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#galapics
shining-latios · 2 days
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plans for this new breed including my day 1 hatch that's literally just a charizard
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They'll give you a pamphlet and you need not ever engage in an evaluation session. Like choosing a mobile phone plan.
The entire point of the medical profession is to gatekeep, or rather, safekeep. To evaluate your condition, find out what's wrong, identify the applicable medical options, and identify the safest, most effective treatments, and outline all the risks.
Not just be drugs and surgeries to-order. Do they prescribe narcotic drugs this frivolously? Even a car mechanic will want to diagnose your car themselves, rather than simply take your word for it that "it's the transmission."
Requiring any kind of challenge or verification before getting horomones which will basically give you an intersex condition, is somehow unjust. They want to remove the few safeguards that are already in place.
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topsurgerystuff · 4 days
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Okay I’ve never actually posted my own, brand new post on the internet before so I’m kinda nervous but bear with me. I guess I’ll start by putting all my little links and such. I’m sure most people already know about these but fuck it what do I know.
The GALAP is where I got the therapist who gave me the little letter that tells them I’m trans. It’s got a list of therapists who have agreed to give out free letters that iirc are sorted by state. It’s down as of right now but it says they hope to be back up by April 30th 2024. I live in Texas so there was only one for me but she was real cool, she did the evaluation but made it clear that it was only because she legally had to and that she would give me the letter regardless, it was 100% free and it was over telehealth so I didn’t have to go anywhere.
https://www.thegalap.org/need-a-letter/directory
Folx Health does all kinds of stuff. They do gender affirming care as well as just regular doctor shit and they have guys in every state and they take a lot of insurance but their membership is SO GODDAMN EXPENSIVE. If you’re Jeff FUcking Bezoso well here you go I guess.
https://www.folxhealth.com/
Legacy Health is the same as Folx but much more affordable and only in Texas. Sorry if you don’t live in Texas.
https://www.legacycommunityhealth.org/contact-us/
Trans in the South is a directory of all kinds of trans-affirming health and legal service providers. It also has a guide on how to fund your transition and its got a list of grants you can apply for too. Never noticed that before, might do that shit.
https://southernequality.org/resources/transinthesouth/
Trans Legal Aid of Texas has volunteer attorneys that will help you get and do the paperwork to change all your legal info but you gotta live in Texas sorry sorry.
https://translegalaidtx.com/
Also I don’t have a link for them but Dr. Daniel Freet and Dr. Rachel Goldstein did my top surgery at Memorial Hermann. They did a great job, they were so nice to me, they didn’t question my decision at all and the whole experience start to finish was pretty nice. The wait was forEVER but they are really fucking busy and they’re booked like crazy so. Understandable. Unfortunately, the full cost of my surgery is ~$17,000 and my insurance, who initially said they would cover it, decided they would actually wait until we get the bill before deciding to cover it and since the bill arrived they’ve been dead silent but [screaming in agony] its fine. My incision scars are nice and straight, I have very little dog earing going on and its flattened over time. I’m a little chunky so that’s impressive. It’s only been 5 months and I have full mobility, it only took me about 2 months to get there. My nips are a little ugly but they are intact and they are recognizable as nips. More on that in a later post though. Overall, 10/10, would recommend. End post.
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dee-the-red-witch · 4 months
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The Monthly Roundup
Okay, normally, this is just a free monthly post over on my Patreon, but I figured I should push this out into the wild as well, because this kind of stuff's always needed. Want this, and a bunch of weekly readings from a cursed tarot deck, media reviews, and other content including fiction and the occasional build post? Maybe consider adding me over there as well. Anyways, like I said, it's a monthly roundup- in this case a bigass collection of links and resources for folks interested in pursuing gender transition one way or another. And while a bunch of it is transfem specific and sometimes medical transition specific, because it's stuff I dug up while hunting down things for myself, there's also things in there good for anyone of any gender, and resources for legal/social transition as well. And this is long enough to deserve a cut for once, so...
Hey! What If *I'M* trans?
The Gender Dysphoria Bible- https://genderdysphoria.fyi/en Wondering if you're experiencing Gender Dysphoria? This may be a good place to start. Realize the GDB is slanted largely towards transfem folks, so it doesn't necessarily apply evenly to everyone, but it does cover a lot of ground that folks may identify with.
