Susan's Place Logo

News:

Visit our Discord server  and Wiki

Main Menu

GCS with PAI, November 20th

Started by Cyndaquil, July 26, 2017, 10:54:43 AM

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

Cyndaquil

Hi,

Please excuse my writing as this is very exciting/nervous for me, I'm still trying to wrap my head around how awesome this is to me. I have contacted PAI and they said they would be able to schedule me for November 20th. I don't know who my surgeon will be, and I still have not booked a flight yet, although I will be contacting them to ask that and will get a ticket when I know for sure where I'm arriving and all. The surgery is on the 20th at 2:30 pm local time, but they said I needed to be there on the 17th so that they can do consultation and such. Needless to say, oh boy, I'm so anxious and excited at the same time.

I wanted to make a post on Susan partly because I wanted to ask for other's help, maybe some information on what I should bring, what kind of legal document I need, but mostly it is for me to process this and calm me down. I have waited for surgery for a very long time, and I have fought really hard for it. When I was 13 I wrote my dad a letter and leave it on his work desk stating that I would like to have the surgery when I grow up. It had been a long way since then, my dad used to be against me being this way, but had recently became so much more supportive in the last year and in fact, he is going to go to Thailand with me (albeit on a different flight because im currently in a different state). My fiance is also looking into taking a few days off from work to flight with me as well, although because of the nature of his job it might not be possible, we will see on on that. I am very thankful that I have a wonderful family who will be there for me for the life changing surgery.

With that being said, I do have some questions for you guys if you got surgery here. What kind of legal document will I need? I got my passport in the mail on Sunday, and i intend to make atleast 3 paper copy of the identification page on that passport just in case something happen. Other than that, I have no idea what else I need. Some people in the chat have mentioned that I might need a Visa, although from what I seen on the US Gov website and the Thailand foreign affair website, they both stated that I won't need one if I'm travelling here for tourism and stay less than 30 days (Which I am given I get here on Nov 17th and leave Dec 6th). I obviously also intend to carry clothings and personal hygiene stuff (which also including pads in case I bleed). Is there anything else I should carry?

Lastly, if you guys have any positive things to say about PAI, please feel free rub it at me  :D . I will be frank, as exciting as this is, it is also scary as hell, no matter how long I wanted it for. It would be nice to know that I'm making an informed decision and that there are other who made the same choice who turned out well. I suppose negatives are welcomed as well, although I'm not sure how well I will take them at the moment. I already spent quite a lot of time looking through all the positive and negative for each surgeon (oh yeah I read about someone complained about hairy bottom down there with PAI, this is a hit home because i dont intend to get any electrolysis, although I do think I'm relatively not hairy). The next 3-4 months are going to be extremely "fun" for me. Should I also mention that I'm in college and that I'm having flying right after my final? My exams are supposed to be on Nov 13-16, so in order to be in Thailand by the 17th I'm probably have to take my last exam a day early or flight right after i take the test. And not to mention the excitements/nervousness i will feel that week that might affect my performance
  •  

Jacqueline

Cyndaquil,

Hi and welcome to the forum side of the site. Glad you joined and posted.

I don't have the info about PAI however, many members have gone there. As a matter of fact Susan just had surgery there this past January(I think). I bet you could search PAI in this category and it would pop up lots of information. I also bet you will get some responses from other members as well.

You must be so excited. I can imagine the anxiety as well. All this between semesters. My bonnet is off to you sister.

A Cautionary Note:
This is a public forum so please [remember when posting that The Internet Never Forgets, and the various web crawlers and archival sites out may retain information that you post.

We cannot ensure that any information you share on the site will be protected from public view and/or copying or reproduction. This warning is also listed in the Terms of Service listed below.

Do not share anything on Susan's that you do not want to be public information.


I also want to share some links with you. They include helpful information and the rules that govern the site. It is important for your enjoyment of the site to take a moment to go through them


Things that you should read





Once again, welcome to Susan's. Look around, ask questions and join in.

With warmth,

Jacqui
1st Therapy: February 2015
First Endo visit & HRT StartJanuary 29, 2016
Jacqueline from Joanna July 18, 2017
Full Time June 1, 2018





  •  

Cyndaquil

Hi Jacqui,

Thank you for taking your time to response!

