Alicia Ryanne
10-17-2011, 06:15 PM
If you are familiar with Stuey from Family Guy....you'll get the thread title.
Ok.....so I had my first endo appointment today. I went down to the appt dressed in girls jeans, a hello kitty white striped blouse t-shirt type thing, pink breast cancer awareness Chicago Bears baseball type hat and of course my usual bra on. I did not do any makeup and had a rather guyish black leather jacket on.
Anyhow......
This is the first time Ive ever been to this place. As soon as I arrived, the receptionist warmly greeted me and asked "How are you today Alicia?" Wow...that was nice. Even in guyish mode, they called me Alicia
The place is in denver off of Evans and S onieda for anyone interested. Its called Mountain View Family Medicine. it looks like a standard family practice. There was a nice flyer on one of the doors about FtM transgender support group with info/phone contact stuff. Didnt apply to me since im MTF, but might be of interest to someone else here.
Once the nice nurse brought me back and did weight, height(5' 10") she took me to the exam room and did the normal blood pressure stuff all the while calling me dear and hun and that sort of thing.
The doctor came awile later. Very nice lady. Cute short grayish spikey hair. Immedietely she made me feel very much at ease and welcome. She explained shes been treating transgender patients for 20 years and had actually attended the WPATH convention thing that released the new standards of care a couple weeks ago. Wow...so she is really interested in helping people like us. Thats good I thought to myself.
Moving on.....the standard slew of questions...like previous surgeries, medications...etc.
I told her ive been taking the Nature day herbal suppliments since April. She asked "ok so lets have a look, ok?" She noted some real breast growth and the beginning signs of nipple changes. I had told her I would say they were about a minor, minor A- in size. She laughed and agreed and said it was a nice base to start with.
We sat and talked about a lot of things relating to transition and what types of medications and various delivery methods there were. She asked what kind Id prefer. Initially I was like...well...ive been using a topical gel Estragel obtained overseas for about a month. "Ok...so would you like to continue using a topical?"
I dont mind, but i want a prescription version.
"Of course. We could suppliment the topical with an under the tongue pill version also if you like."
Hmmm, maybe. Im also not opposed to injections, though ive never done them before.
"Thats ok. We'd show you how to do it. Have you thought about patches?"
No. I thought they were expensive?
"Nah. They've got generic versions of Climera now", she said.
Oh! Ok. That sounds like a good route.
"Dont worry. If one type doesnt work for you, we are not locked in. Im here to assist you and we can always change the type and obviously the dose later."
What about Spiro?
"Well, with the new information provided at the WPATH conference, Id actually like to stay away from Spiro for now because the test results over the years have shown no real difference in long term development for MtFs that have done estrogen alone vs estrogen w/spiro. The dosage lvls are really not that different regarding the estrogen in either case. Obviously without Spiro, you dont need quite as much E. However, you are already om finesturide. Whats your current dosage?"
About ******* per day.
"Ok...so im going to prescribe you more finesturide,and I want you to take xxxx amount which is more then what you are now. This will somewhat replace Spiro since finesturide has some T-blocking ability along with preventing DHT receptors."
Ok
"Im also going to prescribe you ******* estradiol patches."
Oh. Nice! Wasnt expencting an actual prescription today. Figured youd need to do bloodwork first and then id come back.
"I am having a nurse come in and do blood work yes, but since your healthy and no issues, Im comfortable giving you the scripts now. If something shows up in the bloodwork. We will call you."
Hence why I said Victory is MINE for the thread title.
She then says..."ok...I want to see you again in 3 months. Had I given you spiro, Id have to have you come back a lot sooner and more frequently. Lets see how the E and the finestuide do first. Im used to giving patients Spiro and have done so for 20 years, but lets see how it goes first."
I leave and go right to Walmart once I get back up where I live.
Surprisingly, my insurance covered the Estradiol patches without even a hiccup. A months worth was only $10.
3 months worth of finesturide was only $24.
