Saturday, May 6, 2017

My "Transition"

Covering the story in chronological order, which means that current/recent events don't come in until 2/3rds of the way through the blog post... skip ahead if that's the only part you care about.


See this previous blog (written mid-2012) for my childhood and early adult experiences with hormones and gender roles.

Estrogen-based hormone treatment (birth control) was the only option the doctors gave me back when I first realized that PMS was the cause of my apparently random mood swings. I accepted that treatment plan without realizing that this would come with an appearance-feminizing side effect... by the time I found out that detail, it was too late to do much of anything about it; the primary complaint (mental health issues driven by menstrual cycle) was under control and bigger boobs is something every woman wants, right? [yeah, right. I'm up in the range where even cis-women have reductions. Doctors somehow don't acknowledge that detail though.] I'd queried the possibility of a testosterone-based treatment plan a few times in the subsequent years, but never got taken seriously with my requests.

Right around my 30th birthday, chemical sensitivity kicked in. There'd been a few random things (like plug-in-to-the-wall air fresheners) that I'd had atypical reactions to earlier in my life, but now the number of things to be avoided at all costs more than doubled in a period of only 6 months. Reading everything I could find on this poorly documented condition, the main takeaways were that
1) it primarily shows up in aged 30-something females, and usually gets better after menopause [i.e. probably hormone related]
2) aside from small improvements that can be achieved in limited circumstances, it's generally a degenerative disease... repetitive exposures are not just miserable, they do permanent and irreversible damage to the immune system
So I got good at avoiding the growing list of chemicals that I have extreme adverse reactions to, managing to live a not-terribly-inconvenient life with that limitation.

In December 2013, I moved to the Portland area to start a new job, which of course meant switching to a different employer-provided health insurance plan. The new insurance put me on a different brand of birth control pills, which might technically not have had anything to do with the following adventures but the timing is certainly suspicious. Disabling endometriosis flareups started happening again, as did psychiatric episodes similar to the ones I'd previously had before starting hormone treatment. Again I asked for a testosterone based option, was only offered varying dosages of the estrogen version... experimentation with these in Fall of 2014 verified what had previously been concluded... hormone regulation is necessary to keep the psychiatric symptoms under control, while the estrogen treatment contributes significantly to chemical sensitivity. I was about ready to self-impose weekend isolation on myself (doing ANYTHING outside of my normal routine resulted in 24+ hour migraines) when one of my husband's friends suggested paying attention to what I eat... that experiment added artificial colors and flavors to my avoid-at-all costs list (rainbow jello + single dose of high-strength birth control = 3 day migraine!). Eventually I settled on a balance of low-dose birth control and being super careful of what I eat (in addition to avoiding artificial ingredients, even a minor digestive upset from eating slightly old leftovers would interfere with medication absorption enough to cause several days of misery)... but also started to seriously wish for a non-estrogen treatment option.

Mid-2014, I heard through the grapevine that Kaiser Permanente has a "Gender Pathways" clinic for connecting transgender patients with doctors who have the training/background for providing the associated health care as well that the current WPATH standard of care allows for less-restrictive access to treatment than previous versions had allowed. I saw one of the doctors in that facility in August, which was a disaster. She flat refused to treat me, after her line of questioning found me to not meet the definition of transsexual, and put an assessment of "not transgender" in my medical file. Now it's normal for the general public to get those two terms mixed... but you'd think that a health care provider who is supposedly following a standard of care with the title of "Health of Transsexual, Transgender, and Gender Nonconforming People" and an included glossary that distinguishes between those categories would know the difference!

For the record, WPATH7 allows for prescription of identity-conforming hormones and access to surgery for all three of the identities listed in the document's title, not just the first category. Also, unofficial surveys of other trans-identified people who have had experience with this particular doctor indicates that she treats conventionally MtF or FtM people great, while giving all non-binary identified people the same refusal-to-treat. I reported her to Kaiser's administration over this... twice. No action taken, as far as I know.

