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SRS with Dr. Chettawut - May 9th 2017

Started by threewestwinds, April 12, 2017, 05:12:16 PM

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threewestwinds

I will, with considerable excitement, be heading to Thailand in a little under a month!

About a year ago, when I first started getting serious about having surgery, I found this board absolutely invaluable. The first-hand accounts by everyone here, with a variety of surgeons, situations and personal histories helped me narrow down my choice of surgeons, understand the procedure and recovery, and finally get my act together. So although this is my first post here on Susan's Place, I've already benefited from the community here.

My goal is, in addition to providing a diary of events for the many people in my life who have asked, to answer all the questions I once had, and contribute my own experience with preparing for SRS and Dr. Chettawut to the collection of accounts here.

I'm happy to answer questions - please feel free to ask if there's anything you'd like to know more about. I'll probably write some more as the day approaches. Who here on the forum be with Chett on overlapping days?




Timeline


  • I'll be flying into Bangkok on May 3rd, with my boyfriend and his other partner (who I'm also friends with). It'll be a 20 hour flight. O.O. We'll all be staying at the Drusit Princess.
  • May 8th, my mother will be flying in, while boyfriend and partner head off to do their own thing for a while (they'll be flying back on the 10th).
  • On May 9th I go in for surgery.
  • June 2nd, I fly back to the US with my mother. Another 20 hour flight. O.O




Preparation / Lead-up

I'm a 29 year old woman living on the west coast. I have a cat, a girlfriend, a steady job and a boyfriend. I've been on HRT for two and a half years, and presenting full-time almost that whole span. I'm lucky to have a supportive family and partners.

I knew I wanted SRS as soon as I realized I was trans - there was never any doubt in my mind about what the steps would be. Hormones, presentation, laser hair removal, voice, SRS... I have several trans friends who are less certain, more exploratory, have a different list... but I knew what I wanted, and so each step has been exactly as rewarding as I'd hoped (except voice therapy, which was super hard and I still struggle with keeping up).

Late 2016, I began researching surgeons and requirements. Initially I was drawn to Preecha, but after further consideration, changed my mind to Chettawat, mostly based on large numbers of testimonials here. I went in search of SRS letters.

The first interview/evaluation for a letter, with Leah Boisen, was exactly I expected - a long session with lots of questions about personal history, the psychologist taking notes on her pad, and then a promise to send the letter within a week or two. She was pleasant and professional. I also asked her for suggestions for a second letter writer - she put out an email on a group she frequents, and several of them contacted me.

The second psycholigist I saw was Meg Manthos. She was also pleasant, and explained that she's been experimenting with shorter SRS letters - which, so far, have been universally accepted by surgeons as still meeting the WPATH requirements. We bonded over our shared ideals, that WPATH is an unnecessary hurdle.

Dr. Manthos's letter came within a week, being one page. Dr. Boisen's letter took more than a month, though to be fair, it happened over the holidays, flu season, and a move. It was 11 pages. I don't recall the exact costs - something like $75-150, far less than a few others wanted to quote me.

With letters in hand, I contacted Dr. Chettawut via the forum on his website. I got a response within 24 hours - though it was initially trapped in my spam filter, and I didn't notice it for nearly a week, despite biting my lips nervously. >.>

May 9th! We communicated several times, getting everything in order (letters, chest-xray, blood tests, flight plans), and I ran around frantically telling work that I'd be gone and asking partners if they wanted to come with. As Dr. Manthos had suggested, her single page letter - which still hit all the points in the WPATH standards - was accepted without comment.




Questions that I wish had been easier to find answers for

How long was the waiting list?
-- I don't know what's usual, but for me, it was only 8 weeks. !!! With my letters and everything else in order, I first reached out to Chettawut on March 14th, and received a response the same day, asking if May 9th would work. Maybe someone canceled, leaving a slot open?

What does it cost?
-- The surgery itself is ~$10k, though there may be a secondary operation requiring an extra $1k. The flight, from the US west coast, is ~$1200 per person. All told, I expect to spend $15k on the trip - though that could be cut down by A) not bringing a companion and B) choosing a cheaper hotel.

How did you decide on Chettawut?
-- Read lots of reviews / diaries here. Find a few surgeons that look good. Examine their websites carefully, then choose one. Read more threads here, to see if it still feels right. :shrug: Fundamentally it all boils down to gut-instinct, informed by lots of reading.

