Labels

 

Coccinelle, early transsexual woman

As a long time transgender woman, I have seen my share of different labels coming and going over the years.

The first one was the declining use of the word transvestite. I remember the days when there were very much only two labels you could use to describe yourself,  If you cross dressed in the clothes of the opposite gender, you were a transvestite and if you desired a sex change (as it was known then) you were a transsexual. Over the years, the sex change terminology went through it's own changes, As I remember, the sex change became known as gender reassignment surgery. Then gender realignment surgery. All these labels lead to the same result. As most labels seem to do in the LGBTQA+ community.

While we are on the subject of the LGBTQA+ letters, the expansion of the letters themselves needs mentioning. As our community expanded and the knowledge of the overall gender spectrum expanded, more letters needed to be added to the initial LGBT letters. To include more people the abbreviation was expanded to include more than the initial, gay, lesbian, bisexual and transgender community. At that time the queer or questioning was included plus the "A" which stands for Asexual and/or Ally. I guess the plus just stands for any more possible additions in the future.

Way back when, transgender wasn't even a term at all and even though it is rumored Virginia Prince (transvestite pioneer) was the first to use the term, it's true history is murky.  The best history I could find is transgender (or it's shortened trans term) first appeared in the 1950's and 1960's. I only know I started to be aware of the term in the 1970's. The whole process meant so much to me because all of a sudden I had a term or label which applied to me since I knew I was much more than a cross dresser and not as much as a transsexual. The perfect fit for my gender questioning mind. So I adopted it as my own.

These days, labels seem to change as fast as the world around us. The word transgender sadly has been made infamous by all the political attacks' against it. In the same way, LGBTQ+ has been popularized also when associated with the unfortunate uproar over the trans situations. Yet another change has recently been updated also. Hormone replacement therapy or HRT is now known as gender affirming  hormones.   

Of course the bottom line is all these terms are nothing more than labels which often lead to confusion all the way to altercations. Especially in the transgender community when people start to think they are more trans than someone else. It all comes at a crucial time when we all have to stay together to present an unified front to the world.

Through it all, if you are into the increasingly complex world of labels, I hope you have found one which fits you. 

Updates

Well another fun (?) colonoscopy has come and gone and I promised an update.  I have a partial one. 

Since I had to have a driver, my wife Liz came along. I needed to have a driver because I would be put under anesthesia for the procedure. I had the work the same place I had the last colonoscopy at the Cincinnati Veterans Hospital so we knew the way and arrived at the required appointment time. After signing in, I was encouraged the wait was only approximately ten minutes, so I thought I would be moved along quickly. As it turned out I was wrong.

Once I was taken back to the intake area, the gender fun started to happen. As I said in my last post, I knew the VA was attempting to do better with their treatment of transgender patients. So I was curious how my treatment would have changed over the previous year when grumpy staff called me "Sir" several times.  This time, to my amazement, the intake person asked me if I was born female since it was what it said on my VA paperwork. Because of the requirement to have a pregnancy test if I was born female. At that point I told her I had transitioned my gender to transgender woman in my early sixties. She didn't say anything else and we moved on with no other problems and I answered the million other questions she needed to ask. 

Shortly she left and another nurse came in to start my I.V. and take my blood pressure, which she did and left. Then, within a short period of time, the nurse came back in and asked how I would like be referred to, a woman or a man. I said woman and again we moved on. At that point I was encouraged I was going to complete everything fairly quickly and finally would be able to eat again after two days. Then the wait started. To make a long story shorter, I needed to wait an extra hour until the operation room would be open and ready. For all of you familiar with the military, one of our most memorable sayings was we had to hurry up and wait, suddenly I was back to my Army days as I laid in a hospital bed and waited and waited and waited. 

Finally, I was wheeled back to the operation room and the the operation happened. In fact the main surgical nurse remembered me from my last visit. Something I wasn't so proud of. In a way having frequent flyer miles in a colonoscopy operation room is not my proudest moment. But she was nice, the anesthesia kicked in and I felt nothing and I was wheeled back to my room.

Sadly, they found another polyp  which is defined as a tissue growth in the colon which could be or turn cancerous. Again they cut it out and sent it away for testing. I was told I would have the results in a week or so. 

In the meantime, I needed to get dressed and leave the hospital. Fortunately they let Liz come back and help me because I was feeling a little unsure of myself. So unsteady I needed a wheelchair and an aide to get to our car. It was at that point when the only person who miss-gendered me stepped in to ruin the whole experience. The man who wheeled me quickly down to the car called me "he" when talking to Liz. Of course at the time Liz quickly corrected him and away we went.

So overall, my assessment of my health care visit was one of improvement. My gender was correctly displayed as female on my paperwork and I feel it is always OK for caring individuals to question me. Especially if the process leads to a better experience for me. Which is what happened to me. Maybe I helped make the experience better for the next transgender veteran who takes advantage of the health services. 

So now I need to wait and hope my news comes back as "non-cancerous."   

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.