That left me grudgingly stuck with the estrogen-based treatment plan for another two years, until I got the names of two other doctors in Kaiser's system that also treat trans patients. Not wanting to go through a repeat of the round 1 drama, I pre-screened both for willingness to treat non-binary patients. The nurse assistant for one indicated that she was non-binary friendly, then the nurse assistant for the doc that refused to treat me somehow got ahold of my file/case and said I wasn't allowed to schedule appointments without her authorization. The other doctor, I was able to schedule an appointment with. He bounced me over to an outside counselor for formal assessment/diagnosis of gender dysphoria, but happily proceeded with pre-treatment health screening for possible complications and prescription of testosterone once that paperwork was filed.

I got my first testosterone injection in October 2016, and am very much enjoying the improved treatment outcome. I still have chemical sensitivity, but not anywhere as near as severe as when I was on estrogen. I can sleep in on weekends instead of needing to get up at the same time to take my medications. I can eat small amounts of artificial colors and flavors, and the unavoidable environmental contaminations (brief exposures to cigarette smoke or vaping, contractor using spray paint on a construction site, etc) no longer give me instant migraines. When my hormone dose gets delayed by a day or two (or even a week), I don't suffer any significant mental or physical ill effects. Massive improvement over constantly having to choose between mental or physical health!

I sent out an announcement email to my coworkers when my voice started changing (late December) letting them know what's going on there (I'm fine with using the cleaner restroom, going to continue wearing a mix of men's and women's clothes indefinitely, am not going to police pronouns, etc). All of the responses I got were incredibly supportive. I rarely talk to my family, so haven't told most of them yet.

At my annual employee review in January, I was asked what my transition goals are, which was a nice opportunity to formally state the priorities I've been operating under all along:
#1: my head needs to function (minimize psychiatric symptoms and migraines)
#2: physical health (ability to move freely, avoid unnecessary onset of osteoperosis)
#3: appearance compatible with my non-binary identity
The estrogen treatment plan was only marginally successful (if that) at the first two priorities, and was directly counter to the third. Testosterone is giving me superior results on all three. Even if you hold beliefs that deny validity of that third item, the first two are health standards that any sane person should be fully supportive of... and this is the best option available for my situation.

That being said, I'm also excited to see the decade of unwanted feminization being reversed, and masculine aspects starting to show in my appearance. My gender identity is neuter... while I doubt that I'll ever really be able to present in a way that would consistently get interpreted as such, the possibility of being able to present myself as not-female is a welcome relief. My bone structure is stuck in the "female" pattern, it'd be nice to have some male features to balance that out. There's a photo of my dad from back when he was about the age I am now that is reasonably close to how I'd like to eventually appear (blonde hair the same length as mine is now, plus full beard)... I need to track down a copy of that to post for illustration.

I don't currently have the option of pursuing any surgeries through the Gender Pathways route because Ms. nonbinary-isn't-trans is the head of that department and so gets to act as gatekeeper to surgery access. I'm pretty sure I don't want bottom surgery (what I have is nicely functional; don't see any benefit to tampering with it), undecided on whether or not I want to pursue top surgery... that's probably going to depend on how androgynous-balanced I look after the testosterone-driven appearance changes have stabilized. Even if I did opt for top surgery, it'd probably be more of a reduction (which cis-women are allowed to have, so don't you dare be applying a different standard to me) than a "sex change" operation... not that my surgery plans are any of your business, of course.

Sunday, March 26, 2017

Results of Letter to Area Authority

Footnotes chronicling what has happened since I reported a stake president's abuse of power in early 2015 have now exceeded the length of the original post, so I'm splitting them out to a separate blog entry.



That letter to Richard J. Maynes (with an attached copy of my previous letter to church leadership, as documentation that I had unsuccessfully attempted local resolution) did find its way to Elder Maynes' office, despite the lack of proper addressing. He handed it down to Richard Hansen, who forwarded it down another level to Daniel Johnson sometime around early April. That much, I'm fully in support of... if I'd had Elder Johnson's name and contact information I would have sent it directly to him in the first place.

Two months later, with that projected move to Tualatin still pending, I got a meeting request from the Beaverton Stake President. He said that Elder Johnson had forwarded my letter down to him for resolution at the local level, with no direction on how to handle the situation being provided. I of course immediately asked what his authority over the other Stake President was, and got the expected answer of "none". That 90 minute meeting was mostly spent running verbal circles about the same topic that I'd walked out of my previous meeting with him THE PRECEDING YEAR over, with a few encouraging forward steps in understanding. Towards the end of our meeting, I got to remind him yet again that there's still this issue with the Tualatin Stake President left to be addressed, at which point he made a less than enthusiastic offer to set up a meeting with the three of us.

