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On being Liz

Started by LizK, March 08, 2017, 05:23:47 AM

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LizK

Quote from: HappyMoni on October 04, 2017, 06:15:11 PM
Liz,

  The HRT doc has a good point. You do need to find a Psych (Shrink) and then introduce  that person to the HRT doc to fix her. While they are at it, let them have a go at your fool bathroom contractor. Oh my, you have been through it, huh? So sorry for this aggravation. Keep your chin up Sweetie.
Moni
My regards to Richard. (by nickname you don't mean little Ricky, do you Lucy? Oh how bout Ricky Ricardo? Bah Bah Lou!)

Love your work Moni...I will be nice when I see her...I really hate it when they immediately take the attitude they are doing you a huge favour just by seeing you and know better....at one point she quoted the new Endo guidelines immediately after telling me what my current level was...anyway I am now starting to make plans for a backup. At least the bathroom is somewhat back on track 
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

Quote from: Laurie on October 04, 2017, 06:35:15 PM
With what you've related and  the upset it caused you, I would be more inclined to doubt the benefit myself.

Thanks for yesterday and listening to me explode or should I say implode...I do not want to change Dr and won't so long as she is willing to provide me with a reasonable treatment regime at the next appointment
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Laurie

Well okay I suppose but I still say keelhaul them both and the receptionist too for good measure.
April 13, 2019 switched to estradiol valerate
December 20, 2018    Referral sent to OHSU Dr Dugi  for vaginoplasty consult
December 10, 2018    Second Letter VA Psychiatric Practical nurse
November 15, 2018    First letter from VA therapist
May 11, 2018 I am Laurie Jeanette Wickwire
May   3, 2018 Submitted name change forms
Aug 26, 2017 another increase in estradiol
Jun  26, 2017 Last day in male attire That's full time I guess
May 20, 2017 doubled estradiol
May 18, 2017 started electrolysis
Dec   4, 2016 Started estradiol and spironolactone



  •  

Drexy/Drex

Bah tradies  I used to be one and I just did the job before I got paid.... no deposit  if it wasn't  done right I would do it again
Did you pay up front  ? I've always  found when I've done that they slack off....
I would find another doc you don't have to put up with that crap.... that's unbelievable  ....some of these docs are a bit too dictatorial
btw  lazer on the genital area works well  I wanted some hair left there but after 2 sessions it's really made a diff  so I, m going with the bare look
🌹
Everything
  Louder
   Than
Everything
    Else
  •  

Laurie

Quote from: markie on October 04, 2017, 07:35:54 PM
Bah tradies  I used to be one and I just did the job before I got paid.... no deposit  if it wasn't  done right I would do it again
Did you pay up front  ? I've always  found when I've done that they slack off....
I would find another doc you don't have to put up with that crap.... that's unbelievable  ....some of these docs are a bit too dictatorial
btw  lazer on the genital area works well  I wanted some hair left there but after 2 sessions it's really made a diff  so I, m going with the bare look
🌹

  You dark haired people make me jealous. Keel haul all of you. For me it's one dang hair at a time
April 13, 2019 switched to estradiol valerate
December 20, 2018    Referral sent to OHSU Dr Dugi  for vaginoplasty consult
December 10, 2018    Second Letter VA Psychiatric Practical nurse
November 15, 2018    First letter from VA therapist
May 11, 2018 I am Laurie Jeanette Wickwire
May   3, 2018 Submitted name change forms
Aug 26, 2017 another increase in estradiol
Jun  26, 2017 Last day in male attire That's full time I guess
May 20, 2017 doubled estradiol
May 18, 2017 started electrolysis
Dec   4, 2016 Started estradiol and spironolactone



  •  

LizK

Quote from: markie on October 04, 2017, 07:35:54 PM
Bah tradies  I used to be one and I just did the job before I got paid.... no deposit  if it wasn't  done right I would do it again
Did you pay up front  ? I've always  found when I've done that they slack off....
I would find another doc you don't have to put up with that crap.... that's unbelievable  ....some of these docs are a bit too dictatorial
btw  lazer on the genital area works well  I wanted some hair left there but after 2 sessions it's really made a diff  so I, m going with the bare look
🌹

Thanks for your input Markie, we gave him about 1/4 of the total are still withholding 4k until job completion.

