Concerns over being stereotyped as a "gay doctor," losing straight patients and being shunned by medical colleagues keep many physicians -- both gay and straight -- from seeking out gay and lesbian patients. "All over the country, people are nervous -- even in a large city," said Joel Ginsberg, executive director of the Gay and Lesbian Medical Association. "There is a major issue of discrimination in the health-care profession, and that keeps people from coming out."

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