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Can I scream yet?

#1

Today I had an appointment with my doctor and broached the subject of my Gender Dysphoria ( GD ) with him. On the surface he was not freaked out. I take that as a good sign. However, he refused to prescribe any medications because he doesn't know a great deal on the subject and would like time to do some research on it. I understand that and respect his position but at the same time I feel like crying.

I asked him to at least prescribe a testosterone blocker like Spironolactone because I can't stand the thought of testosterone still raging through my body and he refused to do that as well until he has a better understanding of GD. I did warn him that I fully intend to start HRT as soon as possible and that I would do so even if he was not comfortable with it, up to and including buying the medications online and bypassing him all together. I made it very clear that I prefer to work within the medical system but have no issue in self medicating if I have too.

He said he has no problem in prescribing the medications I need, but that he wants to research the issue so HE has a clear understanding on what to expect, what to look for in tests, how frequently tests need to be ran, what type of tests need to be ran, what are correct dosages for safe transition medications etc.

I really DO understand where he is coming from. He wants to ensure the best possible care for me during the process so wants to be knowledgeable on it. I get that. I really do. At the same time I am screaming inside because I want to get this started yesterday. I'm 50, time is ticking. I can't keep living like this. *screams*

Patience has never been one of my virtues when I have decided to do something, and I have NEVER in my life been more determined to do something, than I am now. I don't want to wait. I really would like to do this sooner rather than later. Like yesterday, or the day before.

~Elain
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#2

I really do understand the frustration, at 50 though, a few extra weeks or months for your doctor to be prepared is totally reasonable imo. Honestly, you may just want to have him send a consult to a doctor who has dealt with it before. Especially if he is going to be the one prescribing it.

I do understand although i have not gone to the extent you have with doctors, I have had the same feelings.
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#3

(14-01-2015, 12:31 AM)ElainMoria Wrote:  Today I had an appointment with my doctor and broached the subject of my Gender Dysphoria ( GD ) with him. On the surface he was not freaked out. I take that as a good sign. However, he refused to prescribe any medications because he doesn't know a great deal on the subject and would like time to do some research on it. I understand that and respect his position but at the same time I feel like crying.

I asked him to at least prescribe a testosterone blocker like Spironolactone because I can't stand the thought of testosterone still raging through my body and he refused to do that as well until he has a better understanding of GD. I did warn him that I fully intend to start HRT as soon as possible and that I would do so even if he was not comfortable with it, up to and including buying the medications online and bypassing him all together. I made it very clear that I prefer to work within the medical system but have no issue in self medicating if I have too.

He said he has no problem in prescribing the medications I need, but that he wants to research the issue so HE has a clear understanding on what to expect, what to look for in tests, how frequently tests need to be ran, what type of tests need to be ran, what are correct dosages for safe transition medications etc.

I really DO understand where he is coming from. He wants to ensure the best possible care for me during the process so wants to be knowledgeable on it. I get that. I really do. At the same time I am screaming inside because I want to get this started yesterday. I'm 50, time is ticking. I can't keep living like this. *screams*

Patience has never been one of my virtues when I have decided to do something, and I have NEVER in my life been more determined to do something, than I am now. I don't want to wait. I really would like to do this sooner rather than later. Like yesterday, or the day before.

~Elain

I was looking through last years calander its been almost 12 months since I had my doctors visit. I hope yours ends up fairing better than mine, I'm still waiting for the appointment with a specialist who is familiar with my problem.
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#4

If it were me, I would be terrified of a quack that would prescribe something for me and NOT know what he/she is doing. That's a short jump into a grave imo.

At least, he/she is admitting that he has very little knowledge and is willing to do some homework to get comfortable with it. Many MD's prolly would just prescribe a pyscho active for you and say "call me in the morning".

Or, maybe you should come right out and suggest he refer you to a Doctor that is knowledgeable in that area. That might relieve him of such worries, as well as yours.
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#5

(14-01-2015, 01:16 AM)undecided Wrote:  
(14-01-2015, 12:31 AM)ElainMoria Wrote:  Today I had an appointment with my doctor and broached the subject of my Gender Dysphoria ( GD ) with him. On the surface he was not freaked out. I take that as a good sign. However, he refused to prescribe any medications because he doesn't know a great deal on the subject and would like time to do some research on it. I understand that and respect his position but at the same time I feel like crying.

I asked him to at least prescribe a testosterone blocker like Spironolactone because I can't stand the thought of testosterone still raging through my body and he refused to do that as well until he has a better understanding of GD. I did warn him that I fully intend to start HRT as soon as possible and that I would do so even if he was not comfortable with it, up to and including buying the medications online and bypassing him all together. I made it very clear that I prefer to work within the medical system but have no issue in self medicating if I have too.

He said he has no problem in prescribing the medications I need, but that he wants to research the issue so HE has a clear understanding on what to expect, what to look for in tests, how frequently tests need to be ran, what type of tests need to be ran, what are correct dosages for safe transition medications etc.

