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Doctor Visit: The Good, The Bad, and the Ugly

Started by ErinWDK, April 23, 2014, 10:03:35 AM

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ErinWDK

This is going to be my longest post ever.  I am not too sure where to put it as it is all over the map for topics.

The doctor I see for trans is the only one in the medical network I deal with that handles trans.  She is a Professor of Psychiatry in the Medical School of the University I work for.  She is the one that will be handing HRT.  She is also a transwoman; that is not a relevant point except for one thing that pops down near the end of this epistle in the "Ugly" section.

She has challenged me to do some social transitioning - basically cross dressing and going places - as that does not carry the health risks that medical transitioning would for someone with my health issues.  So, I took this as a challenge to show up for yesterday's office visit fully "dressed."  For a seasoned cross dresser I probably didn't make much of a splash, but for me this was pushing to the outer edge.

I wore shoes with heels, these gave me about two inches more lift than the other women's shoes I have been able to be comfortable with.  This took a good bit of practice to be able to walk in them and not look the total klutz that I am.  Yesterday was the first time out in public with them.

I wore a black leather suit with a "pencil" skirt.  This was in the largest women's plus size that I can find anything somewhat stylish - and I could only wear that because I have recently dropped 25 pounds.  So calling the skirt "pencil" as in the catalog is a bit of a euphemism.  The skirt went a bit below the knee and was the most daring I have tried to date or probably intend to at my age.

The skirt and heels forced me to shave my very hairy legs and get some sheer tights.  So we rack up another first.

The outfit needed a white blouse, so I got one.  This forced me to break out the iron to get the wrinkles out of it.

I got as close a shave as I dared and went for my second try at makeup.  For foundation I used a real "cover" base, then I blended other stuff to make the color match the rest of my face.  A wee bit of mascarra, and lipstick and I was tuckered out on that.

The ensemble included a nice wig and some accesories.  Then another first - I put on nail polish.  The only time I have ever used polish in the past was on my youngest granddaughter when she was three - and it looked like a three year old did it...

So now Erin leaves the house in full Erin form.

Going into the doctor's office involved me interacting with people in my female form.  This is where we get to the good, the bad, and the UGLY.

The Good:

The receptionist was pleasant and made me feel comfortable.  She took a note to make sure I was called Erin rather than my male name.

I sat in a corner of the waiting room and read a wee bit.  A mother and little boy came in.  I had made a mistake and sat near the table with toys for kids, and the little one went right to it.  His mother came and supervised him.  To my vast relief neither took any notice of me.  Success, Erin blended harmlessly into the background and did not get clocked by a little kid!

When I was in the exam room the doctor came in, stepped back, and exclaimed "You're beautiful!"  She went on to say she would not have recognised me with all the change in just one month since the last visit.

I now have a prescription for Finisteride.  A start, given my medical issues a start is all I can hope for.

The person in check out was pleasant and made me feel comfortable as well - but she did make sure and get the $20 copay.

The Bad:

The nurse that took me back and got vitals declined to call me Erin and called me in the waiting room by my last name.  This was a bit of an "ouch."

The passive aggressive continued and escalated resulting in my weight including the shoes.  She alternated between loudly calling me one of the ladies and treating me like, I know not what.

Once in the exam room she wanted me to climb onto the exam table to take blood pressure.  There is a narrow step and then the table is still rather high.  Usually patients are helped up and down to avoid any risk of falling.  Well, no help.  The heels set my equilibrium off a bit but gave me some extra height that I needed to get onto the table in a somewhat graceful manner.

The UGLY:

As the nurse left the exam room she said (about the doctor) HE will be in shortly.  The deliberate misgendering sort of shocked me.  Most of the cis people I know consider that to be flat out rude.  In a professional environment, that is WAY out of place.

The blood pressure apparatus used was a manual sphygmomanometer out of some past century, so it takes some technique to use and is still a bit subjective.  I take BP often and know how to use the equipment, and I know how my pulse feels during the process and can estimate with some accuracy what the reading is from watching the gauge.  Well, this sweet heart of a nurse got readings about fifteen to twenty units high - or about as hard as one can lean their thumb on the scale with that sort of equipment and pretend they got honest readings.

My BP was up a bit over what it usually runs with all the circumstances and the way this nurse was treating me - but that would only have been enough to take it up to normal.  I do NOT need to be over medicated.  Later (after I changed back to drab) I ran errands and went shopping.  As I got out of the car at one store I had to hang onto it for a bit to regain my balance after my BP went way low as I stood up.  AARGH!

So, all in all it was pretty mixed.  I didn't get clocked by a little kid, and I did get Finisteride - so there are good points.

An adventure!


