San Francisco City clinic provides a broad range of Sexual Health services from Stephanie Tran medical director at san Francisco City clinic. We are here to provide easy access to conference of lowcost culturally sensitive Sexual Health services and to everyone who walks through our door. So we providestd checkups, diagnosis and treatment. We also provide hiv screening we provide hiv treatment for People Living with hiv and are uninsured and then we hope them Health Benefits and rage into conference of primary care. We also provide both prend post exposure prophylactics for hiv prevention we also provide a range of womens reproductive Health Services including contraception, emergency contraception. Sometimes known as plan b. Pap smears and [inaudible]. We are was entirely [inaudible]people will come as soon as were open even a little before opening. Weight buries a lip it could be the first person here at your in and out within a few minutes. There are some days we do have a pretty considerable weight. In general, people can just walk right in and register with her front desk seen that day. My name is yvonne piper on the Nurse Practitioner here at sf city clinic. He was the first time i came to city clinic was a little intimidated. The first time i got treated for [inaudible]. I walked up to the redline and was greeted with a warm welcome im chad redden and anna client of city clinic even has had an std clinic since all the way back to 1911. At that time, the clinic was founded to provide std diagnosis treatment for sex workers. Theres been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. There were some Public Health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in San Francisco. When youre at the clinic youre going to wait with whoever else is able to register at the front desk first. After you register your seat in the waiting room and wait to be seen. After you are called you come to the back and meet with a Healthcare Provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. Plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. Recommended both by the cdc, center for Disease Control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. I actually was in the project here when i first started here it was in trials. Im currently on prep. I do prep through city clinic. You know i get my tests read here regularly and i highly recommend prep a lot of patients inclined to think that theres no way they could afford to pay for prep. We really encourage people to come in and talk to one of our prep navigators. We find that we can help almost everyone find a way to access prep so its affordable for them. If you times we do have opponents would be on thursday morning. We have two different clinics going on at that time. When is womens Health Services. People can make an appointment either by calling them a dropping in or emailing us for that. We also have an hiv care clinic that happens on that morning as well also by appointment only. He was city clinic has been like home to me. I been coming here since 2011. My name iskim troy, client of city clinic. When i first learned i was hiv positive i do not know what it was. I felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. So i [inaudible] hiv care with their health about a quarter of our patients are women. The rest, 75 are men and about half of the men who come here are gay men or other men who have sex with men. A small percent about 1 of our clients, identify as transgender. We ask at the front for 25 fee for services but we dont turn anyone away for funds. We also work with outside its going out so any amount people can pay we will be happy to accept. I get casted for a pap smear and i also informed the contraceptive method. Accessibility to the clinic was very easy. You can just walk in and talk to a registration staff. I feel im taken care of and im been supportive. All the information were collecting here is kept confidential. So this means we cant release your information without your explicit permission get a lot of folks are concerned especially come to a Sexual Health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. Trance men and women face really significant levels of discrimination and stigma in their daily lives. And in healthcare. Hiv and std rates in San Francisco are particularly and strikingly high were trans women. So we really try to make city clinic a place that strandsfriendly trance competent and transwelcoming everyone from the front desk to behind our amazement there are completely knowledgeable. They are friendly good for me being a sex worker, ive gone through a lot of difficult different different medical practice and sometimes they werent competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. I have been coming here for seven years. When i come here i know they my services are going to be met. To be confidential but i dont have to worry about anyone looking at me or making me feel less a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. We have some testing with you on site. So all of our samples we collect here. Including blood draws. We sent to the lab from here so people will need to go elsewhere to get their specimens collect. Then we have a few test we do run on site. So those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. People get those results the same day of their visit. I think its important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. Onsite we have condoms as well as depoprovera which is also known as [inaudible] shot. We can prescribe other forms of contraception. Pills, a patch and rain. We provide pap smears to women who are uninsured in San Francisco residents or, to women who are enrolled in a statefunded program called family pack. Pap smears are the recommendationrecommended Screening Test for monitoring for early signs of cervical cancer. We do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. Whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. In terms of how many people were able to see in a day, we say roughly 100 people. If people are very brief and straightforward visits, we can sternly see 100, maybe a little more. We might be understaffed that they would have a little complicated visits we might not see as many folks. So if we reach our target number of 100 patients early in the day we may close our doors early for droppings. To my best advice to be senior is get here early. We do have a website but its sf city clinic. Working theres a wealth of information on the website but our hours and our location. As well as a kind of kind of information about stds, hiv,theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for