I really DO understand where he is coming from. He wants to ensure the best possible care for me during the process so wants to be knowledgeable on it. I get that. I really do. At the same time I am screaming inside because I want to get this started yesterday. I'm 50, time is ticking. I can't keep living like this. *screams*

Patience has never been one of my virtues when I have decided to do something, and I have NEVER in my life been more determined to do something, than I am now. I don't want to wait. I really would like to do this sooner rather than later. Like yesterday, or the day before.

~Elain

I was looking through last years calander its been almost 12 months since I had my doctors visit. I hope yours ends up fairing better than mine, I'm still waiting for the appointment with a specialist who is familiar with my problem.

sounds like you need to find a new doctor.Dodgy
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#6

(14-01-2015, 04:04 AM)Lenneth Wrote:  
(14-01-2015, 01:16 AM)undecided Wrote:  
(14-01-2015, 12:31 AM)ElainMoria Wrote:  Today I had an appointment with my doctor and broached the subject of my Gender Dysphoria ( GD ) with him. On the surface he was not freaked out. I take that as a good sign. However, he refused to prescribe any medications because he doesn't know a great deal on the subject and would like time to do some research on it. I understand that and respect his position but at the same time I feel like crying.

I asked him to at least prescribe a testosterone blocker like Spironolactone because I can't stand the thought of testosterone still raging through my body and he refused to do that as well until he has a better understanding of GD. I did warn him that I fully intend to start HRT as soon as possible and that I would do so even if he was not comfortable with it, up to and including buying the medications online and bypassing him all together. I made it very clear that I prefer to work within the medical system but have no issue in self medicating if I have too.

He said he has no problem in prescribing the medications I need, but that he wants to research the issue so HE has a clear understanding on what to expect, what to look for in tests, how frequently tests need to be ran, what type of tests need to be ran, what are correct dosages for safe transition medications etc.

I really DO understand where he is coming from. He wants to ensure the best possible care for me during the process so wants to be knowledgeable on it. I get that. I really do. At the same time I am screaming inside because I want to get this started yesterday. I'm 50, time is ticking. I can't keep living like this. *screams*

Patience has never been one of my virtues when I have decided to do something, and I have NEVER in my life been more determined to do something, than I am now. I don't want to wait. I really would like to do this sooner rather than later. Like yesterday, or the day before.

~Elain

I was looking through last years calander its been almost 12 months since I had my doctors visit. I hope yours ends up fairing better than mine, I'm still waiting for the appointment with a specialist who is familiar with my problem.

sounds like you need to find a new doctor.Dodgy
Or at least one that specifically deals with this stuff.
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#7

Ask him for a complete metabolic panel including E and T BEFORE you start on your self med regime... Its important to know your OK for HRT and to have baseline labs... He should be able to order that right away if he's really interested in helping you...
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#8

(14-01-2015, 05:20 AM)EvaMarie Wrote:  Ask him for a complete metabolic panel including E and T BEFORE you start on your self med regime... Its important to know your OK for HRT and to have baseline labs... He should be able to order that right away if he's really interested in helping you...

While I was in the hospital (a couple weeks ago) they did several CBC's, a comprehensive metabolic panel, a basic metabolic panel, Hep C rna quant, Hiv 1, 2 and ab tests, GLYCOHEM, LIPID PANEL, CK/MB + troponin, B TYPE NAT PEP, mag and phos test, etc.. in fact I had three CBC's and two different Comprehensive metabolics done as well as two different basic metabolics. I had gone in for a suspected heart attack, they found some other Issues to look at, my anion gap is very low as well as my calcium levels and a cpl other things that suggested I might have had cirrhosis due to having hep c.. come to find out I don't have hep c.. or hiv, or anything else, I just have a cruddy diet and a latent TB infection that I'll be getting meds to get rid of prophylacticly. The other thing they were worried about was my platelet count, normal is 150k - 450k mine was 93k and ranged between 93k and 108k. Basically, other than my diet and the TB, I'm healthy as a horse. Diet wise, I have always struggled to remember to eat.. I have no hunger response at all so if I don't remember to eat, I might go several days without eating at all. So my body is on the edge of malnutrition and it's having an effect on me. I now have a program that pops up on my computer and reminds me to eat XD.

~Elain
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#9

I wonder if some of those test's came back skewed due to your NBE herbs. I know that quite a few of them will cause blood thinning.. (Low platelet counts ). As far as the other ones, still could be the NBE program, especially if you are Mega Dosing.
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#10

(14-01-2015, 03:12 PM)iaboy Wrote:  I wonder if some of those test's came back skewed due to your NBE herbs. I know that quite a few of them will cause blood thinning.. (Low platelet counts ). As far as the other ones, still could be the NBE program, especially if you are Mega Dosing.

This would be a baseline as I hadn't started any herbal supplements at that time.

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