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AnonyMs

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threewestwinds

Quote from: AnonyMs on April 12, 2017, 05:49:05 PM
I guess you've seen this, but I'll link it just in case

http://bambi.site88.net/guide.html

I hadn't, thanks! Very useful information in there.
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ClaudiaPitCar

Congratulation :) Hope the best for your recovery, keep us updated!! I'll be there in 22 of July  :)
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threewestwinds

So, this is my first day off estrogen. Theoretically I was supposed to stop yesterday, the 20th, but I forgot. ^^;; I'll be interested to see how that changes things - I've missed hormones a couple of times in the part, for up to a week, but never before been on Spiro without Esta going along with it.

Other than that, not much to update - I have everything squared away, ready to head out when the time comes. Cat care will be taken care of by the girlfriend, once I give her the extra key I got from the landlord for that purpose. Going over to a friend's house on Sunday to borrow a suitcase for the trip.

I'm excited! Looking forward to things! Going to eat all the street food, in the first few days before I go on the liquid diet. I love Thai food here in the US, so I'm sure it'll be even better at the source.

Quote from: ClaudiaPitCar on April 13, 2017, 07:32:31 AM
Congratulation :) Hope the best for your recovery, keep us updated!! I'll be there in 22 of July  :)

Good luck to you too!
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Dena

You might want to reconsider the street food or if you still decide to eat it, limit yourself to well cooked food. Traveling to another country you could get something we call Montezuma'a revenge. Simply put you risk food poisoning  before surgery and it could result in you not being able to make your surgical date. There are enough places you can get safe local food without the risk of street food.
Rebirth Date 1982 - PMs are welcome - Use [email]dena@susans.org[/email] or Discord if your unable to PM - Skype is available - My Transition
If you are helped by this site, consider leaving a tip in the jar at the bottom of the page or become a subscriber
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emmaschmema

Wow exciting! Chettawut is on my shortlist, so I'll be keen to hear about your experience.  I'm sure it will be fantastic though. :)
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threewestwinds

Yesteday I did all the laundry. Today I did all the dishes and hang out with the boyfriend. Tomorrow I'll vacuum and clean everything else, and have a date with the girlfriend. Then Monday and Tuesday at work, and then, and then, and then...

Flying out Wednesday evening. Getting closer!




Thai food in the US has delicious vegetarian options all over the place, right? So it shouldn't be difficult to eat vegetarian while I'm there... sound of research being done... oh darn. More difficult than I was expecting. Definitely doable, just requires more care than I was expecting. Fish and oyster sauce everywhere. That, far more than health concerns, may keep me away from the street food. As one article put it:

"For the most part, vegetarians have to find a way to feed themselves in this city, with streets upon streets lined with food stalls selling almost nothing but "MEAT"."

:sad face:
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ClaudiaPitCar

Hii ;) can I ask if you did hair removal in your perineum?? I never really bothered about it as they are supposed to scrape all the hair roots from the neovagina but now I'm worried about the perineum since in his page he says it's optional and it can also be done after healing but I'm not sure what's best actually.. I think I'll tale the risk  at  this point because I don't want  to cancel my date now... What's your opinion about that??
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Lucie

Quote from: ClaudiaPitCar on April 30, 2017, 06:26:15 AM
Hii ;) can I ask if you did hair removal in your perineum?? I never really bothered about it as they are supposed to scrape all the hair roots from the neovagina but now I'm worried about the perineum since in his page he says it's optional and it can also be done after healing but I'm not sure what's best actually.. I think I'll tale the risk  at  this point because I don't want  to cancel my date now... What's your opinion about that??

If you don't want to risk having hair in your vagina it's better to have electrolysis before the surgery as stated by Dr. Chettawut on his site. IMO hair removal after surgery is less easy than when it is done before.
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Jessika

I'm thinking of choosing Dr. Chett for my GCS around the end of this year. Love all the feedback. I wish you well. :)
My Fantasy is having Two Men at once...

