Outpatient Appointment

I woke up yesterday morning feeling relatively feisty, so I put all my clothes and stuff into bags, ready to go home to my own flat. Jara helped me carry the heavier bag. It was all good, but by the time I walked down the stairs, across the courtyard and up the stairs to my own flat, I was too tired to do anything. I didn’t leave my flat in the cleanest possible state, and fixing this is very slow going.
In the mid-afternoon, Dr Jane came around in her awesome little sports car to collect me for my first outpatient appointment. I was very grateful for the lift and the company. Given that it was a trek for me to cross my estate, I wasn’t quite ready for the tube and it’s much more pleasant to go with a friend than alone in a cab.
There was a lot of traffic in central london and the outpatient plastic dressings clinic is in a strange back corner of the hospital. I arrived 20 minutes after my appointment time and then probably walked for at least another 10 minutes, around the perimeter of the hospital, until I finally found a dark hallway that seemed to be right. The plastics dressings clinic, where I was headed, was next to Bereavement Services. It’s good that the hospital provides this service. It seemed to be a small, windowless room with 3 or 4 chairs around a low table. Kind of a depressing setup, but I guess that doesn’t actually matter.
I apologised for being late, but they were running behind anyway and so I waited for a bit and then went in to a very warm, windowless room. There was a fan blowing, but the nurse turned it off when it kept blowing the paper off the examining table I was trying to recline on. The walls were lined with little plastic bins that contained different kinds of bandages and things like that.
I took off my shirt and chest binder and the nurse started to peel off my bandages. She did the right side first, first taking off the plaster covering were the drain had been. She said it was dry and didn’t need to be rebandaged. Then she took off the plaster over my nipple. It had a bit of blood on it, but was fairly clean. I looked down at my chest.
Six days laterI had been warned that it would look weird at first, but man, it is weird. The process the surgeon used was to cut out my nipple, but keep it attached to the blood supply and nerves, and then remove the moob around it. So this left a hole, so she stretched the skin from the outside of the moob towards the middle. To visualise this, think of cutting a circular hole in a sheet. Then you want to close the hole, so you bunch all the fabric from the perimeter of it together and then put a button or something in the middle of that. That’s kind of what my chest looks like.
My right nippleThere’s an expanse of pale skin, that gets kind of wrinkly and ruffly, which surrounds my pink nipple, poking out from the middle. All the stitching and scabs, etc are only surrounding the nipple. The nurse said it looked perfect. Ok!
The she took off the bandages on the left. These were much more dirty and I averted my eyes for the rest of the process because I didn’t want to feel faint. She also, very happily, removed an electrode that was still stuck to my back, that I couldn’t reach. “You haven’t taken a bath for a week?” she asked. Um, no. I started thinking about who it would be least awkward to ask to come over to rub my back with washcloth.
She was concerned about the swelling, so she asked another nurse to come have a look. The other nurse was busy, so we had a longish wait where we made awkward small talk. She put a paper towel sort of thing over my chest, probably because I was obviously freaked out by the scabbiness. I took it off after a bit to get a better look. Meanwhile, I had kept my binder on nearly continuously since my op and the sensation of having it off was also kind of strange. It’s purpose is to reduce swelling, and while it was off, I could feel swelling tugging at my stitches. The nurse told me not to worry about it.
The other nurse finally came in and looked at a lump I have on my left side between my armpit and nipple. It’s somewhat larger than a golfball. She said it was a hematoma, which means a bunch of blood and other goo trapped under my skin. “We could aspirate it with a needle,” she said and then laughed at the look on my face, “but that would increase the risk of infection, so we’ll just see if it goes away on it’s own.” I m deeply in favour of that plan over the popping-like-a-water-balloon plan. She said the (now extensive) bruising was also normal and not to be worried about it.
My left nippleThen she got out a mirror and showed me my left nipple. “Do see you the shadowed part underneath?” On the bottom of my nipple, below the pokey bit, about 10-20% of my nipple has darkened. She explained that this indicates a blood shortage. The shadowed bit will probably die. It will dry out and then she and the nurses have a way of getting it off. And then, I guess, somebody will tattoo the pale skin around it and the world will be none the wiser.
They told me I could take showers again! Huzzah. I should moisturise the ruffly bits of my chest afterwards and when I change the bandages, which I should do everyday. They gave me some moisturiser to use and meant to give me a week’s worth of bandages, but accidentally only gave me enough for one side. I’m allowed to keep taking the same pain meds, despite the prescription ending. She told me to look out for signs of infection, which I have not absolutely committed to memory, because of my propensity to worry. If it doesn’t seem wrong, it’s not wrong. If does seem wrong, I should just call them. I’m to come back in a week.
I walked around to meet Dr. Jane by the café in front of the hospital. Jane came rushing over to meet me. Later she explained that I was shuffling like an old man and looking very pale. She suggested we sit for a bit and have a bite. “How are you doing?” she asked. “Part of my left nipple is dying, but it’s not a part I was really using.” I said.
We sat nicely for a bit and then went back to mine and hung out for a bit more. I took my last antibiotic, thank gods.
This morning, I had to go get my T levels tested at my GP office, which is a bit further than a kilometre away. I asked the guy drawing my blood if having an operation and the massive stew of drugs I’ve been on since my last T injection would skew the results. He didn’t think so, but wasn’t sure. I guess if it says the levels are too high, I can push for a re-test, since this new 0.8ml / 18 days is the best I’ve ever felt on T and I am not entirely keen to decrease.
On the walk back, I had to stop and sit about after every third of the trip. I was back to my old man shuffle, but trying to stand up as straight as possible. I’m so used to slouching that it’s very awkward looking when I try to stand up straight. But since I’m wrapped in a piece of elastic and recovering from surgery, I’m all awkward anyway, so might as well get used to it now.
When I got back, I was shattered and slept for a couple of hours. I probably should have taken a cab home or waited longer in the waiting room before walking back. Still, stronger ever day.