Trans Medical Resources
DIY HRT- https://diyhrt.cafe/index.php/Main_Page (for legal reasons, I'm going to tell you to at least try to see a licensed physician or endocrinologist before starting to DIY your own hormones, but keep in mind, I'm not your responsible adult, and if you don't choose to listen, that's on you) This is the main, best hub for sourcing and getting info on doing your own hormone therapy. Keep in mind, it's once again slanted towards feminizing methods, because testosterone is still a controlled substance in most of the world (which is bloody fucking stupid, but that's a rant for another time).
GALAP- The Gender Affirming Letter Access Project- https://thegalap.org/ While we may have new WPATH guidelines with the Soc 8 updates that dropped a little bit ago, most providers and insurers are still on outdated requirements that insist on letters from mental health providers for transgender-related care. Which can affect access to surgeries, HRT, and more. GALAP exists to connect folks with providers who'll give those letters,m in some cases free of charge even.
Gynecologist List- https://docs.google.com/spreadsheets/d/1Djia_WkrVO3S4jKn6odNwQk7pOcpcL4x00FMNekrb7Q/htmlview This one's more for uterus-owners in general and less trans-specific, but giventhe number of folks with uteri who'd can end up with a hard time finding a willing doctor for some procedures, it's important for everyone. This is a Google database of hundreds of gynecologists, listed by location, willing to perform sterilization procedures with informed consent, without secondary authorization from anyone else. The list is patient-vetted, so your mileage may vary, but for those seeking sterilization and/or hysterectomies as part of their transition it may prove to be invaluable as a resource, because doctors willing to do this work can be few and rare in some areas.
Transfeminine Science- https://transfemscience.org/ Articles, journals and all sorts of researching into, well, just what the name says, transfeminizing science. A lot of medical professionals simply don't have knowledge in the field and are acting on what they learned in med school, which may be way out of date. If they're willing to listen, there's stuff in there to help bring them up to speed. Better yet, it;'s also a great resource to educate yourself so you can advocate for your own care a bit better.
Other Transition resources (legal, social, etc)
NCTE's ID GUIDE- https://transequality.org/documents The National Transgender Center for Equality's guide to changing your legal identity, in a handy format that lets you break it down by state or territory, or even federal documents (United States only, sorry.) and links to the right paperwork to use. Rainbow Passage- https://rainbowpassage.org/ It sucks that we need organizations like this in these times, but I'm glad to see there's people already stepping up to the task. Rainbow Passage is an organization dedicated to helping trans youth get out of trans-hostile states and relocate to safer areas. And if you can, volunteering for them is a great way to help improve safety for trans folk in general.
Seattle Voice Lab- https://www.seattlevoicelab.com/ if you've seen me on social media much lately, then you've seen me talking about this place. This is who I'm (through February and March at least) taking voice lessons through to feminize my own voice more. They also have a bunch of online resources, a discord server, and other help if you need to figure your own vocal chords out a bit better.
Strands For Trans- https://strandsfortrans.org/ Need a haircut, or color or other beauty services you're using for the first time ever as an out trans person and you're not sure where's going to be safe to go? Strands For Trans is the first comprehensive database of Aesthetics businesses for hair and everything, AND THEY VET THE BUSINESSES, to ensure your safety and comfort.
TLC's Life-Planning Guide- http://transgenderlawcenter.org/wp-content/uploads/2020/04/TLC_Life-Planning-Documents-Transgender.pdf The Transgender Law Center put this guide together specifically for planning end-of-life details. Yes, it's a depressing and tragic thing, but protecting and making sure our identities are still properly preserved after we die is still just as an important part of what we're fighting as anything else is. This guide will help you with establishing a Living Will, controlling hospital visits, and setting up proper Powers of Attorney, so that nothing potentially falls back into the hands of people who might refuse to recognize who you truly are. (In many states, you can designate someone other than your next of kin to take charge of your body when you die (next of kin is defined by law, not by preference). If you need to do that, go to nolo.com and look up article on "[your state] funeral law" to get a rundown on if and how to do this.
Trans Media
The Digital Transgender Archive- https://www.digitaltransgenderarchive.net "The purpose of the Digital Transgender Archive (DTA) is to increase the accessibility of transgender history by providing an online hub for digitized historical materials, born-digital materials, and information on archival holdings throughout the world." (In short, this is one of several free libraries of trans history.)