One Cooking, One Cleaning.  ;D 








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threewestwinds

Quote from: Jessika on April 30, 2017, 07:22:01 PM
I'm thinking of choosing Dr. Chett for my GCS around the end of this year. Love all the feedback. I wish you well. :)

Hi! I can't respond to PMs until I have 15 posts here, so sorry about not answering you there. Most of the feedback will be here in this thread, but definitely interested in some correspondence. Soon, soon I'll have 15 posts and be able to answer stuff. *^^*

I didn't actually speak to Chett until I had everything in order, letters and money. My very first email was 'hey, I have everything, when would be a good date?'

Quote from: ClaudiaPitCar on April 30, 2017, 06:26:15 AM
Hii ;) can I ask if you did hair removal in your perineum?? I never really bothered about it as they are supposed to scrape all the hair roots from the neovagina but now I'm worried about the perineum since in his page he says it's optional and it can also be done after healing but I'm not sure what's best actually.. I think I'll tale the risk  at  this point because I don't want  to cancel my date now... What's your opinion about that??

I haven't done any hair removal in that area. I figure I can wait for everything to heal up and then evaluate if / where I want it done. I have no experience in the area, so I'm inclined to go with his recommendations.

Quote"To address this concern regarding the hair, Dr. Chettawut recommends SRS patients to undergo perineal hair removal before or after the surgery.

The better alternative is to wait and make a decision after SRS at least 6 months if there is any particular area of your external female genitalia which you really need hair removal or not." (bold mine)
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ClaudiaPitCar

Yes that's what I thought.. Can't wait to know how I'll end up, I'm both positive and even ready for the worst!!
You already setted off right? Good  luck   :-*
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threewestwinds

I swear I posted here last night, but... anyway, I'll be really glad when I have enough posts here that the captchas and captcha questions stop showing up. They're really obtrusive.

I'm in Thailand, and I'm alive. Jetlagged though, very jetlagged. International flying went as as smoothly as expected, with the exception of the vegetarian options for in-flight meals. Inedible. I'm not a picky eater - I'll do basically anything put in front of me if it's not made by killing animals - but not this glop.

-----

We arrived in the airport, collected my luggage (the other two are only here for a week, they didn't check anything) and exchanged money. That last bit was completely painless - there was a booth right on the other side of customs. Hand them money and your passport, sign the receipt, get a different type of money back.

Stepping out of air conditioning was like being hit in slow motion by a warm wet towel, wrapping around your face and suffocating you. It was 97 degrees yesterday, and promises to be the same for the rest of my stay. Boyfriend's partner is fine with it - she's from the south, and says "it's just like summer should be", but the two of use are suffering a bit. Him more than me. I'll get used to it, but will never be happy. Give me a howling blizzard instead, please. I know how to deal with one of those. ^^;;

As promised, we were met at the exit by a driver from Chett's clinic. He had a sign with my name on it, and the back was a small picture of me to make sure we didn't miss each other. They have you send in one for just this purpose. He didn't speak English, but that was ok - he handed me an envelope, took my luggage, and led us to his car. A half hour drive later, we're at the hotel lobby. We're dropped off there with a nod. Check in was fine, no  hangups.

-----

First priority: sit down and look out the window.
Second priority: pull out laptop and connect to internet. I'm a lot more comfortable when connected to my exocortex. (look it up if you don't know the word, or don't bother. I'm just being nerdy)

After flopping in bed for a bit (there's one bed, but we're all friends, me, my boyfriend and his partner), we headed over to seacon square to find lunch. The street food, as promised, looked fantastic, and the other people I was traveling with repoted that it tasted just as good. Finding something without meat in it though... we ended up seated at a chain restaurant where I ordered curried rice with an egg (they had pictures on the menu, so we could all just point). It was tasty, and all three of use eating, along with drinks and tax, was 450 bhat - 15 dollars. Still more expensive than the street food (delicious huge omlet thing for 55, ~$2).

-----

This morning I go in for a first consultation with Chettawut. Will meet the driver in the hotel lobby at 7:00, in about two hours. It's currently 5:09, and I've done all the combatting of jet lag I can do for one night. Feeling pretty good, actually! Just need to take a shower and get some hotel breakfast. See you all later. :)
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Jessika

Great update threewestwinds. Keep updating us. Eager to hear more as I may be doing all of this in the next 6-10 months. :)
My Fantasy is having Two Men at once...

One Cooking, One Cleaning.  ;D 








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threewestwinds

May 5th, surgery in four days.