Home From Hospital

The doctors had said I was going to be out “mid-morning,” so when it got to be afternoon, I asked the nurse what was going on. She explained that there’s only one pharmacist working in the hospital on Sundays. The ward didn’t have my antibiotic on hand. They only kept supplies of one I’m allergic to.
She came around again later to remove my de-pressurised drain. The right one had been gently coaxed from my side by a different nurse. But this one she took out all in one quick motion. It was quite a bit more uncomfortable than the right side, but everything on the left has been more uncomfortable. I remarked on the speed at which she removed it and she claimed there was less pain overall if it was done quickly. She also, finally, removed the IV line, which had been painfully poking me for the last few days. I couldn’t move my arm much without the needle n it restabbing me. It was such a relief to come out.
She came back again with a bag full of pill boxes and a letter. The pill boxes were all my prescriptions for pain killers and everything I had been taking while in hospital. They even included boxes of paracetamol (aka: Tylenol or acetaminophen).
The letter explained what procedures had been done and who had done them. There were also appointment letters for two outpatient followup appointments.
I asked the nurse if I should watch out for anything. She said I was going to be back so soon for a followup, that I really didn’t need to worry about anything. But if there was discolouration, then that would be something to lookout for.
I had texted Paula that I was being freed and I knew she was on her way, so I got dressed and walked over towards the nurse’s station to stand around. I was thinking of going outside and sitting there, but wanted to tell them where I would be, so they could direct Paula. However, by the time I got to the nurse’s station, I was feeling more tired, so they pulled me up a chair and then suggested I could go to the day room. So I went down the hall there, where two other patients were half passed out, watching Wimbledon. I have to confess that I don’t understand the popularity of tennis. Or golf. After sitting there for several minutes, I realised that what I really wanted was a nap, but I thought they might have made up or given away my bed, so I stayed where I was while Paula and Jara navigated the weekend engineering work on the tube system.
We went downstairs to the cafe and I had a bite and then got a cab from Tooting back to Wapping. The bouncing of the cab was extremely uncomfortable, but as there was nothing to be done for it, I didn’t complain. We got back and I very slowly climbed the two flights of stairs to Paula’s flat. It was a relief to be out of hospital and finally able to walk around a do things. However, things like pitchers of water turned out to be unexpectedly heavy. As I was getting ready for bed, I put a glass down on an unstable surface and made a grab for it with my left arm to catch it before it fell. Something in armpit pulled uncomfortably. I went to bed.
In the morning I woke up and stumbled towards the bathroom. I looked down at my left hip and saw some bruising. Funny I didn’t notice that when I was still in hospital. I splashed some water on my face and then realised it hadn’t been there when I was in hospital. I took off my binder to look at it, and it was a line of purple bruising from up in my armpit where the drain had been, all the way down to my hip.
I got the letter the hospital had given me and called the number on it and got the main hospital switchboard. I asked to speak to my surgeon and they put me through to her fax machine. Paula suggested that I call NHS direct, which is an advice nurse service run for the whole of the UK. The friendly nurse on that line suggested that I draw a line around the bruise and if it got worse, I should see a practice nurse or ring the hospital. Paula obligingly drew a line around it.
