I recently switched to Kaiser as my health care provider because I was having trouble finding a GP under Blue Cross. I saw my new Doctor for the first time yesterday to see about getting a referral to a doctor in their alleged transgender program. Now keep in mind they have had 5 years of buffer time to get ready for treating transgender patients under the new California law. I’m cautiously optimistic, however my last visit wasn’t confidence inspiring.
My first impression was that no one asked me for a medical history since I was a new patient. That is, aside from a few question about medications, periods, and allergies. Information about past medical conditions, sexual history, mental health status, gender identity and surgical history were strangely missing. So naturally my Doctor knew NOTHING about me before seeing me. It was just assumed I was a cisgender woman who had never had a period and was on some interesting medications.
When the doctor finally came around, I found she was crazy nervous after I told her about my transitional status. She recorded my medications again and she asked if I smoked (no) and told me I shouldn’t because it would give blood clots on estradiol. (Good info but I already told her I’ve been under supervised treatment for 2 years. I could tell she was flailing.)
I asked her about a referral for transgender care. But mostly I wanted to understand the process Kaiser uses for transgender treatment. She admitted to having no idea what that process was and gave me a referral to a random (first available) endocrinologist and no information about how I could find out. After giving me a short overall exam, which ended with an abrupt breast exam that left me hurting for hours afterwards, she left like a bat out of hell. (I assume that’s normal for a doctor’s visit? I have no idea as this was my first non-emergency doctor’s visit as a transitioned transgirl.)
Now I have to wait and see what this random endo will have to say. I keep having nightmares about what it will be like. More breast poking? Trying to change my meds? More casual ignorance at a doctorate level? But at least I now have an official diagnosis for “Transsexualism” how 1975 is that!