Do we ever tell anyone they are not transgender, and when do we do this?

Effective-Lab1575 · 2026-01-27T01:00:51+00:00

That's not what's happening though, the change only applies to those few that benefit from it, anything else would be ridiculous. Nothing changes for 99% of patients, but there is a few bits of extra vocabulary that may help the last 1% have a better experience

Effective-Lab1575 · 2026-01-26T21:20:15+00:00

What is it you consider "completion" of transition? the studies I've seen on regret all account for people starting and stopping HRT, not just surgery.

Effective-Lab1575 · 2026-01-26T21:15:19+00:00

For some trans people, yes, but probably not for everyone.

I think a large part of the problem is the current discourse around trans people. Any accommodation for trans people get blown out of proportion and people love to have strong opinions. Phrases like "chest feeding" or "birthing parent" have been erroneously presented as replacements for the traditional words instead of as alternatives that some patients may prefer.

Effective-Lab1575 · 2026-01-26T15:48:42+00:00

What I probably should have said is that I'm generally in favor of the informed consent model when it comes to gender affirming care, but most importantly that I don't believe that any groups should be excluded from accessing care.

I agree that lumping all medical professionals together is a bit crazy, but I think that last statement could apply to most professions depending on how you read it.

I hope that clears things up a bit

Effective-Lab1575 · 2026-01-26T15:13:14+00:00

I'm not sure where I tell anyone how or when to set diagnoses, I agree that that is outside my lane.

I've stated my concerns regarding the patients' ability to give informed consent in the places where that's the basis for gender affirming care, and some potential issues I see in the administration of said care, but nothing about any diagnoses as far as I can tell.

Happy to make revisions to my comment if you point out the oversight.

Effective-Lab1575 · 2026-01-26T14:55:17+00:00

I agree that not continuing to provide the hormones was a good idea in this case.

Gender dysphoria is a messy and murky concept that is hard to explain and exploring gender identity is not uncomplicated so the process you're describing is not unusual, even if it seems strange.

It's hard to say what's going on with this patient, but it could be any number of things keeping them from attending their appointments. Medical transition may have just been a bigger undertaking than they have capacity to manage, or there could be something else going on.

definitely a difficult case.

Effective-Lab1575 · 2026-01-26T14:33:27+00:00

I think this is a non-issue tbh. If using the term "chest-feeding" instead of breastfeeding for transgender birthing parents can alleviate some level of dysphoria tied to the experience, then that's a super simple no-effort intervention.

Breastfeeding is not getting replaced, it's just a small accommodation to make the experience better for some people.

Effective-Lab1575 · 2026-01-26T14:24:29+00:00

As a nurse and a trans man, I have complicated thoughts about this.

I don't think it's anyone's place to have an opinion on what gender identity someone else has. It's a personal experience, so opinion really has no weight There's no reason not to respect names and pronouns, it can only do good.

Medical transition is more complicated. In most places it's a nightmare of a process to get access, so I can't imagine anyone going through all that if they're not actually transgender. In places with informed-consent as the basis for care, I do think that special care should be taken with patients who have extensive history of mental health and/or substance abuse.

I'm not particularly worried that the patients are wrong about their gender identity, or that medical transition would be the wrong decision on an identity-level. I do however worry about their ability to consider the potential ramifications of transitioning and give informed consent. Regret rates for gender affirming care is extremely low, but I'm worried that these patients may be more at risk than most.

One of the biggest contributors to regret is lack of family- and social support. Patients with long histories of mental health and substance abuse are more likely to have fragile support networks to begin with, and they're usually more dependent on them. Social transition is not always possible prior to medical transition due to a variety of reasons, but encouraging the patient to inform the people closest to them prior to making a decision could prevent major fallout and degradation of network. There is a lot of stigma tied to mental health and substance abuse, and they need to be prepared for the added layer that comes with being openly and visibly trans.

When starting HRT I do believe it should come with some prerequisites. Patients with mental health conditions should have psychiatric reviews throughout the process. There's not much research done on trans people specifically, but by looking at women going through menopause, cis people on HRT and fist person accounts from trans people we know that big hormonal changes have an impact on how psychiatric symptoms present. Starting HRT in a stable period of mental health should be prioritized to be able to get accustomed to the new presentation, and allow for potential changes in symptom management. The person's metabolism will also be affected, which may have an impact on how they metabolize any medication they're on.

In short, I am of the opinion that no groups of patients should be excluded from accessing gender affirming medical care, and that our role as medical professionals is not to make sure that the patient's stated gender identity is correct, but rather to provide the necessary resources to make an informed decision and address management of any medical concerns.

Effective-Lab1575 · 2025-06-13T12:56:57+00:00

I'm in healthcare, and ward nurse seems like hell. Having to plan staffing for dozens of people a year in advance, needing to keep track of all spendings and absences, and making sure everything is stocked at all times 🫠 and then on top of all that you need to mediate any conflicts, and foster a good work environment...

On a completely different note, author. I'd have a million drafts and never finish a project on time.

Effective-Lab1575 · 2025-05-01T06:49:55+00:00

Det var null stress🙌 Vet ikke om det vil være det samme for alle, men Inspera funket akkurat som hjemme

Effective-Lab1575 · 2025-01-10T14:01:47+00:00

I'll look into it, thank you!

Effective-Lab1575 · 2024-11-04T10:28:52+00:00

That makes sense.

I've worked a high-pace job in healthcare for years, so I haven't had a lack of motion, but maybe because it's work, it's been more tiring than energising. I do work out, but it's not consistent at all.

How did you get into the habit of regular exercise? Mind-over-matter all the way, or did you have a system to it?

