Do-so - A Murder In A Trenchcoat

req'd by @dir7eater

i was provided with the following image upon request

text: my ballot is a brick and brother I'm doing my civic duty

All of the research on display in my videos is single-handedly done by me.

All the editing? Me.

Prop making? Absolutely no one can be held accountable for this but me.

I’ll never understand why anthropomorphic animal cartoons like Robin Hood and Zootopia will go to the trouble of creating character designs that are meant to be understood as “attractive” or even “sexy” to the human audience but explicitly avoid showing interspecies romances between anthropomorphic animals. Why is THAT weird but, like, trying to make rabbits recognizably sexy-coded to humans isn’t?

So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

imagine being the first amish bitch in your village to like get your body done like ass shots titties done and like beat face contoured… and then you walked into like the saloon or whatever amish people have and everyone dropped their irish fiddles and was shookedt? like everyone churning butter was just in shock and you walked across the artisanal wood floors in your wantmylook.com thigh high lace up heeled boots like your life depended on it… yes god

If I went to Harvard, I would come back wrong

Tumblr on the Seven Seas

🏴‍☠️ white-beard Follow

Can we stop all normalising the use of "sc*rvy" as a fun little thing to call people?? I literally had sc*rvy last year and it was even worse than when I got my hand cut off. Fuck anyone who uses the S word without even considering how triggering it can be to those of us who have ACTUALLY suffered though it

🌅 castedaway Follow

No wenches?

🏴‍☠️ white-beard Follow

Honestly you people are so insufferable I genuinely hope you walk the plank

🌅 castedaway Follow

AHOY???

🍑 plundermebooty Follow

Okay but OP is literally a landlubber, mateys

🌴 pegmeg

nahhh why is it literally always landlubbers faking scurvy and sending plank threats ☠☠

768 notes

🗡wagscallion Follow

everyone says "land ho!" but never "land ma'am"

💨 matelotsaboteur

Really makes you think

2,041 notes

💃 crossdressing101 Follow

this whole crew was so gullible ngl, i just cut my hair and dressed in my fathers clothes and they all fell for it, hook line and sinker??

💃 crossdressing101 Follow

honestly im surprised no one has found me out yet. surely i dont seem that much like a man? i mean it makes this way easier but like. im still a woman. obviously

🕺 crossdressing101 Follow

mateys i have come to a shocking realisation,

34 notes

⛵ privatesteer Follow

wildest argument for piracy i've ever heard was that the gold stored on government ships is dangerous cause it weighs them down, so they're just 'lightening the load'

🧜‍♀️ kiss-pretty-ocean324 Follow

աaռռa ʟɨֆȶɛռ ȶօ ֆɨʀɛռ ֆօռɢ?

⛵ privatesteer Follow

no thanks

🕶 monstermaterdeactivated16520210

outta my way gayboy im boutta get it

🕶 monstermaterdeactivated16520210

i have drowned at sea

36,251 notes

⚓ shiveringtimbers Follow

14,811 notes

🌏 boat-enthusiast Follow

i am SO sick of the term "ship-shape" like, matey, which shape?? Ships come in so many fucking shapes like have non of you ever boarded more than one vessel in your career???? Anyway fake ship fans DNI with this post i can NOT be bothered with your tomfuckery today

💦 longjohngolder Follow

girl its not that deep ☠

🌏 boat-enthusiast Follow

to YOU. i just get it

1,147 notes

🙍‍♂️ dudeindistress Follow

honestly being held for ransom isnt that bad. kinda nice to be held

4,733 notes

🦜 pollypockets Follow

SQUAWK

🐦 aviated Follow

CAW SQUAWK SQUAWK

🦜 pollypockets Follow

CA-CAW

790 notes

🍑 plundermebooty Follow

the cabin boy just winked at me?? after offering to help clean my gun? privately. in my quarters. tonight.

🍑 plundermebooty Follow

i think i hauve scurvy

142 notes

🌊 swabmydick Follow

mateys I SWEARR my captain and his first mate are gonna kiss before our next voyage. they literally have so much romantic tension every time i see them its nauseating

🕶 longjohngolderdeactivated16511205

wtf its so problematic and harmful to ship real people?? unfollowing rn i thought you were better than this

🌊 swabmydick Follow

i literally rob and kill people for a living?????? that's where you draw the line???

🌴 pegmeg

op killed them

🌊 swabmydick Follow

even better news mateys, they kissed ☠☠☠

96,538 notes

Spuriken minicomic , blackwatch era.

Just sillies.