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 un