After a few hours, I asked if it was worse and she wasn’t sure. Some parts might have been darker, but there didn’t seem to be anything new. I took a nap. At dinner, I asked again if it was worse. Paula gasped, so I rung the hospital and asked to be connected with the ward in which I had spent the most time. The person who answered the phone told me I should go to a walk-in clinic, or if that was closed, I should go to an A&E (Accident and Emergency, aka the ER).
I hadn’t eaten in several hours, so I picked at my dinner for several minutes, trying not to panic and then we called a cab to go up to the Royal London Hospital, which is very close by. The receptionist there said the wait might be four hours long. The waiting room was packed and there was a chair shortage. I sat on the floor for a bit. They called me after only an hour wait.
The triage nurse phoned their plastic surgery department and asked what to do. The doctor advised that they give me a blood test to make sure I wasn’t haemorrhaging. When I had been in hospital, they had been giving me shots of blood thinner every night and I mentioned this to the nurse. He nodded and led me to a cubicle. Another nurse came to take my blood. He had to get something and while he was up, I saw a drunk man start hurling abuse at the triage nurse until security threw him out. Then another man started screaming at the guy who was to draw my blood, telling him to open a locked door. The nurse asked what was going on. The screaming man’s nephew had just died and he was distraught. Somebody else came along to talk to him, but the nurse was shaken to have been screamed at and needed a few moments to calm down. I suddenly realised why so many TV shows are set in hospitals.
He finally came to draw my blood and then went away for a while. He came back several minutes later and said the blood test had gone wrong because my blood had been mishandled and he needed more. I decided not to complain because there was already enough drama going on without my contributing. Fortunately, the second time was adequate.
After several more minutes a doctor came around and asked me a few more questions and said my haemoglobin numbers were good. He told me to call the plastic surgery department in Tooting in the morning and said the amount of bruising I had was not exceptional for an operation.
I started putting on my shirt and he threw open the curtain before I had gotten the first button fastened. I was momentarily exposed and ashamed and then I remembered that it doesn’t matter anymore. My bare chest is not a site of privacy.
We got back at maybe 12:30 AM. I took painkillers and went to bed. When I woke up this morning, the purple bruises were the same as last night, but I now have yellow bruises spread over a lot of the left side of my chest and into my upper arm. I called St George’s in Tooting and explained to the plastic surgery department what had happened. The man on the phone sent me to somebody’s voicemail. I left a message but haven’t had a call back. My outpatient appointment is tomorrow, so if it can wait, I would much rather let it wait. The cab ride is long and expensive.
As it has from the start, my left side hurts more than my right and the drain site hurts the same as when it had a drain in it. It I extend my arm too straight, I feel a pulling around where the drain was inside. I wish I had made more expansive gestures with my left while I still had the drain embedded, but the IV line poking me discouraged this quite a lot. Alas, for my having been a wimp.
In all the story so far, nobody ever asked me for ID, nor for money. The receptionist at the A&E just wanted my name and address, but didn’t ask for any verification. The registration took less than 5 minutes. When they told me I could go, both times, I just walked out the door. This sort of non-capitalist efficiency used to be shocking to me, but I managed to get used to it very quickly. If your country doesn’t have a system like this, it could.

