Today is a year on T-injections, 50ml / week. I’d been on Androgel prior to this – from March 2013 to November 2015. During that time, I didn’t experience many physical changes at all, which was what I was looking for at the time. And it’s kind of the reason I stopped too – it became unclear what the purpose was, as if it didn’t make much difference whether I was on the gel or not.
So for that whole next year, I was trying to square away other elements of my transition, not sure whether I’d get back on testosterone or not. It just felt like I wanted to get top surgery, change my name, and transition further socially before I would potentially want to pursue a level of hormones that would definitely change things in a noticeable way. In the summer of 2016, it started to feel like the next step. I was still pretty regularly seen as female everywhere, and more than anything, I wanted to be more firmly planted in the middle.
It took about 6 months to get an appointment and get started on injections. I was doing intramuscular injections at first for about 9 months, and not liking it. The need to get psyched up in order to jab in the needle was not fun. When my endocrinologist gave me the option to switch to subcutaneous, I jumped at tat. I am loving this method. I wrote about making the switch here: 9 months on T-injections
I like being on this dose of testosterone a lot more than I thought I would. The only aspects I’m not liking are the facial hair growth and the loss of a sense of smell.
I would say that I am seen as male more than I am seen as female, now. That’s huge. I don’t want that to tip too far in that direction, but so far, so good. I’m still legally female, and I still almost always go into women’s bathrooms and dressing rooms. I’ve never been stopped or questioned.
There are a lot of changes I could write about in depth, but right now I feel like focusing on my voice. When I started Androgel, I was overly anxious about my voice changing, in particular. I think it dropped ever-so-slightly, and I freaked out and lowered my dose even further. And that worked – it didn’t change any further. When I started injections, I was aware that my voice would probably be the most noticeable thing changing, early on. And I was OK with that – something had shifted over the years.
I’m a DJ on a free form community radio station, and I’ve done an hour-long show regularly every week for the past two years. It’s been a total blast. And, it’s been a way to effortlessly track the changes in my voice. When I hear pre-T recordings, my reaction is total cringe. Which is quite the shift, since I used to want to “preserve” that register. Now I really hate it! And I love how it’s changed. I can never go back, and I’m totally fine with that!
Aaaand, here’s my face:
My spouse, spouse’s mom, and I were sitting in a “farm shop” at Aillwee Cave near Ballyvaughan, Ireland. We had vague plans to go into the cave, but more than anything we were just exploring the west coast by car, stopping at the side of windy narrow roads for pictures, looking at all the sheep, stone walls, castles, and stone-house ruins. When we arrived at the cave and realized it would be 18 Euros each, to tour it, we opted to just take a break instead: drink some Americanos, and sample all the cheeses that were made right in the shop. We picked up tourist maps and brochures, spreading them open on the counter in front of us. I noticed one point of interest, the Burren Brewery at the Roadside Tavern, in Lisdoonvarna, which just happened to be en route to our way back.
My impression of Irish beer so far had been that there are essentially three kinds: a light lager, a red ale, and a dry stout. The blurb about this brewery confirmed that: “The Roadside Tavern which was established in 1865 as a pub, was expanded into a bakery and now harbours a micro-brewery under its roof. Stop by and sample the taster menu of Burren micro-brewery beers: Burren Gold, a delicious colourful lager; Burren Red, a spicy, slightly sweet ale which even features a hint of smoke; Burren Black, a smooth and full-bodied stout.”
The town was so small that we just parked on the main street and walked up and down, looking for the Roadside Tavern. When we found it, it looked closed and there was a sign on the door that food was not being served for the next couple of months – the off season for tourists. We tried the door and were surprised to find that it was in fact open. An old gentleman was tending bar, and there were three locals just shooting the breeze. It was only 4pm, but it had the vibe that it didn’t really get much more crowded than that, even on a late night in January. It was already getting dark out, and the place was dimly lit. I ordered one of each (my spouse’s mom got the Gold, I got the Red, and my spouse got the Black.) We found our way into a second room, where a fire was blazing, giving off a warmth and a glow.
This was also an opportunity to go on our phones – WiFi was spotty throughout the trip; our airbnb didn’t have a connection. Since I don’t have a smart phone, I just stared at the fire, trying to overhear the conversations. I couldn’t make out a whole lot, but the language was definitely colorful.
