I got a prescription

I woke up at an ungodly early hour to phone the doctor’s office to ask for an appointment. And they had one, to which I arrived about 5 minutes late. Mornings are not a good time of day for me. I felt sheepish for being late and also pissed off from the day before. But if the desk clerk recognized me, she gave no indication of it. It’s amazing something could give me so much angst, but be not even worthy of recognition the next day.
The doctor started everything off by asking me about a note on my gender in my file. So I guess the clerk the day before had tried to be accommodating or whatever. The hardest part about culture shock is that things can really seem like fights or conflicts when they’re not.
And it quickly became apparent that I actually am the only ftm going there. The doctor was looking through the NHS prescription database and a little book trying to figure out what prescription to give me. I kind of want my doctors to know more than I do about this stuff, not less.
In the end, she gave me a prescription that I’m going to double check, since she wasn’t certain it was equivalent. It’s a private prescription. The UK has a really bullshit system where some things are private and some are public. So the NHS paid for my visit this morning. They’ll pay for the needles. She wasn’t sure if they would cover the T. It turns out to be pretty expensive. 33£ / per shot. So I’ll be paying about £100 for my next 3 shots. Yikes.
What’s fucked up about this is that a NHS doctor is totally empowered to prescribe it and I’m totally empowered to go get it. But they don’t want to pay for it. Or might not. I don’t have a shrink letter saying I should transition, which is required documentation. But I arrived in the midst of my transition, so they might be willing to pay because I followed the rules in my home country.
I didn’t ask if I could start jumping through hoops here in order to get coverage. Because the doctor let slip that they require two years of therapy. Two fucking years!
I don’t know what the writers of these rules imagine, but in my admittedly limited experience, people realize they’re trans on their own. Then they try to ignore / resist it, usually, because it’s kind of a pain in the ass and has the tiniest bit of a stigma attached. I’m under the impression that most people wait until they’re at their wits end before they even think of broaching the subject with a doctor.
So they take people, adults, who are at their wits ends, who have held off as long as they can, who probably have really terrible anxiety, and they spend two years trying to talk them out of it? What could some fucking doctor say that I hadn’t thought of myself? Have you considered that maybe you’re just a butch lesbian? Gee, what a crazy idea. And all the while scrutinizing you, trying to figure out if you’re trans enough. You better double check that your shirts button on the correct side before you go in. Maybe it’s not like this. I don’t know. I’ve never done it. But two fucking years, what could they possibly doing during all that time? Do the writers of said rules imagine that people impulsively transition? Do they think everybody would do it? Are they struggling to hold themselves in abeyance? Do they have conversations about “thank god for the rules or who knows what genitals I might have woken up to after that last office party!”
But if I can get it privately, it means they’re not protecting themselves from transitioning in a haphazard manner. They’re protecting poor people. In the US, the unemployment rate among transgender people is alarmingly high. 50% of mtfs lose their jobs – regardless of class or job. I imagine the situation here is similar. So if you want to skip your two years, you better have inherited wealth and a tolerant family who won’t cut you off. The National Health isn’t a privilege, it’s a right. If some MP is trying to entice trans people to go outside the system and forgo their rights, well, there’s a word for that: “Discrimination.”
Again, they must imagine we’re out on a lark.
So maybe it would be worth it to go and talk to a shrink, as long as I don’t have to put things off while doing it. If I get a letter for my last few months here, then that’s a few months of not having to pay so damn much out of pocket. Also, note that the shots are the cheap way of doing things and I really want to find a less stabby delivery method. England is taking a lot of my money. I’m not asking for more than I’m paying in.