Totally Trans- https://www.patreon.com/totallytrans/posts Hey, look at that, it's another Patreon! Except, no, wait, it's a podcast! Totally Trans looks at media both historical and modern with a transgendered lens. Sometimes it's silly fun, other times, it's great insights into queer and trans history, and all around it's a great show to add on whatever service you're already getting podcasts through- or you can hit the link above to help support them at the same time for early access.
Trans News, Blogs, and Notes
Erin In The Morning: https://www.erininthemorning.com/ Erin's newsletter runs almost daily these days, mostly with updates regarding trans legislation all around the US. It's a good way to stay up to date, but it can also be a drag these days, largely because it's practically just a constantly expanding list of bad news thanks to the GOP right now.
Stained Glass Woman: https://stainedglasswoman.substack.com/ aka Doc Impossible/Zoe. I first discovered her work and writing when WPATH released their new SOC 8 guidelines, because she was one of the few people that could make the thing actually make sense in non-legalese. But I subscribed andkeep following here for regular updates both because she presents a trans coming out narrative that was just a joy to read, and also covers interesting  news in the field of trans medicine from time to time. Definitely worth adding to your feed.
A Self Defense Study Guide for Trans Women and Gender Non-Conforming / Nonbinary AMAB Folks: https://www.silversprocket.net/2021/09/13/a-self-defense-study-guide-for-trans-women-and-gender-non-conforming-nonbinary-amab-folks/
This is, quite honestly, one of the best self-defense guides I've seen for gender-nonconforming folks (and one of the few, to be honest), short of private defense instruction. AND it's available to read in full for free at that link, or in print for just a 5$ donation. Go check it out.
Other general roundups
Grassroots GAC Resources- https://docs.google.com/spreadsheets/d/19kSzBLo_hjpiBjHN8tvK73sVHU25NKWjMau2vNl8uuM/edit#gid=778305468 Google spreadsheet of links in general, from therapy help and hrt assistance, to all sorts of other info, some of which are repeats from here, but there's also a bunch of others I haven't had time or opportunity to vet yet.
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doberbutts · 1 month
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Not sure where you are located or whether you've heard of this yet, but in some places GALAP (gender affirming letter access project) can connect you with a therapist to write you a letter within a week. When my insurance denied my letter for not being written by a PhD, I reached out to all the phd's in my state signed on with GALAP and had a letter they would accept within days. Apologies if I'm bothering you with something you already knew about but if you haven't tried them yet it might be worth a shot!
GALAP has been down since before October of 2023.
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Trans Resources/Info Masterpost
I dedicate a lot of time to helping fellow trans men, answering their questions, etc. and I've noticed a few very common questions in every trans group I'm a member of. I want the information within these resources to become common knowledge in our community. This information has been extremely helpful to me, my friends, and/or other people in the community, and they're things that everyone should be aware of...
Changing your name and/or gender marker: -The National Center for Transgender Equality will tell you exactly how to change your name and/or gender marker in each state.
HRT: -This map shows organizations that offer HRT following the informed consent method. -Testosterone HRT changes and timelines: source 1, source 2 -Testosterone myths -Bottom growth info (CW: this resource contains illustrations of the anatomy that will grow, before and after growth)
Injections/Syringes: -Syringes and needles can be annoying to buy at the pharmacy. Before I started buying in bulk, I had to go from pharmacy to pharmacy searching for ones that were the right size (they always ran out or didn't buy enough or something). This is a problem that many people experience, so a lot of us buy our medical supplies in bulk online. It's cheaper, easier, and you never have to worry about the pharmacy running out of your syringes. Here are a few popular websites that people buy syringes from: allegromedical.com, westendmedicalsupplies.com, bulksyringes.com, healthykin.com, https://www.vitalitymedical.com, https://www.gpzmedlab.com, etc. -Trans Needle Exchange is currently on hiatus, but they provide needles/syringes to people who can't afford/access them for free. -Search relevant subreddits for more, if those websites don't meet your needs.