Yeah I understand that whatever I share is public. I think I was extra careful not to give away any information that might identify me (I didn't include college name or anything). Rest assured that just like my surgery, I'm informed of the risk and can make the decision  ;)

It is really good to know that many other people went to PAI. I don't really know many trans people in real life, leave alone those who have GCS. I did searched around for more thread and I'm glad that in general, the consensus is that PAI is really good.
  •  

xFreya

Hey I had mine with PAI a little more than 2 months ago.  :) you can read my experiences here if you haven't. https://www.susans.org/forums/index.php/topic,224402.0.html
As for documents if you have a therapist's letter bring that, if not you can see 2 therapists there(you need to see 1 Thai psych anyway according to their law), it doesn't cost too much and is quick.
  •  

rosinstraya

I had GCS with PAI just under 6 months ago. I have had a pretty straightforward recovery: from initial heavy swelling down to virtually none at all and none of the oft-reported "hair issue". Sensitivity has been coming back where I want it (!) and the clitoris is no longer super-sensitive. I have been fortunate enough to have had a long break from work which has no doubt also helped my recovery.

PAI were very good with ferrying me and my partner between places and appointments in Bangkok - you really don't want to be chancing your luck with Bangkok traffic - even 500m can be a major trip! My advice would be to stay somewhere close to the PAI clinic and the Piyavate hospital. Also: the longer you can stay in Bangkok post-op, the better.

Having family or partner with you at this time is really important if you can arrange it. It does help to have someone there in the immediate pre- and post-op time when you are a little overwhelmed or groggy from the anaesthetic.

Good luck and I hope all goes well for you.
[table][tr][td]

[/td][td]


[/td][/tr][/table]
  •  


Cyndaquil

Thank you all for your responses,

It really does make me feel safer and better knowing a lot of people went to PAI.

I am feeling less nervous about the surgery, and as I'm moving forward, the surgery is moving more toward the back of my mind as I have a lot until then to look forward to. I'm sure the nervousness will come back when the surgery is maybe a month away, but for now I'm calm and ready to take on the world.

I will keep the post updated whenever I have something worth sharing
  •  

Jacqueline

Quote from: Cyndaquil on July 28, 2017, 08:19:34 AM

I will keep the post updated whenever I have something worth sharing

It's a deal. I look forward to it.

With warmth,
Jacqui
1st Therapy: February 2015
First Endo visit & HRT StartJanuary 29, 2016
Jacqueline from Joanna July 18, 2017
Full Time June 1, 2018





  •  

Cyndaquil

Just a little bit of an update.

I have arrived in Bangkok last night, and is now a few hour away from consultation with PAI.

I don't really have much to say other than the nervous and anxiety (and excitement) is getting to me, and that flying across the world suck.

I will keep this post updated within the next few days as more happen.
  •  

Laurie

I hope all is going well leading up to the special event, Cynda.

Hugs,
   Laurie
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



  •  

mm

Cyndaquil, good luck and hope you have a great recovery, keep us updated when you can.
  •  

Cyndaquil

Alright, everything is all set, I'm having surgery tomorrow. I figured I would take the time to write another post to describe my experience so far.

I have to say, I'm very impressed. PAI was professional and made sure that I felt comfortable and understanding the risk. They asked me what is my expectation, explaining that result is different for each person, etc. I am very glad that they provide transportation for you because I swear, I would stuck on the street because I'm too afraid to cross the heavy stream of traffic. They are very thorough, they explained the process, told me what I was going to do for consultation, and they did exactly just that. The staffs were very nice too, at least the one stationed at the PAI office was. Can't comment about the hospitals staff or even the driver since they don't seem to be able to speak English as well as the PAI staff does.

I had a really good time, but I feel like I probably should share some of the bad time too (not because of PAI though). I felt very ashamed when they prepared me for surgery by you know, shaving. I couldn't help but feel extremely bad and embarrassed. Don't get me wrong, the staff seemed very friendly, but I guess I wasn't emotionally ready for that. I wasn't ready for the actual surgery talk either. I mean I did research and everything, but when you are there actually talking 1 to 1 with your doctor about it, it is a very different topic and I was just really nervous to the point where I kinda stutter and couldn't think straight.

