• 5 Posts
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Joined 11 months ago
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Cake day: July 24th, 2023

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  • The job was to help develop the program and department, at least that’s how they sold it to me. I was specifically told management is receptive to input from my position, and it was well within my purview to consider these issues. And, given that I don’t think ever worked a full 40 hour week, I wouldn’t say I did anything “double time”.

    I did give them a reasons to get rid of me, in that I showed there wasn’t actually enough clinical level work for a nurse at this position, at least with how they structured it










  • Existentialism, and Camus in particular have a lot of influence in my thought patterns. But to Camus, love was one of the central pillars of deriving meaning from nothingness.

    And I don’t have that.

    In fact, I have significantly less love than before.

    I have people that say they care, and in the moment, they mean that. But at the end of the day, I don’t matter enough to check in on, unless I warn them.

    I just thought for the first time in my life I would be celebrated and appreciated for who I am.

    But the reality is, no matter how much they front or posture, the “normals” will never accept me.

    I could offer them salvation on a silver platter, and still be met with disdain.

    So, again, what’s the point? What’s the point in trying?





  • Congratulations! You’re first visit should be pretty chill. They should talk to you about how long you’ve felt this way, if you’ve taken any steps to transition, a health history, and if they’re good, they will ask about your support system.

    They should go over all the potential risks and effects of feminizing hormone therapy, including what’s ‘permanent’, how long changes take. You should also be open if you smoke/vape - it won’t preclude you from taking E, but if you smoke you shouldn’t take it orally.

    You should have some labs drawn for baseline levels. Usually they check estrogen, testosterone, a complete metabolic panel, a complete blood count, and they should probably do prolactin and a lipid panel (lipid is a fasting panel ideally, but if you’re not used to having your blood taken make sure you eat something before the visit).

    You can usually start the medications before getting your labs back, unless you have a medical history that warrants waiting, although that’s kind of up to the prescriber.

    Visits should be every 3 months the first year, then 6 months the second year, and them yearly. You may need slightly more frequent visits if you change the route of your medication, or if you’re labs aren’t in the goal range.

    It’s important to look into minority stress and see if they have any resources or groups they can connect you with. Trans folks have higher rates of mental illness - that’s not because there is something inherently wrong with us. It’s because we live in a society that can be very hostile to us, even in places that are considered progressive. Start working on resilience now, and try not to do it alone. It’s a lot.

    Finally, my personal recommendation is to look into voice lessons, especially if you are not socially out. Not only is it rewarding to have your voice reflect who you really are, having the space to try out your identity, name, pronouns, presentation, etc. in a safe and affirming space can be just wonderful. It really helped me figure some things out when I wasn’t sure exactly where my path would lead.

    And, in the ancient wisdom of our people, just remember - you got this.