I woke up at 5:30. Timezones are shifting, but not yet completely in sync.

This morning we went had breakfast in the hotel - it was quite tasty, especially the fried rice and the bannana smoothies. Vegetarian food was easy to find, and quite tasty. At breakfast I met the mother of another Chett patient. She also apparently had a 2-month wait, so it seems pretty normal. That girl had surgery on the 4th, it went well. We'll get to meet  her later when she's back at the hotel and no longer confined to room.

I met the driver in the hotel lobby at 8:00. The consultation with Dr. Chettawut was about what I expected - lots of papers to sign, personal information to verify, hand over the two letters, the chest x-ray and lab results all in hard copy. Then wait a while, and go up to meet with Dr. Chett himself. We said the usual polite things, then he had me pull down my pants for a close up examination of the surgical site. He was professional and polite, but still, strange man touching my dangly bits. >.>

I'll need the extra groin skin graft, so an additional $1000. They accepted a credit card for that, but changed an extra 4%. Just a note so no one else is surprised by that.

-----

Went home (hotel) and met back up with friends. They'd done a bit of wandering, but everything was closed that early in the morning. We went out again wandering, just sort of exploring. There are tons of dead-end streets here - connections are the exception rather than the rule. We didn't find much of specific interest, though looking around the city was exciting. We were in mostly residential areas. There were some very expensive houses.

On the way back, we stocked up on liquids. I'll start my all-liquid diet tomorrow.

Returning to the hotel again (short excursions, we're all still tired), we searched  the internet for something specific to head towards next outing. We found the Night Market, opening at 16:00 and reaching peak traffic at 21:00. We all took a nap while waiting.

Getting to the night market was troublesome. We didn't get the directions quite right, and ended up taking a very circuitous route. But once there...it was fantastic. A huge open-air market, covered with stalls selling everything from street food to t-shirts (so many t-shirts) to nice clothes to watches to instruments to nick-nacks to...

It was big. It was crowded. It as excellent. We wandered it for maybe three hours and saw... about 1/2. If that. Big. I bought a bunch of clothes - a skirt there for 200 bhat ($6), a blouse there for 150, another skirt for 100, three camisols for 100 (total, not each)... it's cheap used clothing prices for cute brand new stuff. Some of it's factory-made, but some also bears the sign of being hand-made. I loved it, and hope to go back again another evening. Highly recommended for anyone staying in the Dusit Princess.

We came back and fell straight asleep.

-----

May 6th, surgery in three days.

Today we're going to the Grand Palace by cab (our first cab rides), then wandering around on foot to some of the nearby temples.

It's also the first day of liquid-only. I ate jello for breakfast while friends went to hotel restaurant to eat good food. >.> No special instructions for today - tomorrow I start on the laxatives, but today's just 'no food'. Will update again either tonight or tomorrow morning. Thanks for all the good wishes. :)
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Lucie

Hello threewestwinds,

At which hotel do you reside ?
My surgery has been scheduled for next November. I am still hesitating about which hotel to choose among the three ones that are possible.
Is there something as a kitchen in your room ?
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threewestwinds

Quote from: Lucie on May 06, 2017, 03:10:00 AM
Hello threewestwinds,

At which hotel do you reside ?
My surgery has been scheduled for next November. I am still hesitating about which hotel to choose among the three ones that are possible.
Is there something as a kitchen in your room ?

I'm staying at Dusit Princes Srinakarin. There's no kitchen here, but the breakfast they provide is excellent, and there's good food in the mall nearby.

I love cooking as much as the next girl, but the food here is so good and so cheap that I don't really have much urge to make things myself. Being vegetarian is a bit difficult, but I suspect you wouldn't have much more trouble than I did with any other dietary restrictions (vegan is just as easy as vegetarian, gluten-free looks like it would be trivial).
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threewestwinds

May 6th, surgery in three days.

After my friends ate breakfast in the hotel (I ate a cup of jello and was sad), we took a cab down to the Grand Palace. Total cab fare was 193 bhat, about $6.50. Half an hour drive.