theres a lot of information for providers on our list as well. Patients are always welcome to call the clinic for 15, 40 75500. The phones answered during hours for clients to questions. Growing up in San Francisco has been way safer than growing up other places we we have that bubble, and its still that bubble that its okay to be whatever you want to. You can let your free flag fry he fly here. As an adult with autism, im here to challenge peoples idea of what autism is. My journey is not everyones journey because every autistic child is different, but theres hope. My background has heavy roots in the bay area. I was born in san diego and adopted out to San Francisco when i was about 17 years old. I bounced around a little bit here in high school, but ive always been here in the bay. We are an inclusive preschool, which means that we cater to emp. We dont turn anyone away. We take every child regardless of race, creed, religious or ability. The most common thing i hear in my adult life is oh, you dont seem like you have autism. You seem so normal. Yeah. Thats 26 years of really, really, really hard work and i think thises that i still do. I was one of the first open adoptions for an lgbt couple. They split up when i was about four. One of them is partnered, and one of them is not, and then my biological mother, who is also a lesbian. Very queer family. Growing up in the 90s with a queer family was odd, i had the bubble to protect me, and here, i felt safe. I was bullied relatively infrequently. But i never really felt isolated or alone. I have known for virtually my entire life i was not suspended, but kindly asked to not ever bring it up again in first grade, my desire to have a sex change. The school that i went to really had no idea how to handle one. One of my parents is a little bit gender nonconforming, so they know what its about, but my parents wanted my life to be safe. When i have all the neurological issues to manage, that was just one more to add to it. I was a weird kid. I had my core group of, like, very tight, like, three friends. When we look at autism, we characterize it by, like, lack of eye contact, what i do now is when im looking away from the camera, its for my own comfort. Faces are confusing. Its a lack of mirror neurons in your brain working properly to allow you to experience empathy, to realize where somebody is coming from, or to realize that body language means that. At its core, autism is a social disorder, its a neurological disorder that people are born with, and its a big, big spectrum. It wasnt until i was a teenager that i heard autism in relation to myself, and i rejected it. I was very loud, i took up a lot of space, and it was because mostly taking up space let everybody else know where i existed in the world. I didnt like to talk to people really, and then, when i did, i overshared. I was very difficult to be around. But the friends that i have are very close. I click with our atypical kiddos than other people do. In experience, i remember when i was five years old and not wanting people to touch me because it hurt. I remember throwing chairs because i could not regulate my own emotions, and it did not mean that i was a bad kid, it meant that i couldnt cope. I grew up in a family of behavioral psychologists, and i got development cal developmental psychology from all sides. I recognize that my experience is just a very small picture of that, and not everybodys in a position to have a family thats as supportive, but theres also a community thats incredible helpful and wonderful and open and there for you in your moments of need. It was like two or three years of conversations before i was like you know what . Im just going to do this, and i went out and got my prescription for hormones and started transitioning medically, even though i had already been living as a male. I have a twoyearold. The person who im now married to is my husband for about two years, and then started gaining weight and wasnt sure, so i we went and talked with the doctor at my clinic, and he said well, testosterone is basically birth control, so theres no way you can be pregnant. I found out i was pregnant at 6. 5 months. My whole mission is to kind of normalize adults like me. I think ive finally found my calling in early intervention, which is here, kind of what we do. I think the access to irrelevant care for parents is intentionally confusing. When i did the procespective search for autism for my own child, it was confusing. We have a place where children can be children, but its very confusing. I always out myself as an adult with autism. I think its helpful when you know where can your child go. How im choosing to help is to give children that would normally not be allowed to have children in the same respect, kids that have three times as much work to do as their peers or kids who do odd things, like, beach therapy. How do speech therapy. How do you explain that to the rest of their class . I want that to be a normal experience. I was working on a certificate and kind of getting think Early Childhood credits brefore i started working here, and we did a section on transgender inclusion, inclusion, which is a big issue here in San Francisco because we attract lots of queer families, and the teacher approached me and said i dont really feel comfortable or qualified to talk about this from, like, a cisgendered straight persons perspective, would you mind talking a little bit with your own experience, and im like absolutely. So im now one of the guest speakers in that particular class at city college. I love growing up here. I love what San Francisco represents. The idea of leaving has never occurred to me. But its a place that i need to fight for to bring it back to what it used to be, to allow all of those little kids that come from really unsafe environments to move somewhere safe. What ive done with my life is work to make all of those situations better, to bring a little bit of light to all those kind of issues that were still having, hoping to expand into a little bit more of a Resource Center, and this Resource Center would be more those new parents who have gotten that diagnosis, and we want to be this one centralized place that allows parents to breathe for a second. I would love to empower from the bottom up, from the kid level, and from the top down, from the teacher level. So many things that i would love to do that are all about changing peoples minds about certain chunts, like the Transgender Community or the autistic community. I would like my daughter to know theres no wrong way to go through life. Everybody experiences