The bartender went into the back for a while, and I snapped a few photos. Then I started to wander around, looking for the restroom. I went up some stairs and through a door which led to a more of a dining area, completely empty. When I came back, my spouse said they were joking about how I was leading my own micro-brewery tour. I said I was looking for the bathroom (just called “toilet” in Ireland.) My spouse’s mom pointed to another door. “It’s always down the stairs.”
I went through and there was the bartender. I looked to my left, “ladies,” and to my right, “gents.” I made a move like I was going left, and the bartender firmly, simply, gestured me the other way. I thought to myself, “well, his place, his rules. I don’t feel unsafe. Here we go…” and I went in. While I was in the stall, another guy came in and approached a urinal. I flushed, washed my hands, dried my hands, and left. No problems.
This wasn’t the first time I’ve been directed to the men’s. It happened once in Turkey. And also at a clothing store, to the men’s dressing room. This felt more deliberate though, ceremonial almost. And although I don’t plan to continue frequenting men’s bathrooms, it felt validating. I really do feel like I am inhabiting a middle ground, finally.
Before we left, the bartender asked how we liked the beers. My spouse said of the Burren Black, “Better than a Guinness!” The bartender just nodded, knowingly.
Recently, while in the midst of yet another gender confusion stream-of-consciousness ramble, directed at my therapist, she reminded me, “You used to tell me that you didn’t think you felt like a man, but you wanted to be seen as a boy.” But that was like 15 years ago, when I was 20, 21 years old. At that point, it wasn’t that much of a stretch to be seen as a 15 year old boy. Right? Or at least, not nearly as much of a stretch as a 36-year old (me, now) wanting that same thing. Do I still want that? Not really, anymore. But, it is happening at this point, sometimes, more than ever before. (Well maybe not more than when I was 10 years old and there was no way to tell me apart from a boy of that same age..)
When I was first grappling with what it meant to be transgender, one of the first terms I latched onto was “boi.” It’s a deviation of “boy,” something that’s queer and edgy but also kind of just “testing the waters,” experimental, non-committal. Wikipedia has a whole slew of other meanings for “boi,” which is worth checking out, here.
It seems that this term has fallen out of popularity, similarly to how “hir” and “ze” have given way to “they.”
I gotta admit I don’t identify with “boi” anymore. Nor do I feel like I am a boy. BUT! There are certain things that are great about being seen that way. When people mistake me for a 16 year old boy, I feel like I will live forever! Hah, not really, but there is something exciting about it. I almost always get carded unless I’m at a place where people know my face. Fine by me!
Sometimes I have trouble inhabiting this body. it has gotten waaaaaaay easier since top surgery and testosterone. BUT! Do you know what’s cool about this body? The size of my body is exactly between “boy’s” sizes and “men’s” sizes, in every way. I love that – it’s kind of perfect. I can wear boys XL shirts (as long as the sleeves are long enough) or men’s XS shirts (kind of hard to find). Men’s pants start at size 28 waist, and boy’s pants end at size 30 waist. I fall right within that range – lately since testosterone, going more toward the 30. Boy’s size 20 means 30X30 which is pretty much perfect, if I can find them.
And shoes! Boy’s go up to size 6y (the “y” stands for youth). And Men’s start at size 7. Either of these fit me.
I wear unisex size small t-shirts. I wear both boy’s and men’s underwear, but gravitate more towards boy’s because it’s generally waaaaaaaay cheaper.
When I was 20, 21, a close friend and I strongly identified as “bois,” together. We played catch with baseballs and mitts, or frisbees, countless times. We peed in the woods, whenever we had to go, no big deal. We worked on an organic garden, we went camping and swimming in the lake in just our briefs and A-frame tank tops. We got free ice creams at the place my brother worked. She now identifies as a bisexual woman. And I identify as trans, as genderqueer, as non-binary, as queer.
But, although I have a history with it, I probably would not say that I am a “boi.”