So currently, $18 per month is my med costs Woot.
Im finally on my way!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Ok.....so I had my first endo appointment today. I went down to the appt dressed in girls jeans, a hello kitty white striped blouse t-shirt type thing, pink breast cancer awareness Chicago Bears baseball type hat and of course my usual bra on. I did not do any makeup and had a rather guyish black leather jacket on.
Anyhow......
This is the first time Ive ever been to this place. As soon as I arrived, the receptionist warmly greeted me and asked "How are you today Alicia?" Wow...that was nice. Even in guyish mode, they called me Alicia
The place is in denver off of Evans and S onieda for anyone interested. Its called Mountain View Family Medicine. it looks like a standard family practice. There was a nice flyer on one of the doors about FtM transgender support group with info/phone contact stuff. Didnt apply to me since im MTF, but might be of interest to someone else here.
Once the nice nurse brought me back and did weight, height(5' 10") she took me to the exam room and did the normal blood pressure stuff all the while calling me dear and hun and that sort of thing.
The doctor came awile later. Very nice lady. Cute short grayish spikey hair. Immedietely she made me feel very much at ease and welcome. She explained shes been treating transgender patients for 20 years and had actually attended the WPATH convention thing that released the new standards of care a couple weeks ago. Wow...so she is really interested in helping people like us. Thats good I thought to myself.
Moving on.....the standard slew of questions...like previous surgeries, medications...etc.
I told her ive been taking the Nature day herbal suppliments since April. She asked "ok so lets have a look, ok?" She noted some real breast growth and the beginning signs of nipple changes. I had told her I would say they were about a minor, minor A- in size. She laughed and agreed and said it was a nice base to start with.
We sat and talked about a lot of things relating to transition and what types of medications and various delivery methods there were. She asked what kind Id prefer. Initially I was like...well...ive been using a topical gel Estragel obtained overseas for about a month. "Ok...so would you like to continue using a topical?"
I dont mind, but i want a prescription version.
"Of course. We could suppliment the topical with an under the tongue pill version also if you like."
Hmmm, maybe. Im also not opposed to injections, though ive never done them before.
"Thats ok. We'd show you how to do it. Have you thought about patches?"
No. I thought they were expensive?
"Nah. They've got generic versions of Climera now", she said.
Oh! Ok. That sounds like a good route.
"Dont worry. If one type doesnt work for you, we are not locked in. Im here to assist you and we can always change the type and obviously the dose later."
What about Spiro?
"Well, with the new information provided at the WPATH conference, Id actually like to stay away from Spiro for now because the test results over the years have shown no real difference in long term development for MtFs that have done estrogen alone vs estrogen w/spiro. The dosage lvls are really not that different regarding the estrogen in either case. Obviously without Spiro, you dont need quite as much E. However, you are already om finesturide. Whats your current dosage?"
About ******* per day.
"Ok...so im going to prescribe you more finesturide,and I want you to take xxxx amount which is more then what you are now. This will somewhat replace Spiro since finesturide has some T-blocking ability along with preventing DHT receptors."
Ok
"Im also going to prescribe you ******* estradiol patches."
Oh. Nice! Wasnt expencting an actual prescription today. Figured youd need to do bloodwork first and then id come back.
"I am having a nurse come in and do blood work yes, but since your healthy and no issues, Im comfortable giving you the scripts now. If something shows up in the bloodwork. We will call you."
Hence why I said Victory is MINE for the thread title.
She then says..."ok...I want to see you again in 3 months. Had I given you spiro, Id have to have you come back a lot sooner and more frequently. Lets see how the E and the finestuide do first. Im used to giving patients Spiro and have done so for 20 years, but lets see how it goes first."
I leave and go right to Walmart once I get back up where I live.
Surprisingly, my insurance covered the Estradiol patches without even a hiccup. A months worth was only $10.
3 months worth of finesturide was only $24.
So currently, $18 per month is my med costs Woot.
Im finally on my way!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!