Posts Tagged ‘diagnosis’

Vlog #11 – Three years ago…

Three years ago today I stopped living a lie.
Three years ago today I started becoming who I really am.
Three years ago today I started transitioning from male to female.

It was exciting to finally realize the cause of my misery. For decades I had seen therapists, psychiatrists, doctors; none of them ever even hinted at gender identity disorder. No one saw it, despite the fact it seems so obvious now looking back.

Once the initial excitement wore off it was replaced with fear. “Now what? How the hell am I gonna do this? Just get some female clothes and start going out? It can’t really be that simple, can it?”

“Oh my God how am I going to tell my family? And what will people think? Am I gonna have to live a life of constant public humiliation?” Those were the kind of thoughts that were constantly in my mind.

Despite all these fears it was only two weeks later that I bought female clothes for the first time and told my parents about my plans to transition. And only two weeks after that I went out in public for the first time; to go to my first therapy session.

A week after that everyone knew, both on and offline. And only a week after that, seven weeks after I started transition, I went full time. I was determined to make this happen. There was not a single doubt in my mind that I had to do this in order to survive. To finally be happy with myself.

Then came hell. Months of agony as I was put on the excruciatingly long waiting list at the hospital in order to be able to even start the first part of the entire process: diagnosis. Add in the fact that in the meantime I was also going through a messy divorce and my life was far from the bliss and happiness that I was aiming for.

Fifteen months had passed before I was finally able to start the diagnosis process. For people to tell me what I already knew. That I was born in the wrong body. This entire process took ten months to complete. And it wasn’t for another month until I was able to start hormone replacement therapy. Well over two years from when I first started transition.

I’ve been on hormones for almost ten months now and soon I’ll be put on yet another waiting list which will likely take another year. This time for surgery. Some call it sexual reassignment surgery (SRS), others call it gender confirming surgery (GCS), and there are many other acronyms for the exact same procedure but I just call it surgery. It is the only one I am truly planning on getting.

By the time I’ll be done with the entire process it will have been well over four years. Still I am not one that considers surgery to be the ‘be all end all’ of my transition. In fact, in my opinion I already completed my transition well over a year ago. I have already been living the life of a girl, of my new self, for all this time and surgery will not change how I view myself.

I have a wonderful boyfriend, accepting parents, good friends, life is pretty damn good right now and it only seems to be getting better and better each day. :)

The diagnosis.

So today I had the appointment with my psychologist at the hospital for diagnosis. Why the emphasis on the word “the”? That’s because I have done everything they asked me to do and after several delays finally got the psychiatric & psychological reevaluation finished and their report had been sent out. Conclusion: There is no sign of psychosis, personality disorder, or anything of the sorts. Which means I can finally get past that and bury it in the past, where it belongs.

That was the very last thing I had to do as I already did everything else, like fix my financial situation. I am completely out of debt with the very generous help from the people of Halforums.com and several of the LGBT community. Who I cannot thank enough for helping me get through this. So I knew today I would have to hear something more definitive regarding my diagnosis and if I am going to be able to progress to the next phase.

So, nervous as hell I missed the bus I wanted to catch because it was a few minutes early but that’s okay as I scheduled this trip with a very wide margin. I get on the next bus and get the connecting one right after at the airport. When I arrived at the hospital I still had 45 minutes to kill.. Or, you know, spend in complete and utter anxiety. Having my hopes crushed a few times already this time I was prepared to hear the worst. Expecting it almost.

It hits 3 o’clock and my psychologist walks toward me. She’s on time, thank God. If I had to wait any longer I might have had a total freak out. We walk into her tiny office and play catch up for a bit. I hadn’t seen her in months. Then she drops the bomb on me. “I haven’t received the report from [psychologist] yet”. The report that was sent out and written last MONTH you mean? You have got to be kidding me. I damn near died when she said that. I fucking knew it! I knew that somehow things would just fuck up for me once again and I’d have to wait many more months just to have them green light me for hormone treatment because of damn paperwork!

She said I looked a bit down shortly after that. See, I didn’t actually say all those things I just wrote, I only thought them. So I tell her that I already expected to have to wait.. again.. She says “No, you won’t”. Bwaaahh?? Apparently she had talked to my psycho-therapist (who has the report in question) and she had sufficient information to bring me into the next meeting, which is on the 5th of August.

I was stunned. It didn’t sink in right away. We talked about other things and filled out some paperwork she’ll add in the meeting. The appointment was cut short after that, because well, she’s done, I’m done, no need to waste more time with idle chitchat. She took me to the lead of the gender team who promptly changed my medical record and changed my name to Julie Ann and corrected the gender to female. That was the point where I damn near broke down in tears. I know it is still far from a legal change but it’s the first time it was written down in an official manner. It was finally real. I am female.

He said he thought my name was very beautiful and made me a new hospital card which finally had the name on it I had been using for 2 years along with the correct gender. It felt like I stared at that for at least half an hour. He gave me the papers I needed to take with me to where I get my blood drawn. They do this early because it takes 3 weeks for them to get all the results. This information will be used by the endocrinologist to determine the dosage of the hormones and if there could be any possible complications while taking them.

