I sent my dad a funny text message the other day, that it was time for baby’s first colonoscopy, so add that one to the baby book (I sent my mother a similar text message the day I got my first gray eyebrow). A few days later, though, I started to panic because I don’t have any close friends in Baltimore. I just moved here in December, and having a colonoscopy requires someone to drive you home and keep an eye on you after the sedative. My dad and my sister are too busy to fly up here at a moment’s notice, so I don’t generally ask them for anything due to fear of hearing “no.” I could hear what my cognitive behavioral health specialist would think of that and he called bullshit in my head before I even asked him.
I chose my sister, Lindsay, because at the moment there was more chance that my sister would come up than he would as he’s already in charge of a million different things, much less my ass.
See what I did there?
So, gathering my strength, I sent my sister a text message asking if, since I could schedule around her, could she come up for this procedure? I was surprised and pleased when she said yes, and I might even get to see her twice as she already has to be in DC for something later (DC and Baltimore are not far apart, about 35 miles….. the time to travel varies greatly by traffic……. pro tip is to always take the train.). She said that if I scheduled the procedure for 10 June, then we’d be able to celebrate my mother’s birthday on the 11th. I told her I had to see the gastroenterologist first, but that sounded entirely doable depending on the availability of the hospital schedule.
I know for sure that it’s going to be my first time drinking the sludge, two years past when I should have done it because the original guidelines were that I didn’t have to worry about it until 50. It has moved to 45 without me noticing so now I’m late. Typical. But better late than never. I don’t have a history of gut problems, so I don’t foresee a problem with cancer or anything else. I just know that my sister’s job is to do some work while I sleep it off or something.
But this isn’t the only medical thing happening in my life. I have to have a Well Woman exam, which I am calling a Well “Woman” exam. Here’s why this is exciting. My doctor asked if I had a problem seeing a male doctor, and told me his name…. but the hospital system isn’t updated and his deadname popped up. Therefore, for the first time EVER IN THE HISTORY OF MY LIFE I GOT A TRANS MAN AS A GYNECOLOGIST!!!!!
I think.
His deadname could be a man’s name, but it would be highly, highly unusual….. like me. There are male Leslies out there, but not many in the modern age. If he is a bio male, I don’t care. Doctors don’t really have a gender to me. Their pronouns are they/them because the doctor and the God inside them live concurrently. You cannot be successful as a doctor if you do not make peace with the fact that you are God every day to the people sitting in front of you…. and that they will think you are Old Testament if you accidentally kill their loved one, and New Testament if you succeed. If there is a gender in my head, doctors are divided into surgical and medical.
I have so little community that I thought about calling the gynecologist’s office and asking if that doctor would like me removed from his service because he needed friends, too. I haven’t seen him yet, so no harm, no foul. But in the end, I decided that I would need an ally inside the system as well as friends in the community. If I am right and the name in the system is a deadname, then I am sure he can point me in the right direction of people who’d be willing to drive me home after a medical procedure because I actually know them well enough to ask. For instance, just pointing me to community resources is enough, and I know he would care about those things.
Gynecology is already set up to take care of women culturally, so I don’t think trans men would be any different. There is a different questionnaire for my gynecologist’s office than I’ve ever seen in any doctor’s office ever. Taking care of women culturally is asking questions like:
- Have you ever been a victim of domestic violence?
- Are there guns in the house?
- Are the guns within reach of your children?
My psychiatrist is also trying to protect me because I told her that as an enby, I had body dysphoria over my breasts and that I had a lot of back pain due to them, anyway, so I would like a referral. The big beautiful bill passed the House, and she has never mentioned trans medicine again, saying, “did you ask your PCP about your back pain?” Coded language. I’m into it. If this bill fails in the Senate, we’ll have a buffer zone with which to work. But we are both preparing for the worst. That’s because I am not lying in order to get a breast reduction/double mastectomy. Body dysphoria is not genetic, but the back pain I experience certainly is.
The good news is that with exercise, I’m losing some of the fat tissue in my breasts on my own. Life doesn’t feel so heavy. Even my mammogram technician said that my breasts were very dense. My stepmother (a medical doctor) told me that caffeine makes it worse, so I have never done myself any favors in this area. If you were here watching me type, you would laugh. There’s a tallboy of Death Wish Coffee next to me (it’s delicious), so obviously I follow instructions to the letter.
Rule following gets you nowhere in my line of work, which is probably why I’m willing to lay out my medical history and future in front of you. You will learn more from me than you will hurt me with your criticisms of what I’m doing, because those will be different audiences altogether. Trans men need to see themselves, and I don’t know what kind of trans man I am yet. Am I the kind that wants drugs to rearrange my fat deposits as well? I do not know. What I do know is that of everything I struggle with in terms of trans medicine, it’s my voice that bothers me the most…. for evil and for awesome.
