Facing Medical Care as a Trans Person

Image from Anton on UnSplash

Perhaps I should lead this post off with medical care as referring to myself as a "pre-opt" transgender woman. Since I have never had any of the gender affirming surgeries so appealing to more and more trans women, when I go to the hospital for any sort of a procedure I face the reality of being called a "biological male" as one gruff nurse called me years ago. At this point of my life, not undergoing any major surgeries at all is my final decision and I am sticking to it. For any number of reasons, having a vagina has never been that important to me to define my gender which resides firmly in my brain. 

Regardless I will face another gauntlet of doctors and nurses when Monday I go in for yet another colonoscopy. Which, if you have been through one, you know the prep work and fasting you have to go through is much worse than the actual procedure which is done under anesthesia. 

The last one I had was a year ago and the doctors found enough potential problems to schedule me another fun filled visit in a year. This time (again) I will have the work done at the Cincinnati Veteran's Hospital so I will be interested to see if there is any progress in how they handle transgender patients. The last time, I encountered one in-take nurse who couldn't or wouldn't attempt to use the correct pronouns with me. Even though I am listed as female on on my paperwork at the VA, she called me "Sir". I know in the last year, the VA has made a concerted effort to educate their staff in Cincinnati in the proper pronoun use, all the way to having a question specifically for transgender patients when you are visiting. I have seen improvement in past visits.  

Another problem I have is, because once I have arrived to when the procedure is about to happen, I am so hungry and sleep deprived from the prescribed prep (as well as being a little scared) I just want the whole deal to be over with. Call me anything you want, just get me out of there. By the way, my fear doesn't come from going through the operation itself which I barely feel, it comes from getting the results. Last year, the doctor cut out a polyp growing in my intestine which fortunately turned out to be non-cancerous.  Hopefully, I will receive a clean bill of health for at least another year. Even though I know the prep and procedure isn't the most pleasant thing in the world to go through, the fear of having any sort of colon cancer is much worse. 

Also if you are familiar with the colonoscopy prep, in addition to fasting, the remainder revolves a day and a half of a rapid "clean out" of my intestines'. In other words, the toilet will become my best friend on the next couple of days so I may not feel like posting. 

With any luck, I will be back soon with an update.   

  

Transition within Transition

Image from the Jessie Hart Archives

Along the way down my gender path, I often considered each change to be the final transition I would ever need to suffer through. I was wrong and it turned out a few of my transitions were pleasant, some not so much.

Perhaps I should refer to my many changes more than just transitions within my gender issues. The prime examples I could use are when I needed to break all my home ties out of high school and enroll at an university one hundred miles away or the time I was forced to go away to Ft. Knox to fulfill my military obligations during the Vietnam War. Two major life changing transitions to be sure for my male self. Then there was the human transition I went through when I became a parent for the first time. I remember it as one of the profoundly life changing experiences ever. 

Before you think the only major transitions I went through were on my old male side of life, you would be wrong. I have always considered crossing the binary gender border, is one of the most difficult journeys a human can undertake. My feminine transitions include when early in life I determined I wanted  to do more than just wanting to admire myself in the mirror as a girl, somehow in my dreams I wanted to be a girl. In order to do so, my path ahead became very difficult. Initially, the mirror was very kind to me and the world much more scary to negotiate. 

Plus, there was always the question of how my strongly entrenched male self would react to all the gender changes I wanted to go through. In many ways, he was allied with my wife against the survival of my inner feminine self. Both of them strongly wanted him to survive not her. Secretly, she won out as she continued to transition herself when she took advantage of the times she had to be in the public's eye. It wasn't so long after she started her public explorations, she decided she wasn't a cross dresser at all but fit into the newly adopted and publicized transgender category. Her long standing dream of living a feminine life as a trans woman was coming closer. At the same time, my true self was exploring the world's reaction to her by meeting new people at parties and mixers and learning how to communicate with them mostly woman to woman because very few men would have anything to do with me. Forcing me to develop myself more completely as a new person at least on the feminine side. I still had plenty of questions to answer. Was I gay? Was I a trans-lesbian? So much to learn.  