As far as the Dr goes I am not a happy lady as Laurie can well attest too...but I just want to get on with it and if she is going to pull this stuff again then I am not going to bother with her. If she had not come so highly recommended I would not be hanging in there with her. One more appointment and hopefully we can get back on track.


Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Drexy/Drex

Well that's good to hear you got to be stern  with them  😈
yes well fair enough  once you meet in person again you can patch it up my first  doc was nice enough but a bit too dramatic.... it's funny  but it seems male. Dr's are good and female pyschiatrists are good
and to think I was avoiding  a male. Dr like the plague 😂
Everything
  Louder
   Than
Everything
    Else
  •  

LizK

The Good

It has been an eventful days since I last posted. My last post talked about the issues we were having around our bathroom and my troubles with my HRT Dr. Since then the bathroom has been completed, it wasn't without issue but we got there in the end. Since my last conversation with my HRT Dr I have made a few decision the first of which is that I will be seeking a second opinion. I called to make an appointment with a well-qualified Endocrinologist and was told that I was in luck as there had been a cancellation this week on Thursday. As luck would have it I was also able to get an appointment with my GP enabling her to do the referral straightaway for me. The only appointment I could get my other HRT Dr was not until the 23rd of this month which of course was very frustrating.

I also finally received a call back from the woman organising my health insurance offering me a slightly better deal than she had when I rang. Based on this new deal I have decided to proceed and my new health insurance will come into effect as of the 26th of this month. I have a years wait period before the insurance will pay but that is to be expected as it is a pre-existing condition. I have contacted the hospital where I will be having the surgery to ensure that I have adequate coverage but am still waiting on confirmation of this.

Not long after organising my insurance I received a call from the HRT Dr who I've had the issues with. She called to say that she had noticed that I had not books another appointment until later in the month. She went on to say that by the time of the appointment date she now felt that my E levels would be low enough (they will be <100) in order for her to insert the pellet. She is going to send out a prescription for the new pellet but has specified the pharmacy that I need to get the pellet compounded in. The pharmacy that she wants me to use is a "packed lunch and a water bottle distance" from where I live. Just making seeing her even more difficult.

The Bad
Last Friday I received a text from my father requesting a Skype call with me. This is highly unusual as it is normally myself that is making a request for a call. So I placed a call and we began to chat about all sorts of the usual stuff. We talked about what him and my mother had been doing, the interactions they had had with other members of the family including my brothers. What things had been happening in their life if any and this was reciprocated by my father asking similar questions of me.

For the first time in I don't know how long, he asked me how my younger brother was who lives in the same city as me here in Australia. This is not something he usually asks but has done on rare occasions. Considering the bust up him and I had a few weeks ago this is very co-incidental. He asked me had I seen my brother and I said no and I was not likely to. He then asked why and when I said I didn't wish to discuss it he got really bent out of shape with me so I capitulated and explained to him my reasons, things between him and I became a little strained. You know when you speak with someone and they have strong feelings on a particular subject which is in direct opposite to how you feel, you have a choice to either get into an argument or let it go for a more appropriate time. In this case I chose let it go at this time because it was obvious we were going to have an argument. It was also obvious that my father has some quite set ideas when it comes to political correctness and my name and pronouns fall under this category. He automatically started to attack me on the basis that the falling out between my brother and I was about political correctness. I had a somewhat different view

What I think was worse for me is that he indirectly defended my brother. In the end I spelt it out to him and said that it is very simple and easy to be an ally to me, to my face, it is however, a far more difficult prospect, when you are faced to do this when I am not around. That those people I call my allies are able to be my ally even when I am not there and this is the true mark of a real ally. In the end I don't think he understood much of what I was talking about or maybe just didn't want to know but I told him that my door is always open and my brother knew where I live if he felt the need to apologise and come back into my life. I made it abundantly clear that I would not approach him again.