I have not come up against very much resistance or ugliness as I’ve come out, in stages, in different ways, over the span of like 18 years. I’ve been called rude things out car windows. I’ve had uncomfortable and disconcerting medical appointments. I’ve faced silence-as-acceptance(?) from certain family members. I’m still dealing with people not grasping the right pronoun, or referring to my spouse as my “friend.” But these things have been few and far between, and although they do add up, they don’t feel terribly crushing. Most of the hardest feelings have come from within, and not outside forces.
Two weeks ago though, something came up that was deliberate, that would affect me long term, and that I can’t just let go. It’s my name plate at work.
I’ve worked at this school for over 10 years, and I’ve struggled to find my place within the rest of the staff. As a default, I’ve been distant and out-of-the-loop for the most part. It took me 6 years to get a name on the custodial door at all, and that only happened when a new person started and he got his name on the door. Then it was suddenly, hey, wait a minute! I had been fine without one, or so I told myself, because I’d rather not have one at all than be a “Miss” or a “Ms.” or later a “Mrs.” or even a “Mr.” All of those feel cringe-worthy and totally wrong for me. So when I was actually asked, and I said, “KT [last name]” and that was accepted, I was thrilled. That was the name I went by. It felt right. At the time.
And then it didn’t. I came out at work last December. Holy what, that was a year ago! Part of this included talking to the principal about my name and pronoun change. I also made it clear that I was not transitioning to male, exactly, and I’d like it to be known I identify as in the middle or as a little bit of both genders. She replied that that distinction was not necessary, and that was more of a private thing. PS- It isn’t. It’s my identity. Instead of deciding I needed to clarify in that moment though, I attempted to grasp onto other compromises and specifics. So that, when she asked me about my name on the custodial door, it was immediately a no-brainer. “Mx. [last name].” It’s another option, I said. It is in use. It’s a thing, I tried to assure her. I said, “If this is representing my name, then I don’t feel compelled to spell out [in a coming out email she was going to be sending on my behalf] how I am neither gender. The title will speak for itself, and people can ask me if they want.” The principal nodded. It felt very much like we had agreed on this. She had told me that it could say whatever I wanted although she would like there to be some uniformity with everyone else’s. Mx. seemed perfect. I assumed there was follow-through on this.
As the months went by and I still didn’t have a name on the door (my supervisor had ripped off my old one), I wondered what was a reasonable amount of time to wait before asking what’s going on? But then I was out of work in May for mental health reasons. And then it was summer, and stuff like that doesn’t get done over the summer. I again had a new co-worker. I decided I would just ride in on his coat-tails. It would be easier, and that was the route I preferred to take at that time. And sure enough, within the first couple of weeks of school starting back up in September, he got his name on the custodial door. And I still didn’t. It was Mr. [last name]. I went to the administrative assistant that day and asked about my name. She apologized for not adding mine to the order, and she said she’d order it right then and there. I gave her a piece of paper where I had written it out, so there’d be no confusion: Mx. [last name].
It took 2 months, but it finally came in 2 weeks ago, but it was all wrong. I checked the custodial mail slot like I do most days, and I was appalled to see two new name plates: one for me and one for my co-worker – both of them were our first and last names. No titles at all. My ears turned red, my pulse quickened. I paced around a little, trying to move forward with my work while processing this. The principal was still in her office, adjacent to the hall where these mail slots are. I started to gear up to approach her, but then I hesitated, thinking I should wait until I’m more levelheaded. I didn’t get a chance to decide because right in that moment, she left.
My first, more general thought was that this is disrespectful in a classist sense. Why should ours be the only names that don’t have a title with them. Other thoughts spiraled out from there, most prominently, “I don’t want to have to deal with this!”
When the name got put on the door, I told my co-worker that’s not what I wanted. (He failed to change out his name plate, so mine was the only one with a first name). I then told the administrative assistant, and she said this was the principal’s decision. Which I already figured; I just didn’t want to talk to her! For 5 days in a row, I gathered myself to go talk to her, only to be met with her on her way out the door right in that moment. So finally when passing her in the hall on the 6th day, I asked, “Can I talk to you before you leave today?”
That worked! I talked to her and it was no big deal on her end. I wrote out what I wanted, for a third time, and she said it’d be ordered the following day. Which was yesterday. We’ll see how long it takes this time around; at this point it’s been over a year!
