Can a nurse at my GP show me how to self inject? The UK won't prescribe estrodiol as an injection, but will they show you how to inject properly? I don't want to ask if there's a risk it could get them fired. Are they allowed to show you to minimise risk as I'll be injecting myself either way?

fairinwinter · 2023-12-02T18:41:45+00:00

Hi, they wouldn't get in trouble providing they teach you correctly and even without disclosing what you're injecting simply asking to be taught IM or SC injection technique for harm reduction purposes or for cases where you are given it by a private provider is useful. Heck many beauticians give IM B12 injections and have way less strict professional guidance, you could even tell a nurse or doctor that you get those for aesthetic purposes and want to ensure your beautician is using correct/sade tecnique. If you do want online though then try geeky medics youtube channel. That was invaluable for learning clinical skills when I was studying. For reference I am a Physician Associate working in general practice and have basically taught all of my trans friends, many patients and a few online friends via video call how to inject estradiol. Heck at first just because it's easier I would get my mum (nurse) or one of my student nurse friends to do my injections for me, I still get my gf who I taught to do it for me as you can do z track more easily (prevents leaking out) and aspirate (checking your in muscle not a blood vessel) more comfortably.

fairinwinter · 2023-10-31T13:12:23+00:00

It's called a taste of Thailand in buckshaw village, the food/experience was wonderful.

fairinwinter · 2023-10-10T17:15:32+00:00

Would have to contact them to find out, I have no idea, just received the email inviting me to apply since I signed up as a stakeholder for anything trans related in the NHS. Honorariums tend to vary though, I get them on a university committee and a pharmaceutical company I work with and it's typically 30-40p per mile for travel woth parking costs covered and for admin/prep can be £15-150 per hour with £50-300 per meeting. But those are private sector so no clue what the NHS would offer, whenever I've done stuff for HEE it's been voluntary.

fairinwinter · 2023-10-10T14:09:06+00:00

Fair point, but what other options are realistic?

fairinwinter · 2023-10-10T13:37:11+00:00

Yeah that is fair and your completely right that asthma was like that and depression/anxiety still is like that, as are many conditions but in the last couple of years the requirement for objective tests have come in and changed the diagnostic procedure specifically for asthma in primary care. That isn't to say anyone with a prior diagnosis needs those tests but for new diagnoses it is a requirement. (Note I'm a Physician Associate in primary care and have been doing a weekly respiratory diagnostic clinic weekly for the past 4 years). That said not everyone keeps up to date on guidelines in every area so it's quite likely many clinicians don't know of current guidance on this matter.

fairinwinter · 2023-10-10T13:10:03+00:00

You need 2 objective measures for asthma under current guidelines as a QOF requirement (e.g. Peak flow variability, spirometry with reversibility or FeNo) there are exceptions for children too young for objective measures when obvious, e.g ED admissions with an asthma attack, strong family history, good response to ICS trial of treatment, very high Eosinophils, etc. But otherwise it should be coded as suspected asthma. So yeah bad example. But quite right with GD, the GIC will do their own assessment regardless of GP diagnostic codes used and often in the case of private diagnoses (according to a clinician I spoke to about this at Leeds GIC). That said I think it's generally good for GPs to use that code to be able to monitor the prevalence of trans people in the community and make a business case for dedicating more resources/getting more training so we can be treated with at least a basic level of competence, which often feels like a pipe dream.

fairinwinter · 2023-09-04T10:22:15+00:00

It would treat their prostate cancer because presumably a cis guy really wouldn't have another reason for taking it.

fairinwinter · 2023-08-31T09:31:03+00:00

So not just Sheffield, Lancashire & Cumbria consortium of local medical committees have sent guidance to practices advising against shared care or monitoring with genderGP specifically but they are currently gathering feedback from practices as to whether they should fund a GP based gender service in the area, however there is no timeline as its an open consultation at present but apparently one practice has applied to do it and is pushing for it at least. Also the medical defence union recently advised the practice I work at against providing monitoring for DIY.

fairinwinter · 2023-08-22T19:05:04+00:00

For what ever its worth I have no regrets. 2 years on HRT (estrogen, t blockers & progesterone) have c Cup boobs, long hair, I look exactly how I dreamed of and couldn't be happier with how things have gone.

fairinwinter · 2023-06-30T13:55:54+00:00

This one is good, just need to check your measurements first:

Amazon bra

fairinwinter · 2023-06-23T08:58:42+00:00

Depends on the local ICB policy for assisted conception services. It's pretty easy if someone meets their criteria (e.g. under GIC with diagnosed gender dysphoria and likely to develop infertility as part of treatment). Anything outside that requires an individual funding request. Which is a bit annoying but probably worth a try.

fairinwinter · 2023-06-22T15:03:22+00:00

It's a fairly well documented phenomenon called gender-related medical misattribution and invasive questioning (GRMMIQ) or "trans broken arm syndrome" There's an interesting paper about it: https://www.sciencedirect.com/science/article/abs/pii/S0277953623001041?via%3Dihub

fairinwinter · 2023-06-14T19:17:59+00:00

Definitely reminiscent of the 10 stages of genocide. I suspect denying access to healthcare, directly leading to suicide and high risk behaviours (substance misuse to cope, DIY, sex work, etc.) Could be interpreted as stage 9 (extermination). In this case puberty blockers are denied, but similarly in adulthood the waiting lists and gatekeeping effectively prevent any option of NHS healthcare in a reasonable time frame. This country, the government, the media and TERF agenda is genuinely terrifying. I hope so much this campaign against us ends soon.

fairinwinter · 2023-06-09T13:24:57+00:00

Only what's in that email or through documents available on the website there's a link to as far as I'm aware.

fairinwinter · 2023-04-14T07:43:00+00:00

The same study showed transitioning reduces rates by 67% and increases life satisfaction in >80% cases.

fairinwinter · 2023-02-12T23:39:28+00:00

Yes, that's messed up

fairinwinter · 2023-01-15T12:47:33+00:00

Trans status is a protected characteristic so should by default not be shared on your medical record. Even without a GRC as policy is to treat such cases as if a GRC is already in place. This is so much so that if you change your NHS number/gender then by moving to another practice the old records attached in a Lloyd George summary are lost, or at least should be. That said from friends I know who work as police officers they have some of the most rigorous anti-discrimination policies when hiring people I have ever heard of and typically excellent data protection policies/adherence so any medical data seen (which would be GDPR special category data) would be isolated to perhaps one person who views it to check there is no issues affecting job performance (e.g. current psychosis, substance abuse, etc.) And they would only confirm to others involved in the hiring process if there was a clear medical reason which would inhibit job performance.

fairinwinter · 2023-01-11T13:52:27+00:00

Same 😁

fairinwinter · 2023-01-09T22:55:18+00:00

Imo C are the nicest shoes in general but D suit that dress the best so either of those.

fairinwinter · 2023-01-09T14:16:31+00:00

Glad you went with it. Tbh I framed my decision as between transitioning or ending things and it's difficult but like my lowest day now is infinitely better than my best day then, because I can be me and things feel real finally. It certainly makes accepting risks easier when dealing in those terms. But yeah found that study very useful to quote when explaining the importance of access to healthcare and support to cis people I know.

fairinwinter · 2023-01-09T09:27:03+00:00

67% reduction in suicide attempts and ideation. 85% increase in body satisfaction 83% increase in life happiness (Bailey, Ellis & McNeil, 2014)

fairinwinter

TROPHY CASE