Surgery: -topsurgery.net has the answer to almost any top surgery question you might have (the process, finding a surgeon, insurance, before and after pictures, etc.) -There are top surgery grants that you might qualify for. -The GALAP (Gender Affirming Letter Access Project) is a group of independent medical professionals dedicated to providing free letters of support to people seeking gender affirming surgeries. Make sure these medical professionals meet the requirements of your insurance/surgeon though, since they all have different requirements. -Plume also provides letters of support for gender affirming surgeries. Letters are included for members, but they can also be provided to non-members for $150 and one appointment. (Note: they are provided by a medical professional, not a behavioral health or mental health professional. Each insurance has different requirements about who the letter needs to be written by) -The Gender Confirmation Center has a lot of information about gender affirming surgeries, how to take care of yourself before/during/after surgery, a huge gallery of before and after pictures for different incision types, etc. -T4T Caregiving is a group of "traveling trans caregivers for all of your post-op needs". I know how hard it is for some people to find someone who is willing to take care of them after surgery. The caregivers at T4T Caregiving will provide you with care 24/7, with prices on a sliding scale that ranges from $150-250 per day. -You can find information about different surgeons here (top surgery - search by location, whether they accept informed consent, insurance, etc.) and here (several different kinds of surgeries - search by procedure, location, insurance, etc.)
WPATH's Standards of Care: -It's also a good idea to be familiar with the WPATH's (World Professional Association for Transgender Health) Standards of Care! Here is the most recent version, SOC8
Other: -Refuge Restrooms is a database of gender neutral bathroom locations. You can search for, add, and rate different locations.
Unfortunately, a lot of this information is only applicable to trans men (or AFAB NB people wishing to transition) in the US. That's what I have the most experience with (and knowledge about), as I'm a trans man in the US. Feel free to add your own favorite resources (especially for trans women) if you want!
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vaspider · 2 years
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Do you or any of your followers have advice on/experience with getting American insurance to cover gender-affirming care when that gender is nonbinary? I'm agender, I have a uterus, and I've more or less decided I want it and the associated parts gone, and not just for menstrual dysphoria reasons, though I've also got that to deal with.
A lot of it depends on where you live. I had no problem in Oregon going in and saying "I am non-binary and want my uterus to go away." I decided against it for a number of reasons, but I was cleared for surgery pretty quickly.
GALAP is a good resource for getting the letters you need, and the providers there are non-binary competent.
And bluntly? If you run into someone gatekeeping on basis of binary bullshit, fuck it. Lie. Tell them you are a dude and have always hated your bits. I don't give a shit if you lie to your doctor about your gender because they're not trans-competent. COME FOR ME, TERFs.
There's so much bullshit in our medical setup that tries to constantly rebinarize people that I really can't feel bad about saying 'um yes I always hated all of this' even if that isn't true. I have a lot of resentment currently about the idea that we have to have 'always known' in order to count as trans enough to be able to make decisions about our own bodies, tbh.
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dailychickens · 7 months
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Photo by Richard Galapate
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cannibalcult · 8 months
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my coworker told me to use the galap wensite to get letters for top surgery snd im so nervous bro 😭
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lilianntheendericarada · 10 months
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"When there is Light, there is Darkness."
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There is a typo I'm too lazy to correct. Galap is supposed to be Gelap so yeah.
I also just realized the glove's color doesn't match well, unless I am wrong,,,,
Anyways, here are alternative pictures
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bengesko · 2 years
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So you're getting a hysto...
As a trans masc person with Ehlers Danlos, much of the advice I got for preparation and recovering for a hysterectomy was not what I needed- much of the advice given was from your average cis woman.
While appreciated, (shoutout to the folks on /r/hysterectomy, they're an incredibly supportive and welcoming group!) I ended up learning as I went, and since I know some folks who are getting a hysto soon, I thought I'd write up my experience!
Note: I will be using some sparing medical terms for anatomy, but will try to avoid it as much as I can!
Note the second: I'm in the US, so I can't speak for how surgery/insurance works in Europe!
Referral Letter: Are you trans and want a hysto for gender dysphoria? Do you need letters from a therapist recommending you as a candidate for surgery?
Hit up the folks on The Galap. They're a network of therapists who have volunteered to do letters of referral for free. I was able to get both of mine- as well as an updated letter for my top surgery, at no cost, no hassle with insurance, etc.
Most, if not all of the therapists on this site will do online meetings, so even if the single therapist (like, say, in AL) is too far to drive, they'll still help you!