I arrived 8 or 9 minutes late

Ok, I wasn’t exactly on top of things. So I waited until I was about to run out of T to call. What do I do if they say no? And then I waited to come in with my passport. How long am I willing to go off of T? And I arrived a few minutes late for my appointment. How many months am I willing to wait again?
I showed up before the cutoff time, but I wasn’t fully registered with the office for some reason because they needed to see my passport. Which I had with me when I came to register initially, but which they hadn’t asked to see then. The front desk woman scolded me. I’ll have to make another appointment. She was the same person who took my registration originally. Who acted uncomfortable when I asked if the doctor could refill my T prescription or if I would be referred out of office. What is the process in this country? “I don’t know. You need to talk to the doctor.” This is the closest office to the school. Could I really be the only transitioning student in my entire university?
She took my passport and disappeared into the back room for several minutes. I chatted a bit with the other, friendlier woman behind the counter. “Maybe you should try to make afternoon appointments,” she wisely suggested. Finally, her more dour colleague returned and handed me my passport. “I’ve had to register you as a female.” she said, as if I had been trying to pull something. I shrugged. I know I still require pelvic exams and whatnot. “Fair enough.” I said. She was annoyed. “You tried to put down both.” What I put down was “ftm.” Can somebody in a doctors office really not know what ftm means? There are thousands of students at my uni. Percentage wise, trans people are only a few per thousand, but there should be a half a dozen of us at the very least. “Ftm” is not both, it’s a specific designation relating to what health services that I require and the identity I need respected. No, I did not just put on my paperwork “I am a freaky person trying to make your life difficult” but thanks for treating me that way.
She went on, still dour. “You’ll have to re-book. We have nothing for the next week. Call up every morning at 8:45 to see if we have anything for that day.” Oh shit. “Ok” I said. What the hell else am I going to say? The other, friendlier desk person finished her phone call and suddenly noticed I was leaving. “Wait, do you want to schedule a new appointment?” she called after me. I looked back questioningly. Her dour colleague answered, “No, I’ve just told her to call in the mornings.”
her
Is the doctor going to be like this too? Is it the whole office? Is it just this one person? Can I find another office? When I run out of T on thursday, when will I be able to get more? Am I going to be able to get an appointment in the next two weeks? Are they going to make me go get a therapist letter? Will I have to wait to get on the calendar of an endocrinologist? Is there a way to scam more T without going through the proper legal channels?
But, I have to be fair. I’m prepared to concede that it’s my fault that I was turned away from the doctor’s office this morning. They phoned me a week ago to say that they needed to see my passport and I didn’t bring it until I arrived a few minutes late this morning. (I did try to bring it on Good Friday, but they were closed until this morning.)
I have no love for the medical profession. I can recall every single time that a doctor treated me like a full person. It works out to about five of them. Maybe 6. I want to go on to make a claim about how I’m in a special class in this regard and how the very job description of a doctor is a promotion of normativity in bodies – to force them to conform to a state we call “health,” (which is a system that can work well for the promotion of well-being in already normative bodies and uses of said bodies). I want to say that doctors abhor queers because queerness – a non-normative use of the body – is uncomfortably close to ill health. It’s something to be diagnosed, treated and stamped out. But, alas, I don’t think I’m in a special class. The perfect patient is one who is already well, already normal. If you can’t or won’t have the ideal weight, if you won’t conform in that regard, then you’ve already spurred part of what the doctor is offering you. If you don’t want this part of the normativity, why should ze offer you any of it? I’ve seen how doctors treated my mom while she was dying. I overheard them, years earlier, driving her towards an eating disorder while they obsessed about her weight. I’ve heard the stories of people with disabilities. I’m not special. If your doctor treats you like a full person, then you are the one in the special class. Everybody else here is just somehow refusing doctor’s orders. Not skinny. Not physically able. Not young. Not physically male. Abnormal and untreatably so.
Forced by circumstance, they’re willing to concede very specific circumstances in which one may escape portions of normativity, in exchange for more fully conforming to other ones. There’s a set drama that is required to unfold in the treatment of transsexuality. It usually starts with a GP and then is referred on from there. Sometimes, like in the US, GPs will prescribe hormones. If their office allows it. If they feel like it. They might just say it’s against policy when it’s not and then act really uncomfortable and shoo you out. If your GP won’t do it, if you are less fortunate that I was, you get sent through a set of people who are supposed to talk you out of it. It’s a really lovely system. I hope to see it more widely introduced. “Oh, um, well, what makes you so certain you need eyeglasses? Have you always had trouble seeing? How do you know this isn’t just a phase? Sorry, if you were serious about needing glasses, you wouldn’t have arrived dressed that way.”
I’ve had enough doctors act visibly repulsed by my sexual orientation and gender non-conformity that I’m still surprised when they treat me like a person. It’s not what I expect. If I need to come in to get a hormone prescription refill in a new country, of course they’re going to look for a reason to say no. And what then? What do I do then?

Crossing Borders

The first time that I realized that I was consistently passing was the San Francisco airport. It’s an odd thing to realize at an airport. I further realized that it meant if I had to go, I had to go to the men’s room. I start rationing fluid intake at that point. I’ve used men’s rooms before, but not such high traffic ones. It would be just my luck, the first time out, to end up next to Larry Craig, who got busted in an airport. Right.
In general, it was really, really weird. I was walking around the non-secure parts of the airport, holding hands with Nicole and straight people smiled at us. Later, a straight, older woman acted flirty with me. Nobody treated me like a criminal. I forgot to take off my hat before going through the metal detector. The TSA guy asked if he could see my hat. I apologized for having forgotten it. He said it was ok and just peered inside it. Later, when a TSA person checked out my synthesizer, she apologized for the inconvenience. Either SFO has changed for the better recently, or TSA agents treat white guys with a lot of respect.

