Good News from the Doc

Image from JJ Hart.

Yesterday was my Hematology appointment at the Cincinnati Veteran's Administration hospital.    

The hospital itself is surrounded by other medical facilities mostly owned and operated by the University of Cincinnati, so space is at a premium which means parking spaces are also. Even though we have a handicapped placard for the windshield, sometimes spaces close by to the door are not close enough for me to easily walk to. Regardless, I was going to try to make it yesterday with the help of my new cane. Plus, in addition to the walk to the door, I knew my wife Liz and I were facing an equally long walk once we arrived in the hospital.

I was scared and was running on extra energy as we finally made our way to the medical department where the appointment was scheduled so we actually were there ahead of time. I was scared of what the doctor would tell me about my platelets being down again from my last bloodwork. Of course, then I began to read up on what it meant and Leukemia was one of the possibilities. Then I started to build all sorts of negative bridges in my head about my mortality. So my blood pressure and nervous energy was at an all tine high when I finally met with a medical team of three. One doctor and two other fellows, whatever that meant. I was hoping for the best and expecting the worst.

It turned out almost all my worry was for nothing . I had  what was called an iron overload in my body. I have had it before and it seemingly went away for years before coming back to haunt me. It used to be I needed to go for regular blood draws called "phlebotomies" which brought the iron problem under control. So instead of Leukemia, I have too much iron in my system again which can cause fatigue, joint pain and skin discoloration among more serious issues.

From the doc, I was then sent down a couple of floors to the vampires so they could do more bloodwork before setting me free. I should mention through it all so far I was treated with respect and was never mis-gendered. I was referred to as Ms. Hart or my first name all through my visit to the VA hospital...until the very end. Just as I was leaving the bloodwork room, the woman said "thank you Sir.' Ruining my perfect day in the gender department. 

However, I was not going to let one person spoil my medical and gender euphoria I felt when we stopped off for lunch on the way home and we were referred to as "Ladies"  again. 

I am sure, I will get back my bloodwork today and will find out when my first phlebotomy in years will be scheduled. Hopefully I will feel improvement soon because Liz and I are planning a trip to the Florida Keys in January and more energy along with less back pain would be a welcome relief. As I will need all the gender euphoria I can get to help me along.

I will have much more later as we get closer to the date, in the meantime, I have some iron to get rid of.

Uncomfortably Numb

Image from M on UnSplash

Following yesterday's ill-fated election, I wasn't going to write anything at all but decided not to be a coward. 

Needless to say, I did not think the election would be as bad and disappointing as it was. It was a generational defeat for transgender women and men everywhere. 

Essentially, I will take the day off to mourn and try to figure out what it all means to me. One second I am scared and the second I am defiant. Plus I have my own health to think of, since I have a hematology appointment coming up next week. 

In the meantime, I will stay uncomfortably numb to twist an old Pink Floyd tune and be back tomorrow. 

It's Mammogram Day

 

JJ Hart, image from Columbus, Ohio.

Once a year, my doctor puts in a request for a mammogram screening for me. Mainly because breast cancer runs in the family. My maternal grandmother died of it back in the 1950's when I was quite young. 

If you have never experienced a mammogram, there is some minor discomfort involved but nothing major. In fact, I consider the whole procedure to be a rite of passage of sorts for me into my own transgender womanhood .Even though I have a difficult remembering for sure, I think this is at least my sixth or seventh mammogram. So by now, I have a very good idea of what I am facing. 

For the most part, I have been met with an inclusive caring staff and have had only only one experience with an unpleasant nurse who asked me vague questions about if I had any work done down below. Like it was any of her business one way or another. She was border line evil and happily I have never seen her again. Anymore questions like that and I would have had to report her.

I am going to a new, closer hospital today for the test and I will be interested to see how it goes. Plus it could be my last breast test because of my age. My Doctor said no one gets them anymore past the age of seventy five. So I guess when you get old, you are on your own. Regardless, I am hoping for a clear mammogram today since my blood work did not come back so good. I have an appointment with hematology coming up in mid November. Even though I want to worry about it, I am trying my best not to build any un-necessary bridges to jump off of before I need to. 

I know this is a short post but I need to get ready to go here fairly soon. It's a fairly rapid procedure, so I should have most of the results back today.  

Complacency

 

Summer Image with padding.
JJ Hart

As I did my best to transition from male to female there were many times I experienced moments of complacency.

It happened slowly enough as I kept throwing lifelines to myself so I could survive a life burdened with gender dysphoria. To add insult to injury, I was not gifted with feminine external attributes to help me along as I initially tried to make it in the world as my authentic inner self. Disguising my testosterone poisoned body was a total learning experience. Angles needed to be changed into curves using everything from pads to balloons to foam. Anything it took to perfect my image and avoid complacency. 