Two things specifically I think I should mention though since I feel like people here would want to know:
1. They didn't talk to me about hair in vagina at all. They did mention shaving, but that's it, they told me a lot of potential complications like swelling and having to leave the catheter in for an extra week or so, but nothing about hair. To be fair, having hair in there might not count as a complication, and they did mention things like after surgery they will show me how to take care and clean it.
2. I feel like the Thai psychologist here aren't really interested in actually gatekeeping you from surgery (NOTE that I'm not commenting on whether it right or not, this is just my opinion). I only have 1 letter with me (they only require 1 to book) but did ask that I speak to two Thai therapist, each cost about $50 each (3600 Thai dollar total). I guess I kinda over-expected but they only asked me like 5 questions after reading my letter of recommendation (the first psychologist only read the first page) before they agreed to write, they both probably seen me for less than 10 minutes each. I was expecting them to grill me about my past to make sure that I really want to do this and turn me away if they deem me to be emotionally unfit. To be fair, despite having only one letter, I felt like it was very solid since it described my transition process really well (I had been living full time for the last 5 years or so, tons of experiences, a lot of detail).

If anyone is interested, (i will add more to this list later), i learned a few things so far:
- If you are from the US (there is a list of countries), you really only need your passport to pass through immigration. I was worried and couldn't find much information about this, I brought copies of my bank statement (in case i need a visa), copy of all my documents and such, but all I really had to do was fill out an arrival card and departure card (given to me by the airline) and show them my passport.
- Be super duper careful with the traffic. Like really. It crazy. I guess I'm spoiled by the US but geez. If you can, request a driver/take a cab
- You will have to take medicine to clear out your stuff. It uh, not pretty. Bring manga or something cuz you gonna sit on the toilet for awhile :P
- In case you are wondering, yes, they do have wifi in the hospital where you are recovering. I haven't been in the recover room yet since I haven't had surgery, but I did asked about free wifi, and they said yes.
- Outside of PAI, virtually everyone I met can't really speak English. They might know certain words like yes/no, one, two, three, but don't expect much.
- It super, duper hot and humid. Don't bring sweater like I did

Thank you
  •  

rosinstraya

Ha! The "swiff" laxative has hands-down one of the most revolting smells going!
Hospital- blood pressure checks frequently (maybe due to my age!), food wrapped under cling Film, decent wifi, you will not poop for days but.........when you do...........!!

Hope all is well, good etc!  :) :) :)
[table][tr][td]

[/td][td]


[/td][/tr][/table]
  •  

xFreya

Uh that swiff solution was terrible. I took it with some orange juice and I hated orange juice for a while!

I had no letter at all with me and I had the same experience too. They asked some stereotypical questions and it took like 10 minutes. I think they have to do the letters because they are required by Thai law. I was very nervous during preparations too but consultation with Dr. Sutin was nice.

He mentioned the possibility of hair when I asked him whether removing the follicles during surgery is foolproof. He said most of the time they can get %100 but if I end up with some that there are ways to remove them. Although they just tell you to get laser done if you end up with hair. They should probably now laser can't reach too deep.

But I had no complication otherwise and had a very easy recovery. No issue with sensation etc. I'll probably go back in the future for a revision though, to make some details look more natural. Hope you have a smooth recovery as well.  :)
  •  

Cyndaquil

Yep, It is now about 24 hours since I had my surgery (I had surgery at 2 pm local Thai time) with Dr. Burin, and I'm very surprised that I was able to walk. Other than constant but not too bad pain down in that area, I'm actually feeling pretty okay. I'm conscious, can eat, can walk (albeit limited by the range of the catheter) so I feel like as far as recovery is going, I'm okay. This is definitely not an experience I want to have again, but this wasn't as bad as I imagined. To be fair, I haven't started dilating yet, I feel like once that happen I'm going to take back everything I say :P

I slept a lot since surgery, probably 75% of the last 24 hours was on and off sleep. My body as a whole feel very sore, and I felt like I could get cramp if I'm not very careful.