I was not suspicious or threatening or criminal or degenerate. I was a pillar of society. I was . . . I don’t even have words. I wasn’t even dressed that nicely. Being middle class white guy is really different than being a middle class dyke.
Fortunately, as soon as I got to England, I resumed criminal status, by nature of being a foreigner. Or maybe it was the ‘F’ on my passport. Who knows. I thought I was being all smart, as I put my landing card in my passport next to the page with the student visa. In any other country that I’ve travelled to, a visa gets you a stamp right away. And it seemed to be going that way when the border guard scanned my passport through the computer. “Why were you denied entry in November?” he asked. Shit. “Because I didn’t have that student visa yet.” He told me to wait and I did for about an hour. Then he came back and asked me again and I repeated my answer. “Doesn’t the computer tell you?” I asked. “Yes, but it says medication was found on you and maybe you were returned because you were sick.”
The whole brouhaha where I had to get a doctor to let me take my zoloft last time. . .. Augh. Jetlag makes me feel like shit and I didn’t want to have Zoloft withdrawl at the same time, so I had to jump through a bunch of hoops to be allowed to take it. And now it’s in my permanent record. And of course, I felt a slight wave of panic. If they searched my backpack this time, they’d find a collection of hypodermic needles. Augh. I imagined the exchange. Was I planning on coming to England to get free medical care? Yes. But damn it, I’m a postgrad student and postgrads are fucking people and people have fucking medical problems. I’m not some kind of fucking money-bearing robot here to stimulate your fucking economy and get nothing in return.
Anyway, I was admitted, obviously. Later I saw a news story saying that immigrants seeking citizenship would have to “earn” their rights by taking a test to prove that they were worthy. What the fuck? First of all, rights aren’t “earned.” The whole point of rights is that they’re not earned. You have rights by nature of being alive, by being a human, not because you somehow earned it. The whole concept of “rights” is meaningless unless they’re bestowed intrinsically.
Secondly, I’d have to take a test to prove that I’m as good as the fucking Brits? Why do they think people want citizenship? Do they think immigrants are just hopeless anglophiles enthralled with every stuffy, tawdry aspect of British culture? Do they just wish we were? Of course, the reason they want us to pass a test to prove that we’re maybe (never) as good as them is because they hate us. They know we don’t worship them and wish we did. I’m not opposed to tests for immigrants gaining citizenship. I’m against the presumption of unworthiness. I’m against the presumption of criminality and guilt. I’m against being treated as a suspect every time I try to come into the country. If I wanted citizenship, it would be to avoid harassment and to make bureaucratic processes simpler and so I could vote. So I could come and go with my benign prescriptions without having to disclose my mental health issues to a fucking cop every time I try to cross the border of this tiny country.
So to prove my Britishness, I plan to get so fucking pissed that I fall into a canal and then have drunken, sloppy sex with an 18 year old and regret it the next day. Then, I’m going to riot after a football match. Um, and I don’t know. I don’t want to be treated like a criminal, but I don’t know what to do with the straight, white, male privilege that Americans were suddenly foisting on me. I was anticipating the actions of the border guard during my whole trip. In North America, I thought, “Any second and they’ll read me and I’ll go back to being a dyke. These aren’t bad people. I mean, it’s not just the TSA agents. It’s the guy the other day at REI. It’s everybody. They’re good people, or at least as good as anybody.”
I don’t get it. I don’t get why Nicole has always been invisible when standing next to me. I don’t get why even women and POC are immediately ready to treat a white guy like he’s special. Why don’t they treat everybody that way? Of course, I knew that sexism and queerphobia existed. I mean, I’m 32 years old and have been read as a dyke for a long time. But SFO was astounding. White guys: you have no fucking idea. Dress in drag for a day for comparison.

Book Review: Female Masculinity by Judith Halberstam

I just finished reading Female Masculinity by Judith Halberstam. This book explores masculinity as embodied by women. She notes that most studies of masculinity talk exclusively about men – often specifically about white, middle class men, as if they have sole claim to masculinity. Halberstam notes that this is extremely incomplete. She focuses her study on dykes, inverts and other queers, making the dubious claim that straight female masculinity is more tolerated. I think she just wanted to focus on lesbians because she is one, and that’s fine, but I wish she hadn’t justified her focus by pretending that manly straight women don’t face many of the same oppressions that manly dykes do.
She starts, in her introduction, talking about public bathrooms. She had me right there. She talked about having security called on her several times when she tried to pee in airports on some trip. Man, I thought I got bathroom grief, but I’ve never gotten security called.
Much later in the book, she talked some about FTMs and specifically about the Butch / FTM “Border Wars.” I don’t know if she coined that term, but it’s one I’ve seen other places and I think her writings on the topic have been influential. Alas, as of this book, which is now ten years old, I think she furthers misunderstandings more than clears them up.
The so-called border war has to do with suspicion and mistrust which can exist between butch dykes and FTMs. Some dykes fel threatened and or betrayed when folks they know as dykes decide to transition. Maintaining a butch dyke identity is often difficult, given the invisibility in popular culture. Every other butch dyke that disappears can make this seem more difficult. Butch dykes can also resent the privilege that (white) FTMs acquire and may get pissed off by media articles which appear to favorably contrast FTMs to lesbians. On the other side, many FTMs are eager to establish themselves as male and don’t want to be seen as a butch dyke and thus take some efforts to distinguish themselves. Many FTMs get annoyed when they perceive butch dykes as refusing to accept them as men.
Halberstam’s chapter on this is somewhat undermined because she doesn’t really address the issue of passing. Passing, in this case, means being taken for male and can happen to both butch dykes and to FTMs. She notes in the introduction that passing can be life or death for people using the men’s room and indeed, even acknowledges elsewhere that some butches need to pass to survive. More than survival, though, passing is directly integral to the identity of some FTMs. They need to embody their masculinity as men. Failure to pass, for them, can mean psychic harm in addition to physical. So when Halberstam makes hay about a FTM passing guide which specifically addresses how to avoid being taken for a butch woman, she is failing to account how extremely important it is for some FTMs to pass. Not wanting to be perceived as a butch woman doesn’t necessarily indicate hostility, just a need to pass and not to be taken for any kind of woman.
Halberstam questions whether FTMs would also want to avoid being mistaken for a Republican or for a gay man and notes the conservative style of dress recommended. Many FTMs actually do worry about being taken for a gay man – they don’t want a second look. They don’t want to stand out. They don’t want to take on additional risk when visiting the men’s room or walking down the street or just trying to live. Some FTMs are homophobic. Some are just very aware of the risk of violence which can surround them. Some are gay.
Being trans can include a lot of worry – about passing, about violence, about coming out, etc. Some FTMs retreat to misogyny to underline the differences between themselves and women, but most (I hope) do not. The FTMs that are “jumping ship” from being butch also tend to try to maintain ties to the dyke community. Maybe that’s just a San Francisco Bay Area thing.
Finally, most FTMs that worry about passing are either no-ho or haven’t yet started hormones or have started very recently (or are stealth in a conservative area and have reason to be concerned for their safety). They’re a part of the trans community, but not the biggest part and don’t yet feel secure in their transition.
Halberstam goes on from passing guides to an unfortunate article in The New Yorker in which Amy Bloom interviews some trans men and finds out *gasp* that they’re men. Halberstam points out a few phrases from the article which positively compare FTMs to butch dykes and seems to conclude that the mainstream press is more ok with FTMs. I think this conclusion is largely in error. The mere existence of the article speaks to a discomfort with FTMs. Why would an investigative journalist need to do field research to discover that men are, indeed, men? Halbertsam writes, “Would Bloom, in a smilar article on butch lesbians, comment so approvingly on their masculinity?” (p. 157) Given how Bloom feels the need to point out that one of her interview subjects – a man – eats “like a man” (ibid), I’m not sure that’s a fair comparison. Bloom is condescending in the extreme. Halbertsam quotes a longer passage from Bloom:

I expected to find psychologically disturbed, male-identified women so filled with self-loathing that it had even spilled into their physical selves, leading them to self-mutilating, self-punishing surgery. Maybe I would meet some very butch lesbians, in ties and jackets and chest binders, who could not, would not accept their female bodies. I didn’t meet these people. I met men. (p. 158)

Before I go on to Halberstam’s response to such drivel, I want to take a moment to give a big “fuck you” to Bloom. What is she saying here? ‘Oh my gosh, they actually passed! Passing is everything! I thought I’d see a man in a dress woman in a binder and be forced to deny his identity, but I’ve decided that these individuals actually might deserve to have their identities accepted by ME. And I certainly am the gateway for normativity and passing!’ Fuck you Bloom.
Halberstam is justifiably pissed at that passage. She writes, “What a relief for Bloom that she was spared interaction with those self-hating masculine women and graced instead by the dignified presence of men!” and goes on to note that many FTMs ID as straight, which Bloom approves of. But while Halberstam catches the queerphobia and butch phobia, she seems to miss the transphobia. Bloom’s article there is hardly tans-positive but just notes what should already be obvious: some FTMs pass.
Unfortunately, a lot of this chapter is about MTFs and their narratives which are assumed to mirror the narratives of FTMs. This book is from 1998, so I think this more speaks to a lack of published material by and about FTMs more than a real assertion by Halberstam that the cases are mirror. I’m going to look into whether she has published more recently on the topic. That chapter talked largely about a previous essay on the topic and what she had learned from that, so while she sometimes misses things, she seems eager to learn and I imagine that the problems I’ve noted have certainly been addressed in the last 10 years.
Part of what was most fascinating for me about this book is the way labels have shifted over time. Inverts would not have IDed with lesbians. Butches of the 1950’s were excluded from the definition of ‘lesbian’ that was current through the 1970’s – 1980’s. (Indeed, being butch was still controversial when I came out). FTM is emerging as a new label. People like me, with more ambiguos/ complicated views on their own gender would have been excluded from transitioning until recently. Past FTMs have IDed as “men.” The idea that “trans” would form a more permanent part of a label is new and is being picked up by trasgender or genderqueer IDed persons.
There used to be the idea of a passing woman. That’s a woman who looked like a man and passed for one. I don’t know how different a passing woman is than a genderqueer ftm, but I can say that the label “passing woman” has always made me nervous. I like the label “dyke.” Not ‘lesbian,’ which for a while was specifically defined to exclude me and not ‘woman’ passing or no. What does that make me? A transdyke? A FTM/dyke? It makes me feel better to have a label, I think. It also makes me feel better to be able to place myself within a history. I don’t want to reject the label ‘dyke,’ as I’ve been attached to it for so long. When I watch a movie like Go Fish, I’m watching something that impacted my life. Dyke culture has shaped me, formed me. I felt at home in it and I feel at home in it. At the same time, I really like taking T. I like what it’s doing to my body. I like how I feel to see myself in the mirror, looking gradually more manly. And I really like that I don’t need to choose. There might be some sort of border war going on, but I like being parked right in the middle of it and I have no intention of moving.
(This post is also a test of the Flock web browser blog functions)Blogged with Flock