Preparing for your hysto:
Here's a list of things I gathered before my hysto (As well as things I wish I'd had.)
Reading/Sitting pillow. (Also known as husband pillows). I have this one- has pockets, and is super comfortable.
Bed/Lap Desk (I have this one- it has a cup holder, pen rests, and charging ports. It's also lightweight.)
Maternity Pillow- C shaped (J shape is nice, but C offers more hip support.)
Skid Free/Non-slip socks. (If you have hardwood floors at home)
Loose cotton shirts and underwear- cotton breathes better, helping your incisions heal.
Underwear liners. (You will have post op bleeding, and anything more than a liner is a concern, so liners instead of pads is the better route to go when monitoring post op bleeding.)
Heating pad (Self explanatory)
Shower Bench. You can't get your incisions wet for at least 48 hours, but sitting on a shower bench and letting hot water hit your back will really feel good without getting them wet!
Water bottle (preferably one that keeps your drink cold!)
Electrolyte drink mix- Gatorade, Liquid IV,
Squatty Potty- I don't have one, but everyone I've talked to have sworn by them. The less you strain, the better.
Your binder can be worn as a post op girdle if you have one that compresses your stomach as well as your chest. I have one from underworks and I wear it if I have to stand for more than ten minutes. Helps keep things stable!
Gas-X: If you're getting it laproscopically done, you'll have a gas bubble or two migrating around your abdominal/thoracic cavity. Sometimes you can massage it down or out of specific areas, but Gas-X helped me!
Azos/Pyridium- Ask if you're getting a cystoscopy with your hysto; they do them to make sure your bladder wasn't damaged during the procedure. This WILL cause pain during urination, and Azos will help.
Miralax- I am taking mine once a day to keep my bowels as strain-free as possible. Your doc will likely prescribe you colace- a stool softener, and miralax will help boost the effects.
Baby wipes/Tucks pads- Save your poor derriere some misery.
Anti-bacterial soap- for your pre and post op bathing.
Pre-Hysto prep:
Follow the instructions your doc gives you during your consult.
Add fiber and protein to your diet. Fiber will help clear your colon before surgery, and protein helps boost healing. I mostly ate salad made with spinach, celery, chicken, avocado and almonds.
This is important- if you take NSAIDs, Aspirin or any other blood thinning drugs, stop taking them at least three days before surgery. (Your doc will go over them beforehand.)
If you take any methamphetamine based/derived drugs, like Adderall, whether prescribed or recreational, stop taking them a week before surgery- it WILL react badly to anaesthesia.
Post Hysto:
When you come to, you will be sore, groggy and feel like you've been run over by a truck. The nurses will want you to urinate on your own, without assistance, before you're allowed to leave (If you're not being kept overnight- I was put under at 730, was sent home at 1250.)
Make sure you have someone giving you a ride home, and once you're home, get in bed and sleep.
You might feel great the first few hours after surgery. That's the general anaesthesia lingering in your system. Take advantage of the low pain and REST. Don't overdo it. (I went to winco for supplies, and I regret it. SO. Much. PAIN.)
Don't eat heavy meals/too much in one sitting the first week. Having a lot of food in your stomach can put weight on your surgery site, and cause you more pain. Lots of protein and fiber- the less straining, the better.
Do not be afraid if you don't have a bowel movement for more than 2 days- I didn't have one until three days after surgery, but thanks to a combination of my stool softeners, miralax and the fiber, there was no straining or pain!
I was also recommended Greek yogurt by my doc- it's high in protein, and the probiotics help the gut and help prevent yeast infections. I got a big tub of strawberry tillamook and have been eating out of it since I got home lol.
Popsicles! You're likely to be intubated during surgery, and popsicles will help ease your sore throat. I got some that were low sugar and made with yogurt.
Avoid carbonated drinks for the first few days- you'll have enough gas issues without adding to it. A few sips of ginger ale or sprite to ease post-anaesthesia nausea is good, though! (My surgeon gave me a scopolamine patch and I had no nausea at all.)
Set timers for your meds. This includes your painkillers, your stool softeners, and gas-x. Make notes of your dose and its effects.
Don't fight your fatigue. Tired? Sleep. You'll heal faster.