Top Surgery Part 3

When I got out to the ward, I felt good enough to start blogging and high enough from opiates to think it was a good idea – and to make loud declarations about my genitals when offered a bottle to pee into. This is probably part of why they wanted me to stay in bed rather than try to walk.
My surgeon came by, and was concerned about my left drain. She thought it might need to be flushed out in the morning, which would be a second operation under full anesthetic. She asked that I get no food after midnight.
Paula stayed with me a while and then visitng hours were over. It was a dramatic night. One old man kept wanting to know where his wife was. A young guy woke up screaming and ripped out his IV line. Then morning came. My left side still seemed swollen to me, but when the surgeon came by, she said it was ok. I felt very relieved.
she told me to try walking around some and to move more like i would at home. She also told me that they’d been forced to take out my ear piercing and it had been lost. It was a ring through my upper cartilage, which was alright, but it did get in the way a bit when i wanted to wear headphones for more than an hour. Apparently, it’s a very big deal when a piece of jewlry gets lost. I’m not overly bothered by this, but the principle is important, she said.
I would need to spend another day in hospital to have my drains observed.
The drugs given to me by the anesthesiologist were all wearing off and i began to feel ill. Paula came to visit and coaxed me into eating a bit. In a sharp contrast to my other nurses, the one i had then was not sympathetic. Paula eventually interceeded and i got a shot of something that was supposed to make me feel better. It took the edge off, but didn’t really help. Around midnight, i rung my buzzer to tell the night nurse that I thought I was going to be sick, but I ended up demonstrating the verb rather than saying it. I didn’t keep anything i had swallowed that day.
A doctor came around to talk to me. I told him I had tossed my cookies. He looked bemused. I said, “is that something you can say in Britain?” He said he got my meaning and then he poked at my stomach and prescribed some drugs for constipation, as apparently the food I ate just had nowhere to go. The nurse came around later with two gigantic syringes. I was alarmed, but she noted the IV thing is still in my arm. So the contents of the two huge syrninges went into there. Then she gave me pills and a sweet liquid. She told me to drink a lot of water with the liquid. I actually felt thirsty, which was a change.
In the morning, I felt dizzy and weak and could barely sit up. But as my stomach settled and I ate things, I gradually felt more alive.
A doctor came by to examine my wounds and said that my right drain should be removed. A nurse came around later and depressurised the drain container, which apparently has some suction on it. Then she used a bunch of pointy tools to pull the hose out of my chest. It was kind of uncomfortable, but didn’t hurt overly and afterwards, it was a nice relief.
Because the left drain was still in, they would keep me for another night. But the ward was getting ready to close for the weekend, so they got a push chair to move me upstairs. I was greatful not to have to walk as I still felt kind of dizzy.
The ward that they moved me to seemed to be full of people suffering from weekend-related accidents. Directly opposite me was a very unhappy man with his arm in a sling, being gaurded by two bobbies. The cops were on the phone, trying to figure out who had arrested him. Other people had broken arms, dog bites, etc. When Paula came to visit, she said it seemed more peaceful than the previous ward, but she missed the arrested guy angrily explaining about how he was the victim and was intending to sue the police.
“Are you alright?” Paula wanted to know, “Jara says you haven’t been on facebook for hours!”
As of this very morning, they say they’re going to let me out. A doctor has come to tell me my prescriptions and my remaining drain has been depressurised. I feel good enough that I think I could go straight home, but am relieved that I don’t have to.
I’ve gotten top quality care here and at no charge. The NHS is fabulous. Socialised healthcare is awesome.

Top Surgery Part 2

Somebody was moving my shoulders. “I’m sorry, I think I fell asleep.” I said and opened my eyes. I was in the recovery room and still quite groggy. I was shivering or started to shiver and then got a warm air blower and put the pipe of it under my blanket. It seemed to work instantly.
it seemed like a flurry of activity around me, but it’s also possible that i slept between spread out things. Also i had a blood pressure cuff that did measurements every 5 minutes. I can’t remember many details, but the nurses were very good.
The room haf 9 gurney bays and there was one nurse for every 3 gurneys plus 1 or 2 extras to spell them on breaks or help for 2 person jobs. My nurse was named Helen. When she got her tea break a nurse named Joan filled in. They were both brilliant. Capable and caring. They were lovely.
Not long after I became alert, my left drain started filling quickly, such that it was nearly half a litre of blood. They asked what to do and were told to sit me more upright. That worked.
they gave me morphine in a drip, but not enough to make me loopy. Then they gave me some water. Then tea! Such lovely tea. It soothed my sore throat, and was one of the most satisfying cups of tea ever. Then a sandwich. Then a pain pill.
I looked down at my bandaged chest and was filled with a profound sense of relief. I was fine. I made it. It worked! It was amazing. Somethingthat for years I was afraid to even want and it was done and I was ok.
However, because of the drain issue, They thought they might need to send me back to the theatre, so I was in the recovery room for a long time, so I chatted w Helen and had more tea. Eventually, a surgeon that I didn’t recognise said it would be fine and i got sent to a ward.
A gurney pusher and two nurses, one of them a student at Kings College, came to move me. They asked an elevator full of people to clear out for me. “Sorry,” i said to a woman who got off. “You must be very important,” she joked. “Everywhere I go, the paparazi!” I said. The gurney didn’t take up the whole elevator, so the nurses were telling people to squeeze in. “Come on, get in there. Ok, now climb on top!” “He’s a bit too young for me” the woman said.
We got to the ward and Paula was there.