And . . . I finally injected

Yesterday morning, I biked over to my friendly neighborhood doctor’s office and asked t speak with a nurse there. The desk person seemed to think this was kind of a weird request. It’s pretty normal in Holland, at least. I waited a very short period of time which I spent conversing with an overly-friendly patient who told me my sweater was “pretty.” umm
I had brought with me my vial of T, some needles and my aborted needle from the night before, still with most of a dose in it. I explained I had gotten freaked out, that T had leaked everywhere, that I thought I was going to stab something vital, etc.
She told me to throw away the needle with a partial dose left in it and just start over, injecting the full amount. Some of the T might have gotten to the right place, but it probably didn’t and the old needle tip would be blunted from re-use and the dose in it might not be sterile anymore. So just start over.
Then she assured me that there wasn’t much danger involved with this kind of shot. If I stab way too deep, I might hit my bone (ack), but that doesn’t happen to people unless they’re really, really, really skinny. And even if you hit your bone, it causes pain, but it doesn’t actually hurt anything. It’s also possible to hit a blood vessel, but the risk there is just pain and bruising, not anything serious or life threatening.
She told me to jab it in quickly, rather than push it in slowly (“Just like that scene in Pulp Fiction“) and to practice by stabbing oranges. Then she looked at my needles and told me I might be happier with a BIGGER gauge. T is really thick and obviously my problem would not be with the actual stabbing but with the squeezing the syringe. She offered to get me bigger needles. I declined. (Ack! No! Are you crazy??!) And she gave me some pamphlets on how to do it.
I asked if she could just give me the shot. I was still feeling kind of freaked from the drama the night before and also, since I was a day overdue for my shot and the previous week’s had partially leaked away, I was kind of in a weird space. I was really grumpy and weird. My body was thinking, “What the hell? Where’s all my hormones? Should I start making some? How am I supposed to regulate mood without hormones?” I was hoping she could just do it and I could return to normal. She was taken aback when I suggested it and went to ask if the head doctor would let her. The head doctor said no, as I didn’t get the prescription from their clinic.
I complained saying that I had tried to get it from their clinic, but the doctor I talked to said they didn’t do that there. The nurse was even more surprised. “We most certainly DO do that here! What doctor said that? Was it Dr. Z?” It was some white guy, I said. “It was Dr. Z, then.” She went to discuss it further with the head doctor. I still didn’t get my shot form her, but at least the guy who told me they wouldn’t do it and acted kind of freaked by my request those weeks ago, at least he’s getting in trouble. The nurse offered to set me up an appointment at the clinic there, so close to my house, so I could get them managing my health again. I said no. I don’t have more money to throw at doctors right now. The blood tests alone cost more than $1000. I can’t afford to repeat them. When I need a new prescription, if I’m not in England, I’ll go there. But otherwise, no.
The more I think about my experience with Dr. Z, the more annoyed I get. He was a dick, but not openly hostile. Still, he refused me treatment because of prejudice. And what’s alarming is that I know this will be a constant for the foreseeable future. I was reading recently about a trans guy who died of ovarian cancer. He caught it in time. It was treatable. Doctor after doctor refused to treat him. They thought it would harm their social standing to provide life-saving treatment to a freak. I mean, this is Berkeley, I shouldn’t have that problem, right? Meh. Maybe I should get all the female-specific parts of my anatomy removed pre-emptively? There’s differing opinions on whether FTMs on hormones are more likely to get ovarian cancer. They’re way more likely to die of it, though. Lesbians are also more likely to die of ovarian cancer, cervical cancer, etc. Because doctors can be discriminating assholes. I still have lingering negativity towards the medical profession based on the experiences I had with them as a young dyke. Being FTM is that all over again. Being out as FTM now is a whole lot like it was for me to be out as a dyke 15 years ago.
After the doctor, I went to wrestle with Jean’s wifi network. (the network won the match, alas) and then I went home to discover that Cola had coincidentally bought a whole bunch of oranges. I explained my plans to stab them with hypodermic needles. “Well, they are blood oranges.” she said.
I held one in my hand, ready to stab. What if I missed and gouged up my hand!? I put it between my knees. Too much danger! I found a narrow-mouthed cup and put it in the top of that. Stab. Stab. This isn’t so bad. Then I had an idea and poured some compari into the cup and drew it up into the needle. I stabbed the orange again and injected the compari into it. I turned the organe and repeated the process. but I quit when compari started leaking out all the puncture holes. Ok, I can do this. Also, compari injected blood orange is a tasty treat.
So, finally, at bed time, I prepped everything to get ready to inject and pulled the protective cover off the end of the needle – and promptly slipped and stabbed the tip of my thumb. Ouch! It went in deep, until it hit something hard and stopped. I cursed and bled. Augh!
I re-washed and re-prepped and pulled out another needle. This was #4. I suddenly understood why I had gotten a prescription for 25 needles and was relieved that I had taken a few “extra”. I pulled the T into the needle, got the bubbles out and then sat with the needle poised over my leg. “Just jab it. Just like the orange” I instructed myself . . . and then sat there for 20 minutes trying to remember to breathe, but not hyperventilate. Finally, I made the jabbing motion but decided to abort at the last second. Too late! My leg was bleeding. Damn it. About 20 minutes later and a third or fourth re-swabbing of my leg later, I jabbed in the needle. And it was remarkably like stabbing the orange. Sort of a rind and then a softer under-layer. I slowly pushed the plunger down, probably scraping up my leg muscle as my hands shook.
All in all, it worked out for the best. I have a hard time psyching myself up to jab, so the previous two times I had a needle in my leg, I had pushed it in slowly and not far enough and had leaking. But after talking to the nurse and stabbing an orange, I think I should have much less trouble next time. While the emotional barrier to jabbing is high, once it’s jabbed, it’s much less emotionally intense than pushing in slowly.
There’s now a whole collection of used hypodermic needles in the trashcans of my house. (I always put the safety cover back over the needles.) And there’s the compari one on my coffee table. I’m pondering whether I should keep it to further fortify fruit Can one purchase duller fruit needles that wouldn’t be tempting to a junkie or dangerous to a klutz but still be able to pierce an orange or watermellon and up the alcohol content? Also, how the hell do people come to be IV drug users? My gods.
I woke up this morning feeling much more normal. No more putting off injections to the last second or the next day.

I cannot deal

The scene: me sitting on my bed, clumsily trying to hold a bottle full of T and a syringe, with my trousers around my ankles. The syringe is pulling up bubbles. I’m trying to flick on the needle and get them out, while still trying to hold the bottle and syringe in separate hands. I rub my leg with rubbing alcohol a 10th time just to make sure. I slowly push the ginormous needle into my leg. The needle is like – i should be pushing my leg into the needle maybe – it’s so huge. I slowly push down the plunger thing and oil T runs all over the fucking place but not into my leg, it flows out of my leg. Augh, not deep enough. “damn it, not again,” i say and push it in deeper. Even more oil runs every where.

