I Need An Old Drug
Not that I’m bitter or anything …
But when it comes to my future plumbing surgery,
There’s no way in hell I’m going to go off my hormones prior to 24 hours before surgery …
Unless,
It becomes normal operating procedure,
That a week or two or four before any natal female goes in for surgery,
The doctors say to her …
“I’m sorry, we’re going to have to shut down your ovaries until after surgery such that you have virtually no estrogen in your body …”
“Oh yeah, and while we are at it, we’re going to start shooting you up with testosterone …”
“You know, so we can give you the best of both worlds.”
“Just as you are experiencing the stress of a surgery …”
“We’re going to eliminate the one hormone that brings calm and peace to your system …”
“And add another hormone that has proven to increase the anxiety and stress one experiences with life in general, let along what it does to a person with an upcoming stressful event.”
“Why are we going to do it? Well … really, I don’t know, it’s just the way it’s always been done. So you don’t have a choice.”
Now I’ll grant, Dr. Z is nicely reasonable as far as his philosophy goes of how long prior to surgery one should cease hormone therapy,
And I’d never choose a doc solely because of that issue alone,
But …
I find no logic whatsoever with this whole need to cut out the ‘mones before surgery,
And it sucks. 🙂
I seriously might have to add doctors to the list of professions in which I implement my Payback approach to representing people.
You see … with a few professions,
I treat them as I have been treated in the past,
Plumbers, garage door opener repairmen, and cable company employees are my most famous examples.
With potential clients that I know work for cable companies,
If they call for an appointment …
My standard line is …
“Sure, I can meet with you on [whatever day works the worst for them] during the afternoon. You’ll have to have be in my lobby between the hours of 1:00 p.m. and 5:00 p.m. Someone will meet with you as soon as we can during that time. No, I’m sorry, we can’t be any more specific than that. But if you can have someone in my lobby within 15 minutes of receiving a phone call, I can have someone in my office give you a call first, but if you’re not there when I walk into the lobby, you’ll miss your appointment and have to reschedule for another time.”
Yeah, I’ve actually used that line.
No, I didn’t totally mean it, I just make them wait at least 15 minutes regardless of when they show up.
Yes, I have still oddly enough represented cable company employees from time to time.
And it totally cracks me up !! 🙂
Yeah … I’ll admit it … I think rectums are funny, heck … I think the word “rectum” is funnny …
“Rectum hell, damn near killed him !” LOL 🙂
Ok…I admit it….I have never removed a foreign object from the rectum, or any other orifice, of this website’s host. This is not to say I wouldn’t if the occasion arose, though I would have to point and laugh, and take a few picture for posterity (or posterior-ity)….I just posted that because I know Amy thinks rectums are funny, and I am here to entertain, or at the very least, amuse.
And what do I get if I know exactly what Geoffrey’s talking about. He sounds like the kind of guy I used to hang with in Med school….and yes, it’s exactly, if not worse than you think….
Laura
ROFL Geoffrey, I have no idea if it’s too graphic for my site or not, since I have no idea what it means !! 🙂 (I’ve been wondering where you’ve been … I was thinking my boob job might get a word outta ya !! :))
Gawd, I hate having to ask people to explain stuff, I probably really should know what this means … but, alas … I don’t,
So will someone please tell me.
However, please, please, please, please, please … don’t tell me what it means here … e-mail me … because if it is too graphic for this site, then the description may be too graphic for this site. 🙂
When they “skillfully create” your vagina, don’t forget to make sure they stay a little lean on the roast beef.
Was that too graphic for this site?
But, but (butt?), picking on you, what about the nose? 🙂
Oh, and better hope you don’t need a hearing aid when you’re in your dotage. 😉
“You need to put on this hearing aid. Stick it in your ear.”
“Stick it WHERE?”
“YOUR EAR!”
“Oh, that’s OK. I though you said….”
ROFLMAO
Okay … I do need to clarify this … Laura is just being funny when she makes any reference to having something stuck in my rectum … or something like that ever happening again !!
Again … let me clarify Laura’s comment … my rectum always has been, and always will be … a ONE-WAY street … EXIT ONLY !!
