The Whole Mess

Notes from the middle of everything

Collector of contradictions, student of imperfection, and occasional meditator. Writing from the messy middle with equal parts honesty and humor.
Intersections and Assumptions

I often think about the intersections1 between disability, gender, sexual orientation, race, and the million other intersections that we live with. I was recently reminded of a personal experience during a medical appointment that left me speechless.

I had recently been paired up with my service dog and was at a routine medical appointment. The doctor asked me if my husband approved of me having a service dog. I was so flabbergasted that I wasn’t even sure how to respond. There are several layers here involving ableism, assumptions of heterosexuality, and sexism all rolled into one sentence.

Firstly, I’m single and queer, and to assume I am straight (let alone married) was thoroughly confusing to me. I didn’t make any effort to hide my sexual orientation, and this was a gynecologist who theoretically knew my sex history. The homophobic assumption of compulsory heterosexuality2 came to mind.

Secondly, my service dog is essentially a form of medical equipment. To question my need for medical equipment is ableist af.

Thirdly, the assumption that I would need permission or approval from a man, let alone a husband, to have said medical equipment is mind-boggling and several decades stale.

In one sentence, she managed to insult the intersections between my sexual orientation, gender, and disability. I’d be impressed if I weren’t so infuriated.


  1. The term and concept of intersectionality was coined by Kimberlé Crenshaw, an American civil rights advocate and a scholar of critical race theory, working out of UCLA and Columbia Law School. ↩︎
  2. Rich, A.C. (1980). Compulsory Heterosexuality and Lesbian Existence. Signs: Journal of Women in Culture and Society, 5, 631 – 660. ↩︎
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