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Chapter 2: In Which Michelle_P lives her life post transition

Started by Michelle_P, January 01, 2019, 04:04:27 PM

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Donica

It's nice to know they are finally getting this stuff right. Somebody still seems to be dragging their feet updating my medical record. My Medicare was updated two months ago (after repeated phone calls). One month ago I had to call member services to get them to update my medical record. I'm still waiting. They've actually had two months to update my medical record. Once they finally get around to it, I wonder how long it will take to update my prescriptions?
Rebirth 06/09/2017. HRT 08/22/2017. RLE 07/14/2018. Name and Gender change 10/19/2018. FFS 09/06/2019. GCS 05/26/2021.
  •  

Rachel

Michelle, it is awesome you are giving back to trans woman much less fortunate. It is good to see you having fun and experiencing life at the fullest.
HRT  5-28-2013
FT   11-13-2015
FFS   9-16-2016 -Spiegel
GCS 11-15-2016 - McGinn
Hair Grafts 3-20-2017 - Cooley
Voice therapy start 3-2017 - Reene Blaker
Labiaplasty 5-15-2017 - McGinn
BA 7-12-2017 - McGinn
Hair grafts 9-25-2017 Dr.Cooley
Sataloff Cricothyroid subluxation and trachea shave12-11-2017
Dr. McGinn labiaplasty, hood repair, scar removal, graph repair and bottom of  vagina finished. urethra repositioned. 4-4-2018
Dr. Sataloff Glottoplasty 5-14-2018
Dr. McGinn vaginal in office procedure 10-22-2018
Dr. McGinn vaginal revision 2 4-3-2019 Bottom of vagina closed off, fat injected into the labia and urethra repositioned.
Dr. Thomas in 2020 FEMLAR
  • skype:Rachel?call
  •  

Michelle_P

I just heard from Kaiser.  The radiologist wants me at their mammography center two towns over, for further imaging and possible ultrasound on my left breast.

I'm hoping that my issue is similar to what @Jessica_Rose had, dense tissue.  The left side is less developed.  Let's face it, Tanner 2 boobs on a 65 year old is sort of odd.
Earth my body, water my blood, air my breath and fire my spirit.

My personal transition path included medical changes.  The path others take may require no medical intervention, or different care.  We each find our own path. I provide these dates for the curious.
Electrolysis - Hours in The Chair: 238 (8.5 were preparing for GCS, five clearings); On estradiol patch June 2016; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018; Stage 2 labiaplasty revision and BA Feb 26, 2019
Michelle's personal blog and biography
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Northern Star Girl

Quote from: Michelle_P on January 21, 2019, 06:35:23 PM
I just heard from Kaiser.  The radiologist wants me at their mammography center two towns over, for further imaging and possible ultrasound on my left breast.

I'm hoping that my issue is similar to what @Jessica_Rose had, dense tissue.  The left side is less developed.  Let's face it, Tanner 2 boobs on a 65 year old is sort of odd.

@Michelle_P
Dear Michelle:
This can be the most nerve-wracking of situations...   hearing that they want to do more testing and then waiting anxiously for the additional test, and then waiting again to get the test read by the radiologist and then your doctor......    try to be calm as possible.....   I know, I know... easy for me to say.   As I had mentioned to @Jessica_Rose on her thread, I had a similar thing happen to me on my very 1st mammogram a couple years ago... they wanted a more specific test, I was as nervous as I could be.. waiting and wondering.   Well, it turned our to be just a benign cyst with no further followup required....  then just last year I had another mammogram and it came out perfect without more imaging needed.   

So hang in there... have some chocolate and try to be patient.   
When is the followup test scheduled? ...  I will want to followup up with you and get your update if I can.

Hugs and wishing you well with this next test. 
Danielle
****Help support this website by:
Subscribing !     and/or by    Donating !