The main problem I had was I could not avoid all the years I had lived as a man. The male trip was never easy for me to learn and even a more difficult time to forget. I had survived and even flourished and now I was trying to give it all up and for what. To live as a woman which became an all encompassing goal. I would practice the best I could walking and moving as a feminine person. Even to the point of being called "Ma'am" when I was at work as a man. I figured it was because I projecting a feminine "aura" to the world and resolved to add the idea to my accessories when I was out in the world as a novice cross dresser or transgender woman. 

I started to project very strongly that I was a woman to any stranger I was interacting with. Along with looking them in the eye, I was able to be accepted for the first time as the person I wanted to be but I still had to guard in not letting up my guard and not slipping back into any of my old male ways. Just one time walking like a linebacker or not paying any attention to my new feminine communication skills could essentially ruin my whole day. It did not matter how much time, effort or money I put into my appearance, if I forgot who I was, nothing mattered. For years, my entire existence was still so fragile until I put in the years and work to tip my gender balance.

I can't say, even today I don't experience moments of complacency. It is easy when the cis-women my age and younger are for the most part very casual in their appearance. Ironically, when I see a woman in heels and hose in the grocery store dressed to the nines, my "trans-dar" goes up and I want to take a closer look. Perhaps the person could be part of the transgender or cross dresser sisterhood. 

Through it all, complacency or not I have never forgotten how the differences in female fashion is and was one of the fun parts of transitioning. No longer was I confined by the drab and boring male fashions. I had forever admired how the woman around me had the freedom to express themselves through fashion and now I could also.

On another topic, I attended two other LBGTQ support group virtual meetings recently. The groups moderator is a trans man and does a good job of keeping everyone involved. The group is very diverse and I was surprised to see a couple of the transgender participants seemingly have partially de-transitioned over the years. Plus I learned the Veterans Administration has finally approved electrologist visits under their care and my mammogram was approved after four tries. The main problem was the hospital I wanted it done at still had an old chart on me with my dead name so getting a new one was the problem. The VA needed to approve the process and did so my dead name information has been changed on yet another document. Progress is progress I guess.

At least I was not being complacent and stayed the course until I saw results.

Unexpected Reunion

Image from Mickael Gresset on UnSplash

Recently, I experienced a fun unexpected reunion. 

I really don't get out much to test the world as a transgender woman anymore and when I do, normally my wife Liz is with me to run interference with the public. At the worst, people think we are two lesbians. Yesterday, Liz had to work and I was left to run errands on my own. I was not going anywhere spectacular so I went with a simple wardrobe of t-shirt and leggings. Since I was only going to be seen from my car in drive throughs, I did make sure to apply a light coat of foundation and lipstick. My hair as always was a challenge. It has a mind of it's own and yesterday it was a wonderful long wavy hairstyle just waiting to be loosely pulled back to face the public. My goal is to have a style which loosely flows over my shoulders and around my face. Sometimes I am successful, sometimes not so much. My hair is the only part of my image which is not age appropriate but I don't care because I went so long in my life being forced into having very short hair. 

My main challenge yesterday was when I needed to take our car to the oil change place we always go to. Making the change into male dominated spaces for some reason has always intimidated me after I transitioned into a feminine world. Perhaps it is because I know from my male past, how some men try to take advantage of women in work situations. I hate to be perceived as a weak woman but on the other hand, it is nice to be thought of as a woman at all. As I wrote, it has been awhile since I had been out on my own and I did not know what to expect when I went to the oil change place. I only knew it would have been nice to experience a reunion with my feminine self being accepted in public.

It turned out, all my fears were unfounded when I was called Ma'am at least four times during my visit. By that time my reunion was real and I felt empowered to finish the rest of my errands. On top of my initial success, all my other stops were easy by comparison. When I safely returned home, I could finally bask in the glow of my gender reunion as well as all the resultant gender euphoria. I should write also, I am spoiled at home by Liz because she has always thought of me as a woman, so I don't have to work as hard on my authentic self. 

Coming up, I have another challenge of sorts when I attend the LGBTQ support group session at the Dayton, Ohio Veterans Hospital. In the past, I have attended several others of these sessions which were met with mixed success. I think mainly because of the problem of trying to mix gay and lesbian attendees in with transgender ones. The path to understand each other was simply too great. Especially when the group was not blessed with trans women who were more quiet in their criticism of society as a whole and the VA as an entity. Sure the VA could do more for the transgender veteran but they could do a lot less also. Support in my book has to do with helping those around me more than baseless complaining about things the moderator has nothing to do with.

One way or another, I will see how it goes and since I am retired and not doing much else, why should not I take the time to attend. My experience has told me to hope for the best and expect less and maybe I will encounter someone who I can help. Or, another unexpected reunion.

While I am on the subject of things which are coming up, I need to schedule my annual mammogram and take care of an upcoming dermatology appointment at the VA here in Cincinnati. I have a  growth on my face they want to take a look at. Naturally I hope it is nothing serious and the mammogram I need because of my maternal grandmother passing away from breast cancer. I consider the process as a rite of passage into the female world for me. 

