Spilled Estrogen and Health Care

 It's time to go the vampires and have my blood labs checked. Since I actually go to two Veteran's Administration hospitals for care, it seems to always be confusing to new people I meet in the system. Add in the fact I am transgender and confusion often dominates the conversation. My latest example came yesterday when I was trying to set up having my blood checked at the nearest VA clinic to me rather than make the drive (one hour/one way) up to Dayton to get the work done. 

Initially I was having a difficult time getting the point across what I wanted. The nurse kept going back to my last results which I already knew. As she was going through the results she paused, and I knew what was coming. She said in a questioning voice what was this estradiol test for. Even though I felt it was really none of her business, I told her the truth. I was transgender. After all of this, I did get an appointment with my doctor to get the bloodwork done locally. The VA has an on-line site where the results are available for the veteran and their health care providers. My other providers finally learned they could access my records also which saved me a trip.

I am aware VA healthcare is not equal for all transgender veterans as is reflected in this archived post I wrote last year:

" Along the way here in Cyrsti's Condo, I enjoy reading other experiences from other transgender women who share a similar age to me. Five (at least) are transgender veterans and it seems I am learning of more trans vets daily. By reading their comments, what the typical person doesn't realize I think is the wide range of care you can receive in various Veterans Administration Hospitals. 

Photo by Ehimetalor Akhere Unuabonao
on Unsplash

Also, trans persons in my age range (65-70 plus) go through being an educational experiment. Meaning, we are educating our medical providers about the needs of transgender patients. As it has turned out, I have been on both sides of becoming a self care provider.  I do think over the years, more and more medical professionals are being educated to us. When I look back at my experiences mostly at the Dayton, Ohio VA center, they have many residents from nearby universities following around my regular doctors. I always take it as a good sign when a young college aged professional has the opportunity to see a transgender woman such as me be cared for. 

Unfortunately I know all haven't been able to  have the same beneficial experiences. I know I am mostly speaking to the choir here but imagine if you have to fight through personal and or  religious discrimination to even receive quality transgender care such as hormone replacement therapy. Which studies have proven to be mentally helpful to the mental health of so many gender dysphoric individuals. Alternatives such as Equitas Health are proving to be life saving medical providers for the LGBTQ community if you are lucky enough to live near one of their offices in the Midwestern United States.

Now, let's go back to another major service the VA provides for transgender veterans...mental health care. Again, from the comments I receive, the care a vet receives varies widely from VA center to center. As I have previously written my original therapist at the VA has been with me all the way and has been completely sympathetic and proactive to my needs. Of course HRT meds come to mind but there was so much more such as providing paperwork to help with name and gender changes within and out of the system. 

Plus, even though I had to educate my initial endocrinologists, my current "Endo" is also a wonderful provider who monitors and takes care of my needs. 

Through all of this, I hoped I would be the rule, not the exception. But from many of the comments I receive I am afraid I am not. it is too late to cry over spilled estrogen when you are 72. Sure, such as many of you I wish I had worked my way out of cross dressing and into a transgender life much earlier than I did. It seemed my gender crystal ball was a bit cloudy and the life I so meticulously built and protected as a man was too good to give up. 

I hope your journey across the gender frontier has brought you to where you want to be. No matter the years it took you to get there and the experiences you had with your health care."

Transgender Dreams

Dream Photo
Courtesy Jessie Hart

 
When I was much younger I used to look forward (then hate) the times I went to sleep and had vivid dreams of being a pretty girl .I awakened depressed when I learned it was just all just a dream. 

These days, curiously, my dreams have changed. Some times I am my feminine self and other times I revert back to my old male self. Neither one of which makes much of a difference to me when I wake up.

Maybe I should just call my dreams "gender fluid" using a more current term. Also maybe I am not being very realistic as far as my subconscious mind is concerned. After all I did live most of my life trying to survive in a male dominated world in a life I never wanted. Perhaps it will take time to establish a backlog of feminine or transgender existence to draw from when I dream. Usually I can experience both genders in one night. When I wake up, I just think Wow! How different was that. 

On rarer occasions, I seem to hit a middle road when I am back to wearing wigs and interacting more with cis women I didn't know. I even had a dream of the night I had to invade the women's room of one our favorite LGBTQ friendly bars we went to, Once I went in there were several evil looking women glaring at me. Once I finished with my business and washed my hands I needed to use the hand dryer. One of the women glared at me again and barely moved from in front of the dryer. Being the alpha bitch I was becoming, I simply reached around her and turned the dryer on and it really messed up her hair. I was amazed how the details of the experience came back to me in a dream.  

Perhaps, as the new life I have chosen to live continues to build experiences, it will be interesting to see if my dreams change more to a feminine side. Since my earlier life was more intense in many ways than my current one, I doubt if will happen. But it will be interesting to see if it does.

Now What?

 

After writing my post yesterday trying to separate my Halloween experiences, I laid awake last night attempting to think of a follow up post. Naturally it was difficult to do. Then I started to think of one of the powerful responses I received to one of my "costumes". It happened during a party I went to with friends when a couple of the wives cornered me and said something to the affect if I ever decided to go that way (and be a woman) I wouldn't have to worry about how I looked. I was immediately at a loss for words and finally came up with "A lot of good it does me." At that point in time during my life, I saw very little hope I could ever live a life in a feminine existence. I don't remember for sure but all of this may have happened before the transgender term was ever used. 

So here I was feeling strangely vulnerable in my long hair, mini dress and heels wondering now what. Looking back it was the beginning of understanding I couldn't continue to cross dress as a woman and continue to reap the benefits of white male privilege. How times have changed. Today we seem to have so more how gender works and the attached benefits or restrictions each gender seemingly has to experience. 

Yesterday I was watching a talk show on television which featured a beautiful transgender woman and her supporting fiancé. Sadly even though she had it all in the looks and voice departments, she said she still wanted facial femininization surgery because she couldn't feel at ease with herself.  She still saw the same old male face. Even though she benefitted from an early start on her transition and had an understanding family, which I didn't, I could still feel for her situation. In many ways she was still searching for her own now what. 

Unfortunately, as I approach my seventy third birthday, my now what turn to much more overall negative thoughts. Such as what is going to happen if I live into my later eighties and face the same fate as my father who passed away from dementia. Plus what is going to become of all the dire warnings about Social Security which is nearly my only source of income. And last but not least, what will happen if I have to go into an assisted living facility With all these negatives swirling around, often it is difficult to maintain positive thoughts and try to live my life to the fullest while I can.

As I have aged, I have tried harder to mold myself into a positive way of life. Along with it I try to look back at all of my now what's to see if I can still learn from what I messed up. Even still I will miss some of the early excitement I felt when I went to several Halloween parties, I still have to remember the aftermath when I was haunted by the memories and became  terrible to live with.

In the spirit of Halloween, I guess I can say, my now what's were haunting me. I so badly wanted to let my transgender woman out of the closet  I was miserable and mean to those around me. Naturally it took me years to get over the process. Once I did, my now what became clearer and life became easier.