stress that could lead to serious

consequences. the study showed that people in the lgbtq plus population have a higher prevalence of smoking obesity and drinking alcohol, which could also raise the likelihood of cancer. the study concluded that health systems need to systematically increasing awareness. of the unique needs of this community to help mitigate that risk. but many health institutions are simply not informed or equipped to handle these needs. i spoke with 1 transmit. who knows what it's like to be marginalized by medicine. yeah. and then i just like to like a little little razzle dazzle, luna speaks to the world through music. it's like coloring with sounds. each note. lyric carefully curated to send a message about the person he wants the world to see. am feminine and masculine and more at the same time at any given time. started his transition 5 years ago when he

was 27 years old, but his journey to this started much earlier, even as a young child he knew typical gender stereotypes. just didn't fit. uncomfortable. i felt ashamed. i felt embarrassed. and i just all all around sad. never heard the term gender dysphoria until a therapist suggested he do a little research and something clicked. and i was just like mind blowing so like literally just cried and like was happy and then i was like, dang, but this looks like it's going to be hard. the 1st challenge was finding the right medical team before then he only went to the doctor when he was sick. he was in his early 20s when he had his 1st physical, but it was if it wasn't for my transmits. i don't think that i would have even started going to the doctor because it's like i only went to the doctor because i was i needed. i want to get those hormones that's going to make me happy. transition didn't start and end with hormones. he knew he still had

to take care of all areas of his medical care, and that included getting a pap smear and i went and i have the doctor straight up. turning me away kept experiencing stuff like that where people were just looking at me. while i'm like, yeah, it says, if it's i'm a female, yeah, that's what i was assigned at birth. that's my genitalia. but i'm not presenting a search and it just i just felt like a lot of people were uncomfortable with it. and having that prejudice >>benji, lenny a k a. is the chief of the stanford lgbtq plus adult clinical program. >>we have to remember that until 2013. having a gender affirming care was actually pathologize and had the diagnosis code of gender identity disorder. and until the 1970s, even just being gay was identified as homosexuals. you know disorder, right rather than recognizing these as distinct identities and with and communities that had a distinct healthcare needs, doctor lenny a. k a. who goes by the pro nails, they them

says there are nuances. to medical care for lgbt. patients that often isn't covered in most medical schools. our patients might not necessarily have bodies that align with their legal ... or their or their ... assigned at birth, even right and so, making sure that we are able to do things like cancer screening appropriate for the body parts that are available, right, for instance. trans masculine individuals may have had top surgery, which means male chest reconstruction. to reduce chest tissue and to create a more masculine appearance. removing a lot of tissue that would normally have been screened for breast cancer now. not all of this tissue may be removed, right? so the nuances needs to be there in the appropriate screening afterwards. conversely, are transfeminine patients who develop breast tissue often later in life, compared to their sister and her peers will need breast cancers creating, but at an interval that maybe differ from their system appears to develop breast issue in puberty. they

make the curriculum for training future doctors, doctors like melanie ambler who is in our 3rd year of medical school at stanford. this community has been marginalized within medicine and the fact that i can be someone that can go into a room and attempt to gain back that trust and have the skills. to do that is something that's really important for me. so that anyone that walks in the door feels comfortable with the person that they're speaking to, even if they don't share the same identity eventually found his medical team that was able to provide the right gender affirming care, but his transition is still a journey of discovering his true self. that's more than just a pronoun when i 1st found about i found out that i was trans. i was like i just want to be he him. and so but now i feel so much different because i've gotten the opportunity to let go of that and be like, oh, well, i don't actually not just see him. i have been she and if it wasn't for she wouldn't get to

be he days and z there. i use all the pronouns now. picture of ray from the 1st grade hangs above his bed. a picture of a little girl who at the time was scared and confused who they were on the outside didn't always fit who they were on the inside a little girl ray doesn't want to forget. you could talk to that little girl. what would you say to her? yeah. i would say. to her that were right. we're right where we need to be because we're going to get to be more than we can even dream of. it just never stopped being real. the real 1. the us supreme court just agreed to take up a case involving care for transgender youth court announced it will review the constitutionality of a tennessee law banding gender

affirming care for transgender minors, such as puberty, blockers and hormone therapy. still ahead, the ceo of the san francisco community health center joins me live to talk about the climate surrounding trans rights and the work in the city t

well, the lgbtq plus community faces some unique challenges. challenge. when it comes to health care, and today we're focusing on individuals