Top surgery part 1

I woke up before 5 this morning, took what i knew would be my last shower for a while, gave myself a T shot, packed my bags and got on the tube. My appointment letter was for 7 but I arrived almost 20 minutes early and waited for the surgical admissions lounge to open. That was the same place I had gone for my previous appointment, at which they had collected vital signs and data. A sign by the door said they open at 7, but it closer to 10 minutes after that.
The head nurse gave a speech about the admissions process. He then called us by name one at a time and asked us if we wanted to give them a phone number for a visitor. I gave them Paula’s number and later they called her and told her what ward i was in.
at the same time, other nurses were calling people one at a time and taking temperature, blood pressure, weight and allergy information. Shortly after I talked to the nurse, I got called by the anesthesiologist who explained a bit about the drugs she would give me to kill pain, knock me out, keep me from feeling ill, etc. She (or the nurse before, i can’t remember now) game me two red id badges- one for each arm. They’re red to indicate that i have allergies. Which are to two different antiobiotics. She told me they do my op around 10.
i went to wait again and then the surgeon called me in. She drew on my chest in permanent marker. “You’re quite wonky, aren’t you?” She said. Apparently my spine is curved which she said was the reason my moobs were very assymetric. I felt guilty about my bad posture and tried to blame playing sousaphone in school, but she said it was likely genetic. I told her that a piercer had said i had weird nipples and she sympathised with the piercer! The lack of social skills made me more confident in her surgical skills.
She explained how the op would work: they cut away tissue around my nipples, while keeping the nerves and blood vessels attached to them. Then the would sew that to what was left. She explained that an insufficient blood suplly could cause a nipple to fall off, but told me should build a very comvincing new one and tattoo on an areola and it would like fine, so i shouldn’t worry. Sensataion in my nipples will be decreased. Then, she went through a consent form and asked me to sign it.
i went back out to the lounge and checked my email and then started to read a book. They called me up again and said it was time to get changed. I was extremely nervous. I took off all of my clothes and put on a hospital gown, a bathrobe, anti-bloodclot socks and foam slippers. The the nurse took me downstairs to another nurse who double checked everything. Yet another nurse took me to the anesthesiologist’s room. In it was a gurney, which i lied down on. They put electrodes on me and a needle into my hand. There was a large numbers of ampoukes laid out.
The doctor chatted about her honeymoon in california as the she gave me a shot of pain killer and the nurse gave me an oxygen mask. Then the doctore hooked up a huge vial of milky white stuff she said would know me out. She warned me it would sting.
“so this is the last ting i’m going to remember.” I said and then verified that it does sting. I thought about how it was very odd to have an experience knowing it was going to be erased. I could already be past the point of where i would forget, but right now it was all real and i felt very present. I don’t know what I felt after that.

