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Local Alzheimer's upcoming Schedule

 

Today is one of the rare days I have dual appointments with my Veterans Administration providers. 

To attend all my virtual VA appointments, I was sent a tablet which is only for VA use because my old lap top I use for blogging somehow did not work well enough for the system I was working with. Ironically, it seems to work well enough for other online or virtual appointments I have had with the Alzheimer's diversity committee I serve on, so I don't know what the problem is. Plus I have a virtual Zoom class coming up in a week or so with the Cincinnati Council on Aging, so hopefully my old lap top will hang in there.

Regardless, I always have to make myself look presentable as possible. At the least a fresh shave, eye makeup, and lipstick is a must along with brushing back my long hair. Sometimes, I tie my hair  all the way back. The issue I have with the tablet is it provides only a thumb size image to work with. Then again, the days my gender dysphoria is kicking in,  I don't really want to be seen anyhow. The tablet provides me with the next best thing. 

I need to point out also, the VA keeps very strict standards on how someone should look during the virtual visit. In fact, during one of the LGBT group sessions, one participant who decided to attend in a bikini received a call from the moderator and was told to change. Plus, I know for those of us who are under mental health care also, how you look goes into our file. Seems a bit radical to me but I of course don't set the rules. My guess is, if your provider sees your appearance dramatically slip, it is a warning sign.

Also coming up fairly soon will be my chance to make myself available for my yearly blood labs for my nurse practitioners who keep track of my overall health. I have an in person, local visit scheduled with one of them in October. Before then, I have another Alzheimer's diversity committee scheduled for the latter part of September. It is in person All of which have kept me on point when it comes to thinking ahead on my appearance. Already I have been thinking about what I am going to wear.

All in all, it doesn't seem possible time this year is flying by as fast as it is. All too soon it will be time for my birthday to have come and gone and then be time for my wife Liz's operations in late October. Time to quote my Mom again...Life is like a roll of toilet paper, the closer you get to the end, the faster it goes.  

Moving too Fast

 

Image from UnSplash

There were times during my transition when time moved so slow but then again other times went all too fast.

Most of the slow times involved the periods when I had to wait to cross dress again and again seeking precious small amounts of gender euphoria. I needed them to hold me over until the next time I could stare into the mirror and visualize my feminine self looking back. Improvements at the time were painfully slow. It seemed they only happened to just barely keeping me afloat in life. It turned out to be a decades long project to resurrect my true self which went into forced hiding many years before when I was a misunderstood youth. I was forced by society into being a boy when all I really wanted was to be a girl.

Sometimes I think I was fortunate to have survived the slow times in my life when I was so frustrated with my very limited chance to express myself. The very few chances I had were often dismal failures such as when I talked my fiancé into dressing me head to toe as a cross dressed woman. First of all, I didn't think she did that good of a job and the whole experience came back to haunt me when I entered the military. To satisfy her paranoia about me serving, she told me to tell the draft board I was gay. Nothing wrong with being gay but I wasn't and I was not ready to out myself to the world. So out she went. I was prepared to face a long slow three years in the military (Army) by myself. 

It turned out, the three years I served did go by very fast. I was able to experience different cultures when I was stationed in Thailand and Germany. I was even able to come out of my gender closet very briefly to let a few close friends into who I really was. Ultimately I owe the three years to allowing me to meet my first wife who is the mother of my daughter who accepts me totally and giving me the chance to utilize much needed Veterans Administration health care when my business failed and I needed it most. 

The period of time when I signed up with the VA which entitled me to low cost bi-polar medications  and ultimately my hormone replacement therapy was a blur. Not only was I going through a very dark period of my life when I was losing nearly everything, I was exploring an exciting but terrifying time of life when I seriously began to live finally as my transgender self. Initially I set out to live a isolated self as a novice trans person, it proved impossible. I had always been a social person when I left high school and I found I still craved human interaction. My interactions started innocently enough when I began to be recognized as a regular at several of the venues. From there destiny did the rest. One of the bartenders who always saw me by myself set me up with her Mom who I still know today. Another social contact happened one night when another woman sent me a note down the bar. 

At this time, my life began to speed up, I was learning more and more about what my new life could be like. The women I was with showed me so much and I always say , I owe them so much. Without their input, I would have taken literally years longer to achieve my goals of living as a transgender woman. There were times I thought I was moving too fast but eventually determined the feeling was just because my old male self was being threatened with losing everything he had worked so long to accomplish. 