On one hand, I will tell you that I’m a soprano and when I’m warmed up, I’m cooking.
This is just an example because it’s unaccompanied, a loop for my friend Aaron to use in a storytelling podcast for The Sinners’ Table that’s coming down the pike. Now, let’s turn it up to 11:
This is another clip from a voice lesson in which I laugh about the fact that I do not know what happens when I’m singing. The afterburners turn on and I just go. It makes me wish I’d chosen voice at HSPVA and Clements (though at Clements I was in one year of choir and made All-Region). Now that it’s 12 years later, I can tell you that I was fighting a war in my head, two women battling it out for my affections…. the one who trained my voice vs. the one that deserved the victory lap. When Joseph (Houston voice teacher) says, “are you thinking differently?,” it’s realizing that this piece was designed to serve up gratitude.
Now, my journey is to decide what kind of singer I am, because drugs to redistribute my fat deposits so that I look more like a trans man than a woman will also make me a tenor. Some days, I think that would make me happy. Some days, I lean into my diva attitude because it’s very much like my trumpet player attitude. I have also noticed that most trans men develop vocal fry, and that is not appealing to me, either. Again, priorities.
I think I am happiest with staying in one place for now, moving cautiously toward enby because I do not know what the drugs will do and cannot predict whether I will be happy with them. I have been stuck on the idea of breast reduction or double mastectomy forever because Tig Notaro has my perfect body. She doesn’t identify as nonbinary, but she looks exactly like I want to look.
It makes me feel bad that she got her look through cancer because I can imagine us getting into a huge fight over it. “I got this look through cancer and you want to do this voluntarily? Are you crazy?” Well, now we are talking about a completely separate issue. I am most definitely crazy, but I take medication for that. As far as I’m aware, there is no brain surgery that removes crazy, but if there was, I would have gotten a referral for that, too.
I’m tired of talking into a void, and want to get louder about trans issues. That’s because nonbinary and trans do not mean the same thing, but we are the same umbrella. I can wear either flag…. and in fact I would like Jonna Mendez to know that I got the most fabulous t-shirt for pride ever created. It’s gray and has the enby flag colors across a bar code, with “Assume Nothing” up the side.
The reason Jonna would think it was cool is that “Assume Nothing” is rule number one in her world (she used to be Chief of Disguise at CIA). I could learn a lot from her, I think, because as an autist I have to assume everything. It is what allowed me to compile scripts in my head to be able to respond like a neurotypical………… when I could social mask.
Now, I see that she has the right idea and I don’t. Go into every conversation as if you don’t know anything and join other people’s realities. It is the only way to see all of them with grace. The transition has not been the smoothest, but I am learning. I am certain that everyone in my life deserves my sincerest apologies for the way I’ve acted over the last 12 years, because I’ve been completely alone, trusting in my own intuition. It’s not ideal.
Now, I’m branching out. I’m trying to be more open in hopes of attracting energy to me. I am done hiding in the shadows.
But I might want to hide in the shadows until after my colonoscopy is finished. Nobody wants to see that. 😉
Exercise tells me which way I will go, because I cannot make a decision about my body while I am consumed with depression and anxiety over the way I look. I do not struggle with weight loss or gain, I just needed to feel good about something and I chose having the routine of getting to the gym as something that would help me feel less terrible. I have cerebral palsy, so I chose my workout carefully. There’s a program on the treadmills that will keep your heart rate in the target zone with incline rather than speed. Therefore, every session feels more like hiking than jogging.
It makes me happy because Bryn lives in Portland, Oregon and I’m sure that if I asked her, she’d be happy to drive me out the Gorge when I visited. I do not remember whether she likes to hike or not, but if she doesn’t I am sure she would drop me off at the base of Multnomah Falls and pick me up several miles down the road as I limp toward the car, energy spent. It makes me feel good to be prepared for that kind of hiking, because Multnomah is easy…. as you go, it gets harder. I haven’t made it to Larch Mountain without feeling like death warmed over, but perhaps I will as time goes on. And that’s without even researching hiking in my area, because I haven’t done it yet. I need to, because my entire hiking experience cannot be based on sacred memories.
The treadmill is my hiking sandbox. I can wander as far as I want through the rolling hills of any city in the world thanks to being able to watch YouTube on my phone. It’s a lot more fun to think about difficult questions and answers while also staring at the beauty of Paris, Copenhagen, Helsinki, and Oslo.
What is not difficult is realizing that my life is bigger than me. Recording it for other trans people to read is my gift to you, because there’s just not a lot out there. Of course all who show up are welcome, but I am trying to reach an intentionally small audience. We are in a culture war where the focus is on trans women and what they might possibly do to cis women.
The biggest indicator of who the real perpetrators of violence might be is a movie I watched long ago. I’d tell you about it, but boys don’t cry.
Stories That Are All True 