My Fantastic Weekend

I awoke Saturday morning to a text message in which Paula, my closest friend here and neighbour, said that her cat had drowned in the local pond. Indy was sweet and lovely and has spent many evenings curled up in my lap purring, or lolling about hoping for a belly rub. Oh no! I said I would walk my dog and head right over.
Paula's catsMy normal dog walking route goes right past the pond where the cat had died, and I was looking at it sadly, thinking of Indy when, with some distress, I noticed that Indy’s body was still in the pond.
I went around to get a closer look, in case there had been confusion, hoping it was some other cat. I couldn’t see his most distinctive marking, but I was convinced it was him.
Cat and Christmas Tree 1I went around to Paula’s and we tried to figure out who to ring to remove poor Indy from the pond. The RSPCA is only involved with living animals. I found the non-emergency number for the police and called them, apologising for ringing the wrong number, but explaining that I thought the cat’s body constituted a public health hazard. The police woman was annoyed at first, but then sympathetic and gave me the number for animal control and the department of environmental health, both of whom were closed until Monday.
Desperate for distraction, I shaved Paula’s head. However, Jara, Paula’s flatmate, was distraught about the thought of the poor cat bobbing in the pond until Monday, so we went back with a long pole, hoping to get him. And we tried a longer pole. And we tried tying two poles together, which succeeded in reaching him, despite being incredibly heavy, but not in bringing him closer to the edge. It started to rain.
LilypadsSome of the neighbours came by and said their porter could get him out on Monday. Somebody else suggested that we just wade out and get him. I went and got my toe shoes and some latex gloves, rolled up my trouser legs and jumped down into the steep-walled pond.
It was choked with algae, which wrapped around my legs. The bottom was squishy and weird. I waded over to where poor indy was, and pulled him from the algae and walked back to the side with his stiff body. I could see his markings then, and it was definitely him. I put him into a sack and then noticed that my gloves had somehow gotten torn.
Jara pulled me up the very steep sides of the pond. I went home and took a long shower and then tried to reach my girlfriend, but couldn’t.
Instead, I went to check my email and found a conversation on an email list that had been annoying me. The thread had grown. One guy organises a lot of events around here and makes a serious and thoughtful effort to be open and inclusive and does a lot of good things for the community. However, he was going on about innate and immutable gender differences, which rubbed me the wrong way and seemed quite othering. It contained a slur, clearly used without recognising it as such. Instead of explaining why I found this troubling, I flounced from the list.
Then I went to sleep and dreamt of Indy and being hit in the head by fourbytwos (known to Americans as 2x4s).
Hal and PaulaThis morning, Sunday, I put on a shirt that my gf gave me, as I thought I would see her in the evening. But first, I went with Paula and Jara and Paula’s friend to the anti-EDL march. The EDL is a fascist organisation, which had been planning on holding an anti-muslim march in the same area, targeting the East London Mosque, which is very near where I live. The EDL had chickened out at the last second, so the rally and march were peaceful and fun. I met a lovely anarc named Hal, who works at the Freedom bookshop. We all went with Joey and another woman to get a fry up afterwards. Hal may come to Wotever next Tuesday. It was all really good, although there were signs that unrest might be brewing among some other people who had been involved with the demo.
Incidentally, while we are at the pre-march rally, my phone rang and it was a friend asking if I wanted to come along to something. This is significant, because it was the first time that anybody that I’ve met in London (but not dated) has called me with impromptu plans. I’ve lived here for two years. I couldn’t go, because I was already at the rally, but it was very nice to be invited.
I went home and checked my email again and found out that I had very deeply offended the guy to whom I had posted my flouncing and that he had said some unkind things in return. I was distressed to find burned bridges, as this guy has gotten me gigs and getting involved in a row on a public email list connected to my section of the local arts scene is really not wise, especially as I’ll be looking for a job soon. Somebody said the whole group may have imploded in the aftermath, but I really hope this is not the case.
[EDIT: Um, I seem to have gotten this guy confused with somebody else, which is also embarrassing. He hasn’t gotten me gigs, but he is active. (25 June)]
Indy Feeling dejected, I tried again to reach my girlfriend, who said that we neeeded to talk. Uhoh.
The last time I had seen her, she had come with me to my pre-op appointment, where nurses took my blood pressure (good), calculated my BMI (low) and asked me questions like am I a vegetarian (yes) and do I have a will? (I do now.) I found that last question to be rather alarming.
She came along to ask questions about aftercare and to encourage scheduling that would coincide with when she had time off and would be in the area. My operation will by 1 July.
Then she went to a conference in Bristol and I hadn’t seen her since and was starting to get the impression that she was avoiding me. ‘Needing to talk’ was not allying my fears and I didn’t think I had the stamina to bike across town for whatever serious conversation she wanted to have.
And that’s how I came to be dumped via chat.
There was no fight, she just decided she didn’t want to be my girlfriend anymore. Five months of that was enough, I guess. It seems rude to go into details, so I won’t, but she had been idly chatting about moving in together a couple of weeks earlier, so I don’t know.
I decided to check my email again and found out that my proposal to play at the SuperCollider symposium had been rejected.
So to summarise: thigh deep in nasty, urban pond water, holding the corpse of a beloved cat in my bare hands, followed by flouncing, followed by getting dumped over chat followed by yet another professional rejection, of which I’ve had a streak for years, now, I think.
HaircutAt least the march was good and I seem to have some social stability. Which I’ll need because I won’t be staying with my exgf after my operation, obviously, but it will be a couple of weeks before I can carry anything and I’m not sure how much I should be left alone in the day or two after. I’ll be staying with Paula, which is super, but I don’t feel like it’s fair to ask her for everything, even if I cut her hair in return.