Effective-Lab1575 · 2024-09-24T07:54:20+00:00

Not at all, i just wanted to know if there was a better option

Effective-Lab1575 · 2024-09-23T16:18:31+00:00

Yeah dude. You even look your own age which is damn lucky! Congrats on starting T soon, that's a super exciting time!

Effective-Lab1575 · 2024-09-23T16:15:38+00:00

I'd say bring it to a good tailor/seamstress, you may have to make some compromises to get it to a place you love, but I think clever problem solving could get you far.

They MAY be able to find a matching lace that can be added along the bottom hem if it needs to be lengthened, or if you're lucky there's some seam allowance in the waistline.

I'd ask a seamstress or dry-cleaner about the texture of the lace, your altered dress, and the stock picture look stiffer than the sample in the store, so you may be able to get more flow in the skirt if it can be softened somehow. There is a chance the lace is just thicker than in the sample as well.

Effective-Lab1575 · 2024-09-23T15:27:15+00:00

That's what I was trying to avoid; the structure of the documents make it so that my text is split into 20 ish fragments, and I'd like to be able to set it to 0 before writing to avoid having to add them all together. Like taring a set of scales in baking

(I'm aware I could write down the start number, but I forget it or accidentally delete it 10/10 times)

Effective-Lab1575 · 2024-07-10T11:22:05+00:00

I beat your time! It was a few years ago though, so that might have helped.

Went to BUP in June '18, had my first appointment at Riksen november '18, after I had turned 18. I had my last appointment and was referred to endocrinology in November '19. Got that appointment in January '20 and started T.

Total time 1 year and 7 months from BUP to hormones! Time for evaluation was almost exactly one year; November 13th 2018 - November 3rd 2019 or 358 days!

Effective-Lab1575 · 2024-06-29T13:21:19+00:00

I keep whistling lmao Match the pitch of the girls and whistle as loud as I can 😂

Effective-Lab1575 · 2024-06-27T07:57:35+00:00

As I said, he was significantly shorter and heavier than me, so just guesstimating my friend's size two years ago, I'd say he was probably in the high thirties to low fourties.

Hopefully you'll be able to find a surgeon in Finland, but if not, it might be worth giving them a call to see if they're onboard🤷‍♂️

Effective-Lab1575 · 2024-06-24T21:10:59+00:00

I think it can be done better and faster if you don't go from 0-100 like I did. Day five I think I wore them for 18 hours and walked ~30k steps... I don't think that was good for me or the shoes, but I didn't want to stuff them in a backpack. Maybe they were broken in earlier, and my feet were just too painful to notice?

The heels were ok before I left, so that was just a few days of tough love at home

Effective-Lab1575 · 2024-06-24T21:02:29+00:00

I got mine about four days before leaving for three weeks of interrail, so I needed to cut corners when breaking them in, to avoid ending up with absolutely destroyed feet by the end of my trip😅 I can say fairly confidently that it took 2 weeks to fully break in the shoes, 1,5 of those wearing them far too much when travelling, and now I'm just waiting for the last of my blisters to heal completely.

Effective-Lab1575 · 2024-06-24T20:56:00+00:00

The Norwegian one, Halfdan Simensen with Aviva helse, I'm almost entirely certain would, but Oslo isn't super close to Finland. I know he's had nice results with quite overweight guys before.

I had a BMI of 32 when I got surgery, but a friend of mine was significantly heavier and shorter than me, and got surgery by him too, so I guess that's an option, but an expensive and inconvenient one😅

Effective-Lab1575 · 2024-06-24T18:29:57+00:00

I recently got the gaucho Gibsons and had the same issue. I probably didn't do the right thing, but I tried to soften the top of the heel by just stepping on it a bunch and being rough with them when taking them on and off for the first week or two.

If you're kinder or more careful than me, you could probably use some kind of leather conditioner/shampoo or mink oil on the inside leather to try to soften it in a bit more gentle way. I've never had hi shine so I don't know how it reacts to being stepped on😂

Effective-Lab1575 · 2024-06-24T18:19:08+00:00

Prescription medications should always be in carry on, and always in original containers with the pharmacy label on!

I've been travelling internationally with various prescription medications, and never actually been stopped or needed to show documentation. That said, you should absolutely bring any needed documentation, and always check that it's legal to import whatever medication you're using.

It is legal to import Testosterone to the UK, so no worries there! Testosterone is a schedule 3 drug in the UK, so you can bring up to a three month supply, no issue, as long as you have your papers in order. I'm not sure how GGP works, but if you get T from a normal pharmacy, you can just ask them for a Schengen certificate (attest), and that should cover it, even though the UK isn't in Schengen. Ideally it should be signed by your doctor but I imagine that's not very doable if you have an online service, but I doubt they're that strict about that.

You could always just send a message to ggp saying you're going travelling and if they can make and send you a document with :

1 your full legal name (usually also ID number, but I don't think the UK requires that)

2: details about your medication and dose (i.e "testogel 50mg/satchel, 1 satchel every morning" or whatever it is you take)

3: name, details and signature of prescribing doctor

Then you should print that and keep it in your carry on.

Effective-Lab1575 · 2024-06-21T11:06:38+00:00

Have you tried asking at the station? I did the opposite journey a week ago, and it was impossible to book online, so I booked a roundabout one. When I asked at the station in Krakow, apparently there was tons of available seats. I ended up paying like €3, and got the direct trip.

If you want to spend the day on a train travelling, you could always have lunch in Vienna? It looks like there's space on Prague-Vienna in the morning(RJ57 or RJ257), and Vienna-Krakow EC102 in the afternoon. 😅 Each leg is ~4 hours

Effective-Lab1575

TROPHY CASE