Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Monday, November 11, 2024

Outreach in Transition

Paula from the UK.

Recently, I received this comment  from long time reader "Paula" who is from the UK: 

"Here in the UK we are all pretty nervous about talking to journalists, especially TV journalists as so much of what is broadcast is at best negative and at worst downright attacks. Having said that the work you are doing is important, as more and more of us approach our dotage with more of us out than ever before elderly LGBT+ care will be more important than ever."

Thanks for the comment Paula and after a weekend to think about doing the interview, the voices in my head told me to shy away from doing it. Due to me mostly listening to the voices I have in my head and going forward, after seeing our new president in action, I have decided to dial back much of my outreach activities and be more careful of the crazies who are popping up. 

Hopefully, none of that will impact the blog in anyway which I am still dedicated to and I remain true to my initial vision when I began this writing journey over a decade ago. I wanted to share my transgender experiences with anyone who could benefit from them. 

Looking ahead at my own future, I am fortunate to be surrounded by a supportive cast of transgender allies who could help me when  potential difficult situations arise. The main one I can see happening is if tRumpt and his minions try to meddle with my Veterans Administration health care which could mean I would have to seek out a new more expensive source for my gender affirming hormones. I will have to jump off of that bridge if it ever happens. 

A  much closer bridge to jump off of for me is coming up Wednesday when I go to my Hematology appointment. Following my last round of blood work, I was told my platelets were low again and I needed a consult. Never a good thing to hear when you are seventy five like I am but I will see what they say coming up very shortly. 

One way or another, I thought I would keep you all involved with what I was doing with my curtailed outreach attempts. Most certainly I will continue my Cincinnati Alzheimer's diversity committee work I do and as I said continue to write the blog which has undergone so many changes over the years. When I look back on any of the early posts I wrote, they were mostly appearance related whereas today the posts are lifestyle intensive.  

May we all survive the future the best we can. In the meantime, thanks so very much for reading along with my experiences. Hopefully they can help you in the best possible way.  


Monday, August 19, 2024

Transgender Cheating

Image from Club Diversity 
Columbus, Ohio.

 I can safely say, I never cheated with another person during my twenty five year marriage to my second wife.

Before I put myself up on some unneeded pedestal, I have to temper my statement of cheating with saying I only cheated on my wife with one person, who was me. Why I say it is because the more I grew as a transgender woman, the more I grew apart from my wife. When I did, I started increasingly to leave the house as my feminine self to see if I could make it in the world. 

Of course, I did and when I was successful, I wanted more and more and I simply could not turn back into my male world. The more I celebrated my new world, it was done completely away from my wife. Which was a shame. I also define cheating as me going against the basic agreement we made which said I would never leave the house cross dressed as a woman. In fairness to her, she bent over backwards to make it happen. Even to the point of letting me go to a motel a couple times a week, so I could safely cross dress and explore the world. 

Even the motel agreement was not good enough for me. Very soon going out anytime my wife was working became the norm for me. My life suddenly became exciting and way too natural for me to ever return. 

The closest I ever came to really cheating came was with an encounter one night with a lesbian in a venue I was a regular in. She bought me a beer and told me she should take me home with her, which was flattering but scary since I needed to beat my wife home from work. There were a few other times my flirting almost got me into trouble mainly with other women but I never went forward with any personal contact.

Since my wife passed away very unexpectedly at the age of fifty from a massive heart attack, my vow never to cheat remained secure. Even my male self managed to never pursue any of the impossibly attractive servers he hired in his restaurants he ran. I was very proud of all of it but never was I proud of needing to lie and try to tell my wife to her face I was not going out on her with another woman. Which happened to be me. If I would have been truthful with both of us, I would left my male self behind long ago and set out to live a feminine one as a transgender woman. I was selfish and wanted to try to preserve what I had earned as a guy. The upside came when my girl self had been put into a brief submission and I enjoyed my time with my life more deeply. The downside came when the friction between my gender issues made my life nearly unbearable. 

