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Old 03-23-2012, 02:03 PM   #1
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Default Asking for help.

hi loves,

i hope it's okay that i'm posting this here. my partner, who is ftm, is having a really rough time now and i'm just reaching out for ideas for things we can do. he lives in charlottesville right now (which is where i moved from, and he'll be moving to kansas in the next year hopefully). he hasn't had access to t. he was on t illegally last year, getting it through a friend, but it made him sick because it had potassium which caused his blood pressure to skyrocket, so he had to go off of it. recently he was able to get a diagnosis of gid (after having dealt with untreated gid for like two years now) and go on t legally. he got his first t shot three weeks ago and today his insurance company denied him coverage - they claim they don't cover the gid diagnosis and he cannot get anymore shots or see the endocrinologist. neither of us have money to do this on our own. he lives about an hour away from the fan free clinic, which is one possible option, but getting to/from the clinic is extremely difficult and the last time i talked to them they said they can no longer cover patients who have health insurance (he has to have insurance to cover his treatment for epilepsy). i have contact info for two other endocrinologists in charlottesville in case this one didn't work out, but it never occurred to me (because i don't have access to health insurance) that they would deny him coverage.

we are kind of at the end of our rope here. i'm looking into resources here in kansas (i live in lawrence, about an hour from kansas city) because if there are options here he might move here more quickly. i know some ftms here who have gotten treatment close by from private doctors. but we're probably going to still have insurance issues if he moves here.

having untreated gid for so long and feeling pretty much stuck no matter what has taken a huge toll on his mental health (and sometimes mine too). but the free counseling resources that are available to him are not trans* friendly and his argument is that getting treatment is the only thing that will fix the mental health issues...and that's a pretty good argument. it's hard to keep coming up with reasons NOT to despair.

does anyone have ideas or resources that might help? or even just solidarity if you've been in similar situations? thanks.
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Old 03-23-2012, 02:27 PM   #2
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Let me mull this over and see what I can come up with for you... and if he needs someone to talk to who's been thorough this struggle (lack of funds/lack of proper care) I'd be happy to chat him up. I'm glad he's off the illegal T - bad bad way to go there. I'll see what I can find out
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Old 03-23-2012, 03:59 PM   #3
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Hey aishah,

I don't have any information for you but i just wanted to give you and yours a tight reassuring hug and to tell you i will send you both positive energy.

There will be peeps come through for you here and offer advice. I just know it. Self Made Man is on it as well.

As a nurse i am very glad he is off the illegal T. High blood pressures are nothing to mess around with.

Also wanted to bump this to the front page again, so some of our FtMs or peeps on T can see this and offer some help to you.

Hang in there!!!!!!!
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Old 03-23-2012, 04:06 PM   #4
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*hugs* thank you both. the comments are really helpful. i'm encouraging him to try and appeal it, but he has to get support from his doctors to be able to go up against the insurance company, and the doctors he works with directly (who are residents) are supportive but their attendings (who would probably be the ones dealing with the insurance company) are not so supportive. we're going to call the fan free clinic on monday to see if they have any ideas, too.

i'm really angry and frustrated right now. people see suicide as some sad tragedy, but in this case, i'm having a really hard time talking him down from an incredibly depressed place, because i know what it is like to want to kill yourself because you don't have access to health care - i've been there with other conditions. i'm just...angry. i'm angry (at the medical industrial complex) that so many trans people commit suicide because of this and it's completely avoidable.

i don't think that there is a huge mental health crisis right now (i don't think that he needs to be hospitalized or anything, i don't want to alarm anyone), but we've had a lot of ups and downs mental health wise over this every time there's been some sort of positive change and then another barrier comes up. and it's becoming harder and harder to think positively or try another option when it seems like none of the options are working.
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Old 03-23-2012, 04:31 PM   #5
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Originally Posted by aishah View Post
*hugs* thank you both. the comments are really helpful. i'm encouraging him to try and appeal it, but he has to get support from his doctors to be able to go up against the insurance company, and the doctors he works with directly (who are residents) are supportive but their attendings (who would probably be the ones dealing with the insurance company) are not so supportive. we're going to call the fan free clinic on monday to see if they have any ideas, too.

i'm really angry and frustrated right now. people see suicide as some sad tragedy, but in this case, i'm having a really hard time talking him down from an incredibly depressed place, because i know what it is like to want to kill yourself because you don't have access to health care - i've been there with other conditions. i'm just...angry. i'm angry (at the medical industrial complex) that so many trans people commit suicide because of this and it's completely avoidable.

i don't think that there is a huge mental health crisis right now (i don't think that he needs to be hospitalized or anything, i don't want to alarm anyone), but we've had a lot of ups and downs mental health wise over this every time there's been some sort of positive change and then another barrier comes up. and it's becoming harder and harder to think positively or try another option when it seems like none of the options are working.
Rather personal but ....is he taking any antidepressants? Maybe try and utilize what insurance will pay for and at least get that. If he is that depressed, he really should talk to someone and find a support group and quick. Even if they are not noted to be trans friendly, the mention that he may be suicidal sent my red flag waving high. It sounds like a desperate situation and maybe should treat with some "life worthy" therapy at the very least.

Another thought...have either of you tried writing to the drug companies that furnish the T? I am almost positive they run into this and may know of a possible solution for you or at least may be a guide. You would be surprised how many of my patients get free meds just by sending an email to the makers of a medication and explaining how they cannot afford it.

But the suicide mention still makes me uncomfortable...please try and see that he gets some type of help even if it is just someone professional to talk to.