The Somewhat Sad

Today I had an appointment with a clinical psychologist I have been seeing now for two years. We discussed in very general terms how things have been for me over the last six months and what the next 12 months held for me. She is going to be one of the people that write my letters for surgery. She was not entirely sure whether she was able to do this as she thought she could only write top surgery letters and I don't need a letter for top surgery but has promised that she will follow this up and if she is unable to she will certainly put me onto someone who is able to write the second letter.

I explained to her the issues I had had with my HRT doctor and that the HRT doctor had said I probably require some psychological help if my gender dysphoria is troubling me and not rely on the hormones to fix my GD. My psychologist just about fell off her chair in exasperation saying that that is half the reason we prescribe HRT to relieve gender dysphoria. The condition is a physiological not a psychological condition but as a result of this she then got on her phone and found me an appointment with yet another endocrinologist who specialises in transgender health. This particular Dr actually specialises in gender dysphoria so I guess I really couldn't ask for a better type of doctor.

Once again Alex Jolley showed me a huge amount of warmth, compassion and care. This was a bittersweet moment for me, the end of my need for professional psychological help but also the loss of a confidant, ally and professional friend. I ended the session by giving her a hug and thanking her for saving my life. I know that last part may sound a little dramatic but it is actually the truth. When I saw Alex over two years ago I was on the verge of giving up and giving in.
So I guess I have reached a milestone in my transition as neither my primary psychiatrist nor my primary therapist think I require any further psychological help in dealing with my transition and are both happy to write the letters for surgery without seeing me again.

The end of one chapter and so the beginning of the last act is at hand, the "remaking" of "Richard"

The Current State of HRT Play

I currently have an appointment this Thursday with a new doctor, next Thursday with a new doctor and finally the following Monday with my old HRT doctor. So far the second "Thursday doctor" works for Shine SA and will see me at no cost to me. My other two appointments will cost me somewhere around $300 each appointment. So I'm going to cancel my first appointment on Thursday and postpone this till well after I have seen my current HRT doctor. I feel that the doctor I am going to see at shine SA being an LGBTQI doctor might be the best option that I can take without burning either of the other doctors.


Phew...I really should do these a bit more often.... :D


Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Anne Blake

Hi Liz,

You and I have been watching each other's journey for some time now and it is a joy to see the progress you have been making. While your family struggles continue, it is good to see you maintain balance and not have them take you into the negative spiral. And to see you navigating through the medical system waters, while still frustrating, more effectively, is also joyful. I am glad that you are able to see completions ahead. Many blessings on your continued journey.

Tia Anne
  •  

davina61

Bit like the apple I had for lunch, mostly good. Need to kick my GP next week to get them to do joint management with private HRT firm. Hang on in there Liz
a long time coming (out) HRT 12 2017
GRS 2021 5th Nov

Jill of all trades mistress of non
Know a bit about everything but not enough to be clever
  • skype:davina61?call
  •  

LizK

Quote from: Anne Blake on October 10, 2017, 03:22:10 PM
Hi Liz,

You and I have been watching each other's journey for some time now and it is a joy to see the progress you have been making. While your family struggles continue, it is good to see you maintain balance and not have them take you into the negative spiral. And to see you navigating through the medical system waters, while still frustrating, more effectively, is also joyful. I am glad that you are able to see completions ahead. Many blessings on your continued journey.

Tia Anne

You are exactly right we have been watching each other's journeys haven't we. We also started about the same time if I remember correctly. I have also been taking great delight in reading about your journey especially the more recent part. I'm so glad that you seem to have recovered so well from your surgery and your latest avatar you look absolutely radiant.