Back in October, I was asked to be a part of a group performance art piece, an interpretation of John Cage’s Variations III. We were given a sheet of transparent plastic with 42 circles on it. Our task was to cut out each circle, take a 11 X 8.5 inch sheet of paper, drop the circles onto the white paper, clear any circles that landed outside of the paper and also any circle that wasn’t overlapping with another circle. Then we took a photo of our “circle configuration.” Mine looked like this:
We were then supposed to distill this pattern into a “score” that would span 2 hours (including 5 minute breaks for every “event.” According to the directions, “Starting with any circle, observe the number of circles which overlap it. Make an action or actions having the corresponding number of interpenetrating variables (1+n). This done, move on to any one of the overlapping circles, again observing the number of interpenetrations, performing a suitable action or actions, and so on. Some or all of one’s obligation may be performed through ambient circumstances (environmental changes) by simply noticing or responding to them. Though no means are given for the measurement of time or space … or the specific interpretation of circles, such measurement and determination means are not necessarily excluded from the ‘interpenetrating variables.’ Some factors though not all of a given interpenetration or succession of several may be planned in advance, but leave room for the use of unforseen eventualities. Any other activities are going on at the same time.”
So, in less dense terms, 24 performers were given a space of roughly 4 feet by 6 feet, all in one big room. And we could do any activity we chose, for a length of two hours, off and on, as was guided by our circle permutation. So, basically, I had 9 circles which meant 9 events, and I tried to have each overlap “dictate” how each of the 9 events was structured. The performance was on December 1st.
I decided mine would be about doing drag. There was really nothing else that made sense. Drag has been the only form of performance art I’ve done, and I was excited to, in a way, deconstruct and leave up to chance, the way it played out.
I brought an alarm clock radio with a tape player, 100 cassettes tapes all in a display case, 9 wigs & hats, 4 skirts, 2 pants, one dress, a bunch of shirts and coats and belts and cumberbunds, 4 shoes & boots, a makeup bag, 4 “microphones,” a mirror, a blow dryer, and a hair buzzer. I think I was the performer with the most “stuff,” and over the course of 2 hours, I proceeded to make a mess of all of it, within my space. This was reminiscent of any time I would do drag. After a show, my room would be a disaster of dress-up options.
So, for each of the 9 events, I threw “circles,” onto the ground (including cds, tokens, bracelets, and mason jar rings). I then pretended to have these circle formations dictate what I wore and what tape I played. In a vague sense. It all did work out in the end – I had 9 different outfits and 9 different songs, all chosen at random. Some of those included REM – Drive, XTC – Summer’s Cauldron, Tears for Fears – Shout, and Kate Bush – Jig of Life. I didn’t know these songs by heart, so I just pretended to lip-synch. Due to the cacophony in the room though, I was the only one who could hear the clock radio anyway – I had to hold it right next to my ear!
Other peoples’ actions included baking things, bicycling, playing instruments, creating play-dough art, playing video games, reading aloud, dancing, and much more! Observers just walked among us. It was unclear whether they were supposed to engage with us or not. One guy did come up to me and ask if he could talk to me. I said, “Sure.” He said he thought earlier I had silver lipstick on and now I don’t, so what happened? I said, “Oh, that lipstick was so old it didn’t go on right. It was all clumpy. So during one of my breaks, I went to the bathroom to take it off.” “Was that part of what was supposed to happen?” “No!” And we both laughed. He asked more questions about why did you do this, why not this?
Afterward I talked to a handful of acquaintances – it felt good to be social. That guy came back up to me and said, “You know, when you put on the lipstick, you really had me convinced.” “Convinced of what? That it looked bad?” “No, that you were a woman.” “Oh, whoa, OK, so, I’m a little bit of both. As is all this stuff.” I gestured to all my clothes and junk, still strewn about. My two friends I was talking to backed me up, which felt awesome.
I think ultimately, I was going for that response, for people to be confused about what genders I was playing out or not playing out. So even though his forwardness made me uncomfortable in the moment, it was an important element, or “takeaway,” from the night.
