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Transgender

Started by rib, February 19, 2017, 01:32:38 AM

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rib

I dont know what to do anymore. I have kaiser. I got a new doctor supposedly who has experience with trans patients. She said she respects my decision to keep getting my testosterone from my doctor at the LA LGBT center. But i went to her a few weeks ago feeling extremely tired and dizzy. She convinced me that its because of my testosterone and she sent me to the kaiser endocrinologist. And he told me to only do my T shot every other week instead of every week like i have been and he wants to see me back in three months and he asked me to lift up my shirt with no explanation. And told me about the lgbt suicide rates and said the reason why im so tired is because im severely deppressed (i had told him im doing better than i ever have been) and he strongly recomends that i go to the therapist especially because i will need a letter from a therapist when i get bottom surgery. i dont even want bottom surgery. he just assumed i do. So i made an appointment with a kaiser therapist who told me she doesnt know about trans people and so if i want to talk about those kind of things or when i want a surgery letter i would need to find another therapist. Again assuming i want bottom surgery. So to sum things up i told her im trans iv had a long history of an unhealthy relationship with food and i have severe stomach problems that i struggle with everyday and the end the session she asks how i feel having a therapist who doesnt know about trans people. And i said i dont really think it bothers me, i dont care. And she gets this angry look on her face and says thats what all the other trans people she's seen say. And then she told me like 3 times for valentines day to get myself icecream. Which i guess i could see as self care or something but not for someone who struggles with eating and stomach problems. I felt alright right after i left but once i started processing it i feel like she was just trying to piss me off or something. And yesturday i went to my doctor at the LA LGBT center for a follow up (of course) to see what she thinks about the testerone and my hemotocrit being high and she says i have a long way to go before my hemotocrit is too high and my testosterone is low but now since the kaiser endocrinologist changed my testosterone schedule its not obvious why my testosterone is low. Last time i went to the lgtb center my T level was fine. I feel manipulated by this tripple whammy they've pulled on me. In the past the kaiser doctor has told me i HAVE to take my pants off in order for her to help me while the nurse stood in front of the door and as soon as she moved i  said im sorry and i bolted out the door and kept running all the way to my car. Not to long ago i had a bladder infection. the doctor was staring at my crotch. I thought i was just imagining it and then he asked "do you have penis or vagina?" Supposedly he needed to know. And they wont use my preferred name. Im so tired of kaiser but i always hear that they are the best for trans health care. I am deeply sorry to any other  trans people  who have kaiser or god forbid anything worse! Of course i am grateful to have health care but i also feel like they only cover trans people because they have to. I have made a complaint. Does anyone have suggestions for me? Besides making a complaint? Or a unique way of making a complaint that might work better?  I feel like the complaints only help very far down the road and if everyone does them consistently. But i need a solution for right now.
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Michelle_P

Kaiser transgender care seems sort of spotty unless you get connected with one of their transgender care centers.  I lost my 'connection' when my therapist retired, and just regained it when my endocrinologist decided that maybe someone else should be tending to me. (I think maybe she didn't care for my making my own treatment recommendations to her or providing her with reference material...)  With the newly regained connection to Kaiser Northern California Multi-Specialty Transitions (MST) I have an appointment with the Director of MST next week to review my HRT, an appointment the week after that with the MST speech therapist, and one the week after THAT to start work on setting up surgeries.

It sounds like your treatment was not connected to their transgender services program.

There is a Southern California transgender care operation out of the Los Angeles Medical Center.  Our user CarlyMcx has had some experience with it.

https://www.susans.org/forums/index.php?topic=207001.0

You would need a referral from your current Kaiser doctor to the Transgender Member Care Service.  The  Transgender Member Care Coordinator for Kaiser Permanente Southern California (Anna Pitinyan, RN, BSN last I heard), would typically then contact you for an intake appointment and Orientation.

Try pushing for this.  Use the Kaiser internal mail system on the member web site to ask your doctor for the referral.
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
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