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A Visit With Dr. Chettawut And Other Random Thoughts

Aug11

IMAG0099-resizedIt’s Wednesday morning in Bangkok and  I had my final visit with Dr. Chettawut today. He said I am healing “beautifully” so far. We took photos and while I guess I look less than stellar, no makeup and clearly physically tired, I’ll excuse myself with it having been just three weeks since surgery.

My only remaining medication is my antibiotic, which I was told to finish. Judging by what’s left that will be sometime next week.

My dilation schedule with #2 changed this week. That’s the dilator that’s getting most of the time now with #1 just basically helping me to relax and loosen up. Strangely enough, unlike a lot of the other women I’ve met here, my most relaxed session is the morning, and I’m at my tightest in the evening, so that session takes the longest.

I’ve stood a few times looking at myself in the mirror now, both dressed and undressed, both frontal and sideways. I don’t think I’m doing too badly for a woman my age either. And I will admit that I’m starting to see what my daughter must see when she teases me about a bikini next summer.

I recently participated in a long Facebook thread started by a woman who posted publicly (if you don’t want dissenting comments, post for friends only!) about her opposition to transgender protection regulations in a Houston suburb school district. I provided fact after fact, but these people refused to consider these facts, or the professional opinions of the American Psychological Association, the American Psychiatric Association, the American Medical Association, or the American College of Physicians. They refused to accept the scientific research, with one paranoid delusional claiming that science and professional medicine had been taken over by “liberals” and “Satan”. Well, buddy, when you’re that paranoid and delusional, you are the one that needs psychiatric help, not transgender kids. And they refused to accept the criminal evidence provided by the states and major cities that have enacted transgender protection ordinances, again claiming “liberal” conspiracy.

This little discussion was absolute proof that these bigots don’t care about facts. They just twist facts to try to justify their bigotry. They totally lack the compassion, empathy, and love that Christ himself told them to show.

That’s what dealing with transphobic bigots is like. Deny, deny, deny, fall back on “cuz Gawd”. It’s a blatant display of willful scientific and medical ignorance. And they are often proud of it!!! You’re left with a sick sinking feeling that these people are the exact sort that would gladly load cattle cars with human beings just so long as nobody disturbs their comfort. And granting equal rights under the law to transgender people? They just don’t want to. One practically admitted he wanted someone else to mock. These are sick, sick human beings.

In other matters, Tuesday evening (last night), Julie and I went to the Japanese restaurant just outside the Tesco department store about 5 blocks down the street. It was a feast for 950 Baht total (roughly $26). We got the beef and seafood. They put hot coals in the little burner in the center of your table and you cook your meal there, with over half a dozen different seasonings provided. We had more beef than we could eat, plus mega-shrimp, small salmon steaks, and various vegetables we could put on the grill as well. There was also a rice bowl that basically looked like fried rice unstirred, so we stirred that and ate about half of that as well. Julie and I split the salad and it was gone, and we each also got Miso soup with the meal. All in all, I came home stuffed and happy. It as delicious.

Today Julie is at the Tiger Temple. I have her looking for a few things for me for other people, plus I told her I wanted my own stuffed tiger if they’re available. She’ll be gone all day as that trip is 3 hours drive each way north of the city and 4 hours at the temple proper. She’s going to try to sign up for the chance to get a tiger photo where the tiger puts its head in her lap. I hope she gets it! If I can return someday, I want to see the Tiger Temple too, when I am healthier.

Our trip to the other side of the world is drawing to a close. Julie and I will see one of the local temples tomorrow, and maybe one other local sight on Friday. Saturday we rest and pack, as our ride back to the airport comes to the hotel at 9pm that evening and our flight back to the US begins just after midnight. We’ll arrive back in Houston on Sunday, August 16th, at about 8:30 am at international terminal D. I need to help Julie get over to terminal B for her flight home to Memphis that leaves around 10:30 so it will be close. We have to come in through customs, collect luggage, take the train to terminal B, then she has to check in at the counter and check her bag again for the separate flight home. We’ll make it but we’ll be busy. After she’s set, I’ll arrange to meet my ride outside terminal B at the arrivals pick up area. And then home, where the process of settling back in, re-establishing my dilation and massage schedules begins, and where I get comfortable for a week before resuming work on Monday, August 24th.