❤️❤️❤️  Check out my Personal Blog Threads below
to read more details about me and my life.
  ❤️❤️❤️
             (Click Links below):  [Oldest first]
  Aspiringperson is now Alaskan Danielle    
           I am the Hunted Prey : Danielle's Chronicles    
                  A New Chapter: Alaskan Danielle's Chronicles    
                             Danielle's Continuing Life Adventures
I started HRT March 2015 and
I've been Full-Time since December 2016.
I love living in a small town in Alaska
I am 45 years old and Single

        Email:  --->  alaskandanielle@
                             yahoo.com
  •  

Laurie

 It is my considered opinion that your left breast is as good as the right one. I bet they just want to bring you back in so others can squoze them. They will find them to be small but playful as any young breasts should be. Don't worry they will grow up in March.  >:-) >:-) ;D ;D :eusa_dance: :eusa_dance:

Hugs & kisses,
  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



  •  

LizK

Quote from: Laurie on January 21, 2019, 06:50:59 PM
It is my considered opinion that your left breast is as good as the right one. I be they just want to bring you back in so others can squoze them. They will find them to besmall but playful and any young breasts should be. Don't worry they will grow up in March.  >:-) >:-) ;D ;D :eusa_dance: :eusa_dance:

Hugs & kisses,
  Laurie


I guess you are qualified to make that assessment [emoji23]




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

Michelle_P

Oy.

My appointment is for Wednesday morning, where I will be working directly with a radiologist.  The appointment may take up to 4 hours, and may include an ultrasound exam.
Earth my body, water my blood, air my breath and fire my spirit.

My personal transition path included medical changes.  The path others take may require no medical intervention, or different care.  We each find our own path. I provide these dates for the curious.
Electrolysis - Hours in The Chair: 238 (8.5 were preparing for GCS, five clearings); On estradiol patch June 2016; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018; Stage 2 labiaplasty revision and BA Feb 26, 2019
Michelle's personal blog and biography
  •  

Jessica_Rose

I wish you the best of luck Michelle. At least the ultrasound is painless. The hospital I went to even keeps the ultrasound gel warm! Hopefully dense breast tissue is something we have in common. Maybe we should make sure they are kneaded more frequently to soften them up!
Journal thread - Jessica's Rose Garden
National Coming Out Day video - Coming Out
GCS - GCS and BA w/Dr. Ley
GCS II - GCS II and FFS w/Dr. Ley
FFS II - Jaw and chin surgery w/Dr. Ley
Hair - Hair Restoration
23Mar2017 - HRT / 16Feb2018 - Full Time! / 21Feb2019 - GCS / 26July2019 - GCS II / 13Oct2020 - FFS II
"It is never too late to be what you might have been." - George Eliot
  • skype:Jessica_Rose?call
  •  

Donica

Well, It's always best to be sure. Seems to be more or this going around.
Rebirth 06/09/2017. HRT 08/22/2017. RLE 07/14/2018. Name and Gender change 10/19/2018. FFS 09/06/2019. GCS 05/26/2021.
  •  

Michelle_P

Rite of Passage: First Mammogram at Kaiser

Tuesday night...  The Kaiser automated reminder system reminded me I have an appointment tomorrow.  Yeah.  I'm aware of it.  It takes me a while to finally get to sleep.
...

Wednesday morning, already?  I didn't sleep all that well.  It's 5:30AM, and I was planning on getting up a little after 6.  Ah, well.  Might as well get up now. 

I start my oatmeal to simmering, then take a quick shower and get dressed.  No deodorant or powders, per the Kaiser message's instructions.  I brew my coffee, just one cup for now, and collect my oatmeal.  Breakfast...

I catch up on my mail and messages, and peek at the news while eating.  No new disasters out in the world to distract me, so I finish up and get my stuff together.  Out to the car, and off to Martinez...

I arrive at the Kaiser campus and park.  Yes, campus, with a hospital, and a number of outbuildings.  I want the Hacienda building.  There are signs and maps, and I eventually find the building.  They even have good signage inside the buildings.  I follow the arrows with the pink ribbon markers to the Mammography Clinic, and queue up, about 20 minutes early.

Pay the copay.  Collect one gown, and head to the Female Patient Lounge.  Yes, that is the sign by the door!  There is a waiting room with seats and sofas of the Kaiser sort, and a set of dressing rooms in back.  I'm shown to one, and swap top and bra for the usual breezy exam gown, bag my own clothing, and head to the waiting room.

After a few minutes a tech finds me, and brings me to an imaging room, where once again I face the Hologic boob smasher.   Three images are taken.