At my age, medical appointments seem to be taking over. I am just hoping for no unexpected medical reunions and more social ones. The reunions where I am one on one with the world and come out as successful. Enabling me to want to be more active again. Plus the fall season is right around the corner. It has always been my favorite time of year and it is time to go through my wardrobe to see what stays and what goes. Who knows, I may have some more unexpected reunions coming up.

Beautiful...Inisde and Out

 

Image from the Jessie Hart 
Archives...

As I obsessed with looking the best I could as a novice transgender woman or cross dresser, all I could think of was how I looked. Little did I know there was so much more coming up in my journey to living fulltime as a trans woman. I needed to live my looks as well as just admiring myself in a mirror. 

This morning turned out to be a prime example. Today I tagged along with my wife Liz to her mammogram appointment. Before I went, I applied my usual minimal amount of makeup, brushed out my hair and was essentially ready to go. While I was doing it, I felt it was time for a change. I thought I have been in a rut I have been in too long. I have essentially stopped working on my appearance and then being shocked when I am mis-gendered. 

Of course, nothing negative happened morning when it came to the doctors appointment because there were very few people waiting to begin with plus no one was paying any attention to anyone else. Since I had a spare moment, I went shopping on my phone for a foundation specifically tailored for older women. A group I naturally fit into. I found their on-line site and decided to give it a try. 

Currently, I am relying on the skin effects of gender affirming hormones, so I don't have to use a foundation at all. Or so I thought. It's occurring to me now the hormones have been a crutch for me to quit trying as much as I did. I ordered the new foundation and I will let you know my feelings. 

The end result is I need to work harder to make my inside and outside match up again. I learned long ago, similar to many cis-women, I will never be the prettiest woman in the room. I needed to find other ways to survive in the world as a new transgender woman. Little did I know, my biggest positive as a new person was already within me. My discovery was my inner feminine soul was actually good people. Opening up to others turned out to be one of my biggest pluses. The world turned out to like me. 

Doing my best to be beautiful to others, inside and out, turned out to be one of the most beneficial things I have ever done. Now, I feel it's time to get out of my rut, have some fun and get back in the game. Maybe to the point of treating Liz out to get our nails done and then have some dinner out at our favorite restaurant

I need to get us both out of the house.  

Patch Day

Image from the Jessie 
Hart Archives

I am on estradiol patches I change twice a week. The hormonal patches help to make me who I am and have been fortunate to be prescribed them for years.

Early on progress was slow as I was prescribed the minimal amount of hormones by my doctor. I remember vividly the night I asked my future wife Liz out on New Years Eve when I started my gender affirming hormones. It was a very big night. Initially I began my dosage on pills which as I said were very minimal in dosage. 

Even on the minimal amounts I still felt changes beginning to take place. Possibly because I was already in my sixties and my testosterone levels were decreasing anyhow so there were fewer hormones to do battle with. At any rate, I was beginning to see (or feel) changes primarily in my breasts. Before I knew it, I was experiencing problems finding shirts which were loose enough to not show my protruding breasts. Little did I know, there was so much more to come.

What happened was, when my doctor determined I was not experiencing any ill effects from the new hormones, I was cleared for a higher dosage. With a higher dosage came more changes which I needed to deal with and the changes forced my hand on when I thought I would need to go public as a transgender woman. At the time, as predicted by my doctor, my hair began to grow as fast as my new breasts. More importantly though were the internal changes which were beginning to take place along with the external softening of my skin and facial lines. 

Of course the internal changes were less noticeable in the beginning because I was still so obsessed with my feminine appearance. All the way to the point of thinking my appearance was the reason I went through with HRT or GAH. 

The more I became one with the new hormones which were allowed to invade my old male body, the more I began to understand the process. I really began to change when I switched my health care to the Veteran's Administration and began seeing a new endocrinologist who almost immediately changed my dosage from pills to patches so the new method would provide less wear and tear on my inner organs. At the same time, we discussed upping my dosage slightly as well as how I used my testosterone reducing medication (Spiro) at the same time. 

All of this was working together to provide me with significant internal changes. Suddenly, I could cry for the first time in my life as well as feel my world around me soften. I was more sensitive to temperature changes as well as noticing a big improvement in my sense of smell. Through it all, I even experienced my first feminine hot flashes which initially made me think I was going to internally combust. Little did I know at the time I was just going through another gender puberty in my life. As far as more external changes went, finally I started to develop hips for the first time ever.

Perhaps I am a little dramatic when I think my estradiol patches helped me to become the person I am today. Plus I never forget, how blessed I was with having the health to undertake such a radical hormonal shift in my body. I know so many who couldn't. I know also, so many other transgender women who prefer injections over patches to deliver their life changing hormones. For what ever reason, I have never had much of a problem having the patches adhere to my skin and seem to deliver an overall smoother dosage over the span of a week. That of course, is only my perspective.