I don’t have a gynecologist. I haven’t had one for probably 15 years. The reason for that is because I felt so out of place there, so I let that aspect of my health passively slip away. I’ve always gone to the dentist twice a year. I was really into chiropractic care for years, consistently. I’ve gotten eye exams. I regularly go to a therapist and a psychiatrist. I even have a primary care physician, and more recently, an endocrinologist. But I’ve neglected and avoided anything related to my junk (this is just my preferred term for what I got going on down there…)
My last pap smear was in 2012, and I went through that because it was a prerequisite for getting testosterone gel. That was enough of a motivating factor to go through that. It was super painful and anxiety inducing, but I had done it! Since then, there’s been no reason to get it done again, in my mind. Prior to 2013, I’m not sure how long it had been.
About a year and a half ago, I was on a panel with two other trans-people, in front of a group of health-care professionals, talking about our experiences with health services. I mostly talked about my experiences with top-surgery consultations, but during the Q & A, the three of us were asked about sexual and reproductive health. I was super open about how uncomfortable I am with this aspect of health care, and how I have avoided it. I even felt a stubborn pride about it – something like, “if I avoid it, that verifies how little I relate to my junk.” This really makes no sense whatsoever, and why exactly is this a point of pride? My two peers were much more proactive – they had had lots of experiences with making sure their needs and check-ups were on track.
Two weeks ago, I was eating lunch with a super close friend. She was mentioning something about her menstrual cycle and about how she needs to get her routine check-up. I told her how long it’s been since I had a pap smear, and she seemed aghast. I said I wasn’t going to be getting one either. She said something to the effect of, “But you have to.” She sort of role played a scenario in which hypothetically something scary is found, like HPV or cancer, that could have easily been avoided by just getting regular screenings. The emotions she was pouring into it were what got me. I kept going back and forth between, “OK, I will get it done,” and “No way never again!” The conversation stayed with me.
A couple of days later, I had a lump in my armpit. I’d never had anything like that before. My spouse told me I should get that checked out. This was something that was more straightforward! I could definitely go to the doctor for something like this! I called and got an appointment for the next morning. Then it dawned on me that I should be getting a pap smear. I waffled back and forth for a while, wondering if I’d be able to get myself to call back. I finally did, pitching my voice as high as I could so it would be apparent that this request would not be totally incongruous. Blah.
The pap smear was just as painful as the other times I’d gotten one, but I would say it was less anxiety-inducing. What helped me get through it was trying to stay present in the moment, in the room. I did this by talking with the nurse practitioner. “This room is cold.” “Please use the smallest one possible.” “This is really hurting.” Etc.
I gotta admit I do not know the exact reasons pap smears are important – what is being tested, etc. But I do think I will be more on top of getting them every few years from now on…
To top this all off, on Saturday we were out in the woods with some friends. Sunday morning, I felt something chafing on my chest, and when I looked, there was a tick latched in right on my nipple! Eeaughhhh!!! My spouse tweezed it and pulled it in half. Half of it is still embedded in my skin. I’m thinking it will work itself out on its own. She talked to our friend on the phone – he regularly gets ticks and gets them tested in groups, after he’s collected a bunch. So far so good but lyme disease is a scary possibility. Do I have to go back to the doctor?!
This year was the 25th anniversary of our local annual LGBTQ+ film festival! We made an effort to invite friends to different films this time around, which was fun – connecting with some people we hadn’t seen much lately was nice. Most of these links are to trailers, and a couple are to the films’ websites.
Beach Rats – I went to this one by myself, and I was surrounded by gay men, for the most part. There’s something about that that I really embrace; it doesn’t happen often enough. The general story-line is that this young man is living a double life – hanging out with his friends drinking, smoking pot, playing handball, going to Coney Island, getting a girlfriend. When he’s by himself though, he turns to online websites to hook up with older men. I like the way it was filmed. Really sparse. And the story-line takes an unusual twist.
Tom of Finland – This is the Finnish entry for best foreign language film for the upcoming Academy Awards – how cool is that?!! This was a really well done bio-pic. I really didn’t know much about him other than what I saw of his drawings. He fought in WWII. He had a complex and interesting relationship with his sister. He had a long-lasting partner. He had fans all over the world, but especially in California, and they made sure he knew he was celebrated, flying him in for parties he inspired, etc. Highly recommend!