The first image this time is horizontal.  The second is another 45 degree shot, at right angles to the one done last Saturday.  The third is another 45 degree shot, with a special extra-squeezy plate loaded in the machine.

Ow.

Ok, the images look good, so they go off to the radiologist, and I go back to the waiting room.

After about 20 minutes, which I occupy with getting a cup of coffee and doing a little reading, another person summons me to the door, and then takes me aside and starts whispering to me.  Uh oh....

Calm... calm... listen to the words. OK, there is a little problem (Hey!  Blood pressure spikes!).  The radiologist wants to follow up with an ultrasound.  (Oh, that sort of problem.)  They can make an 'appointment' for an immediate scan and followup with the radiologist, but there will be an additional copay.  (Oh, is THAT all?)

So, I go to the admitting desk in the clinic, pay the ticket, and head back to the waiting room.  The appointment is in 15 minutes.  No big deal.

The ultrasound tech finds me, and escorts me to the Ultrasound Room.  I get to pop the top, and lie on my back, one arm behind my head.  Gel and probe time.

Goddess be praised!  They actually warmed the gel and probe!  I lie back and think of England.  Why can't they make a decent steak?  And what's with Manchester United, anyway?

The tech says she has good images, and they are off to the radiologist, who will be there in a few minutes.  I get to rest on the table, with a warmed, soft towel over my breasts.  (I am starting to think women were involved in equipping and procedural planning for this facility.)

Another young woman knocks and enters.  This is my radiologist!  She decides to look at a few spots, so I get a little more warm gel applied, and spend a few minutes holding still.   Mmmmm... Hmmmm...  OK.  No problems.

I have a little dense tissue that made imaging tricky, and since they had no baseline in the Kaiser records, they wanted to be very sure about whether or not there was a problem.  Next time should be much easier as they will be able to check for changes against the baseline.

So, clean checkup, just the common dense breast tissue.

There was absolutely no misgendering, and not a single mention of my being transgender.  I'm not sure anyone even knew, honestly.  EPIC record keeping there just shows the folks using it relevant screens, and the users are focused on just checking the fields they always check. 

So there it is, age 65 and My First Mammogram. Done, no problems noted.
Earth my body, water my blood, air my breath and fire my spirit.

My personal transition path included medical changes.  The path others take may require no medical intervention, or different care.  We each find our own path. I provide these dates for the curious.
Electrolysis - Hours in The Chair: 238 (8.5 were preparing for GCS, five clearings); On estradiol patch June 2016; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018; Stage 2 labiaplasty revision and BA Feb 26, 2019
Michelle's personal blog and biography
  •  

Jessica

So happy to hear this Michelle!

Quote from: Michelle_P on January 23, 2019, 01:42:26 PM
Tuesday night...  The Kaiser automated reminder system reminded me I have an appointment tomorrow.  Yeah.  I'm aware of it.  It takes me a while to finally get to sleep.
...

Wednesday morning, already?  I didn't sleep all that well.  It's 5:30AM, and I was planning on getting up a little after 6.  Ah, well.  Might as well get up now. 

I start my oatmeal to simmering, then take a quick shower and get dressed.  No deodorant or powders, per the Kaiser message's instructions.  I brew my coffee, just one cup for now, and collect my oatmeal.  Breakfast...

I catch up on my mail and messages, and peek at the news while eating.  No new disasters out in the world to distract me, so I finish up and get my stuff together.  Out to the car, and off to Martinez...

I arrive at the Kaiser campus and park.  Yes, campus, with a hospital, and a number of outbuildings.  I want the Hacienda building.  There are signs and maps, and I eventually find the building.  They even have good signage inside the buildings.  I follow the arrows with the pink ribbon markers to the Mammography Clinic, and queue up, about 20 minutes early.

Pay the copay.  Collect one gown, and head to the Female Patient Lounge.  Yes, that is the sign by the door!  There is a waiting room with seats and sofas of the Kaiser sort, and a set of dressing rooms in back.  I'm shown to one, and swap top and bra for the usual breezy exam gown, bag my own clothing, and head to the waiting room.

After a few minutes a tech finds me, and brings me to an imaging room, where once again I face the Hologic boob smasher.   Three images are taken.