The idea of meeting with two stake presidents simultaneously, one of whom has given indication of being outright hostile to me and one whom is lukewarm at best, and neither of whom seem to think there's any actual problem needing resolution doesn't exactly strike me as likely to result in timely resolution.... so I called Elder Johnson's office the next morning to advise him that I really don't think the Beaverton Stake President is the right person to be handling this. I was expecting to be told to write an email or another letter, was pleasantly surprised to be permitted to speak to him directly. Despite Elder Johnson's claim to be "very familiar" with my letter, he somehow managed to have my gender identity wrong (I am not a transman!) and was oblivious to there being an issue with the Tualatin Stake President. After spelling the situation out for him (including WHY this situation is so distressing to me, which I've been withholding from local leaders in order to ensure that Mr. treat-the-trans-person-as-a-child-molester doesn't have an opportunity to do even more harm) and asserting that yes the Tualatin Stake President really did give that direction to the Hedges Creek Ward bishop in response to his skepticism that any stake president would ever do such a thing, he agreed that such a restriction is not in line with church policy and said he'd make a phone call to the TSP.

End of July rolls around, and I haven't heard from either stake president, so I make another trip over to Hedges Creek Ward to ask that set of leaders whether or not they've been given addition direction from Daniel Johnson. The Stake President happened to be presiding over the meeting that day, which gave me an opportunity to query him directly instead of the bishop. According to him, DJ did call, accepted SP's side of the story and agreed that the situation had been handled properly... oh, and I'm in trouble for making a "false accusation". When I asked what that false accusation was, he refused to answer. He denied the comparison to child molester handling is but declined to elaborate on the difference. And his response to a direct query on my permissions to work with children: "Not as long as I'm Stake President". I reported that latest development to my own bishop, expecting to get the usual blind acceptance of "I sustain local leaders" and was pleasantly surprised that he considered the situation worthy of reporting again. So we're sending that back up through the chain of command again, with me being extremely skeptical that anything will come of it but desperate enough to try.

By November 2015, I hadn't heard a darn thing back from my current Stake President or Bishop. I'd been generally been going to Sacrament meeting only and then going home instead of attending the second two hours of church.... but even with that restricted exposure to church people, I was finding myself having 36-hour anxiety attacks every weekend, Saturday afternoon through all day Sunday. And of course the church's update to policy on gay members killed any hope I had of church authorities issuing positive clarification. I had one last meeting with my current bishop spelling out to him exactly how unwelcome I'd been made to feel in his ward, and revealing the detail I'd been keeping secret in order to limit hostile leadership's opportunity to abuse their power further... that spouse and I were deliberately buying a big house so that we'll have space for foster children. Foster children that I will not allow church folks to mistreat as badly as they've mistreated me, so if there's no move to improve the situation then I'm gone.

Bishop once again assured me that he would try to improve the situation, but I know better than to believe that... I'll come back when I see it happening, not before. I never looked back, and have had only minimal contact from my few allies in the ward. What I thought was going to be a "vacation" of just a few weeks has turned into months and still counting. Spouse and I moved to our new house (not the one in Hedges Creek Ward, that sale ended up not going through) and I decided not to tell any church officials where I'm at. I let my Ensign membership lapse, most of my church-related possessions are hidden away in a box in the attic, and I won't be giving the USPS a forwarding address in order to make myself harder to track down... which seems a bit overkill, given that they seem to not even want me back. Mormons have a reputation for tracking down and continuously harassing inactive members; I guess that shows how much they really didn't want me there in the first place.




Griffith Park Ward tried to assign me a home teacher in October 2016. I laughed at him, told him I hadn't been in his ward for more than six months and that no, I'm not interested in having church visitors at my new home. Agreed to send him a link to the blog explaining why I have that policy, did so, never heard back.