pain and grief and sadness, and that all of those things are temporary. [ ] my familys starts in mexico in a small town. My parents are from a very, very small town. So small, that my dads brother is married to one of my moms sisters. Its that small. A lot of folks from that town are here in the city. Like most immigrant families, my parents wanted a better life for us. My dad came out here first. I think i was almost twoyearsold when he sent for us. My mom and myself came out here. We moved to San Francisco early on. In the Mission District and moved out to daily city and bounced back to San Francisco. We lived across the street from the ups building. For me, when my earliest memories were the big brown trucks driving up and down the street keeping us awake at night. When i was sevenyearsold and im in charge of making sure we get on the bus on time to get to school. I have to make sure that we do our homework. Its a lot of responsibility for a kid. The weekends were always for family. We used to get together and whether we used to go watch a movie at the new Mission Theater and then afterwards going to Kentucky Fried Chicken. That was big for us. We get Kentucky Fried Chicken on sunday. Whoa go crazy so for me, home is having something where you are all together. Whether its just together for dinner or whether its together for breakfast or sharing a special moment at the holidays. Whether its thanksgiving or christmas or birthdays. That is home. Being so close to berkley and oakland and San Francisco, theres a line. Here you dont see a line. Even though you see someone thats different from you, theyre equal. Youve always seen that. A rainbow of colors, a ryan bow of personalities. When you think about it you are supposed to be protecting the kids. They have dreams. They have aspirations. They have goals. And you are take that away from them. Right now, the price is a hard fight. Theyre determined. I mean, these kids, you have to applaud them. Their heart is in the right place. Theres hope. I mean, out here with the things changing everyday, you just hope the next administration makes a change that makes things right. Right now theres a lot of changes on a lot of different levels. The only thing you hope for is for the future of these young kids and young folks that are getting into politics to make the right move and for the folks who cant speak. Dy mind motion. Even though we have a lot of fighters, theres a lot of voice less folks and their voiceless because theyre scared. The renovation of balboa park, the oldest in the city of San Francisco, and now it is the newest part in the city of San Francisco. Through our partnership, and because of Public Investment from the two thousand eight fund, we are celebrating a renewal and an awakening of this park. We have it safer, happier, more joyous. 3, 2, 1, [laughter] [applause] it is a great resource for families, to have fun in the city, recreation. This is an amazing park. We have not revitalized it without public and private investment. The critical piece of the process of this renovation was that it was all about the community. We reached out to everyone in this community. We love this park dearly and they all had thoughts and ideas and they wanted to bring their own creativity and their personality to bear on the design. What you see is what the community wanted. These ideas all came from the residents of this community. As a result, there is a sense of ownership, pride and responsibility that goes along with what is going to be an exciting park. My name is amanda [inaudible] over see the girls sports program. When i came to San Francisco and studied recreation and parks and towerism and after i graduated i moved to Candlestick Park and grain r gain adlot of experience work with the San Francisco 49 and [inaudible] be agfemale in a vore sports dynamic facility. I coached volo ball on the side and as candle stick closed down the city had me move in92 too [inaudible] immediate interaction and response when you work with kids. I think that is what drives other people to do this. What drew me to come to [inaudible] to begin with for me to stay. I use today work in advertising as a media buyer and it wasnt fulfilling enough and i found a opportunity to be a writing coach. The moment [inaudible] you to take advantage of how you change and inspire a child by the words you say and actions you do. You have a 30 different programs for girls through rec and park and fast ball, soft ball and volley ball. I started the first Volley Ball League and very proud what i have done with that. Being a leader for girls is passion and showing to be confident and being ambiggish and strong person. [inaudible] for about 5 years. Programs offered thraw thirtythree rec and park and oversee thg prms about a year. Other than the programs we offer we offer summer camp squz do [inaudible] during the summer and that is something i wherei have been able to shine in my role. Couple years we started the civic center socking league and what an amazing opportunity it was and is it for kid in the neighborhood who come together every friday in the Civic Center Plaza on green grass to run and play. You otonly see soccer and poetry but also see books t. Is a really promoting literacy to our kid and giving them to tools to make it work at home. Real fortunate to see the [inaudible] grow. Girls get pressureed with society and i know that is obvious, but we see it every day, magazines, commercials the idea what a woman should look like but i like to be a Strong Female role for it goals that play sports because a lot of times they dont see someone strong in a female role with something connected with sports and athleticism and i love i can bring that to the table. Soccer, poetry, community service. We now have field of dreams. We are [inaudible] all over the bay area and excited to be share our mission with other schools across the bay to really build the confidence and character of kids when they go out to play and close their eyes and think, why was [inaudible] we want to make surei want to make sure they remember me and remember the other folks who [inaudible] get out there and do it. Who cares about what anybody else says. There will be poopal people that come up and want to wreck your ideas. That happen today eme when i went to candle stick part and wanted to [inaudible] people told me no left and right. Whether you go out for something you are passionate about our something you want to grow in and feel people will say no. Go out and get it done. I can be the strong leader female and i love that
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