The first image this time is horizontal.  The second is another 45 degree shot, at right angles to the one done last Saturday.  The third is another 45 degree shot, with a special extra-squeezy plate loaded in the machine.

Ow.

Ok, the images look good, so they go off to the radiologist, and I go back to the waiting room.

After about 20 minutes, which I occupy with getting a cup of coffee and doing a little reading, another person summons me to the door, and then takes me aside and starts whispering to me.  Uh oh....

Calm... calm... listen to the words. OK, there is a little problem (Hey!  Blood pressure spikes!).  The radiologist wants to follow up with an ultrasound.  (Oh, that sort of problem.)  They can make an 'appointment' for an immediate scan and followup with the radiologist, but there will be an additional copay.  (Oh, is THAT all?)

So, I go to the admitting desk in the clinic, pay the ticket, and head back to the waiting room.  The appointment is in 15 minutes.  No big deal.

The ultrasound tech finds me, and escorts me to the Ultrasound Room.  I get to pop the top, and lie on my back, one arm behind my head.  Gel and probe time.

Goddess be praised!  They actually warmed the gel and probe!  I lie back and think of England.  Why can't they make a decent steak?  And what's with Manchester United, anyway?

The tech says she has good images, and they are off to the radiologist, who will be there in a few minutes.  I get to rest on the table, with a warmed, soft towel over my breasts.  (I am starting to think women were involved in equipping and procedural planning for this facility.)

Another young woman knocks and enters.  This is my radiologist!  She decides to look at a few spots, so I get a little more warm gel applied, and spend a few minutes holding still.   Mmmmm... Hmmmm...  OK.  No problems.

I have a little dense tissue that made imaging tricky, and since they had no baseline in the Kaiser records, they wanted to be very sure about whether or not there was a problem.  Next time should be much easier as they will be able to check for changes against the baseline.

So, clean checkup, just the common dense breast tissue.

There was absolutely no misgendering, and not a single mention of my being transgender.  I'm not sure anyone even knew, honestly.  EPIC record keeping there just shows the folks using it relevant screens, and the users are focused on just checking the fields they always check. 

So there it is, age 65 and My First Mammogram. Done, no problems noted.

"If you go out looking for friends, you are going to find they are very scarce.  If you go out to be a friend, you'll find them everywhere."


  •  

Laurie



  Plop plop fizz fizz Oh what a relief it is.  I am so glad there was nothing to worry about found, Michelle. I could almost feel your anxiety last night from 600 miles away. Distance really plays hell with one's ability to comfort another. And no you know the relief from such a worrisome event. You went, they looked, you prevailed! Can't wait to see you again.

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



  •  

Jessica

@Jessica_Rose @Michelle_P

Quote
Quote
Quote from: Jessica_Rose on January 19, 2019, 10:00:19 PM
Now they want me to have a pap smear!

Um.  Pap smear involves collecting cells from the cervix — the lower, narrow end of the uterus that's at the top of a natal vagina.

Our postop anatomy resembles that of a person after a complete hysterectomy with cervical closure. No cervix to scrape for cells!

A Pap smear would not be appropriate or useful.


Sent from my iPhone using Tapatalk

I must point out that before I realized why my sexuality is the way it is (I'm a woman that is attracted to men sexually), my sex life included gay inclinations. 
My doctor suggested a PAP smear from a different place....you get my drift.
This was due to the same reason cis-women get one... the chance of cancer from the human papillomavirus (HPV).
I have had two so far.  And yes it's awkward and done the same way.

Hugs and smiles from another California girl

"If you go out looking for friends, you are going to find they are very scarce.  If you go out to be a friend, you'll find them everywhere."


  •  

Laurie

Quote from: Jessica on January 23, 2019, 02:07:47 PM
@Jessica_Rose @Michelle_P


Um.  Pap smear involves collecting cells from the cervix — the lower, narrow end of the uterus that's at the top of a natal vagina.

Our postop anatomy resembles that of a person after a complete hysterectomy with cervical closure. No cervix to scrape for cells!

A Pap smear would not be appropriate or useful.