To all who have helped distract me on this trip, keeping my mind off the difficulties of healing early on, thank you. You have my gratitude for simply being there. But don’t worry. I’m not going away, and as I recover, I do hope to meet more of you who are in and around the Houston area.

One Week And Counting!

Jul10

In one week, I depart for Thailand. At this time, one week from today, I will be in the air with Julie Jeznach​ headed for Seoul, South Korea, with a short layover, then on to Bangkok, Thailand.

Crossing the international date line means we will arrive at 9:10pm, on Saturday evening, July 18th Bangkok time.

I am both excited and nervous, excited because this is finally happening. Nervous because I have to travel so far to get it, and as with any surgery, you hope nothing goes wrong.

I plan to make posts to my blog about the trip, but I can’t say it will be daily, just as often as I find appropriate. Since my blog auto-posts to Facebook, they will be visible there as well when I am writing.

And post surgery, I hope to also be active on social media once I am awake and fully cognizant again.

A lot of people have been there for me leading up to this, and I thank all of you. Because there is some overlap, I’ll get to see two of my friends, one who is there already and has completed her surgery and one who is scheduled to arrive after me for her surgery. I look forward to visiting with both of them when I can.

My final comment here is to my trans brothers and sisters who are struggling to reach this point. To all of you I say, please don’t give up, and please do continue persevere in your goals. Our situation in the United States is changing rapidly for the better so while it may not be feasible for most of us today, in a few more years, these medical procedures may be fully covered, giving you more options. So hang in there! You’ll get there too someday.

Unexpected Blessings

Jul5

When I came out as transgender to my adult children, the reactions varied. The strongest and most negative emotional reaction came from my youngest son. My daughter was, as she told me, heartbroken, not because I was trans but because she realized what would happen in my marriage to her mother. My eldest was angry, and it turns out, the most dead set against me, but it was my youngest son who showed the strongest emotional reaction.

I wasn’t sure I would ever get to speak to him again, or that I would ever be invited into the presence of himself and his wife. His first child was born in January of 2014 and I was not welcome so I stayed away.

Each year, I tried to ensure that happy birthdays were sent, holiday cards sent. I expressed wishes to convey to them through my spouse to them. And I continued to work my way through my transition.

In early September, 2014, my youngest son reached out to contact me. It was an email, brief, but wonderful to see. He wanted me to know that he still cared for me, that he loved me. I’ll be honest, part of me wanted to ask if he felt that isolating me for two plus years was really a form of love but I didn’t. I fought down that temptation because I knew that would create division and instead focused on the wonderful fact that he had reached out to me at all. I wanted healing for us, not further separation.

Over the next few months, our communications continued, sporadic but they continued. About Thanksgiving they became a little more regular. And then, the week before Christmas, my son, his wife, and the grandchild I had never seen came to visit. That was a moment of pure joy, both at seeing my grandchild for the first time in person, but that both he and his wife came over and still cared. That wasn’t the only visit that week. I’m deeply appreciative of those visits, and at seeing my grandson.

More communications followed as 2015 dawned. He came over a few times and one time we chatted for a few hours. We didn’t and probably won’t ever agree on everything, but we can disagree with love between us. And importantly, despite disagreements, he doesn’t want to see me or anyone like me denied our basic rights, and for that I applaud him.

Later, we became friends on Facebook. His wife has been friended to me on Facebook for a long time. It was through her that I got occasional photographic glimpses of my grandson, until that day when I could finally hold him in my own arms. But now I could interact with my son directly, which was a pleasure.

JohnsPost2And then yesterday, this happened, which made me and lots and lots of other people happy too.