Then again, there are those of you who naturally have a higher level of estrogen in your body and don't require gender afforming hormones at all to help you feel secure as a transgender woman. Whatever works, more power to you. 

Loose Ends

 

Image from the Jessie Hart
Archives

With this post, I have several loose ends to tie up and move on from...for awhile.

Perhaps the most important is my health. I finally received the information from my Veteran's Administration doctors from my recent colonoscopy. Fortunately, everything they removed turned out to be non-cancerous and I was cleared to not return for three years. A real improvement over the last time I went through the procedure only a year ago. I was paranoid I would have to do it again so soon, or worse they would find signs of cancer. As I always like to say, without my health I am nothing. 

Another loose end was a recent meet and greet I went to with a group of diverse friends I am part of. The morning started out with the knowledge my wife Liz, who wasn't feeling good would not be going with me to the brunch which was going to be held at a close by upscale brew pub. Liz and I are normally inseparable, so I knew I would miss her. For the occasion, I wore my new boots, favorite cream colored sweater and dark leggings, Light makeup and what passed for a quick brushing of my hair and I actually felt pretty good about myself. What could go wrong? A heavy cold rain which ruined my hair on the way in because I forgot an umbrella was the first thing which went wrong. Of course I survived a little rain, didn't melt and headed in to the crowded venue  As it turned out my group was clear across the room and I received little or no extra attention as I made my way back to them. So again, I was feeling good about myself. 

All was good until the server came back to take our orders. Out of the clear blue sky (which was cloudy) when it was my turn to order she turned to me and said, can I help you "Sir". The one little word, completely ruined my mood as I told her I wasn't a "Sir." She apologized twice but the damage was already done and it took me awhile to restore my confidence as a transgender woman. The damage went so far to me that I felt sorry for my friend who was sitting next to me and heard what the server said and I think felt my shock. Other than the shaky beginnings, the rest of the meet and greet went well and I headed off to do other errands and be home so I could watch the football playoffs. 

Another loose end I have been waiting to hear about is the outreach idea I had from the Alzheimer's Association diversity group I am a part of. They were/are trying to set me up to do an interview for a statewide Ohio publication called the "Buckeye Flame." Recently I talked virtually to one of the women who was responsible for setting up the interview and she told me she would talk to the person who would be doing it for a time. Since it has been a very difficult time in Ohio for all transgender women and trans men, due to all the anti transgender laws being passed in the legislature, I am sure the publication has bigger fish to fry than talking to me. One way or another, I am sure I will find out more at a upcoming diversity council meeting I will be attending virtually soon. 

For now, that is all the loose ends of my life which need to be tied up. Hopefully, there will be more outreach coming up soon to write about. 

Scaring the Public

Image from Raphael Renter
on UnSplash 

Often when we transgender folk encounter the public, sometimes we scare them. 

Sadly, we have been demonized by all the politicians in the country with all their ignorant bills in state legislatures. Seeing as how the majority of the public hasn't had the chance to ever meet a trans person up close and personal, they have nothing to work with. I ran into it the other day when I was at the Veteran's Administration Hospital in Cincinnati. I was waiting for my wife Liz to park the car, I was leaning against the wall and most of the people just ignored me, except one. I guess these days, I pass easily as being old because she was insisting on finding me a wheelchair. As I talked her out of it, I saw the smallest pause in her demeanor and I thought, here it comes. She noticed I was transgender and there was something wrong with the picture I was presenting. My excuse was I was wearing no makeup at all because after all I was headed for a colonoscopy. Somehow, I didn't care how I would look for the procedure since they would be up close and personal with me anyhow and would know my gender truth. 

It is sad we scare the public so much seeing as how we are just trying to live as normal life as possible as the next so called hetero-gender straight persons. Another reason we scare the public so much I think  is because we have had the opportunities to see and learn what goes on behind the curtains of the opposite genders. The entire process gives us an unique perspective on society as a whole. When I was seriously involved in my gender transition, I had women friends several times ask me what their men were really thinking when they couldn't understand them. Since I had been on both sides of the gender border when I was suddenly shut out of conversations between men and I. So I had an idea of what the women were going through.

Fortunately I didn't have to explain to very many men why I would want to give up all the hard earned male privileges I had worked for. Most of all my close male friends had passed away by then and the remaining close women friends I had who first were surprised by my decision to transition into their world and then supported me. Their support of course meant the world to me and more than made up for the loss of contact with my only sibling, a younger brother and his right wing in laws who refused to support me. Since we transgender folks have been so demonized by the politicians, I hate to think what the relatives would think of me now. So I put them out of my mind. 

Hopefully, the younger generation will be able to erase all the potential damage to future generations of trans youth. What the politicians don't understand is we have been around forever and cannot be erased by laws. We may have to temporarily go slightly underground in some areas of the country but we will always continue to exist. 