I guess I have had a few ups and downs with my family over the years, I was hoping that we would be much further ahead than where we are at this point in my transition. I am much more inclined to be patient with them rather than destroy the relationship we have. Families are weird and you can never seem to predict how they are going to behave.
I received an email from my surgeon's hospital today to advise me that I was fully covered for surgery with the insurance that I had. The only thing I have left to do now is contact the surgeon and make a date for my surgery. I was just saying to my therapist or should I say X therapist that I felt this should have been a far more monumental decision than what it turned out to be. Each and every time I have thought about this response has always been the same "in a heart beat..."So I really shouldn't be surprised should I.

Thank you so much for your kind thoughts and words, I will be in touch very soon as promised to pick your brains  ;D
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

Quote from: davina61 on October 10, 2017, 03:26:15 PM
Bit like the apple I had for lunch, mostly good. Need to kick my GP next week to get them to do joint management with private HRT firm. Hang on in there Liz

Hi Davina
thanks for dropping by and let's hope you can kick your GP next week and get this joint management going forward. Thanks for the words of encouragement every bit helps these days and I need as much as I can get.  ;)
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

LizK

Shine SA

Today I attended my appointment at Shine SA. This is my first encounter with the Shine organisation so really had no idea what to expect.

I arrived at the requested 15 minutes ahead of my scheduled appointment time, filled out the required paperwork and was seen by the doctor about 15 minutes after my appointment time. Dr Kent was the doctor that I saw and she was lovely. She greeted me as a kindred spirit, sat me down in her consulting room and told me what referral she had been given said I was there for. She then asked me if I would tell her my reasons for wanting to see her.

I explained to Dr Kent the reason for my visit to her and she immediately let me know that she is not currently qualified to insert pellets. She also told me that she had attended the latest Trans conference at which pellet implants appear to be on the decline in use in Australia. This is due mainly to the quality of the pellets which present issues with controlling dosage  and the limited number of qualified prescribers.

We chatted on for a while discussing the pro's and cons of each delivery method and then it came down to the Dr offering me a choice of what I wanted. She was quite happy to prescribe either patches or gel of which I chose the gel. She only wants to see me initially to set up a regime that can be monitored by my GP with only a yearly consultation with her.

Probably the most important part of the whole consultation was listening to Dr Kent talk about treating trans women. She likes to operate like any doctor within what is considered safe parameters but places much more importance on how her patient is feeling. She clearly wants to minimise the risk but her philosophy seems to be insuring that gender dysphoria is kept at bay. She is a friendly likeable and pleasant person whom I am sure I will have no difficulty working with. She is not trying to control my entire health but work as part of a multidisciplinary team.

Today's visit cost me nothing because I have a health care card. If any girls in Adelaide are looking for a treating doctor to prescribe HRT I would not hesitate in recommending Dr Kent, I found her attitude delightfully refreshing and the whole experience my best by far.

So finally after nearly 6 weeks I am finally back on track with E finally flowing through my system again. It will take a little while for things to settle but just knowing they are going to improve from here  on out is a relief.

Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

AnonyMs

Quote from: ElizabethK on October 19, 2017, 08:48:11 AM
Shine SA
I explained to Dr Kent the reason for my visit to her and she immediately let me know that she is not currently qualified to insert pellets. She also told me that she had attended the latest Trans conference at which pellet implants appear to be on the decline in use in Australia. This is due mainly to the quality of the pellets which present issues with controlling dosage  and the limited number of qualified prescribers.

I find this very difficult to believe. As far as I know there aren't any qualifications to use pellets, except for the need to prescribed and insert them. I've not heard of any quality problems either and I suspect I would have.
  •  

LizK

#294
Quote from: AnonyMs on October 19, 2017, 09:22:47 AM
I find this very difficult to believe. As far as I know there aren't any qualifications to use pellets, except for the need to prescribed and insert them. I've not heard of any quality problems either and I suspect I would have.