Either way, the staff have been very nice, and even though I didn't talk much to Dr. Burin, I really, really appreciate him for doing this. He told me that I should try to walk as much as I can to apply some pressure on the area since pressure is good + drink a lot of water and they will remove the bandage after about 3 days.

I will keep this updated as I go
  •  

rosinstraya

All sounds good! They are very keen on you getting up and walking a bit as much as you can...it does get easier!
[table][tr][td]

[/td][td]


[/td][/tr][/table]
  •  

Mandy M

Huge congratulations Cynda. Keep us posted on progress.

Did you have a choice between Drs Burin and Sutin?

xx
  •  

Cyndaquil

I didn't request which Dr. specifically, although I have a feeling if I asked, they would have tried to accomodate me.

I still haven't had a chance to look at you know, that part yet since the bandage is sitll over it nor do I know what the depth is, but tomorrow (in about 14-16 hours), Dr. Burin will have it removed and voila, I can't wait.

But that also mean I'm gonna transitioning into the more difficult part - dilating. I can't imagine (nor do I want to) imagine the pain that come with it, especially given that I'm basically on painkiller currently 24/7. Without painkiller, there is liek a constant pain down there, it not too bad pain or anything but it feel like someone pinching it or for a lack of better word, being kicked in the ball. Despite being able to eat, I have not have any bowel movement yet, and while I do feel the need to, it have been mostly gas. I'm a little bit worried about how that go.

The staff have been extremely nice, they come in to check on me about every 2 hours or so, to take blood pressure and temperature. There is a button on the side that I can press, and they will drop by to check for what I need. So far all I been requesting for is painkiller, but I'm probably going to request for help to go to the bathroom at one point. In all honesty, this is actually, at least in my opinion, really damn high quality treatment, and while I don't doubt America have  the same level of treatment. I feel like for a private ward, staffed 24/7, staff check on you often + every day Dr. Visit, this would cost a fortune given how expensive healthcare is over there. Of course, I don't wish this same experience twice because you know, pain :P . But by far, this have been beyond my expectation

Lastly, I guess this is kinda rambling on my part, but I want to share that I don't really have a lot of expectation. I have read a lot of horror stories about hair in vagina, internal bleeding etc, and I know all of that walking in. With that being said, I don't really have that high of an expectation, I just wanted a vagina, beyond 5 inch+ depth would be nice, but if not it fine too. As long as my vagina don't have trouble and give me pain every day, I can deal with hair and I'm willing to put in more effort to clean myself. I have waited for this moment for a very long time, and I'm going to cherish it.

Please feel free to ask me any questions you have. If I'm not too tired/asleep i will answer you right away.
  •  

Cyndaquil

Okay, they removed the bandage and aw yis, I no longer have a schrodinger vagina, it is there :P

I haven't been on painkiller for about 10 hours now, and surprisingly after they remove the bandage, I been feeling less pain (Probably because I'm super happy). I am able to pee without catheter as well, however I have no control over it yet and the pee just kinda go out when I sit down on the toilet without much effort from me. The nurse told me it was normal. The nurse also showed me how to clean it, using betadine and saline water. I'm surprised that there is no pain yet, even when they used the douche to put some betadine on the inside. I did ask if I ahve to do this for the rest of my life, and they said yes, but I'm nto sure if that is right. I understand that early on especially when the wound is still healing, this is the way to go, but I feel like maybe 6 months down the line, still using betadine to clean is a little bit excessive. She was just a nurse though and she probably thought I simply meant if I have to clean it for the rest of my life, not clean it LIKE THIS for the rest of my life.

As far as the look of the vagina go. I am extremely happy so far. I don't have a lot of expectation, but my boyfriend was very impressed with the result. It still swell a lot, but I'm sure once the swelling is over it will look even better.

I know I'm just being kinda a fangirl here, but so far, I have been very happy. When they took the bandage off, it hurt a little, but you should have seen me afterward, I was just so excited. The doctor told me my recovery is "so far, so good".

Tomorrow I can take a shower and clean up after myself. No dilation yet though. We will see how that go
  •  

AnonyMs

I don't think you're supposed to use betadine that long. It can cause skin irritation.
  •