Got it ??
The skillfully created vagina which I am acquiring is the only orifice on my body (well, in addition to my mouth), that accepts ENTRY of anything !! (Interpret the double meaning there however you so desire.)
Okay ?? Understand ??
So PLEASE … stop with the e-mails you horny butt hounds !! 🙂
Next time? 🙂
So….you’re thinking of adding doctors to your shit list…Well, don’t come crying to me next time you get something stuck in your rectum….(sure, it won’t happen again….)
Laura
Thanks for the useful post Am- er, Yodette and Skylark. 🙂
Thanks fer nothing, Amy, haha ;D
Good info. I can’t tell you how emotionally draining its been without E, and I’ve been sooo tempted to get back on it. For now, i’ll go with what Dr. Z says…
M
Oral estrogens increase the risk of clotting during surgery (and also during long aircraft flights, BTW). Surgeons will ask women who take oral hormones to stop prior to surgery that includes considerable bed time recovery because of the increased risk of thrombosis.
Natural estrogen produced by the ovaries doesn’t carry as much risk, possibly because it circulates through the tissues first and doesn’t have the concentration spike in the liver oral estrogens have. In the animal world when a baby is born it’s common for for the mother to eat the afterbirth that is rich in estrogen. Since clotting of the blood is important to stop the uterine bleeding after the separation of the placenta, it’s thought the spike in liver first pass estrogen from eating the placenta may boost the clotting mechanism.
There’s a certain amount of clotting risk with any surgery. The older we are, the length of bed rest and immobility, as well as factors such as smoking and oral estrogen increase the odds. Even without surgery, any endo who treats several hundred TS patients can expect a thrombosis event every five to ten years, with some of them being fatal. The more oral estrogens prescribed and the more patients who smoke, the more frequent the thrombosis events. It’s one reason why they are relutant to prescribe hormones without good reason.
In a perfect world I think surgeons ought to allow transdermal estrogens up to a week before surgery. Those are rapidly cleared. But in the absence of organized studies, surgeons want to error on the side of discomfort over even a small increased risk of a fatal outcome. Both Meltzer and Schrang have lost patients to blood clots as I recall. It makes all SRS surgeons want to be extra careful.
No … she specifically referenced “artificially induced” estrogen … so my suspicion would be that a natal women NOT on hrt of any sort wouldn’t be at the same risk level as a ts woman on hrt.
Nevermind! I missed the “artifically induced” the first time I read it!
So, does what Skylark said mean that natal women are more at risk than natal men during surgery because they have more estrogen?
Thanks Skylark !! 🙂
I was afraid there was a good reason for it … 🙁
estrogen changes your clotting system. that’s why you’re warned to be very aware of pains in your legs and so on. it also changes your response to anesthesia and generally mucks about about with your metabolism (look up “triglycerides”). all of these constitute an unnecessary risk factor when the estrogen is artificially introduced.
Too funny. Holy cow girl, you were up early!!! or was it going to bed late???? whateva!!! I can totally relate to the ‘going off hormones’ thing, even though I’m not scheduled for surgery anytime soon – my endo in his infinite wisdom decides to take advantage of a cheapy holiday and reschedules my appointment without:
a) checking with me first
and
b) checking to see whether I’ve enough HRT meds to last until he returns.
and
c) without talking with his residents to let them know about his TS patients…..unbelievable, the residents are unable to fill the scrip themselves without his authorization, too funny, almost as funny as my moods – up and down like a yoyo!!!! 😕
I’m laughing my ass off (better be careful b’cos there ain’t that much of it there yet). For sure there’s stress relating to surgery – I won’t be having mine until Q4 prolly and already I’m stressing over the whole damn thing.
“And add another hormone that has proven to increase the anxiety and stress one experiences with life in general, let along what it does to a person with an upcoming stressful event.”
Quite a sage statement. I think however, it’s prolly going to fly 10,000 ft over the heads of those people who aren’t TS – forget all your recreation drugs, take Oestrogen…..accept no substitute!!! yay!!!
Love your payback approach…….works for me:)
cl