For those of you keeping track (no one, I hope…that’d be creepy) today is day +99 since I was initiated on hormone therapy. So, what would be the best way to celebrate such an arbitrary occasion? How about taking a day off work and going to a bunch of doctors appointments. Clearly, I’m a girl who KNOWS how to have fun.
First up was my very first appointment with a brand new primary care doctor. I haven’t had a primary care doc in nearly five years, because I have tendency to fire them for any number of things. The most common reason has been an obnoxious obsession with my weight, but others have been fired for giving me transphobic nonsense, or not being willing to work around some of the anxiety triggers I have. But my therapist has been pushing me to be a little better about taking care of general health type things, and did the leg work of tracking me down a trans-friendly family medicine specialist. So, I figured the least I could do was give her a chance. Since I use an academic hospital for most of my medical care, I pretty much always have to endure the physical and verbal prodding of a medical student and/or a resident. I endure with a smile because I recognize that I represent a good learning opportunity for these soon-to-be doctors. Today was no different, and I had my initial exam and history done by a very friendly young female student. While I can often tell when I’m someone’s first transgender patient, this young woman went about our time together as if it were absolutely nothing she hadn’t done a hundred times. I’m very grateful for it, as I was already fairly nervous about the whole encounter. She was honest about the skills she was still practicing, apologized for her cold hands, and engaged me in actual human conversation. All in all, I was fairly impressed and encouraged. After this, I got finally meet my new doctor, and I was also pleasantly surprised. She was supportive and encouraging, and had none of the fat-hating overtones that I had grown accustomed to with other doctors. She even took the time to ask me about my triggers AND note them in my chart. It feels so good to have a doctor who is on my side, and is actively interested in working with me, instead of just treating me like another patient to hurry out the door. Anyway, I got a clean bill of a health (other than the couple of known little problems), and a big pile of blood tests run to make sure there’s nothing weird hiding and to check my hormone levels, plus my responsible adult STI screening. It will be really nice to have a general doctor I can rely on when general health issues come up, and not have to risk an urgent care or something similar unless it’s serious.
Next up on my agenda was a trip to my endocrinologist for my first HRT check-up. Once again, I had the pleasure of chatting with a young medical student. This one was a little more nervous talking to me, and she rambled during the history to cover her nerves. I felt a little bad for her. She lost her head for a second when her notes got the reproductive systems review portion, and she asked when my last period was, then panicked and blurted out “Oh wait, you don’t have a uterus, right?” Still not the most awkward encounter I’ve had with a med student, but still kind of silly. In the end, hopefully she learned something, and will be better able to handle her next transgender patient. Anyway, after my chat with nervous med student, my doc came in to do our quick check of progress and side effects from my current HRT regimen. I really enjoy talking to my endocrinologist. He’s been working with transgender patients for twenty years, and he seems so genuinely excited and happy to be a part of our transition. Anyway, I had my moved up my Estrace to 4 mg for 2 months, and then to 6 mg after that. But I don’t have to come back for 4 months, which is wonderful to hear given how busy my life is going to get here shortly. My estrogen levels are at 93, which is fairly good for a 2 mg dose. Testosterone is now well below normal male range, but still higher than is preferred at 1.1. But the increased Estrace dose should help push the T down even more, and the hope is that I’ll be essentially hormonally indistinguishable from a genetic female.
All in all, not a terrible day for having to spend a lot of it at medical appointments. It would have been nice to have gotten my eye appointment done today too, but alas, I couldn’t get in, so that’ll have to wait a week. I’m pretty excited about that one…I haven’t had an eye exam in about 5 years, so i’m sure my script has changed, and my new vision coverage has a pretty nice frames allowance. Hopefully I’ll be able to get some cute new glasses!