As pockets of diversity continue to exist, transgender allies will continue to exist too. Perhaps by then, the average public will not be scared of us. All we want is acceptance and equal rights. 

Testosterone Challenged

Image from the Jessie
Hart Archives

Recently it was time to take our car into the shop for an oil change. When I learned I needed to accomplish such a simple task on my own (with no help from my wife Liz), my anxiety level began to rise up. 

All my anxiety stems from my early upbringing when I was struggling to find my footing at all as a male type person. On a fairly regular basis, my brother and I would accompany my Dad when he visited his best friend who happened to own and operate a auto salvage yard. For better or worse, my brother and I got to see so-called pet alligators all the way to dynamiting ponds and salvaging the fish which floated to the top. to eat.

On occasion, the experiences were fun but at other times I was wondering how I could ever break out of my well hidden feminine tendencies and be a man in the mold of my Dad who was in many ways a man who fit the stereotype of a self made man. He rose from struggling through the depression to become vice president of a bank and building his own house. I never came out to him during his life. I forever grew up in his shadow and always experienced huge doses of anxiety when I needed to participate in any male-centric activities. Which included going to any sort of auto parts stores. 

Which brings me back to my oil change experience. My basic problem was I thought I could have been taken advantage of since I am a transgender woman. 

The staff at the place was predictably all male and the testosterone level was very high and yes I was intimidated but I survived. It turned out the only major questions I needed to answer or respond to were how to open the hood, turn on the lights and operate the turn signals. Outside of not knowing where the hood opener was, I didn't have any major problems. Very soon, they were finished and I was on my way. No worse for wear from the extra testosterone I had to experience.  As with anything else, the build up to the event itself was much worse than going through it. I have a colonoscopy coming up in approximately one week and I know the build up would be much worse than the procedure itself. The biggest problem I had the last time I went through it was being miss-gendered by the staff. Hopefully by this time the staff will be more progressive and I won't have to put up with that this time.

Since the staff who dealt with me last time was all female, I hope they recognize my testosterone level is as low as theirs and my appearance is only damaged by an unwanted male puberty I went through.  Plus as I look at it now, the biggest problem I may face is having another sizeable polyp which would have to be removed and I receive a clean bill of health. Health, after all is everything and miss-gendering is ignorance. 

Through it all, I am sure my testosterone didn't increase and I survived my anxiety level went back to normal so I am satisfied.   

Always on Stage

 

Photo from the Jessie
Hart Archives

Sadly Sunday night involved an emergency trip to the hospital because my wife Liz was having severe pains. 

You may recall, recently she went through two surgical procedures and was progressing smoothly...or we thought. The problem with going to the hospital the way we did, in the emergency situation, I did not have any chance to prepare or, no close shave or makeup of any kind. Not even a chance to tie my hair back. I had to go the way I was  and try to rely on my inherent androgyny I have lived with since I began hormone replacement therapy years ago. As it turned out, no one on the emergency room staff seemed to care since I imagine they have seen it all.

More important of course was my wife Liz's condition which was initially diagnosed  as a bowel blockage. Fortunately, after her doctor saw her, he thought he could go forward with no further surgery but she would have to stay in the hospital on a special diet. What a relief!

The whole process meant I needed to spend the day with her yesterday at the hospital with Liz. This time at least, I got the chance to prepare. I shaved, put on some makeup and went out into the world to battle traffic to go to the hospital. Of course, during the day, I needed restrooms to use to get rid of all the coffee I drink. Most everyone was really nice except the usual two people in a group who were not. 

As I walked past a certain group in particular asking for directions to the rest rooms I was glared at by two women in particular. Since I had to go I ignored them and the fact the rest of the group's gossip had gone silent. Since it was shift change, I had to go right past the group on the way back. This time I was struggling because I can only walk so far anymore without my back killing me. So I was walking hunched over as I was in pain. Hard to present as good as possible when it is a struggle to even walk. But I had no choice I had to make it.

Make it I did, and the women who glared at me, I managed to glare right back at. After all, since I have been out and about as long as I have I am used to always being on stage as a transgender woman. Men notice me and more importantly, women do to. Most of the time, I don't have any problems at all. I mind my own business and the world minds its business. 

Happily, Liz is going to be released today so I need to go back and get her from the hospital. Once again I will get ready the way I did yesterday and face the world with a smile on my face.

Affirmation

 

Photo from the Jessie Hart
Archives

Affirmations of my gender on occasion comes from predictable sources.

It was voting day recently here in Ohio and I had the chance to be reaffirmed as my feminine self again. It all started years ago when it was time to vote shortly after I changed almost all of my legal gender markers. I vividly remember the pride I felt when the voter administration person asked for my identification card. Which in my case was my brand new driver's license complete with a new picture and the all important "F" under where it asked for my gender. 

