(Original From Theavengers; Via Feed-the-roses.)

Bags

Last week I stepped into the bedroom and there was a Ziploc bag on the floor. This was more than a little confusing, as they nominally live in the kitchen, on top of our refrigerator.

My best guess was that either my wife or I picked one up, absentmindedly brought it into the room, and left it there.

Fast forward to last night: it is perhaps 3 or 4am; and there is a strange rustling coming from the foot of the bed. I get up to investigate, at which point our youngest cat rockets out of the room... Leaving behind ten Ziploc bags, full of tiny teethmarks.

I love her so much... But she is absolutely, quantifiably, an idiot.

01:38 AM

I should be unconscious right now, but I can’t sleep. I put the distractions aside, and lay down, and close my eyes... That’s when my thoughts catch up with me. You would think that at a certain point, the human body would simply run out of tears to cry; but if there’s a limit, I haven’t hit it yet this evening.

There are almost certainly connections between the different ideas, images, and recollections currently vying for attention inside of my head. I’m not sure I’m in the right frame of mind however to go mining for insight. Perhaps later.

On Monday, I have my MRI. As tests go, it’s fairly mundane; the most prevalent complaint is that you are required to stay still for a long time inside of a loud, clunky machine.

The MRI is to be conducted both with and without contrast. This means they will need to insert an IV catheter at some point, and inject a special fluid that the scanner can detect.

I’ve had my blood drawn plenty of times. I had an IV last time I was in the ER. (It was certainly annoying; but no more painful than the aforementioned blood draws.) However, my mind continues to gravitate towards - and get stuck on - this step.

I think perhaps it’s because I’m coming to realize that what rattles me most is the perception that I am no longer in control of a medical situation. The more steps required in a given appointment, the more likely the providers will have an efficient operation going, the more likely they are to maintain a pace faster than I am comfortable with.

Last week I had my nerve conduction study / electromyograph performed.

The nerve conduction study was first. I had a very nice technician; a young man named William. He listened to me earnestly when I explained my anxiousness; and did exactly what I asked: took his time, explained everything, and was honest with me about any discomfort I might experience.

Prior to the test, I had been instructed to wear clothing that would leave my arms and legs easily accessible (e.g. t-shirt and shorts, weather permitting). I settled for a sleeveless shirt and skirt that could easily be hiked up as necessary.

Apparently I chose poorly, as William provided a blanket which which I could cover up and prevent my thighs from flashing immodestly. We actually had a really nice conversation about it; where he explained that this was de facto policy for female patients, and I noted that I wasn’t opposed, merely surprised... Because my experience to date had, of course, been so different.

The test primarily consisted of William applying electrical shocks in various places; and measuring the corresponding signals reaching the ends of my extremities. He described this process as “More annoying than painful”, and that’s an assessment that (barring a few full-power shocks) I agreed with.

(To his credit, William had himself been shocked many times as part of his training; and was both sympathetic and informative as a result.)

After an hour of this, William subbed out and the neurologist subbed in; tasked with performing the electromyograph.

At the end of my ER visit, I was referred to the Neurology department; and forewarned that they would most likely want to order this test and that they were sorry it was so uncomfortable. I had similar conversations with my own provider, and the nurse practitioner I saw at Neurology.

The entire time I was thinking to myself: “How bad could it be”? The information I could find online explained that the test was conducted by inserting a needle into various muscles; although not particularly fun, this was no worse than my usual intramuscular injection regimen. Likewise, I undergo electrolysis every two weeks - surely that was the high bar for outpatient-induced pain?

Ah, well.

The neurologist very kindly ensured that I was prepared and had forewarning, and then inserted the needle in the muscle between my thumb and forefinger. I determined later that the needle was conical in design; which made for a less traumatic wound, but also perhaps more discomfort on insertion. Regardless, it was bearable.

I was not prepared for the next step: the neurologist had to move the needle about; not unlike swinging a television antenna around the room in search of better reception. This had me gritting my teeth. On top of that, I then had to flex the very muscle the needle was in; to take more readings.

This process took what felt like a couple of minutes; and once done, he proceeded to measure a muscle in my forearm, and then my bicep. After that it was the front of my shin, the calf muscle, and my upper thigh.