January 2017, the bishop of Meridian Park Ward (Tualatin Stake) sent me a "welcome to our ward" email. Apparently somebody finally figured out that I wasn't in Griffith Park Ward anymore (RTS from the postal service on a Christmas card? Tithing settlement prompted a review of ward records?) and the only other address they had from me was that now-abandoned P.O. Box in Tualatin. Again, I had a good laugh at the conditional interest ("If you live within the Meridian Park Ward boundaries"...), shared a link to my Letter to Area Authority blog post, re-iterated that I'm not interested in giving out my address for more of the same runaround, and suggested unloading my membership record back to Springfield since that's the last ward that seemed to actually want me. I was fully expecting that to result in another round of getting ignored... classic "not my problem" Mormon logic says that since I'm not living in their ward boundaries, they're not expected to do anything other than continue playing hot potato with my membership.

Well, that bishop actually seemed have a backbone (as opposed to the previous two that I'd interacted with)... he made it clear that I would be welcome to attend his ward, even without actually living in their boundaries, and got an ok from the Tualatin stake president to give me a calling if I want one in that church unit. Not that I really trust anything TSP says, but it's a nice gesture. I had a few more phone & email exchanges with the Meridian Park bishop discussing what the long-term logistics of having me attending a ward whose boundaries I don't live in would be, which led to an offer for him to contact the bishop of the ward where I actually do live without expectation of sharing my address or other contact information until I explicitly give permission to do so.

And so that's how I ended up meeting with the bishop of Lake Forest ward in February, nervously dreading what the next blindsiding rejection would be. It hasn't happened yet. I've got permission to attend the men's 3rd hour Sunday meeting, and have even been told that they "appreciate" the few comments I've been brave enough to make there. After my church record transferred, a calling was promptly extended: Primary Presidency Secretary!

So it's looking like I'm resuming the appearance of "activity"... although I turned in my temple recommend as soon as the record transfer went through, over protests from the bishop. I haven't felt like going to the temple in the entire time I've lived in the Portland area, and only renewed it two years ago because I (incorrectly, apparently) believed that having evidence of my worthiness would help with navigating the Tualatin mess. Despite the recent positive connections, I'm still completely disgusted with the leadership roulette mechanism (how can I be banned from working with children in one stake and then assigned to the Primary Presidency in another?!?) and have no interest in buying my way into "salvation".

I've been open with everyone who's approached me for anything beyond superficial conversation, but get the impression that most of the ward still doesn't know I'm trans... and on testosterone.



2017 ward Primary Program was in October, and the weeks of practice leading up to that event gave me plenty of opportunity to appreciate having a place in this church unit. Sitting with the kids as they practiced was the first time(s) I'd been at the front of a chapel since I lived in Springfield, a quiet reminder of how thoroughly I'd been excluded during those three years living in Beaverton. I decided that I'd get up again on the first Fast Sunday following the program... didn't register to me until the week of that this was going to be November 5th, the two-year anniversary of that event that had precipitated my exit.

So included that in the story that I shared with the entire ward.... opened with a disclaimer that my testimony isn't short or sweet, and then related the entire story of my experience with the LDS church from meeting Nathaniel at Dragonflight through the Corvallis Student Ward and Springfield 2nd ward and Griffith Park Ward in Beaverton and Hedges Creek Ward in Tualatin all the way to Lake Forest Ward in Lake Oswego. My distinction between the people I go to church with and the people that I consider to be my friends, my current transitional status, the fact that I still don't trust church records with my address so the bishop put the stake center's address in that field of my record, and what an honor is to be allowed to serve with the children here. [Didn't manage to fit in the part about having been married and divorced twice in this timeline; oops, I'll have to include that next time.]

I was expecting there to be some sort of fallout from that public revelation, but anything along those lines that may have happened hasn't been relayed back to me yet. Several people commented to me afterwards that they "enjoyed my testimony"... which seems more than a little ironic given that there wasn't much enjoyable material in that, although I assume that the standard recognition-of-speaker phrase was the best wording they were able to come up with. One person was more specific, combining a comment about "having had a similar experience" with a half-hug. And that was it. Next time I checked in with the bishop, he said that he'd heard only positive feedback also.

So now I'm out to the entire ward (at least, the portion of it who weas awake and in attendance that day), and I'm still the Primary Secretary. Never would have expected that, but I'm certainly not complaining!