Essentially, I knocked out two birds with one stone when I voted for the first time that year which seems like years ago now. I had always felt the need to vote all of the time because possibly my parents always did and seemingly there was always an issue on the ballot I was passionate about. Even on occasion, every once in a while a politician I was for or against would come along too. Little did I know back in those days I would be voting someday as my authentic feminine self. 

Now when I vote, not only I am doing my patriotic duty, I am doing it as a woman. In the past on occasion I think I raised more than a few gender suspicions with the occasional man who was taking my information but today I had a woman who was closer to my age and didn't seem to care at all she was talking to a transgender woman. 

Today was an important election on several fronts here in Ohio which made it more of a necessity to get out the vote. Two statewide issues were on the ballot which might just signal a new dawn of non conservative politics in a state which has become considered as a backwards one in many cases. The issues are considering abortion and marijuana, so it will be interesting to see how they turn out. Plus we had a chance to vote against a right wing school board candidate backed by out of town interests such as the "Moms for Liberty." 

I guess most importantly, no one paid me any extra attention today when I was out in the public's eye. I am starting more and more to get out again and begin moving around outside of my secure gender shell at home. I need the extra challenge to push myself along, Plus, as we approach Thanksgiving, I will have an appointment for my Covid booster shot coming up as well as another diversity council meeting for the Greater Cincinnati Alzheimer's Association. So as the holidays approach, there may be more and more chances to get out and socialize. 

No matter how I look at it, affirmation is good and helps keep my gender dysphoria to a minimum. A problem I can never seem to be rid of. Voting helps me to remember a time I wasn't so fortunate and I had to vote as my old male self. Not to mention the early fears I had of trying out my new feminine identification and voting as a brand new person. It still proves to be a wonderful memory. 

Breaking Down Barriors

 

Image from Nick Fewings
on UnSplash

I made it through my first long, long day in a hospital waiting for the doctor to complete my wife Liz's two operations.

The day started quite early, around six thirty in the morning and involved initially just a few people who I needed to introduce myself to. I always wonder how I will be perceived when we tell other people we are married. I feel doing it sometimes give me a chance to possibly out myself to the world. Not to worry, everyone who met us was very nice and responded correctly to my gender which of course is "she and her." 

I needed a good start I found as I embarked on a very long day as I have written. My biggest problem is sitting in uncomfortable hard backed chairs for any length of time. The only type of chair available to me as I waited for hours and hours in the surgical waiting room. The only saving grace was the room had a free refreshment area with a good coffee machine plus free soft drinks and snacks. I quickly found I could mix a chocolate cappuccino which tasted fairly good. 

By noon, after I finally figured no one else in the waiting room had me to worry about, I had a chance to go to another waiting room where Liz was just coming out of surgery. Again I was treated nicely and was directed how to get to the cafeteria where I could have some much needed lunch. Getting there, I found, was going to be another challenge. By this time, my back was screaming at me and I was doing my best not to walk all hunched over. For some reason, I had forgotten to take any ibuprofen before I left the house. I paid the price as I had to find my way down to the cafeteria on very crowded elevators. On top of my gender dysphoria, I had to worry about being crowded into such a small space with so many people. 

Again, I had no problems navigating the cafeteria, even to the point of being called "Ma'am" when I ordered. Again the food was surprising good and before long I finished eating and headed back upstairs to the uncomfortable waiting room. Then the real wait started because after Liz came out of surgery, the hospital didn't have any rooms available as they were trying to get one cleaned. It took nearly four more hours of waiting before she got a room. By this time, I decided to head home and feed the cats and try to relax. 

Then I made a couple of wrong turns and became semi-lost during rush hour traffic in Cincinnati. My GPS finally kicked in and after a hour of stressful driving, I made it home. The cats were fed and I tried to lay down for a second and rest my aching back. I couldn't lay there long because I was still caffeine charged up and decided to head back to the hospital. When I did, I was much more successful in navigating the trip. Once I arrived I needed to check in as a guest and get registered which also was a challenge when the security guard who obviously was new finally found the room number where Liz was. 

We were able to visit for a couple hours after yet another long hospital walk. Plus I did manage to make the return trip home the correct way without any problems, including a stop to pick up some dinner.

Now, I need to wrap up this post and head back to the hospital. Hopefully, Liz will be released today. Hopefully I had the chance to meet other people who never have te chance to interact with a transgender person, their first experience and it was a good one.

Visiting the Doctor

This morning I completed my latest visit to my Veteran's Administration health primary provider. She is the equivalent to someone's family doctor. 

Most importantly, once again I was greeted warmly and treated with respect which wasn't always the case in the VA clinic I go to. Early on, I was not treated well. Almost to the point I felt as if I would have to file an official complaint against one woman who insisted on calling me "sir." 

Imagine my surprise this morning when the nurse who was checking me in had a special place on the form for transgender woman. I know several times I had responded to LGBTQ survey's from the VA exploring our needs in the system. I guess they were listening and finally responded. I know several other veterans read the blog who interact with various levels of the VA health system and have had differing results. I am just happy to report mine have been very positive recently.