who have or are exploring trans transitioning gender. joining me now is lance toma, the ceo of the san francisco community health center. thank you so much for being here. >>thank you so much, liz. for having me. >>earlier in that story. we talked a lot about how trans care. especially when it comes to cancer prevention. there are some new ones. with the but there is some also some other nuances. when it comes to try. individuals who have transitioned or are in the process of transition. >>yeah, well, you know, at san francisco health center, we actually focus on lgbtq plus healthcare but specifically, trans and gender affirming care, and it is it really is from the get go from the reception to the nurse who are social workers to our providers. everyone needs to be trans, competent and understand the experience of a trans gender person. and that really goes such a long way from pronouns, but too yeah to understanding lived experience, sort of the history of trauma, oftentimes that are trans

community has gone through and then just being ah! not being taken care of by our health care system. so having folks who really understand that experience is so critical. >>imagine it's as much about mental health as >>it >>is about physical health. >>yes, we know that. you know if you talk about cancer prevention we know about obesity and hiv and smoking all there's so many factors that are affecting our lgbt. plus community are providers need to understand the totality. you know, we talk about whole person care, and that's what we're about. >>so many of the patients that you work with to the work you've you've spent your whole career focusing on marginalized communities, not just the lgbtq. community, but so many of your patients are also dealing with homelessness. drug abuse. tell us a little bit about the work that you do. within the community when it comes to these marginalized groups. >>you know, i mean, we are so committed to ensuring that the

most marginalized communities in san francisco are front and center. in terms of the care that we provide and so often. if you're talking about folks who are home who are struggling with mental illness, and right now the fentanyl and opioid overdose crisis that is afflicting our neighborhoods. it's actually about providing the highest quality care at our center, but then actually going out and taking that care out into the street, so we actually have 2 full time teams that are going out into the neighborhoods of the tenderloin. and providing medical care. behavioral health care, mental health, substance use care in the streets in the alleyways to support folks who just can't make it into a clinic. >>when what do you think would surprise people the most when it comes to what you're dealing with on a daily? basis when it comes to this? community? >>you know what i will say. is that the commute is resilient. and inspiring folks in the tenderloin care about each other. we learned that in covid what we did in covid is the team that i have at san

francisco committee health center. we went out into the street and we actually provided care education. around what it means to shelter in place when you are in a tent or on its homeless and we engage those folks to help their peers and their their friends and communities in the street and we were effective and actually getting the tenderloin to 90% fully vaccinated. and it's because the community is so remarkable in the tenderloin. so that's what i want to. that's what i always share. is that once you really get to know folks who are really struggling in the tenderloin their remarkable folks, >>you know when you talk about lgbtq plus care, healthcare specifically, you think of hiv and aids. its 1st thing that comes to mind is that still a major issue in this community given all the preventative measures that are out there where and the treatments that are out. there >>it is, i think, covid. set us back a bit. with with these past few years, but we remain vigilant. you know when we did covid outreach and education with the community, we were having folks make sure hepatitis c was talked about

hiv was the education and outreach efforts, testing that we kept our making sure that that was happening, you know, so we are still on the path to getting to 0 in san francisco, and we're proud of that. but there are communities, communities of color the latinx community that we are seeing increases so we can't we have to remain vigilant with respect to all of our culturally competent services across the city. >>lance tell my the ceo of the sf community health center. thanks so much for

a bay area senior is prue. you are are never too old, too. to be your most authentic. self at the centers for elders independence in san leandro, buddy wolf is now getting gender affirming support, he says he always knew he was meant to be a man. but growing up in conservative modesto, he never felt he could be himself. but he says before his mother died, he promised her he would get gender reassignment surgery if he ever got the chance. he's now had both ... removed and has been on hormone therapy. but his plan lower body surgery is on hold because of other health issues still, he says, i'm almost there. mentally, i'm there physically is really the surgery will be the last thing and even if even if my body does things that, you know, i can't get the surgery. then i'm

satisfied with what i've got. i finally at least have what i've always longed for, and that was at least to pass to look like who i who i am. but his case was the 1st of its kind at the center and we'll be right back next time. yeah.

we're just getting word of changes to mayor sheng. thao. is legal team. in the wake of the fbi raid of her home in oakland of all the details coming up tonight at 5:00 and thank you so much for joining us for today's 3:00 conversation around lgbtq, plus health. the cbs evening news is next on kpi x will see you at 5. ♪ ♪ >> the structural integrity of the dam has been a question for a long time. >> norah: tonight the new threat in the midwest, a major dam at risk of immediate failure after catastrophic flooding hits the region. speak of the devastation is