I take a deep breath and push it farther in my leg. Oh my god, how far is it? it’s going to hit my bone, it’ going to come out the other side, it’s going to hit an artery and make my heart all manly and clogged with a cholesterol suspended in an oil, abort! abort! holy shit that was like an inch into my leg! how deep is it supposed to go? i don’t know, i’ll check the internet. cn i re-use a needle that’s already been stuck into my leg? i’m going to be a fucking pin cushion. I’ll go to my local doctor tomorrow and ask a nurse to do it, but they’ll want to use a different needle. Do I start over with a full dose or use the partial, two-thirds dose still left. did any get in my leg, or did it just run everywhere? what f i get too much? what if i get too little? what if i get full of scars? what if i just can’t do this to myself every other week for the rest of my life? it feels like when i was 15 and pierced my own nipple with a seweing needle. it feels exactly like that every two weeks for the rest of my life.
my leg is bleeding. i put a bandaid on it. i feel freaked. there’s got to be a better way.

Coming Out for Christmas

On Christmas Eve, I had my handbell playing debut. It was only my 4th time holding them. They’re heavy percussion instruments, like a disassembled marimba or something. They’re exactly what the name implies: bells you ring by hand. I had some big ones, F4 and D#4. I feel like I’m ahead of the curve for only my 4th attempt. So far ahead, I finished the piece several bars ahead of everybody else. (It’s hard to come up with page turns that work when everybody reads the same score.)
My third time playing them was the day before, the 23rd. Since the bells were in Palo Alto, I stayed over the whole holiday in the South Bay. I came down for rehearsal and then had lunch with my dad. The rehearsal foreshadowed the performance for me. My mind wasn’t on the bells, but on coming out to dad.
I met my dad at a chinese restaurant. Sarah gave me a lift and my dad invited her to lunch also, much to my relief. After we started eating, I said that I had been thinking about things a long time and I was very happy to say that I was taking T.
My dad chewed on his noodles.
Finally he said something about how it might change my attitudes.
I said I didn’t think I would become a conservative, and then immediately regretted the way I’d said it.
No, my dad explained, I might start eating like my brother and want to consume vast amounts of meat!
I have been kind of craving protein lately . . .. (This kind of seals it for me in my research of the cultural equation where meat is masculinity. I need no more evidence.)
So he more or less didn’t really react. Sarah said it’s what she had expected. I hadn’t known what to expect. I felt weird about it and stressed for the next few hours.
After lunch, Sarah and I went up to the San Francisco zoo for Daniella’s birthday party. There’s an ice rink there and it was open into the night, even though the rest fo the zoo was closed. Sarah and I were super late, so Daniella’s friends passed the time looking for the lions, until they finally started skating and we joined them. Sarah wanted to look at sleeping animals in violation of zoo rules, but all we saw were gigantic sleeping reindeer and some chilly looking flamingoes.
(About 48 hours later, some zoo visitors got a very close look at one of the lions. Some poor kid was mauled last night by an escaped lion, right next to where we were hanging out two days previous. Sarah was perturbed to learn this on the news, but I don’t feel like we just had a brush with danger.)
The next day, Christmas eve, I was sitting in Sarah’s living room, trying to get a p5 glove to work with SuperCollider when my dad called with a question. He said I sounded terribly depressed. I said I wasn’t. He said he had a question for me. I said ok. He decided he shouldn’t ask me over the phone. I said ok. He hung up.
I spent the rest of the day worrying about what he might have wanted to ask. So when I played handbells, my mind wasn’t totally on it.
After services, Sarah, Daniella and I went to the house of Sarah’s mother and grandmother. They made Swedish pancakes for dinner. It was fantastically tasty, but extremely sugary. I got into a punchy, post-sugar mood and then we went to another xmas party and then another with a glass of wine or so for me at each.
I woke up on Christmas at the crack of noon. Oh crap, I was supposed to go to Brother Bob’s early to help with cooking. Instead my holiday threesome (Sarah, Daniella and I) rolled into Bob’s house at the same time as my dad. My brother and his wife showed up shortly thereafter. We all chatted and then Bob put me to work cooking. My dad came into the kitchen and asked to talk to me. We went out into Bob’s garage.
My dad looked me seriously in the eyes. I have a question, he said. “Are you suicidal?”
“What?” This was not what I was expecting.
“I spent some time on the internet reading about what you’re doing. I want to make sure you’re not suicidal.”
Oh!! He read statistics about unhappy closetted, non-transitioning people. My dad was worried about me. My heart felt slightly warmed and relieved. No, no, no, don’t worry about that, I said.
Ok, he said, In that case . . . “have you ever contemplated a cue ball?”
“What?” I asked. He repeated himself. I had no idea where he was going with this. “No, I can’t say I have.”
“You should ask your uncle about his grandfather.”
“He was a pool shark?!” One of them was a dentist in San Francisco about a hundred years ago. Maybe he played pool on the side? Here was some new family history.
“No” my dad said and paused in the way he does when he’s about to make a clever point. All this setup is the clearest part of the day in my mind. But the punchline? I can’t remember how he delivered it. My great grandfather was apparently very bald. That could happen to me. I can’t say I haven’t worried about going bald, but um. at least we were in familiar territory. My dad was trying to talk me out of something. He does that a lot. This had become just another mundane scheme to be discouraged. I felt great relief and my heart warmed even further. I might have smiled.
He turned serious again, bringing up health risks. He repeated a few times that he didn’t want to bury me. I assured him that we were in agreement there as I don’t especially want to be buried. He told me that no surgery was without risks, which is true. Then he told me that he thought my mom got her brain tumor from her last surgery, which was for a stomach problem. I expressed doubt on this, but he started talking about how her brain tumor was so agressive it could have dated from a time so recent to it’s discovery. He said that 90 percent of all brain tumors come from the lung getting punctured.
I was losing the thread again. Mom’s stomach thing didn’t go near her lungs . . .. Maybe he’s confused about top surgery? I told him that I didn’t think my lungs were going to get punctured. He just wanted me to be careful, he didn’t want me to die before him.
I told him that I was moving into male risk categories and that I would possibly live shorter, but not that much. I looked at the corner of the garage. “I’d rather live shorter and be happier.” I said. Then I smiled and put my hand on his shoulder. “Dad, you told me something really smart a few years ago. You said that if I put off dealing with my troubles now, they would just be worse later. And I didn’t want to hear it because of this. But now I’m doing it and I feel really good about it.”
He awkwardly turned to leave the garage. I felt profound relief at the termination of the conversation. And then I drank moderate amounts of alcohol for the rest of the evening.
While waiting for the train back to Berkeley this afternoon, I noticed that I was feeling kind of anxious and wondered if maybe I should have not decreased my zoloft. But man, if all I have from that is mild anxiousness the next day, well, I think I can manage.
I am so tired right now. Daniella asked me today how my mom would have reacted to my transitioning. She would have been extremely upset. But the brain tumor changed everything, didn’t it? I want to think that if she could possibly think anything now, that she would think that I did the best I could when she was sick. I think that makes up for a lot of things that happened before. And precludes any afterwards. So what’s there to think about what my mom might think other than that I did my best and if it wasn’t good enough, well, it was my best. She sent me an email months and months before she got really sick, before the surgery my dad blames, about how she was having memory problems. And I didn’t write back for some reason, I don’t know. (It wasn’t good enough, but it was my best.) And my dad struggles with that too. How could a quarter of somebody’s brain go bad without me noticing? It must have been sudden. It must not have been noticeable. It’s not my fault. Of course it’s not. She followed a very typical trajectory for people with brain cancer. Nobody notices until it’s really bad and then she lives for maybe six more months. What causes it? Well, what causes a tiger to escape from the zoo one day but another? Our very existence is so improbable, what’s a few near misses along the way? What’s a fluke when our whole existence is a fluke? I might have been anyone, prior to the moment of conception.
I imagine my parents, my dad in grad school, my mom no longer working, holding their baby. This impossible thing they just made, in their arms. And them, with money tight, dreaming dreams. Of what I would be. Their little girl. Only god could know what lay ahead. No mortal would ever do anything if they knew. And so I didn’t go according to plan, but what did?
Happy Holidays.