We were discussing the Supreme Court marriage equality decision and there was some back and forth about either side not being considerate of the other side. I saw this piece and I sent it to him via Facebook PM, because this article wasn’t about sides, but about opportunities the body of Christ missed this week by focusing on “sides” rather than showing love, joy, and support.

Yes, he misgenders me. 🙂 Yes, he uses the wrong name for Caitlyn Jenner, And yes, I gently remind him of that. But thankfully, he says he’ll try. I don’t expect perfection on that front, at least not at first. But he said he would try! Do you know how good that made me feel? That made cry, happy tears, but I cried.

My daughter and her husband chimed in as well (all names other than mine removed) and lots of people close to us both “liked” that post.

I don’t feel welcome in Texas churches anymore. There are very few trans people I know who feel welcome in churches around Texas these days. But this week I got to see the Holy Spirit move, in my family and then in a separate article about someone whose eyes finally opened about his LGBT brothers and sisters.

We (LGBT people) are not demanding special privileges. We just want the same rights as everyone else. And the way that will happen, eventually, is just like what happened here this week, the Holy Spirit moving to bring my son and myself closer together again and heal those wounds. And that was the miracle this week for me. May you each have blessings and miracles in your own lives as well.

Yet Another Reply To Those Who Continue to Demean Transgender People

Jun13

I won’t comment on whether “transracial identity” is a thing or not except to say this – the only reason conservatives raise this issue is to denigrate transgender people.

The two issues are not comparable. These are not apples and apples, but apples and oranges.

First off, “transracial identity” is a phrase that popped onto the radar of everyone just this week, in relation to one single person who has been living as a black woman for years even though she was born very, very white. Race is a completely social construct. We currently have no biological evidence that race is anything other than a social construct. Prior to this week, the term “transracial” was a clinical term restricted to discussing children of one race being adopted and raised by parents of another race, and any mental health issues that might arise therefrom. Now the word has been appropriated by non-professionals who are know-nothings seeking to create a false comparison between transgender and race as identifying characteristics.

On the other hand, there is a wealth of peer reviewed scientific studies that I have referenced elsewhere that demonstrate that being transgender is exactly what the American Psychiatric Association, American Psychological Association, the American Medical Association, and the American College of Physicians all say it is – a medical condition.

So right off the bat the two things are different. One is not a biological component of self identity so far as we know and the other one, being transgender, is a biological component of self identity, based in white matter brain structures that form and set in a particular gender configuration before birth. Being transgender is recognized as a medical condition and has a standard treatment procedure, often referred to by those within the trans community as “transition”. This treatment procedure and the process of going through it involves hormone therapy, psychological therapy (to deal with the issues of people being assholes, not from being trans itself), and surgeries. “Transracial identity” has no such recognition and no such standard treatment plans.

Therefore why use one, which appears to be about one individual, to compare to the other? I’ll tell you why. Because the behavior of the one individual is seen by many as potentially unstable and disturbed. And comparing the situation of Rachel Dolezal to that of transgender people is an attempt to demean, marginalize, and ostracize transgender people by trying to point out that if Rachel Dolezal is ridiculous then transgender people are ridiculous too.

When you see someone doing this, odds are very high they are someone who has serious issues about transgender people. And they are further also advertising their great big lack of knowledge about the field of transgender studies and treatment today, as well as about human biology. No, Virginia, as I have said before, XX is not female and XY is not male.

And finally, those still arguing that being transgender is a “mental illness” – you are in the deep deep minority among health care professionals in both the mental health care and physical health care arenas.

American Psychiatric Association Position Statement About Transgender Persons

American Psychological Association Position Statement About Transgender Persons

American Medical Association Position Statement About Transgender Persons

American Medical Association 2011 Annual Meeting Webcast Explaining Hormonal In Utero Causes of Being Transgender

American College of Physicians Position Statement About Transgender Persons

Summary of Research About Neurobiological Causes of Being Transgender

Why Conservatives Are Totally Wrong About Caitlyn Jenner

Jun4

MTF_Brain_Scan_differencesConservatives have been screaming about Caitlyn Jenner for the last few days. They have also been making woefully unscientific statements about gender, claiming anyone with gender identity issues must be mentally ill, and screaming about 5th grade biology, as if XX and XY settled all debate in all cases. Let’s explore the reality of gender versus the conservatives’ childish wish list of what they’d prefer it to be.