Once there, we walked through security - brief metal scanner and bag check (they didn't look inside purses, only big bags) - and then paid 500 bhat ($17) each for entry. The dress code is seriously enforced - they will make you buy a sarong if you don't meet it. All of us had dressed appropriately (basically, knees and shoulders covered) though, and passed through without trouble. The Grand Palace was beautiful, and we wandered around for about an hour taking pictures and wishing we could read Thai to know what the description of the murals meant.

After that, we walked around a bit, unsure where to go next. We finally found a big tourist map by the side of the road, and seeing us examining it and pointing, a local came over to help us out. He worked at the temple we were in front of, and was very friendly and helpful. He gave us a pocket tourist map, highlighted a couple of places we should go see, and flagged down a tuk-tuk for us to ride in, explaining how they worked.

Tuk-tuks are little three-wheeled cab thingies specially for tourists that ferry you around downtown. You pick a bunch of stops (in our case four, as suggested by our friendly local), then they drive you to each in turn, point you in the right direction, and wait for you outside. Once you reach the last stop, you pay them 100 bhat ($3). It's pretty unbelievable how convenient it is - downtown Bangkok is huge, and we would never have made it walking (as we had planned).

-----

Our second stop after the grand palace was Wat Sitram, a temple we hadn't heard of (there are hundreds of temples hereabouts). It was very pretty, and one of the locals again saw us looking at things and came over to talk. It was fun chatting with him, and he showed us seven of the Buddhas, one for each day of the week. I was born on a Tuesday, so mine was the reclining Buddha. No pictures allowed in the temples.

Second stop was the "Thai Factory", a place where they hand make custom silk clothing. They were running a 50% off for foreigners special, and since I already intended to get a bunch of clothing while I was here, it was an easy sale. I spent 8000 bhat ($230) on a beautiful dress, and 300 bhat on a pair of blouses. They took my measurements, asked a bunch of questions about how exactly I wanted everything to look, had me choose out colors and fabric, and told me to come back tomorrow to get a rough fitting done before they put it all together. Wow. Boyfriend and his partner both got suits - 12500 bhat apiece. $420 for custom trailered four-piece silk suits. That is a fantastic price.

Third stop was the Standing Buddha. Boy was he huge. Toes the size of my entire body. And gold. Very, very gold. Again no pictures.

Fourth stop was going to be the Second Palace, but our driver - a pleasant and amusing fellow - asked if we'd mind stopping at the gem and jewelry museum which was on the way he needed to "feed gasoline to tuk-tuk!" :) It was less a museum and more a showroom - I've never seen so many gems and so much gold and silver in one place before. They tried to sell us stuff, but unlike the Thai Factory, we weren't interested.

Last stop - we tipped our tuk-tuk driver an extra 40 baht, since we'd been quite slow at most of our stops - was the Second Palace, which our tickets for the Grand Palace were also good for. Here though, they were even more serious about the dress code. My blouse was a little too open in the back, and one of the friends was wearing pants instead of a skirt. They made us both buy sarongs (only 50 bhat). :/ I understand in my case - not as modest as they'd like, I get that. But women not allowed to wear pants? We bore it silently and didn't make a fuss. Everyone also had to leave their bags and purses in lockers.

The Second Palace wasn't all that interesting, in my opinion. It was a guided tour, with lots of art and jewelry and some history, but nothing to write home about. I mean, it was all pretty, but we were pretty worn out from the rest of our day and bailed out early when the tour moved on to a second building.

-----

After we cooled down in an air conditioned Baskin Robins (twice the price of buying the stuff from a street vendor, but they had air conditioning, so...), we wandered around a little bit, and found ourselves next to the river. Several aggressive salespeople tried to get us to go on boat tours out to the floating market. Very aggressive sales people. Saying "no thanks" and walking away prompted them to lower their price, but not go away. One woman followed us for literally a block and a half. Bargaining is fun and all, but geez.

We took a cab back to the hotel and crashed, just zonked right out. A really fun day, even if I couldn't eat anything. It all looked so tasty! ^^;;

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May 7th, surgery in two days.

Today we're going back downtown to get fitted again for our respective suits/dresses, then going on the boat tour in the afternoon. Another big day ahead of us!

After that, we get to come home and I take my first dose of laxatives (a weaker variety) and then do an enema. A reminder that I'm not just here to play tourist. ><;
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Lucie

Thanks threewestwinds for the details you gave about the Dusit Princess Hotel and also for sharing your journal.
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