Now, onto the important news. Today, all my vitals were good including weight, blood pressure, heart and lungs sounded good. In addition, I had my bi-annual blood labs taken and a flu shot. The lead vampire lady who does all the lab work as always was very nice and instructed the student following her around I was one of her favorite patients and referred to me as "she."

Perhaps the only negative was I have to have another colonoscopy early next year. It has only been one year since my last one and due to the fact they found three polyps so they wanted to see me again relatively soon for yet another fun filled experience. I look at it this way, the alternative is much worse. 

So until the results of my blood labs come back, I can rest assured I am in (knock on wood) pretty good health and I even was able to make an appointment for the next available Covid vaccine. 

At least I don't have to worry how I will be treated due to being transgender when I go back. 

Impactful Month

 

Image from Stories
on UnSplash

The rest of October will be very busy for my wife Liz and I.

Towards the end of the month she has two surgeries coming up which could entail spending a couple of days in the hospital. The operations are so intense we have to go today to go over all the details of the surgeries. Plus, the pre-opt work on Liz's side starts next week. 

As far as I am concerned, I am deeply involved in the process and will accompany her to all the pre-surgical consultations. It means facing a whole new set of people I have never seen before, which sets off my interior shyness. However, I have resolved myself to stay strong primarily because I am so worried about anything going wrong. 

As you regulars know I write often about losing my spouse of twenty five years and I do not want to go through the trauma and pain of doing that again. 

Of course what I am wearing to the pre-surgical visits is a no brainer. I am wearing my good jeans and light green sweater along with a light application of makeup and my hair tied back off of one shoulder. 

Plus, before all of Liz's work happens in the latter part of October, next week I have my twice a year in person appointment with my primary provider at the Veteran's Administration. A primary provider is similar to having a family doctor. Since I was trying to save a trip, I requested my provider approve my pending blood labs for another VA provider and (if they can) set me up for my flu and Covid shots the the same time. Since I put my requests in on the VA online system, I haven't heard back yet if they have been approved. 

All things considered, recently during my last several visits to my local VA clinic, I have been treated with respect, which wasn't always the case so I am pleased. Sadly, the personnel changes so rapidly at the clinic, you never know who you will or won't see again.

One way or another, October will be an impactful month because it also contains our first wedding anniversary after being together for over ten years. Just a lot to keep track of! And I can't forget all the impactful Halloween memories I would love to re-share. Plenty of posts to come. 

Rites of Passage

Image from the
Jessie Hart
Collection

Yesterday I made the appointment for one of the main rites of passage I have decided to go through as a transgender woman.

What I did was schedule my annual summer mammogram. My Veteran's Administration primary provider (family doctor) always pushes me hard to have a yearly mammogram due to my family history with cancer. My maternal grandmother passed away years ago in the 1950's from breast cancer. I strongly feel because of my history I need to follow up.

If you have never had a mammogram, it is a relatively brief procedure when the nurses put you in a big X-ray machine and provide pressure to take pictures of your breasts. Not a pleasurable experience but a necessary one. Since I often think of the irony I would have to respond to if I did develop any sort of breast cancer as a transgender woman. Also I neglected to mention having to strip down to your waist and wear one of those fashionable (not) hospital gowns. I guess it's no worse than having to strip down for your military draft physical.   

The remainder of the appointment process has normally been very routine. Except for the nurse who aggravated me by asking  if I had any work done "down there". Like it was any of her business. The only other humorous thing which happened when I sat up the appointment was when the reception person was having a difficult time matching my voice on the phone with anyone needing a mammogram. She finally asked me what relation I was to the patient. 

For any number of reasons I consider having a yearly mammogram one of the top of the rites of passage I have had to go through on my gender journey. Others would include the night I decided to see if I could throw my cross dresser or transvestite ideas aside and decide if I could try to live as a transgender woman. From there I went on years later to an even bigger decision. Which was to start hormone replacement therapy. The path that started the breast growth I needed to start having mammograms. 

Hopefully this years test results will be clear of any abnormalities in my breasts so I can face my primary physician with the results. Also I hope I don't have to encounter any more rude nurses with off the wall questions. For the most part, everyone has been nice to me and the VA has handled the payment process without a problem. 

The appointment is scheduled for close to the end of the month so I will have sometime to think about it. Plus, this year, my wife Liz is going with me, so she can handle most of the driving as well as the directions to get there. Always good to have company.  

Sleepless in Cincinnati

Quite a few things happened yesterday which led to a sleepless evening. By "sleepless"  I mean my usual eight hours of slumber was reduced to an hour and a half. The main reason was we had strong storms in the Cincinnati metro area and our electric power was knocked out for nearly twenty four hours. No electric meant no fan in the evening heat and humidity. As I have mentioned before, we live in a non airconditioned house. Worse yet, I had no background noise at all to help me go to sleep. Normally leaving me alone with my thoughts leads me to face more than a few of my deepest anxieties head on. 