I guess, deep down I knew my wife was ill and for the six months before she passed, I grew a beard and purged some of my feminine wardrobe. The final six were some of the most miserable I had ever faced but little did I know, it was going to get much worse before it was going to get better. Basically, through death and loss, the only strong influence on my life I had left came from my feminine self. She wrapped me in her soft arms and let me know everything was going to be alright. Her influence and my overall belief in what was right, tiding me over until my current wife Liz came into my life and reaffirmed my idea I was stubborn enough to live through my issues. Liz told me all she had ever seen in me was female and it was all it took for me to go wholeheartedly into doing away with my male self. 

I will forever be proud of the time I spent being faithful as my male self to my second wife and, on the other hand, be totally ashamed of myself of how my feminine self handled her life with my wife. Non unlike two strong women locked in a struggle. 

My excuse is I was learning my new life as a transgender woman and until I fully understood it, I was petrified of moving along.

   

Thursday, August 1, 2024

Trans Girl Destiny

 

Image from
the JJ Hart
Archives.

When I was given the keys to a transgender existence, on occasion I have to pause and consider how I have arrived here.

Unlocking all the mysteries of crossing the gender border proved to be more than I could deal with on occasion but I kept on moving forward. Trying to find out what it meant to achieve my dream of living as a transgender woman. Finally I learned to relax and let destiny take it's course. Before I could even begin to relax, I needed to learn the new rules of the road.

The rules of being a woman were not easy to learn before I was accepted for admittance into the club. I discovered along the way there were more female privilege's other than having doors opened for me by men. One of the biggest ones was being allowed to communicate with other women on a mostly non confrontational-passive aggressive platform. Along the way, the lessons learned were brutal and I ended up walking away with many scratches or claw marks on my back. Primarily I found not to even try to look at or get close to a woman's man. It frustrated me because the man always made the first move and I had no real interest at all but none of it mattered to the other woman. Another mystery solved as I worked my way towards my transgender destiny. 

During the years in between my final solution to my gender issues, I was held back by many circumstances beyond my immediate control. I felt pressure to maintain my marriage of twenty five years and a job I was rapidly progressing in. To maintain my life, I tried to balance my existence between the two primary binary genders which only provided temporary relief and in some cases, even made it worse. When I became more successful in living as a trans woman, I felt so good and natural, I just wanted more and more. Which included no going back to my old male life which ironically I worked so hard to maintain. Destiny was trying to tell me eventually I would have to give it all up and start over but I could not find the courage to do it.

As I waited and waited for my chance to transition, I came to the point of no return. Magically, at the age of sixty destiny really came into play. First of all, I was to the point when I considered gender affirming hormones as the next huge move I could make concerning my chance to live as a full-time transgender woman. As I was considering the move, the Veteran's Administration suddenly announced they would now cover HRT as part of their health care for veterans. Which I happened to be a part of. The only hold up was I needed to see a therapist at the VA for an approval. I still remember how nervous I was the first time I went to see my therapist and after a second visit, I had my approval for my life changing hormones. 

It was around this time too, my second wife had passed away. Leaving me very much on my own to consider any gender decisions. My choice as clear and impactful as destiny was showing me the way forward and leave my ill-fated dual gender life behind and live as a transgender woman. When I did, I found I had other major decisions to make such as the possibility of undergoing major gender realignment surgeries. I decided against it for several reasons such as I did not have any insurance to cover it and the VA in those days was not covering SRS at all. Similar to Medicare covering breast augmentation or facial femininization surgeries. I am not sure how much any of those entities support those surgeries to this day, so don't quote me on it. The only aspect I decided on was my gender was between my ears and not my legs and those closest to me viewed me as a woman. So I had achieved my goal.

I can't forget the final part of my transition life which destiny played an important role was the financial part. Since age wise I was so close to being able to retire early on social security, I could sell my vintage items on the side and make enough to go ahead and retire. Which meant I would not have to worry about doing a gender transition when I was working. 

So, I had secured my big three aspects of my transition so I had no real reason not to pursue my transgender dreams. Destiny worked for me.

Friday, September 15, 2023

Camera Ready?

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.  

Monday, September 11, 2023

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 fiancĂ© 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!!!!!


Sunday, June 18, 2023

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.   

Wednesday, June 2, 2021

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. 


 

Thursday, March 25, 2021

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

Engineering the Envioronment

  Image  JJ Hart. As I transitioned into an increasingly feminine world, I faced many difficult issues. I was keeping very busy with all the...