In practical terms, I have accomplished nothing at all this year, transition-wise. Another year of HRT, another year of RLE. Which is good. No progress on my gender marker change.
I am hopeful for my second referral letter for surgery sometime before the end of the year. I had an appointment with the shrink at the beginning of October: half an hour of "Have you ever had...?" type questions, for which I had to drive 3.5 hours each way, after waiting for a year! Since then, I have rattled the poor secretary's cage every two weeks, asking when my letter will be forthcoming. "Soon", she says.
I had an appointment with my HRT doctor in mid-October, telling her that I had seen the shrink and the letter was imminent. So today, her office called wondering where the letter was. A perfect excuse to call the shrink's secretary again. "Soon" was the answer. I did ask her to fax the letter directly to my HRT doctor, since there is a postal strike on right now, and to call me when she had done so.
So, I guess what I have accomplished this year is some cage-rattling.