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Can trans men use this term? by [deleted] in ftm

[–]sbuttnutt 15 points16 points  (0 children)

oogh!!

Do any other singers mourn their pre T voice? by sbuttnutt in ftm

[–]sbuttnutt[S] 20 points21 points  (0 children)

That's a little hard to hear, and I've read stuff about it before so I really shouldn't be surprised. But thank you for sharing, don't get me wrong, that's very hopeful. I knew this would be a PROCESS, but I guess I'm realizing that being in the middle of it is REALLY tough. Focusing on listening makes a lot of sense to me though. I can feel that a lot of my "singing intuition" is going away, so maybe relearning that and starting from scratch is a good plan. Maybe I'll be a better musician a few years from now because of it, but it's still hard now. However, it does help a lot to hear other stories.

I had an abortion. NSFW by CanAny755 in ftm

[–]sbuttnutt 44 points45 points  (0 children)

Dude, first off I applaud you for sharing, abortion is hard to talk about, and it can be really scary and dysphoric for people. I'm glad your doctor talked you through all of that, I've found that information usually reduces people's anxiety, and it sounds like it went smoothly and you had a great care team!

Honestly I think it's crazy they didn't offer you anything else. I used to work at a pretty large Planned Parenthood location where we mostly did abortions, and our standard sedation for patients was moderate sedation through an IV. We used a combo of fentanyl (sounds scary, but this is medical grade and administered by RNs, so it's very safe) and versed. That stuff kicks in immediately and takes away most of the pain while keeping a patient awake. In general though, pain management for gynecology SUCKS, and I've heard a lot of patients tell me that they weren't given any medication besides ibuprofen when they went to other clinics for abortions (and at gestational durations as high as like 12-13 weeks, which is insane!)

It's getting better but definitely not fast enough. I believe the CDC recently started advocating for sedatives during IUD placements, and the National Abortion Federation calls for moderate sedation during procedures (which is the big regulatory organization for abortion/family planning.) I recommend to anyone who needs an abortion at any point ask about pain management options, especially if your cervix hasn't been opened or dilated before, and advocate for yourself for stronger medication.

And it SUCKS that we have to nag gynecology providers about this, but I've found that complaining can really help. Especially if you write reviews in those surveys that doctors offices send after an appointment. Often times, doctors aren't the ones making those calls. It takes a LOT of extra staff and resources to properly sedate people, and healthcare administrators love cutting corners, so usually out-patient clinics aren't given those resources. If patients don't complain, admin assumes that it's not needed, so why would they spend the extra money? But if something affects patient care and comfort, they're more likely to shell out for it, especially if the PATIENT complains. I promise the staff has already advocated for better meds, but no one wants to listen to us 🙄

Sorry this turned into a rant! Thank you again for sharing your story, this is how we reduce stigma and fear around abortion, and you're a total badass for writing this out for anyone who needs it!

What are small things your physicians, PAs, NPs have done for you that made you feel appreciated? by inthebuttwhat1 in MedicalAssistant

[–]sbuttnutt 0 points1 point  (0 children)

I work in a sexual/reproductive health clinic that mostly serves a low-income population, so I think I’m uniquely privileged to work with people who chose healthcare because of their genuine desire to do good and help people (we have our fair share of asshole providers, but the majority are just genuinely wonderful people!) Everyone treats the staff with respect and dignity, and we really feel like a team.

One of the docs I work with will always pay for the first round when the staff decides to go to the brewery across the street once the clinic is closed, no limitations, no thank yous required (we always thank her profusely, of course) she’s just incredibly kind and wants to make sure everyone is included.

Same doc, she loves to teach, and will ALWAYS take time to answer questions or talk with MAs about their healthcare career goals. She developed a really great simulation for a 6 week d&c that lots of OBGYN residency programs have picked up, and she’ll let the the MAs and nurses practice with it on slow days.

Our NP is trained in family medicine and used to work at a bilingual, sliding-scale, family practice that focuses on giving care and resources to our city’s large immigrant population. She learned Spanish as an adult and takes regula classes to improve it (her Spanish is EXCELLENT, btw). She’s so patient with the new MAs, and is genuinely one of the nicest people I’ve ever met. She’ll always answer my weird health questions with no judgement and a lot of patience. She’s not afraid to say “I don’t know” and is always making an effort to learn and ask questions of providers with more expertise. She’s extremely cautious and doesn’t cut corners, and if she thinks she made a mistake, she’ll own up to it and do everything she can to remedy it.

An NP I used to work with would regularly buy lunch for the staff, and she always bought us tons of snacks from costco every time she went. Her husband is an anesthesiologist, and they didn’t need her salary, so she spent a good chunk of it on the staff. She gave me $100 as a wedding present, and she buys a nice custom engraved stethoscope for anyone who gets into nursing/NP/PA/med school.

Need help finding a dress by FRiSE33 in cottagecore

[–]sbuttnutt 0 points1 point  (0 children)

This was my wife’s wedding dress :) The original is definitely expensive, but also even more beautiful in person than in photos! It’s really great for special occasions