Erin
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Eva Marie

Erin - you just ran into a bigoted nurse - don't let that persons ignorance get you down. You had a fantastic day full of major league firsts and I am proud of you for screwing up your courage and doing it. And you may well have opened a door that you won't want to close lol..... Sorry about your BP; my doctor has mine too low now too.
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Evelyn K

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ErinWDK

Quote from: Evelyn K on April 23, 2014, 12:37:03 PM
Why fin? MPB issue only? What of the HRT?

This doctor really wanted to start Spiro.  My primary care physician STRONGLY objected to Spiro for me at this time until we get the BP issues under control.  So we try something.

This doctor does not really want to go to Estrogen until I reach a point where there will be some benefit to balance agaist the risks.  I will be 61 in a couple of weeks and have a host of medical issues.  The fact this doctor will even consider Estrogen given all the other issues is a big step in the right direction.  Transitioning is a bit of a bumpy trip for us seasoned citizens...


Erin
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Sarah Louise

Spiro can help blood pressure, are you sure your Primary doesn't have some other reason?
Nameless here for evermore!;  Merely this, and nothing more;
Tis the wind and nothing more!;  Quoth the Raven, "Nevermore!!"
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ErinWDK

Quote from: Sarah Louise on April 23, 2014, 03:47:18 PM
Spiro can help blood pressure, are you sure your Primary doesn't have some other reason?

Spiro can make high blood pressure lower.  My problem - except for that one nurse messing with it - is low blood pressure; Spiro will make that worse.  I have dropped weight and we have to rebalance my assorted medications to the new reality.  Getting old is not for the faint of heart...


Erin
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Rachel

Erin, you are a strong woman.

The Nurse was a jerk but you kept your cool. I wonder if the doctor has a feedback tool so you can let her know how her staff lacks professionalism.
HRT  5-28-2013
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Voice therapy start 3-2017 - Reene Blaker
Labiaplasty 5-15-2017 - McGinn
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E-Brennan

Nice write-up, Erin, and I'm glad to hear it went pretty well overall.  You're far braver than I am!

As for the odd nurse, see how she is next time.  I've always found that when I'm dressed as my female counterpart, I'm hyper-aware of everything.  It's like I can read some kind of anti-trans message into a million tiny things, even though there's nothing really there.  Kinda like seeing things in the shadows at night - chances are, it's just shadows and your brain is playing tricks on you.  But if it continues in subsequent visits, it might be worth mentioning.  When I supervised people in my prior job, I was always happy to learn that someone I thought was a reliable, mature employee had some kind of issue with one of the clients.  Feedback - positive and negative - was always encouraged.
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ErinWDK

Quote from: Cynthia Michelle on April 23, 2014, 04:45:27 PM
Erin, you are a strong woman.

The Nurse was a jerk but you kept your cool. I wonder if the doctor has a feedback tool so you can let her know how her staff lacks professionalism.

Actually that doctor works for the same University that I do, so I have contact through the University email system.  And given the "ugly" portion of my story I did send an email this morning.  There is a reply that includes: "Thank you for your email.  I appreciate hearing about all of the details about your visit.  I will work with the staff at ****** to improve their understanding, attitude and performance."  This from a full Professor in the Medical School.  Something will happen...


Erin
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ErinWDK

Quote from: __________ on April 23, 2014, 05:01:57 PM
Nice write-up, Erin, and I'm glad to hear it went pretty well overall.  You're far braver than I am!

As for the odd nurse, see how she is next time.  I've always found that when I'm dressed as my female counterpart, I'm hyper-aware of everything.  It's like I can read some kind of anti-trans message into a million tiny things, even though there's nothing really there.  Kinda like seeing things in the shadows at night - chances are, it's just shadows and your brain is playing tricks on you.  But if it continues in subsequent visits, it might be worth mentioning.  When I supervised people in my prior job, I was always happy to learn that someone I thought was a reliable, mature employee had some kind of issue with one of the clients.  Feedback - positive and negative - was always encouraged.

I have to take a bit of consideration for being over sensitive.  The nurse misgendering the doctor behind her back was not a judgement call - I heard that loud and clear.  Getting a high BP reading on me when I went and just about fell out from LOW BP three hours later was not a matter of being sensitive.

Asking me to climb onto the exam table in heels without offering at least a steady hand to help was a bit over the line.  My primary care doctor is there with a steady hand when I climb onto his same sort of table even in male presentation...

I found everyone else in the office kind and understanding.  Yes, that nurse was frustrating...


Erin
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Shana-chan

Yes, I agree with Erin. I believe that nurse did that all on purpose and there is NO excuse for it!

Erin, I I read correctly, you told the doc what happened. I hope so and if not please do, especially the part about how you weren't helped and could have fallen and been seriously injured or worse. Hope your next visit goes way better and congratulations on the good parts that happened.
"Denial will get people no where."
"Don't look to the here & now but rather, to the unknown future & hope on that vs. the here & now."
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