In the midst of all this new life skill I was learning, it seemed at times, enough was enough and I had achieved most of my goal. Of course I learned enough was never enough and there were always new discoveries in life to make. It at times was not easy when I was bounced out of restrooms or even entire venues for simply being trans. Ironically, one of the managers who made me leave his venue one night got fired and the crew found me in a neighboring venue and invited me back. I had my revenge. The manager was wrong because all I was doing was minding my own business, spending good money and tipping well.

Looking ahead, which I do quite a bit at my advanced age, I see many more transitions ahead. Some are as big as they come. Transitions such as elderly life care and even my final transition (death) are now real possibilities. 

When it all comes, it will just be another transition within a transition. I have managed to survive to this point and at times had a good time doing it.

   

Gender Euphoria

Image from the 
Jessie Hart Archives

When I consider the balance of my gender life , I sometimes try to break down the amount of time I felt dealing with my gender dysphoria versus the rarer moments of gender euphoria. In my down times of dealing with my gender issues, euphoria for whatever reason kept me going. 

Similar to so many of you, I experienced many nights of dread, not knowing where my life was heading as well as wondering why me and should I just give up and try the impossible, to purge all my feminine clothes and makeup then give up on my feminine self. Following the first couple of rather expensive purges I went through I gave up on the useless practice. Mainly because I felt so natural when I was exploring my true self. Even though I started out in the mirror being my only friend fortunately my life's destiny was directing me the correct way. 

The path I chose was very bumpy along the way and involved many wrong turns. There were many decisions to be made such as what to do about my family, friends and finances not to mention one big one...my sexuality. Did I follow the main thought pattern of the day and transition then disappear and start a new life with a man? I followed my instincts and allowed my new life to play out complete with all the effects of gender dysphoria and euphoria. 

Mainly, since I was far from what I called a "natural" when it came to presenting well as a woman. To say the process was intimidating was a big understatement.  Finally, with quite a bit of work and attention to detail, I acquired the confidence to go out and succeed in public. I stress confidence because even though I thought I passed well as a woman, I was still a transgender woman attempting a public life. I'm sure many times, my acceptance was just because people (mainly women) were just being nice to me. Or were just curious why I would want to change my gender. In the meantime, my inner battle between dysphoria and euphoria continued unabated. Some mornings when I first looked in the mirror I saw a vaguely feminine person and was satisfied but on others, the masculine image I saw sent my gender depression soaring. 

As my transgender explorations continued, so did my reliance on gender euphoria to get me by in my life. Probably, the biggest impact occurred when I decided to begin my journey on gender affirming hormones. Formerly known as HRT. In the absence of any surgeries I was not planning to aid my development in my brave new world, I decided on hormones to aid in presenting better as a transgender woman. When I did, I was able to experience more gender euphoria than I ever thought possible. My body softened, I grew breasts and extra hair and I had many unexpected internal benefits also. To simplify the process, I call it when my world began to soften. My old testosterone edge went away and a new better life began. There is one disclaimer to the hormonal process. The entire medical hormone procedure should never be attempted without medical supervision because the process can be harmful. I was just one of the many who tolerated the hormonal changes well.

My biggest example of gender euphoria happened recently when I was visibly prepping my body for a medical procedure I have to go through (colonoscopy). Most of my body hair has long since disappeared but there were a few stray hairs which needed to go away. As I was examining my naked body from the neck down, all I saw was a feminine body, complete with breasts and hips. Of course I stopped at the waist. It was enough to feel good about the changes the hormones have caused over the years. 

My euphoria later in life has seen most of the old dark gender days shrink far into my past. With just the most severe memories coming back to haunt me I am good to go. Plus, it took me awhile to recognize there is a middle ground to how I feel about dysphoria. It is never as good or as bad as it seems. The key for me was to use my dysphoria as a powerful motivator and learn to appreciate the all too brief moments of euphoria which kept me moving forward towards my impossible dream of being able to live a life as a trans woman.