She is the third Dr to mention that the consistency and quality of the compounding has been an issue. She said she needs to be trained and certified? to use the equipment to insert the pellet is what she is meaning.

When I was given my most recent prescription for a pellet the prescribing Dr was quite insistent that I used a particular compounding pharmacy to ensure I had the best quality to help mitigate the possibility of issues. In Adelaide there are only 3 Drs that use pellets and only one with a preference for them.  She told me sometimes there are issues with the quality of the compounding as well (she use the same pharmacy). So I have no reason not to believe her. She was even happy to have me go off and have the pellet put in my another Dr who was trained  and come back and see her. She has no bias against them but doesn't think they are as good as other methods.

I hope that clarifies my comments...personally I would be very happy to keep having pellets but I am not going through this carry on every 6-9 months and if I want a pellet then I have no choice. Apply a bit of gel will just become part of my daily routine. I used it last night for the first time and I have to say it was pretty darn simple and at the moment it is costing me nothing, not even for the visit.
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Laurie

Free is good. Leaves more money for things like ice cream, olives and jalapeno slices.
April 13, 2019 switched to estradiol valerate
December 20, 2018    Referral sent to OHSU Dr Dugi  for vaginoplasty consult
December 10, 2018    Second Letter VA Psychiatric Practical nurse
November 15, 2018    First letter from VA therapist
May 11, 2018 I am Laurie Jeanette Wickwire
May   3, 2018 Submitted name change forms
Aug 26, 2017 another increase in estradiol
Jun  26, 2017 Last day in male attire That's full time I guess
May 20, 2017 doubled estradiol
May 18, 2017 started electrolysis
Dec   4, 2016 Started estradiol and spironolactone



  •  

Drexy/Drex

interesting  as I was going to try for pellets but now I might give it a miss, do let us know now you go with the gel 😊
Everything
  Louder
   Than
Everything
    Else
  •  

LizK

Quote from: markie on October 19, 2017, 10:12:28 PM
interesting  as I was going to try for pellets but now I might give it a miss, do let us know now you go with the gel 😊

I think you have to assess who you are dealing with and what suits your lifestyle. The first Dr who had me on pellets would add another new one at 6 months... and there was never an issue with the timings. With the right Dr and compounding clinic you may find as do others that pellets are their best option. But for me and my circumstances I think the gel will work better. The cost is also a big factor as I have to start planning long term, using Shine SA will keep all visits free. I will keep you posted as to how I go....I know AnonyMs has good things to say about her experience with Pellets....and so do a number of others.
Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •  

Cindy

That is great news for you Liz.

Just a comment on pellets that may help to clarify things. Liz and I were getting pellets from the same endo, she is well known in Adelaide and extremely experienced. When I left her practice and got my GP to look after my HRT she offered to use pellets but said that she had no experience in the process and would have to learn. The technique is to make a small cut to the subcutaneous level, press the pellet into the area firmly using an implant forcep and then seal the cut with a stitch or two. With practice the technique is simple and safe however it is not a common technique for the average GP to perform and there are risks. Not the least being perforation of the peritoneal cavity if done on the abdomen. Many GPs would need a lesson or two from an experienced practitioner and of course buy the necessary tools to do the procedure and of course access pellets. So it isn't a technique that is commonly practiced by all medics. My GP was happy for me to be her test crash dummy. I decided on patches  :laugh:
  •  

LizK

Thanks Cindy for clarifying what is actually required for a GP to be able to do this procedure.  :D  I didn't know a great deal about what was required from the Drs point of view, my role was pretty simple, to be still until the Dr was finished  :D

As I said to Markie I think pellets are the perfect solution for some people and I do not doubt for one second that there are pharmacies in Australia who do get it right when it comes to making these pellets.


Transition Begun 25 September 2015
HRT since 17 May 2016,
Fulltime from 8 March 2017,
GCS 4 December 2018
Voice Surgery 01 February 2019
  •