Sent from my iPhone using Tapatalk

I must point out that before I realized why my sexuality is the way it is (I'm a woman that is attracted to men sexually), my sex life included gay inclinations. 
My doctor suggested a PAP smear from a different place....you get my drift.
This was due to the same reason cis-women get one... the chance of cancer from the human papillomavirus (HPV).
I have had two so far.  And yes it's awkward and done the same way.

Hugs and smiles from another California girl

  Didn't you get the vaccine when you were a young girl?
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



  •  

Michelle_P

Quote from: Laurie on January 23, 2019, 02:11:57 PM
  Didn't you get the vaccine when you were a young girl?

The Salk Polio Vaccine was a new thing when I was a young girl!  HPV vaccine?  I think I was in my 50s when that finally came out.

::)
Earth my body, water my blood, air my breath and fire my spirit.

My personal transition path included medical changes.  The path others take may require no medical intervention, or different care.  We each find our own path. I provide these dates for the curious.
Electrolysis - Hours in The Chair: 238 (8.5 were preparing for GCS, five clearings); On estradiol patch June 2016; Full-time Oct 22, 2016; GCS Oct 20, 2017; FFS Aug 28, 2018; Stage 2 labiaplasty revision and BA Feb 26, 2019
Michelle's personal blog and biography
  •  

Northern Star Girl

Quote from: Laurie on January 23, 2019, 02:11:57 PM
  Didn't you get the vaccine when you were a young girl?

@Laurie
Dear Laurie:
What a "wonderful" suggestion!!!!   Plus, I do not believe that the vaccine was available back then when we were pubescent teen girls.

By the way dear Laurie...
...your new Avatar/Profile picture shows a very beautiful woman !!!  NICE  ;) ;) ;)

Just so you know, I am so embarrassed and so very sorry for my error regarding your quote on the personal thread of @Jessica that you and I posted on today.   Forgiveness please.

HUGS,
Danielle
****Help support this website by:
Subscribing !     and/or by    Donating !

❤️❤️❤️  Check out my Personal Blog Threads below
to read more details about me and my life.
  ❤️❤️❤️
             (Click Links below):  [Oldest first]
  Aspiringperson is now Alaskan Danielle    
           I am the Hunted Prey : Danielle's Chronicles    
                  A New Chapter: Alaskan Danielle's Chronicles    
                             Danielle's Continuing Life Adventures
I started HRT March 2015 and
I've been Full-Time since December 2016.
I love living in a small town in Alaska
I am 45 years old and Single

        Email:  --->  alaskandanielle@
                             yahoo.com
  •  

Jessica

Quote from: Michelle_P on January 23, 2019, 02:18:14 PM
The Salk Polio Vaccine was a new thing when I was a young girl!  HPV vaccine?  I think I was in my 50s when that finally came out.

::)

I asked my mom why I hadn't, she gave the same reason....

"If you go out looking for friends, you are going to find they are very scarce.  If you go out to be a friend, you'll find them everywhere."


  •  

Northern Star Girl

Quote from: Jessica on January 23, 2019, 02:20:35 PM
I asked my mom why I hadn't, she gave the same reason....


Also, weren't TB chest x-rays and vaccines a big thing too???
****Help support this website by:
Subscribing !     and/or by    Donating !

❤️❤️❤️  Check out my Personal Blog Threads below
to read more details about me and my life.
  ❤️❤️❤️
             (Click Links below):  [Oldest first]
  Aspiringperson is now Alaskan Danielle    
           I am the Hunted Prey : Danielle's Chronicles    
                  A New Chapter: Alaskan Danielle's Chronicles    
                             Danielle's Continuing Life Adventures
I started HRT March 2015 and
I've been Full-Time since December 2016.
I love living in a small town in Alaska
I am 45 years old and Single

        Email:  --->  alaskandanielle@
                             yahoo.com
  •  

Donica

Well I'm glad everything went well Michelle. An affirming right of passage indeed.

Laurie! Your new avatar is lovely. It's great to see you again.
Rebirth 06/09/2017. HRT 08/22/2017. RLE 07/14/2018. Name and Gender change 10/19/2018. FFS 09/06/2019. GCS 05/26/2021.
  •  

Anne Blake

That is good news Michelle! That waiting period and lack of clarity had to be stressful.

Love you girl,
Tia Anne & Debi
  •