Before I get to a few of them, I heard from Connie recently and she is facing desperate health issues. So if you all can take a moment and wish her the best I am sure she would appreciate it. To make a long a very personal story much shorter Connie was subjected to the medical paranoia we non

Photo courtesy Connie Malone

operative transgender women fear the most, the total un-robing in the prep room in front of strangers, some of which who don't seem to be completely approving. Regardless of all of that, again I wish her the best trip back to being the sarcastic fun person she can be.

Plus there is Stana's wife who seems to be on the road to recovery. My best goes out to her also. As my father in law always said growing old isn't for sissies.  

Getting back to last night, for some reason my thoughts seem to basically zero in on my deceased wife and a few of the times we had as my desire to pursue a life as a transgender woman was not met with any acceptance from her. Ironically Liz who is my current ten year partner and Cindy (my deceased wife) are completely the opposite in how they approach my gender issues. Cindy fought it saying marrying another woman was not what she signed up for but Liz says all she ever saw in me was feminine. As I struggled with becoming my authentic self, I did make many self destructive decisions. Many of which happened due to my not so secret desire to have my feminine ways discovered. 

One of those was trying my best to "pass" as feminine woman and not as myself around people who knew me. It wasn't too long the word began to get around about what I was up to and certain DJ's would start playing "Dude Looks Like a Lady" when my wife and I went to parties. In other words, I was doing my best to burn every bridge I could to my old male life.

Slowly but surely I was successful and for some reason those burning bridges came back to haunt me last night when I couldn't sleep. 

Finally I became upset when my feelings began to gang up on me and I finally was able to fitfully fall asleep. It helped when I was able to wedge in a couple pleasant memories when we attended cross dressing - transgender mixers at a friends house in nearby Columbus, Ohio. On occasion Cindy would go along but just as often I was left on my own. Leading me to good times which I will write about in another post.

In the meantime, I hope the strong storms stay away long enough for me to catch up on my sleep. 

The Naked Truth

 One thing I have always wondered is, how far do you go with a potential partner before you disclose the truth about being transgender. These days there are so many variables to consider. For one, surgeries have come so far, a trans woman very well could be as "realistic" as a cis woman when it comes to genitals.  

I can't imagine being a young transgender person with a full life to lead ahead of you. The younger you are though, I would imagine it would be easier to "back fill" a portion of your life when you were not living as your authentic self. For someone my age, it's harder to try to hide a half century cross dressing as a guy.  

It's easy for me to say but I would have to out myself and wait for the person to come along who didn't care and loved me for me. 

As you may recall, I wrote a post concerning me outing myself to a bone density scan technician when he asked if I had been through menopause yet. I simply told him I was transgender and we moved on. 

When all of this happened, I had my clothes on. The mammogram was the only visit where I had to strip to the waist. I can't imagine what would happen if I would have to take all my clothes off, as Connie did:

Photo Credit Connie Malone

"Years ago, when I first went to see a doctor as "myself," the nurse had set up the exam room for a gynecological exam - complete with a speculum. Both the doctor and I got a good laugh when she removed the towel that covered the tray that had all of those instruments! 

I guess I was passing to the nurse, but I had already outed myself to the doctor, as I was sitting naked on the exam table at the time. :-)"

I guess you did out yourself! Thanks for the "naked truth."

Calling all Doctors

 Seemingly this week, all my doctors have ganged up on me. 

On a tour of an Underground 
Railway house. 

Monday I actually had to go to an in person appointment with the person who is called my primary provider in the Veterans Administration. Similar to a civilian's family doctor. Our visit was a fun filled half hour as she went over my blood work, examined me and set up two future feminine related exams. The first is my yearly mammogram which I don't particularly like but I consider a rite of passage. The second turned out to be a bone density scan. Bless her heart, my primary said all women my age should have one. Ironically both have been scheduled within days of each other in a couple of weeks. 

Tuesday was my video visit with my therapist. This session seemed to go a little better overall but I can't truthfully say I went into any very deep issues. I'm working on bringing more up to her but it is difficult for a person like me. 

Also yesterday was one non doctor related meeting, a Dayton Ohio Elderly Rainbow Alliance Board Meeting. It was very short as there was little  to go over. However coming up in September there is a presentation coming up down here in Cincinnati which I am going to volunteer to help with. 

Today is my video appointment with my new hematologist. It should be interesting to see her ideas on my iron levels. I have a tendency to run higher levels of iron which can hurt me. If the levels are too high, I have to have a phlebotomy (blood draw) to bring it down. The results of my latest labs were within range so I expect the appointment to go well.

Also today, sometime we have to squeeze in an appointment to the grocery store. 

All of this leads me back to the idea I had when I first came out as a transgender woman. How would life be once I couldn't go back to hiding in a man's world. Definitely material for another blog post.