Pronouns: A Fast Introduction

The problem: English lacks a commonly used gender-neutral personal pronoun. Also, sometimes people switch pronouns.

There used to be a singular “they” for unknown individuals. Shakespeare used it. It’s making a comeback, but it’s imperfect as it’s never used to refer to a person that you know. There are a punch of proposed gender neutral pronouns (GNP), including Spivak and my favorites: ze and hir: “Ze laughed. I called hir. Hir head hurts. I am hirs. Ze feeds hirself.” Of course, the way to get things into common usage is to use them.
Ok, so what about people who change pronouns? Obviously, the solution is to refer to them the way they wish. If you don’t know what you’re supposed to use, go with a GNP.
Then, there are temporal issues. I know some folks who have transitioned. Some I only knew afterwards, but know stories about them that are from before. I usually tell those stories with the pronoun that I’ve always used. “When she was a boy, she went to math camp.” Then, there are folks I knew before they came out. I use the pronouns that matched them at the time of the story. “She was a Mills student then, but now he’s at UCLA.” If I’m talking about a public figure or writing academically, I’ll use the current pronoun. “Wendy Carlos was still known as ‘Walter’ when she released Switched on Bach.” I can’t imagine a situation where using the most recent pronoun would be in error.
For myself, I prefer male or gender-neutral pronouns. Since I haven’t really changed appearance much, I think it would be unfair for me to get annoyed when old friends refer to me as ‘she.’ Mostly, it doesn’t bother me, but sometimes it’s like fingernails on chalkboard. I feel so much more comfortable with being ‘he’ or ‘ze’ that my tolerance of ‘she’ is declining. I mean, imagine if everyone referred to you for a day by the wrong pronoun. That would be really weird and uncomfortable, right?

I don’t want to be whiny, but

. . . but since I cut my zoloft dose in half a few days ago, I’m starting to experience negative emotions like a normal person. Er, yeah, only minor headaches from withdrawl, so that’s good. And in other health-related news – (I used to think that getting sent to hell would mean spending an eternity at a dinner party where the person next to you described all the minutiae of their health concerns in great detail. I hope my blog isn’t too much like that.) I went to SF yesterday to learn to give myself my own needle sticks. I was thinking maybe I could just look it up on wikipedia and try it that way. I mean, how hard can it be? Yeah. so the nurse showed me how to do it, but I didn’t do it myself at all. Actually, I was kind of freaking out when she jabbed me with the needle. She seems to think it will take me a few months before I’ll be able to do it. Alas and woe. Not only is it a pain to get in to the clinic, but I’m paying out of pocket for getting somebody to prick me.