The position of the American Psychiatric Association is that gender identity issues are not mental health problems. Caitlyn Jenner is not mentally ill.

The position of the American Medical Association is that being transgender is a medical condition that has a specific neurobiological cause, and can be treated via hormone therapy, surgery, and social transition (which is what Caitlyn Jenner is doing).

The position of the American College of Physicians is identical to that of the AMA.

There are now dozens upon dozens of peer reviewed scientific studies that demonstrate the neurobiological basis for why people are born transgender.

These studies also have helped identify when it happens (in utero) and why it happens. The lack of this basic scientific knowledge of this topic by conservatives is yet another failure of right wing politics and evidence of denial of reality.

Further, gender (and sex which are different things) are not predestined via genetics.

1 in 30,000 females at birth is XY, due to AIS. Do you even know what AIS is and how it produces this effect? These women have female genitalia.

1 in 30,000 females at birth is XY, due to Swyer’s. Do you even know what Swyer’s is and how it produces this effect? These women have female genitalia too.

Most XY females are sterile but some are not. If she gets pregnant, carries to term, and gives birth, is she still a man just because she is XY?

1 in 25,000 males at birth, with penis, testicles, scrotum, the works, is XX, due to de la Chapelle syndrome. If an XX dad fathers a child is he female because he is XX? How absurd!

1 in 600 children at birth is XXY (Klinefelters). For years, doctors assumed Klinefelters were all males because it was the males who had reproductive issues. They someone went and actually looked for XXY females and discovered that they exist too, and usually have no reproductive issues. If a Y chromosome is always male, why do some Klinefelter’s babies become male and some become female?

Hint: Science itself abandoned the use of the Y chromosome as the “male marker” clear back in the early 1970s. The IOC and NCAA followed suit in the 1990s. The simplistic childish XX/XY explanation you got in school was simplistic because you needed a simple explanation of the general case but not all cases. Genes are not destiny. Genes are blueprints and nature can and will implement variations on blueprints rather frequently.

And genitals do not define maleness either. If they do, are you going to tell that young soldier who lost his legs, and his genitals to an IED that he is now a female? Really? Don’t be insulting.

Gender is defined in the white matter structures of the brain. There are significant differences between the white matter structures of the average male heterosexual brain and the average female heterosexual brain. These differences cannot be changed once they set between the 8th and 24th weeks of pregnancy.

If there are any variations in hormonal ratios between testosterone and estrogen within the mother’s womb outside the “average” range, the child’s brain will develop along a different path than their body. This is how people become transgender. This is why you can’t pray it away. This is why it is not a mental illness.

We do not know how to alter the white matter structures of the brain without killing the patient. But we do know how to align the external body to the internal brain of the individual with this medical condition.

Just like a cleft palate, club foot, or other birth defect, there are therapies and surgeries to assist in correcting this issue.

Claims that deny the above facts demonstrate gross ignorance of the science, and ugly hateful  condemnation of a medical condition that people are simply born with.

Conservatives, claiming the mantle of science, ought to be the very first raising the flag for transgender people, to ensure that they are treated rationally, compassionately, and ethically within modern medical guidelines, and to ensure they are treated equally under the law.

But all I see coming from the right wing is ignorance, hate, irrationality, denial of reality, and, quite frankly, bowing down to the social conservative wing of the GOP, the worst part of the Republican party, the one that is driving more people away from the GOP, and the one that most interferes with rational discussions about budgets, fiscal priorities, energy security, , national defense, and sensible foreign policy.

So what will it be, conservatives? Deny science to bow at the altar of religious bigotry? Or stand on the side of science and the law to tell the religious bigots to shut up? So far conservatives have bowed at the altar of religious bigotry. Will any have the courage to stand tall in the 21st century? Let’s watch and see, but don’t hold your breath.