I have been on testosterone for sixteen days now. Trust me, I’m counting. The process to getting it was much harder than it honestly should have been. My therapist Dr.St.Hillier and I had been seeing each other for 4 1/2 months before I ever even had an appointment to see and endocrinologist. In most cases you would think it was my therapist who was holding me back from getting an appointment, but she actually was the one to ask me at a month and a half why I wasn’t already on testosterone to which I replied,” You haven’t given me a referral letter yet.”
She had apparently had a ‘dingbat moment.’ She completely forgot that she was my first therapist and we had yet to set any kind of appointment with an endo. She made sure to correct her lapse in memory and sent a referral email to an endo she went to for her diabetes that had agreed to accept transgender patients she sent. I was really excited and left the session breathless. In my mind I’d be in the doctors office in just a couple of weeks, but then real life happened.
I made the call to North Florida Regional Thyroid Center. When I informed them of why I was calling and that my therapist had sent a letter to the preferred doctor, I was shut down. In fact imagine a small girl scout smiling up at you all excited to sell you girlscout cookies and you just slammed the door in her smiling face. I was that little girl scout. I was informed an emailed referral letter was unacceptable and that my therapist did not get to choose who I saw as the clinic belonged to the head doctor and she got to decide if she had time for me. Also if I wanted to have an appointment, my therapist would have to fax in an official letter, because that’s more legitimate than an email, and the doctor had to decide if it was worthwhile to take me on as a client. The receptionist, there is only one who is allowed to schedule appointments for two doctors, then proceeded to try to scare me away with cost.
I have a very specific insurance, anthem blue cross blue shield, which apparently covers quite a few things when it comes to trans related healthcare. I had read up on all of this before attempting to make an appointment. However when brought up by the receptionist I was informed that they would cover nothing. I’ll admit I panicked because money is a major factor unfortunately, but I told her that I wanted to go ahead and schedule an appointment. I would figure out the cost later.
I’m in another session with my therapist and she’s asking me when my appointment is to which I reply,” I don’t know.” I had been informed the doctor had to think over whether or not she would take me on and I would get a phone call when she made a decision. Dr. St. Hillier advised that I should call them and just check why it was taking so long, politely of course. So I do. Guess what they told me. Dr.St.Hillier never sent in the letter. Here is the one problem with that. She designed her entire letter, header and all, during one of my sessions so I could have an input on what the letter said and what my official diagnosis would be. I even watched her fax in the letter. I called Dr. St. Hillier and told her the issue.
Two weeks later during my appointment with Dr.St.Hillier, we discussed my not upcoming appointment with the endo. I reiterated what I was told, that she hadn’t faxed in the letter, and she told me that the receptionist had informed her I had declined treatment due to the cost. I was livid and luckily Dr.St.Hillier saw my irritation. She dialed the office on the spot and got in contact with the receptionist. She informed her I was attempting to schedule an appointment and that I had not declined treatment. She then asked if they had received her referral letter to which they responded, ” Yes ma’am. We have it on file whenever she is ready.”
Keep in mind Dr.St.Hillier is doing all of this over speaker phone so I can hear everything. She tells them I’m waiting for their call today so if they would be kind enough to go ahead and call me to set an appointment that would be great. Well we continued on with the rest of our session just chatting away. Our sessions tend to dissolve into just casual chatter which I greatly enjoy. Close to fifteen minutes before the end of our session, we called them one more time. We got through to the answering machine. Dr.St.Hillier left a message letting them know that I was still waiting for a call. Not ten minutes after I left her office I got a call from the receptionist. She’s calling to set an appointment with me and Dr.St.Hillier had blown up her phone. Doctors you know? Read as the most exaggerated rolling of eyes a human can do without exploding eyeballs. And would I kindly inform Dr.St.Hillier that she had set an appointment with me?
I’ll admit I was very excited. I was also filled with this sense of justice that things had finally fallen into place and I could really begin my journey of changes. I thought this was the worst thing I would experience. I mean I was in, how much worse could it be? I had been run around for two and a half months and scheduled with the wrong doctor, but I was in and Dr.St.Hillier had assured me the doctor I was seeing would be very sweet and treat me well.
Well I finally get to go in for my appointment and the staff are all very nice and deal surprisingly well with my chatty self. No really I’ll talk your ear off. It’ll just leap off your head and run for silence. I waited about 45 minutes during which I waited in a main room, then had my vitals checked and measured and weighed, and then waited some more in a smaller waiting room, and then waited even more in the room the doctor would see me in. When I finally saw the doctor she was straight forward,” So you want hormone therapy for gender transition?”
I nodded and was suddenly struck with muteness, which is my luck. I had just finished chatting her nurse to death. She then asked me how long. Like that’s not vague enough, I apparently answered incorrectly and she asked me how did I know I wanted to transition. I hate this question. I had been lucky enough to avoid it to this point. I mean how do you really answer that? I want a penis that’s how I know. I should have just told her that I had all of these thoughts as a kid and always hated my body, and hated all things girly. She may have been more accepting. She then began to comment on my health. I am overweight. I know this, she knows this, anyone who sees me knows this. I tell her I’m on a diet and I’m trying to lose weight, but I’ve just started. She just nods and asks if I have any health problems. The surprising answer to this is no not really. I had my gallbladder out not to long ago but everything else is fine. She couldn’t accept it and kept pushing. “No, really, is there anything? It’s ok you don’t have to hide anything.” I informed her that I really am fairly healthy. Apparently my blood pressure is a little high, not bad but not really good either. So am I sure that I’m in good health? Do I think I can keep up with someone my own age? I’m not sure how I should have answered that because honestly how do you measure that? Who do I compare myself to to give an equivalent answer? I just looked at her like she was stupid and said, ” Uh, yeah.”
This is where my movie went from a moody drama to the worst kind of horror movie. “We prefer to give hormones to people who have lived the lifestyle a little longer and you look very, um, androgynous. You aren’t really wearing very masculine clothing.”
I may have gotten offended and said,” Look I’m tall and fat and men’s clothing wasn’t really designed to cover hips and breast much less hide it. The only way I’m going to look like a man is through testosterone and surgery.”
I’m fairly certain she wasn’t expecting that outburst. She just said, “Well then. We need to do an exam.” She had me sit on the examination table so she could check my “health”, because really a person as fat as me can’t be healthy. She tries to listen to be breathing but can’t get under my binder. I offered to removed it thinking she’d at least turn around while I took it off, but she watched the whole time. I put my shirt back on after and I follow her orders of breathe in, now breath out. Apparently my lungs sound surprisingly good for someone of my “shape.” Finally we have to do a breast exam. Just in case I had breast cancer. I was actually cool with that. I do regular exams and I think being aware of my health needs is only smart. I lay down thinking she’s going to do the exam beneath my shirt. She lifts my shirt under my chin and performs the breast exam. There are many things wrong with this situation. One as a trans patient I have body dysphoria and my breast are a bit of an issue for me, two I was a victim of rape and definitely dislike having parts of me exposed or touched without prior consent, and third it was the most unprofessional thing a doctor could ever do. She literally dismissed my comfort and consent. I left feeling violated and uncomfortable but with paperwork to get my labs done.
I did get my hormones two weeks later. The office tells me that, surprise, my insurance covered everything. They even covered the actual hormones much to my surprise. The doctor made an ass of herself in front of her intern, and I only have to see her once every so often and I will tell everyone possible to not go to her. But as alway we must look on the bright side of things and for me that is that I am sixteen days on hormones and well on my way.