A Michigan prison inmate with gender identity disorder can sue a doctor and a guard who are accused of ignoring problems with her breasts.
Vonlee Titlow says a corrections officer snickered and failed to seek medical care when she complained about pain in her breasts in 2006. It took three years for officials to approve a bilateral mastectomy.
Titlow was born a male but considers herself a female and had received silicone injections to increase her breast size before entering prison in 2002.
A federal appeals court on Monday says a corrections officer and a doctor are not immune to a civil trial over delays and their alleged indifference to Titlow's medical problems.
The 45-year-old Titlow is in prison for second-degree murder in Oakland County.