While I haven’t been officially green lighted yet for hormone treatment thanks to all the papers I got them there is only a 0.03% I won’t be. The gender team will make their final decision on the 5th of August and call me and let me know either that Friday or the next Monday along with when I have to come back for my appointment with the endocrinologist, which should be mid-August. I’m finally done waiting.

In short: FAN-FUCKING-FINALLY!

The end is near! ..of my diagnosis that is.

While I had been doing much better the past 2 months with my sleeping and eating schedule June has been particularly bad. It is still not bad as it has been before but it seems to be getting worse. I mostly blame stress as the big factor in this as I had/have a lot of that, too.

So far I have had to cancel two appointments with the hospital to finish up diagnosis because all they want is a paper from another psychiatrist Of course they had a waiting list too so that means I had been set back for 2 months. :( They don’t want to see me at the hospital anymore until they have gotten their copy of that paper because in their own words they are “done with their diagnosis”. They only want that paper because in their (monthly) meetings with the gender team questions from the others (surgeons, endocrinologist, etc..) are sure to arise about the numerous things that are on my medical profile.

So last week, 1 day after I had to cancel another appointment at the hospital, I finally got to see that psychiatrist (and a psychologist too) who is for one known at the gender team and for two his opinions is apparently being held in high regard all over. He’s some kind of psycho-celebrity.. wait, that doesn’t sound right. Anyway, this is the guy that can actually overrule all previous diagnoses so I can literally have a ‘clean slate’ again.

That talk went really well and they already concluded I don’t have any psychological problems that would hinder my advancement in the program, nor have any eating disorders like bulimia or anorexia. They do, however, want to see me one more time to try and figure out how some of the past psychiatrists et al I’ve seen came to their sometimes bizarre conclusions.

They wanted to do this 2 weeks later, which would have been on the 1st of July which is also the date when the hospital has their monthly meetings. That would mean I’d have to wait yet another month and after having canceled so many already I don’t even have one set for August. The waiting list is excruciatingly long which is why I always had appointments set 3-4 months in advance. They even told me its better to cancel than not having an appointment at all.

So I managed to have them change it to only 1 week later, which is tomorrow, and yes, I’m freaking out! I have to be there relatively early (11:45am) which with my schedule being messed up and needing to take a bus, a train, and another bus requires me to be awake very early and pray there are no traffic accidents!

After this the reports will go to the hospital and my other psycho-therapist and they can finally bring me up in their damn meeting. I am not scared about the actual diagnosis part as everyone I have seen already told me I have a 99.99% chance to be greenlighted.

When that is done I should hear from them soon about taking a blood sample and checking in with the endocrinologist. AND the official diagnosis papers will go to my GP and health insurance company. That means I can finally do some of the things I wanted to do but could not pay for! God knows I want to get lasered so bad!

One bad thing after another.

I had another appointment with the hospital yesterday. I had to be there at 10am so I had to leave early.

Well, I was ready on time, got to the bus stop early and waited for it to arrive. ..and waited.. ..and waited some more.. half an hour.. forty five minutes.. an hour… It was freezing cold and all I could do was stand there waiting, hoping it would come soon.

Meanwhile, other people left the bus stop as they got tired of waiting, but this appointment is very important so I did not have that luxury. The bus didn’t show up until 4 minutes after 10. Exactly four minutes after I had to be at the hospital.

Now, normally I would have called them to let them know I was going to be late, and if there was still any point in going but wouldn’t you know it.. My cellphone had been disconnected a few days ago because of a stupid billing issue that they simply won’t fix. They’re a very dumb company and have a crappy ass help desk. As soon as this subscription is over I’m switching to something better.

Anyway, the weather was so crappy that there were warnings on the news that people that didn’t necessarily needed to travel should stay indoors. Considering there are people from all over the country headed out for appointments to the same hospital I decided to go anyway and hope someone canceled. Which isn’t unprecedented, it happens a lot I’ve been told.

Well, when I finally get there it is about 11am so I am very late. I’m cold and freezing, nervous as hell, but I walk inside, go up one floor and head toward where I’m supposed to be. As I go around the corner into the last hallway I already see her standing there with a confused look.

She asks me if I made a mistake with the appointment time, saying it was an hour ago. As I explain what happened, the late bus, the fact I couldn’t call, and the hope that someone would cancel because of the bad weather she tells me that they actually called everyone to verify if they would still show up or not. Of course I could not be reached. And guess what? They all showed up so there was nothing I could do except leave and go home. :(

So that was my shitty day. Not another appointment for a month.. next year.. which means my diagnosis will take that much longer as well. Fuck!

Psychiatric evaluation.

Another part of the diagnostic phase is undergoing some kind of psychiatric test. Today was mine. I wasn’t sure what to expect and was incredibly nervous. I really don’t like having to give fixed answers under pressure.

Well, it wasn’t that bad, really. Just long. It was two and a half hours of questions. Most of those were just multiple choice questions on paper. If I’m depressed a lot, and how long it lasts. Stuff like that. I even had to rate every single part of my body. That was fun. Not.

I struggled with some of the questions, part out of fear of giving the ‘wrong’ answer. I think I did okay though, and not have the results be that I am some schizo who needs to be locked up asap. :p

Afterward I spent some time window shopping at Schiphol Airport. They have a Sissy Boy store there which I think is funny. Too bad the store itself sucks royally.