Boycotting

I can see from my facebook newsfeed that a lot of my USian friends are boycotting BP. BP ignored a lot of safety stuff, had a history of infractions and there’s been a huge disaster as a result. This kind of reminds me of the previous, then-largest spill in US history, when the Exxon Valdez crashed in Alaska. They also failed to follow safety regulations or best practices. Their filed statement about what to do in case of spill was similarly bogus (it assumed that all spills would take place in perfect weather on the summer solstice). Angry consumers also wanted to launch a boycott.
It turns out that it’s really hard to boycott oil from any particular refinery or source. Oil is fungible and the gas station closest to your house might have a particular brand on it, but they’re probably selling oil from many different refineries, including competitors. If nobody wants to buy BP gas at the BP station, the price of that gas will fall and Shell will buy it and start selling it from their own stations. You can hurt BP’s retail brand, but you can’t touch their refineries and wells unless you cut your overall gas consumption.
I’m not going to talk about car travel, because that’s too obvious. But we heat our houses with natural gas or diesel fuel, which is also a petroleum product. We heat our water with natural gas. Taking shorter or cooler showers is a way to stop throwing so much money at BP.
Also, we can be secondary consumers of petroleum. If I buy produce that’s flown on an airplane, I’m paying for the jet fuel that brought it to me. So to keep money form BP, I could try to buy more locally grown produce. I could try to get local stuff in general, or just buy less stuff, and thus give less money to BP.
Plastic is a petroleum product. Reusable shopping bags and reusable water bottles will keep money from BP.
A lot of electricity is generated from natural gas (including some which comes from plants that are supposed to be solar. They make up for cloudy days with gas), so turning stuff of at night, etc keep money from BP.
Now, obviously, because oil is fungible, these same steps keep money from other oil companies too. But, really, every oil company is up to no good someplace in the world. Shell is not currently causing problems in the US, but they’re doing all kind of bad things in Africa. Exxon (now branded Valero) hasn’t spilled anything in the US recently, but the Alaskan coast still hasn’t recovered – and neither have the workers who tried to clean up the spill without being provided proper safety equipment. Basically, there’s no such thing as a good oil company. And BP is the one that’s currently causing problems in the US, but every oil company is causing problems for somebody somewhere. Oil is dirty and toxic and often under places of great natural beauty or places where people inconveniently live (but can be removed from with armed violence). Countries that we might not want to be best buddies with sell us a lot of oil. And burning it causes stronger hurricanes and will eventually melt the world’s coral reefs.
So boycotting BP is a good start, but if we want to get serious about this and ensure real change that prevents stuff like this from happening in the future, we need to think bigger. Many countries require relief wells to be drilled at the same time as regular wells. Congress could pass a law requiring that if we ask them to. They could legislate that best practices be followed. And the US uses more petroleum per person than any other country – totalling a quarter of the world’s oil. That makes us vulnerable to spills and foreign powers. BP is just a tiny piece of a much larger problem that spans an entire industry and the way our lives are organised. If we want to fight them, we need to stop requiring so much of what they sell.