Please keep us informed and another huge hug to you hon.
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Old 03-23-2012, 04:33 PM   #6
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I realise that you and your partner are not in Colorado, but you might want to give the Gender Identity Center of Colorado, a call or send them an email. They might be aware of resources that you aren't, and they're an extremely compassionate and helpful bunch of folks.

303-202-6466
info@gicofcolo.org

Best of luck to both of you.
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Old 03-23-2012, 04:44 PM   #7
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One of my ex has GID and said there was a *easy* test...

Close your eyes and picture yourself in your mind...

Are you a girl or a boy or are you both?

I don't know if it's true or not... I see a girl when I think of myself..

But it popped into my head while I was reading your thread...
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Old 03-23-2012, 07:58 PM   #8
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I'm waiting to hear back from a couple of contacts about possible resources, but in the meantime, I did find that UVA has a Queer Student Union that has meetings and seems like lots of resources locally, and it isn't a student only group, but also welcomes community members as well. They have a website at: http://www.queeratuva.com/ - and if it's anything like the Queer group on my campus, he will find it to be a wonderful resource! I'll keep poking around and if I hear back from my contacts, I'll let you know!
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Old 03-23-2012, 08:25 PM   #9
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we have both been involved with the uva queer community for a long time. my partner is the queer health coordinator person this year. the current leadership of qsu is really transphobic (going so far as to refer to my partner as "it" and dehumanize him in front of us, posting transphobic messages on facebook, etc.), unfortunately. the lgbt resource center is a bit better but there's not much in the way of trans* resources...there are a couple of other openly trans people in the community that we're friends with. but most trans folks i know in c-ville have found the university and the city as a whole to be a somewhat unfriendly place to live as a trans person, unfortunately :\

thank you so much for checking into other resources! i really appreciate it.
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Old 03-23-2012, 08:42 PM   #10
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Rather personal but ....is he taking any antidepressants? Maybe try and utilize what insurance will pay for and at least get that. If he is that depressed, he really should talk to someone and find a support group and quick. Even if they are not noted to be trans friendly, the mention that he may be suicidal sent my red flag waving high. It sounds like a desperate situation and maybe should treat with some "life worthy" therapy at the very least.

Another thought...have either of you tried writing to the drug companies that furnish the T? I am almost positive they run into this and may know of a possible solution for you or at least may be a guide. You would be surprised how many of my patients get free meds just by sending an email to the makers of a medication and explaining how they cannot afford it.

But the suicide mention still makes me uncomfortable...please try and see that he gets some type of help even if it is just someone professional to talk to.

Please keep us informed and another huge hug to you hon.
thanks love. i really appreciate it.

he was in a really bad dissociative headspace earlier but he's feeling more positive about it now. he can possibly pay out of pocket for the t (he has a little bit of money saved) if he can get them to teach him how to do the shots so he can do them at home - i'm hoping that might work while we work on appealing to the insurance company.

he's not on anti-ds - he's been on them in the past but they interact really badly with his seizure meds. he is in a counseling program for anxiety currently so i'm hoping he can get some support through that. i tried to get him into the free psych clinic at uva (where i went when i lived there) but unfortunately they turned him down because his case was "too complex." he'll have better counseling resources on campus when he starts school again in the fall, but that's not much help right now :\

the closest transgender support group is in richmond, which is where most of his close-by trans friends live (they all go to the fan free clinic for their t, from what i understand). but he's a bit isolated unfortunately as he can't drive. he has reached out to them online i think, so that helps.
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Old 03-23-2012, 08:43 PM   #11
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One of my ex has GID and said there was a *easy* test...

Close your eyes and picture yourself in your mind...

Are you a girl or a boy or are you both?

I don't know if it's true or not... I see a girl when I think of myself..

But it popped into my head while I was reading your thread...
I'm sorry, I put this in the wrong thread... Not sure how it happened as I don't remember being in this thread...
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Old 03-23-2012, 08:44 PM   #12
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that's okay! hehehehe. <3
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Old 03-23-2012, 09:49 PM   #13
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i also wanted to say thank you. i'm really grateful to you all and to have this space. i was freaking out a bit earlier and we're both still stressed but we're feeling much better now. the support means a lot. <3
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Old 03-23-2012, 09:58 PM   #14
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Maybe he would like to be a part of our community?
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Old 03-23-2012, 10:03 PM   #15
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Maybe he would like to be a part of our community?
i've invited him a few times but he's not that familiar with how message boards work and doesn't spend a huge amount of time on the computer. he's browsed the boards a bit but i haven't managed to talk him into making an account yet. i also have a big community of trans* and genderqueer friends on fb (most of whom i know offline but only see a few times a year), but he's not super comfortable with facebook either. i'm working on it, though
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Old 03-23-2012, 10:07 PM   #16
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Well it does take some getting use to LOL.
We'll be here if he decides to come.
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Old 03-23-2012, 11:39 PM   #17
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Check with the local Planned Parenthood. My honey sees a doctor there for his T.

You might consider contacting Transgender Law Center. They respond to email questions and phone calls at no charge and may have suggestions for dealing with the insurance company.
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Old 03-31-2012, 04:54 PM   #18
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we have a temporary reprieve - his pcp has agreed to do the shots for the next 12 weeks so that his insurance will cover it (i think). they won't cover labs or visits to the endocrinologist, though, and the pcp isn't willing to supervise long-term. but i'm going to contact the transgender law center and see if they have ideas for appealing to the insurance company. thanks everyone.
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