Don't be afraid to advocate for your medical needs. My doc only gave me 5mg of oxycodone and it simply wasn't enough to deal with the pain, so I requested more in order to double up, or a rx of tramadol. My pain is much more manageable now.
(Side note: I was given the green light to take THC gummies after surgery alongside my other meds!)
Walk. You need to get up and walk every few hours, be it to urinate, stretch your legs, etc- you don't want blood clots!
You will bleed after surgery- either from your urethra, or your new cuff (depending on what you keep/get removed, etc). I had everything but my ovaries removed, and I've been bleeding lightly since surgery.
And lastly- take it easy. Don't feel guilty about bed rest. You're about to have major surgery where organs are removed! Do not feel guilty about bed rest.
If you get a cystoscopy, you'll also have blood in your urine, and likely pass a few clots. Your doctor will tell you what to look for and when to contact them.
Don't. Lift. Shit. I lifted my walker and I hurt myself. If it's over ten pounds, get someone else to move it for you.
Find some books, podcasts, or a video game you can play in bed! Catch up on some art, binge some tv/movies, and let yourself heal.
Congrats on your hysto, it's a huge milestone, regardless of the reasons you're getting it!
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shining-latios · 1 year
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some pics of take your kids to work day before I go back to my real job tomorrow <3
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vvussyboy · 11 months
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Got a swollen face today, a little. I guess it’s an inflammation issue. But! Ravi is keeping me company, so that’s chill.
On to the gender shit: on the 25th (a couple days), I got an appointment with a doctor about 40 minutes away. It’s difficult for me financially to get anywhere right now, so I’m doing a phone appointment. I’m hoping that’s good enough to get a letter because I really don’t want to drive that far away. I know it’s not that bad - but when you’re broke and don’t want to rely on a rassgat, you kind’a gotta try this sort’a thing.
Anyway... The reason I’m going to this doctor is because I need two letters from an MD. I think I mentioned it before, but certain gender affirming care is easier to access (allegedly) with a letter from an MD or PhD. That’s what I was told by a therapist through GALAP (definitely check them out if you need letters for trans-related surgeries or hormones).
All that said, I’ll check back in soon with any news when I hear it! Believe in yourself and be strong, okay?
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boo-cool-robot · 1 year
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lol so I was under the impression that my therapist was fine with me pursuing biomedical transition, but when I asked her to write an insurance letter, she said that she wouldn’t until she was satisfied that I could either deal with the consequences of coming out to my parents or be emotionally independent of them because she’s seen people who regretted their surgeries. fully fucking evil. lmao.
anyway I guess I will go to a GALAP provider for a one or two-off session and simply lie
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kegbasher · 2 years
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13, 60, and 66 for either?
you said either but this is fun so i'll give you both lol
13. if they were a body of water, what would they be? nyx - a lake, seemingly still from the surface but you're not quite sure what's going on underneath ginny - a waterfall, born of the mountains and always causing a ruckus
60. who do they go to when they need to bounce ideas off of someone? nyx - she's more the type to try and figure things out for herself but nyx knows things are different when you're working with a team so if she needs help, she'll go to galap ginny - this is a cop out answer but i really think it depends on what type of ideas she's thinking through. pretty sure at this point she's asked all the rowdy bois for advice of some kind lol
66. outward passion or quiet rebellion? nyx - quiet rebellion (for now). nyx doesnt agree with a lot of the systems in place in the world but she knows the best way to get what she wants is to manipulate those systems to her advantage ginny - outward passion for sure. i don't think ginny does anything quietly
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satanfemme · 2 years
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About your phallo post, my understanding is that most drs who do gender confirming surgery follow WPATH standards which allows informed consent for top surgery but require 2 notes and a year of hrt for genital (and I think maybe facial?) procedures. Pretty much all doctors with a strong background in any type of gcs follows WPATH standards so even if you do manage to find someone who uses informed consent chances are they're not super experienced in phallo so your results would be pretty up in the air. The good news is that you can probably get at least one of your therapist notes for free in one session thru the Gender affirming letter access project (GALAP) but I'm not sure if there's a workaround for the hormone requirement :/ (I am not an expert but this is my understanding so take with a grain of salt :3)
ok yeah this makes sense but god it sucks so hard. fuck wpath standards, I hate wpath standards. all my friends hate wpath standards.
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