The Death and Life of Marsha P. Johnson – You can watch this movie on Neflix if you want. So, this is really only some of the story. There is a lot of controversy surrounding the production of this film and who’s work is being credited, which we only found out about the day before we were going to see it. Here’s one article that gets into all the details: What Would Trans Art Look Like if it Was Only Made By Trans People? To sum it up in one sentence, a trans-woman of color – Reina Gossett – has been working on a film about Marsha P. Johnson, and she had done a ton of legwork and archival studying. Then this dude – David France – swoops in with his finances and his connections and essentially steals the work that had been made thus far. So, our experience was a little bit soured, but I have to admit it was still a good film. And I hope Reina Gossett is still feeling empowered to move ahead and create her own film – the more films that will educate people about transgender people and issues, the better. I just realized I didn’t say anything about what this film is about – so go watch it on Netflix! Haha.
Alaska is a Drag – This one was kinda campy. It features twins who are stuck living in Alaska – a gay guy working at a fish cannery, learning boxing, and fantasizing about making it big as a drag queen, and his sister who has cancer and is getting regular treatments, but her spirits are high, indulging in the world of drag her brother creates. It was so-so. Definitely different, but not all that compelling.
Freak Show – This was SUPER campy. Directed by Trudy Styler (Sting’s wife!) A kid has to move to a southern state and attend a super conservative high school. His mom is Bette Midler, er, I mean, a mom played by Bette Midler. He endures bullying on top of bullying and hate crimes and more and more violence. He then decides to up the ante and run for homecoming queen. Laverne Cox has a small role – that was one of the best parts. Also, costuming was stunning, but otherwise, I wasn’t a huge fan.
Saturday Church – This centers on a 14 year old boy named Ulysses. Similar themes as Freak Show, but the approach is a little more realistic. He starts to question his gender identity amidst bullying at school and conservative viewpoints from relatives. He meets other gender variant people of different stripes, they all convene at a youth service / shelter on Saturday nights. Kate Bornstein plays the person in charge of the space!!! They eat together, attend “balls” together, and talk about hardships. I liked this film a lot!
I surpassed my best guess at a timeline. When I started in January, I gave the whole venture 6-8 months. I thought I’d start getting uncomfortable with the level of masculinization by that time, and I’d stop. Not for good, just for a while, to level back out, and then most likely start again within another year or two. Something like that. BUT! I really like what’s going on. I like everything except for the facial hair growth, and that’s been pretty minimal thus far. Minimal enough to manage, without having to shave. I like my voice, the muscle growth, legs getting hairier, and clit growth. I haven’t noticed my hairline receding any further than it already has (I was on a low dose of gel for 3 years and saw my hairline change). And I really really really like the cessation of menses. I never had severe symptoms with that, but having it as one less thing, showing up to deal with, cyclically, is a really big plus.
Today was also my 3rd appointment with an endo, and I have a new one now (the one I started with moved to Oregon). I liked her immediately. She wrote down notes. She was curious if my psychiatrist sees other trans-patients, and if I like her, so that she can have someone to refer others to. Same with my therapist. She wanted to know about my experience with my top surgeon. I gave her my full report. She just seemed to really want to get a grasp on who’s who within trans-health, and to glean a lot of that information from actual patients, which felt really validating.
I asked her questions about needle gauges, and she asked me if I was interested in sub-cutaneous injecting. I said, “yes!” even though I hadn’t thought about bringing this up in particular, in advance. It’s just something I’ve heard other trans-people on testosterone talk about as an easier and less painful route. But I assumed it was something totally different, like a different style needle, possibly a different type of oil, etc. I learned it’s not – you just use a significantly smaller needle, and inject it into fat instead of muscle.
This next paragraph is going to be kinda graphic, heads up if you have a needle phobia! So, imagine using a fairly long and thick needle and just jabbing that straight down into your quad muscle, perpendicularly. And then having to push the oil out of the syringe, which does take some force because the oil is thick. This has been painful, to varying degrees, and often there is blood. Sometimes my muscle is sore that night and into the next day. Now, instead!!! I’m gonna get to use a thinner needle, and just slide that in at an angle, but fairly parallel with the skin. It’ll only have to go in a half inch or so, not one-and-a-half inches. It’ll still be hard to push the oil out and in, but just the fact that it’s a layer of fat and not a thick meaty muscle sounds pretty good to me! I can’t wait to switch over! I’ll have to watch some videos or something. The endo did suggest I could come in and a nurse practitioner could show me, but I think I got it.