Hey, the State Department Changed Their Rules

It’s now way easier for USian transgender people to get their passport corrected. The new rules are published. From now, people need only be receiving an appropriate course of treatment and do not need surgery. This is established by a doctor’s letter. And the ever-helpful National Center for Transgender Equality has a sample letter available. Only certain types of doctors can write the letter. They haven’t yet stated what they will want from foreign doctors, but I’m going to call on Monday to ask. I imagine that in the UK, it should be fairly straightforward.

Why this is good news

There are a bunch of obvious reasons why this rule change is good. People can have an identity document that matches their presentation, thus making border crossings a lot easier. People in the US who do not have the thousands of dollars it takes for surgery can now get a passport. People who, for health reasons, cannot have surgery can get a correct passport. Trans people will no longer be subject to mandatory sterilisation in order to qualify for a correct passport.
FTMs could sometimes get away with just having top surgery to meet vaguely worded rules, but after Thomas Beattie (the pregnant man), some officials were more aware that some FTMs had male ID but were still fertile, and sought to stamp that out. Also, MTF surgery is widely understood to include sterilisation.
There are a lot of trans people who do not want to stay fertile, and they shouldn’t have to. But there’s a reason that phrases like “mandated sterilisation” make one shift uncomfortably. It’s a human rights violation. Trans people should have the same rights to become parents that cis people have. Cis people are not forced legally to decide whether they can have appropriate identity documents or can produce offspring. Now, at least for passports, trans people are no longer forced to make that choice either.

Postgrad life

The Loop

Wake up late. Check email. Check facebook. Check blogs. Ponder doing work. Do something work-like (read a book on the topic or write a related blog post or make sure software platform is current or work on code library or design drum sounds or . . .), Realise it’s time to go to whatever. Feel guilty due to lack of work accomplished. Decide to show up late. Then decide it’s too late and don’t go OR show up fantatically late. Feel guilty the whole time out. Pick up laptop upon return home. Just have a little peek at the internet. Realise it’s getting light out. Go to bed late . . ..

How It’s going to be

I have about 9 months to go, which is certainly enought time. I am going to go to bed by 2. I am going to get up by 10. I will limit facebook + blogs together to no more than one hour per day. I will not start typing on my tutorial until I have done 2 hours of composing. Every thing I start programming needs to get into a piece. I will go out 3 or 4 nights a week, because I cannot be a shut-in. I will slack at least one day per week but not more than 2. Slack day means 4+ sunlight hours not looking at a computer.
I will write 10 minutes of music per month. I will finish by May.
I’m writing this on the bus, so it’s not ironic!
Changing my sex has been somewhat distracting, but I have to get on with it.

The vast emptiness of a blank page

I fire up my music software of choice, SuperCollider, and I open a new document and there’s nothing in it. It’s just a glowing rectangle of empty white, waiting for me to start typing.
Composing for SuperCollider is not like composing for a piano. First, you have to build the piano.
And you know, building a piano is hard. Maybe I don’t even want that sound. Maybe something else? Maybe anything I can think of? What should I type into that white void?
In my past, I’ve found that I actually have trouble talking about musical ideas. I mean, they’re slippery to talk about, obviously, but, I couldn’t seem to talk about them at all. People would ask me about music and I would start talking about technology. What’s my new musical idea? Well, I’ve got this P5 Glove, which I think I could use for gestural input. No, what’s my musical idea? Ah well, I have an algorithm that can compute scales based on spectra and I’m thinking of modifying it to be able to take amplitude modulation parameters like frequency, offset, amplitude and wave shape (including sine, triangle and square) or an array of partials for each wave form and thus generate scale steps that way. No but what’s my latest musical idea?
Ok, five years after discovering this disconnect, I think I can actually have musical ideas. Maybe. At least, the possibility is in my radar.
But, you know, if I’m thinking about technology, then at least it’s going to possibly suggest something musical, arising from the material possibilities it presents. And I think that might be a lot easier than staring into the hopeless void of a blank page. I think this might be why an analog synth is both easier and more fun. It’s not just the knobs, it’s the inherent limitations.
. . . Anyway, I’ve got this formula, and I think I found the formula for the spectrum of AM (and RM) and I really like the first few bars of Four Walls Act 2 Scene 4 by John Cage, so maybe a percussive attack on RM triangle waves and then I could modify the offset over time towards AM and also slide my scale mapping to reflect that . . .