In case you’re wondering how to give yourself an injection into a muscle . . . first wash your hands. Then swab off the top of the bottle containing the injectables. Draw some air into the needle. Stab the bottle with the needle. Push the air out into the bottle. Draw back (a lot) to suck the sesame oil into the needle. Stare at the needle as the oil slowly trickles in. Push up on the needle until the black plunger is even with the 1 ml line (or with whatever line you need). Flick at the needle to get out big air bubbles (these aren’t such a big deal when you’re trying not to hit a vein). Take the needle out of the bottle. Fine the “belly” of the target muscle. If you’re covered with freckles and moles, you can use these for navigation. Clean the spot with rubbing alcohol. Relax the muscle. No, really. Try exhaling. Relax it. Really. They tell me this is possible. Hold the needle perpendicular to the skin to be stabbed. Relax, damn it. Jab yourself. Stay relaxed (ha ha ha). Slowly push extremely thick oil out and into your muscle. When you push the plunger all the way down, the needle will suddenly (and somewhat painfully) retract. Put on a bandaid.
Yeah, so as soon as the needle stabbed me, I clenched up like a mofo. This is undesirable because it means that I won’t absorb as much and because it really smarts today. The needle starts tearing up my poor muscle when it’s all clenched. Ouch. Once every two weeks isn’t all that often. This isn’t overly traumatic or time consuming. Using the jell would probably be more hassle. But, alas, this is annoying.
Anyway, I went out for lunch today with an old friend. And when he asked “what’s new?” I took a deep breath and said, “not much, how about you?”
October 11th is National Coming out Day. Once, in the 90’s, I played a concert with the LGBT marching band on that day and the conductor gave a rousing speech about how everybody should come out. It was such a big deal in the 90’s! You don’t even know. But at some point, I just sort of, well, stopped. I haven’t come out in ages. I mean, it’s one of the advantages of being visibly queer. I can mention my girlfriend once and folks look at my wardrobe and then we all rely on common sense. So I’m not in the habit of coming out.
I got my haircut last night and I worked up the courage to tell my hair dresser and she squealed her delighted support. (I love San Francisco.) And then, I was at a bar after wussing out on my injection and I told a guy I know and he said, “really? That’s awesome!” (again, I love San Francisco.) And, I mean, it’s a big deal, but it’s cool and stuff. Like, I dunno, coming out always seemed so serious, like some sort of civic duty. I guess I could say to folks, “hey, I got a new girlfriend! She’s awesome!” and that might be coming out. And that’s more what this is like. So I get all worked up and don’t want to come out because it’s intimidating, when it should be more like having an awesome new girlfriend. But, alas, I’m still intimidated.
I called my brother today and asked if him if he was keeping up with this blog. Yep, he is. (Hi Paul.) On the one hand, it’s kind of impersonal, but on the other hand, it’s a really awkward conversation. Traditionally, people send letters, but that seems to dramatic. This is the 21st century. I think most folks might tend more towards being surprised than shocked. Writing a letter makes it seem more shocking and scandalous than merely surprising. Anyway, my brother was really cool, which is what I hoped for.
And I called my dad today and . . . we debated whether or not waterboarding is torture. And then my head exploded. I’m going to tell my dad in person. (My brother said, “doesn’t he read your blog too?” Um, I don’t think so?) Then I can hear his theory on the difference between the left and the right in America. He seems to be very pleased with the theory and wants to disclose it in person. It has something to do with evolutionary theory.
I still have no mail form my letting agent. I’m starting to suspect that I won’t be able to get on my booked flight back to England, since I still don’t have everything I need to apply for a visa and it’s less than a week form xmas.
It’s been raining like crazy and apparently, my building had construction defects related to the water proofing. So we just started getting those fixed, like, the day I got back here. This is not the best timing to be peeling the skin off the building, since it’s actually raining a lot. Predictably, it started leaking a couple of days ago. Today, the leak was fixed. And then it started raining again and now there’s more leaking. The water has punched a hole in the ceiling, which is dripping in earnest. And the plasterboard of the wall is getting all messed up.
Oh, yeah and when I tried to install Mac OS X 10.5, it said I had a bad master boot record and refused to mount my hard drive and then some files disappeared when I rebooted in 10.4 and I fear my hard drive might be dying again.
And xmas shopping? Barely started.
So yeah, my home, which I own, is leaking. I have to come out to my dad. And all of my friends who don’t read this blog. (BTW, if you’re reading this, you should feel empowered to tell people. I mean, I should probably tell my dad myself and also my godmother, but friends and acquaintances can gossip to their heart’s delight – just as if I had an awesome new girlfriend.) The conversation with my brother went really well, but was still stressful just to have it. I have to be able to stab myself in the leg while keeping it relaxed and have pain from failing to be relaxed last night. My immigration status is still in disarray. My computer’s broke (maybe), and I don’t know what to get you for xmas. And I wanted to whine a bit about these things: *whine* ok, thanks.
Um, on a more positive note, I had my second shot. There was a blog several months ago called “The Man Project” where the writer gave herself a dose of T and chronicled what the two weeks were like. My experience was very similar to hers. After two weeks, your body is still treating it like a one time fluke. The first sign of non-flukiness is zits. I started getting them in earnest on Sunday or Monday. (I know I said my voice was lower. One of my friends says the lower pitch is in my normal range for when I’m relaxed. So it’s only a sign of happiness, which is nice of it’s own right.) I’m all, like, happy to have zits. I bet the novelty of that won’t last overly long! Ha ha ha ha!