The one thing about the appointment that felt a little off was she gave me a quick exam, with all my clothes on. This was in itself was fine, although I was caught a little off guard.. She checked my lymph nodes, breathing, throat, etc. Then she said to lay down, and even though I was wearing a t-shirt and hoodie zipped up all the way, she kind of put her hands under there and said she wanted to take a look at my chest. Maybe she could have asked. I probably would have said sure. But she was like, touching my nipples and commenting on skin retraction. And it felt weird. It’s not like it was lingering in a bad way. I pretty much immediately got over it. It was just very unexpected.
And, like always, here’s my face:
These days occur consecutively every year – October 10th and 11th. It’s a good chance to kind of look back and take stock. And to see where I was at; here’s what I wrote last year:
World mental health day / Nat’l coming out day 2016
Before talking about this year, I just want to note that last year I said, “I’d say within the next 6 months I’ll be out at work and everywhere else. I look forward to the day that my driver’s license, signature, little plastic rectangle on the custodial office, Facebook page, the words out of teachers’ and co-workers’ mouths, and everything else, all say the same thing!” I’ve reached that point!!! Well, everything except that little plastic rectangle, but that is in-process (see below)!
This past year in my mental health landscape: I thought I was stable in a way that couldn’t be rocked, but actually I ended up back in the hospital again with another manic / psychotic episode. I know my loved ones went through a lot of stress and strife, but, in comparison to past episodes, this felt like a breeze, and it even felt healing in many ways. I do want to try to write about this, but I’m not quite there yet. Hopefully soon. I spent two months out of work, I got raised to triple my prior dose of Seroquel (a drug I continue to like a lot – a first for me), and now I’m down to double my prior dose. I’m off of any antidepressants right now. I’m worried I will lapse into another depression, but so far, so good. I’m starting to finally address the issues I’m having with oversleeping. But, to be honest, if oversleeping is the worst thing to come out of being in a really good place mentally otherwise, then so be it, I guess… For now at least.
In terms of National Coming Out Day, coming out is happening all the time, and I’m glad to be in a place where I’m neither invisible nor fearful of having to come out again and again and again. I love every opportunity. Take yesterday for example: I didn’t realize it was National Coming Out Day until that night when I went on facebook after work. And during that day, I had two instances of coming out. While I was working in the cafeteria during lunch, a kid asked me, “Are you a boy?” I replied, “I’m neither. I’m a little bit of both.” He replied, “Really?!” And I said, “Yeah!” I had a big smile on my face. Then later in the afternoon, I realized that my new boss(?) got his plastic rectangle with his name “engraved” and it was now on the custodial door, and I’ve been waiting for mine since January, when I changed my name. So instead of getting worked up about that, I just wrote down on a piece of paper what I wanted (so there’d be no confusion) and explained to the administrative assistant that Mr. [last name] has his on the door and I’ve been waiting for mine. She apologized for forgetting to include mine in the order, and said she would go ahead and order mine. I gave her the paper: It said, “Mx. [last name].” She verbalized that back to me to make sure it was right, and I said, “Yep.” I should have that up hopefully within a couple of weeks, finally. This feels like such a victory!
There’s one other thing I want to mention regarding mental health: I started listening exclusively to a new-to-me podcast. By this, I mean, I listen to podcasts every day while at work. And previously, that would be somewhere between 5-8 different ones at any given time. Right now, for whatever reason, I’m just listening to one, all day every day. I’m sure I’ll get tired of it and get back to some of my other ones, but for now, it’s pretty mesmerizing. If you’re interested in checking it out, it’s called the Mental Illness Happy Hour. It is definitely not for the faint of heart. The host jokes that he does not give advanced notice for triggers because he would have to stop every couple of minutes to announce another Trigger Warning. And it is absolutely true. There is a lot of stuff about abuse of all kinds, dark secrets and shame, both sexual in nature and just like, the kinds of stuff that randomly pops in your head and you hate yourself for thinking it. The host lightens things up by being in turns uplifting and darkly humorous. Each show is somewhere between 2-3 hours (!?!), and he’d read people’s surveys they’ve sent in anonymously, and he will also interview one person per show. He’s doing all this seemingly on his own, and he’s making a living off of it. I’m kinda obsessed right now.