Very quickly I did catch up and look back at that time of my life as one big blur but the outcome was wonderful. 

On another sidelight...it's nine eleven. Never forget!!!!!

The Power of Estrogen

Image from Alexander Grey
on UnSplash

On occasion when I apply my dosage of Estradiol  patches, I pause to consider the effects on my body. Since I have been on hormone replacement therapy for years now, I take many of the changes for granted. Which I know I never should. I never know when my health may deteriorate and I may have to discontinue HRT. 

To begin with, I was one of the fortunate transgender individuals who at my age (early 60's) had passed the health screenings so I could begin wholesale changes to my body. Little did I know my body would just be the beginning to the changes I would experience.  Before you begin to think this is going to be another post about the usual effects of HRT, it is not. The usual effects happened relatively quickly for me, my hair and breasts grew, my skin softened and my selfish desire to be able to present well as a transgender woman was achieved  Reasons for the quick changes could have been I already had a higher level of natural estrogen in my body (which I never had checked) or most likely was my age which would have signaled a decrease in my testosterone anyhow.

What I didn't realize my brief gender euphoria I achieved would be short lived. Quickly I experienced new emotional highs and lows while at the same time I was going through the second major gender puberty in my life. I will never forget the first time I went through hormone induced hot flashes and I thought I was going to internally combust. Emotional changes included being able to cry for the first time in my life, for any number of reasons. An example was the sunset I was watching on my porch when an approaching small thunderstorm approached. For no apparent reason I began to softly cry. I think I cried because I was losing what remained of my old male self. Before I was unable to cry for even my closest family members when they passed away.

In no time at all, the emotions of beginning my new hormonal journey far outpaced the outward physical changes which occurred.  One of the changes which occurred was when my bodies' thermostat was effectively destroyed. Before hormones, similar to any other macho guy, I didn't really put much belief into when a woman told me she was cold. When I became cold all the time, I became that woman. My cis woman friends back then just told me welcome to their world. Little did they know. their world was the place I so badly wanted to experience. All the way to changing my hormonal gender levels through medication. 

I know also, many transgender women for health reasons can not undertake HRT and have never missed it. Perhaps they always had a higher natural estrogen level to begin with or are living proof gender comes from between the ears, not between the legs. 

In all cases too, socialization needs to be considered when we consider what makes a woman or a man. Socialization is so important when someone makes it (or doesn't)  In other words, some females or males never make it to the level of being women or men. For whatever reason, their life's journey is interrupted. 

Most importantly to me, estrogen took the hard edge of testosterone off of me. More than my hair, breasts and hips, my internal peace of who I had became was the new focus of my life. I was mellowed out by my new hormonal self induced (and doctor) monitored levels. Once I started the process I never needed to look back. As you can tell, HRT to me was much more than the physical results.   

Therapy Day

 Today was my virtual therapists visit. I have been very fortunate in that  I have been able to maintain my relationship with the same therapist over the years. After all, the Veteran's Administration is known for turnover. My therapist initially was the same person who signed off on my beginning hormone replacement therapy and later provided me with the paperwork to complete changing my legal gender markers. 

Also, I make no secret to others that I am bi-polar and no, embarking on my often remarkable  transgender journey to change my life did not solve my overall depression and anxiety. With my therapist I was always able to explain one did not connect with the other and magically disappear.  Before I started my journey, I had experience with other therapists who kept trying to connect imaginary dots with me. So, during our sessions I am always very careful to compliment her for her help and input. 

Coming up next, next week is my appointment with my nurse practitioner who monitors all my meds and bloodwork. She is also very nice and does a great job...as long as my blood work comes back OK. 

Even though I have to make the lengthy drive north to the Dayton VA for my care, I rather do it for the continuity of care I receive. Rather than switch everything over to the local Cincinnati VA Hospital. 

 

Transgender Elder Care

 As promised, I wrote  I would send along further details of my Webinar on transgender elder care. Brighter minds than mine have set the event to be seen on Zoom as well as Facebook.

Here is the link to find it on Facebook:

https://www.facebook.com/events/270094498066096/

I will cover the lack of in-depth knowledgeable  health care available to elders in the transgender community.

If you have time, stop by!

FRIDAY AT 6 PM EDT – 7 PM EDT

Transgender Elder Care

Free  · Online Event
And, here is the Zoom link : us02web.zoom.us