Today I had an appointment with my PCP. I don't have insurance and am well aware that my bill is increasing. With everything else I simply cannot pay them right now. Unfortunately that bird came home to roost today. I was told that I simply couldn't be seen until I pay my previous bill and during the whole discussion between the receptionist and billing I was being referred to as he. Not their fault, I'm in the records that way. I was definitely not presenting as a man and. I was definitely clouding up. The receptionist went to speak to my doctor and came back saying he would see me anyway.
I was weighed and measured as usual. My blood pressure was 130 over 70 despite my distress. Then the dear man came in, saying he was going to get in trouble over me. I thanked him for taking the risk. And clouded up again, happy this time, when he said it was nothing. If it was his practice, he said, (it's one of those huge groups), he would tell them SHE can come see me whenever, regardless. I love that man!
We talked about my health, and I commented that I would like, when I have medical insurance again, (which may be soon), to have a bi-lateral orchiectomy and then maybe try a different BP med. Spironolactone serves two purposes for me. He told me he likes the way it's controlling my BP and he had evidence from other patients who had had orchiectomies, that the spiro would enhance feminization even in the absence of testicles. I won't argue. I think I'll skip the orchie and bet on the next administration making transgender care mandatory for insurance companies. I asked about how being female in their system would complicate my treatment going forward. He said it wouldn't, even if I needed work on the plumbing. I said I would talk to the desk about it and he said that he would handle it. As he walked out the door he said, see you in six months, my girl.
On the whole I'm happy, but I had a bad scare and I would really like to sleep through the night again.
Tomorrow I set up a payment plan.