This actually happened a few months ago – she was fired from a nearby college on May 24th. It’s only now hitting larger news outlets because there are now three state-level civil rights complaints, trying to get her re-instated. I read about it in the newspaper while at work, yesterday.
She was treating transgender students who came to her with a previous diagnosis. She was definitely qualified to do so, having gone through many hours of training in trans-health care, attending a conference sponsored by WPATH (World Professional Association for Transgender Health), etc. She was doing this at the college’s expense, which just makes it seem like it was condoned by the college, right?!!
WPATH’s stance is, “With appropriate training, …hormone therapy can be managed by a variety of providers, including nurse practitioners, physician assistants, and primary care physicians.” Apparently, this was outside the scope of what the Student Health Center did, but this was never communicated to her. The termination came from out of the blue.
Hormones are prescribed for other reasons at the health center, with no problem. Birth control, ovarian disease, and low testosterone are all treated regularly.
Interestingly, the information on the Student Health Center’s website changed two months after her firing: While it had said, “comprehensive primary care,” and “continuity of care,” it now says, “basic primary care” and has no mention of continuous care. At least they’re being accurate about the downgrade???
This just angers me to no end because this doctor took it upon herself to step it up and become well versed in an area that, for whatever reason, makes so many medical professionals so squeamish and stand-offish. And if this was something she did of her own volition, and it was well within the standards of care, then back it up! What was the university afraid of? There are standards in this field, despite the fact that the medical professions are grotesquely behind the curve with this, in general. A bunch of transgender students were left in the lurch.
The college’s associate vice president of student wellness was quoted as saying, “We are fortunate to be situated in [city], where there is a strong medical community rich with resources.” As if to say that students can just go elsewhere. I’ve tried “elsewhere” around here, as an adult, and it was a super-frustrating process. If I think back to who I was at age 18 or 19, disrupted care at the on-campus center in this regard would have definitely sent me into a tailspin and/or mental health crisis. I would have felt like I didn’t have the means or psychic energy to find out another path. I would have felt deeply cut, in a personal way, by my institution’s sudden change in policy.
It just seemed like this college was at the forefront – it could have laid the groundwork for other area places of higher education to follow. And then it just took a huge leap back into the wrong direction. One step forward, two steps back sometimes I guess, right?
I had a bunch of problems with getting continuous care. I was first getting hormones from a sketchy-ass doctor. I finally felt so disgusted with his practice that I sought out another path. I went to one specifically because she was listed as being LGBT friendly and knowledgeable. That ended up being wrong basically – she told me she didn’t know how she had gotten on that resource list. I had to have a pretty heated conversation with her – her stance first was that I could come to her for primary care, but I should continue to get my hormone prescriptions through that other doctor. I told her I wasn’t going to do that. She told me this was beyond her scope and if she had a male patient with low-testosterone, she would not even monitor him for that reason.
We finally landed on a compromise. She would continue to prescribe what I was already at, and she would monitor that. If I wanted to make any changes though, I would have to do that through other means.
When I did want to make other changes, I first got on a long waiting list for an LGBT-specific clinic. I kept hearing negative stories about the quality of care there, so I decided to also try another approach: an endocrinologist. I had to get on a long waiting list for that, as well. I’ve been going there since January, and so far, I’m happy because I don’t have to deal with the PCP anymore. Getting an endo was not like adding yet another medical professional and another series of appointments. It was more like, instead. Unless I get like, a rash or something, then I’d go back to my PCP.
All of this was hard enough, and I am an adult who has worked really hard at advocating for myself. Thinking back to who I was as a student I would have withered under this kind of stress. Students need to be able to access trans-specific care on their campuses. Period.
A note about the lack of specifics in this post: I left out the doctor’s name and the name of the college, city, etc. because that’s been the way I’ve always operated with this blog, in order to keep some anonymity. I’m not sure anymore whether it’s all necessary, but I’m not about to try to figure that out here-and-now. If you’d like specifics and the names of the sources I got a lot of this information from, just leave a comment, and I’ll get back to you!