Again, he was very concerned with my well-being; but also rightly discerned that I was more interested in getting the test over than taking a break - so we powered through. Thankfully, as no issues were found on the left side, it was not necessary to proceed to the right.

I burst into tears as soon as I was outside. I can recall only one other time when a medical provider induced such pain that I was white-knuckling the surface of the exam table: after I inadvertently cut my finger open as a young teen; and the attending doctor had to examine the wound (and by extension, manipulate it while his assistants sprayed saline and whoever knows what else in there).

I didn’t think it affected me that badly; but I had to do my shot yesterday, and it was so hard. My hands were trembling, and on my first attempt, the needle barely even pierced the surface of the skin - I was that afraid of how much it could hurt.

Tomorrow I see my therapist. Our last appointment was, unfortunately, cancelled; so it’s been a while. We’ve been working on all the pent-up misery associated with my pre-immigration medical. That’s another subject swirling around in my head; and likely the root of a good portion of what I’m dealing with at present.

I was railroaded; moved through a medical assembly line like a non-person. Every time I feel as if there’s even a slight possibility that might be happening again, it all starts to come back - fear; the belief that I can no longer protect myself; that I am a target of contempt.

That brings me full circle; back to my upcoming MRI. There are several possible outcomes to this test: the best outcome, of course, would be that nothing of note is found. (This would suggest that the majority of my symptoms to date were caused by inflammation of my neural and nervous tissue; and as the inflammation naturally abides, so too will the symptoms.)

Another possibility is that I might have suffered a rare complication in which one’s own immune system attacks the nervous system. This is slightly more concerning, as one of the defining characteristics is permanent lesions of the white matter of the brain.

There is a third and final possibility: that the virus triggered a minor stroke. Such a thing would be unusual for a person of my age; as with so many other rare phenomena however, COVID has demonstrated exceptionally rare complications are surprisingly common once you are dealing with a virus that thinks little of the blood-brain barrier.

As you can imagine, two of the outcomes are terrifying in terms of their lifelong implications.

I’ll have my answer after Monday. For now, I’ll go back to ruing the godforsaken system of wealth transfer this country mockingly refers to as ‘health insurance’; knowing that I could have most likely had my results in hand much sooner if it wasn’t so absolutely vital to consult a third party on whether or not it was actually medically necessary to treat me.

02:35 AM.

Time to try again.

The boy on the left is from the pictures of my childhood; the girl on the right is from my memories of that time.

New picrew chain idea: yourself vs what you looked like as a kid

Free for anyone to join in

Link

Scars

I should probably preface this with a content warning for discussion of self-harm.

I’m left-handed; when I’m receiving a vaccination or having blood drawn, I will normally offer up my right arm - as was recently the case when I received my first COVID vaccine dose.

While staring at my arm in the mirror, I realized that I had self-harm scars that are still very visible; and based on their appearance, very obviously self-inflicted. (This is not the case elsewhere - they have either faded, or are normally hidden.)

I’m mortified, as it means the provider that administered my dose absolutely saw them (and will again, as I tend to get pretty mean injection site pain and I really don’t want to experience that in my dominant arm).

More generally though, it got me thinking. The reason I struggle with others seeing what I did to myself is not because I’m ashamed, but because on some level I feel that my suffering was not legitimate - that I hurt myself not because I was truly in pain, but for attention. An imitation of the struggles of others.

There isn’t really a good answer here; just another piece of the puzzle to make sense of.

Gardasil

During my last check-up, I got my first shot of the Gardasil HPV vaccine. The administering nurse did mention at the time that it would sting; and I say that she lied, it is only in the sense that the sensation was closer to what I would describe as a tremendously uncomfortable burning.

(I've accidentally achieved a similar effect when injecting my estradiol, by giving the alcohol I swab my skin with insufficient time to evaporate before inserting the needle.)

I did some research afterwards to see if there was an explanation as to why the vaccine had developed this reputation; the manufacturer indicated that the discomfort was the result of "Virus-like particles" in the vaccine content (which strikes me as a cop-out if ever there was one).

Today was my second shot; and playing a hunch, asked my nurse to try injecting the vaccine slowly. This was hardly a scientific test, but she kindly agreed and the injection experience was definitely more tolerable.

I am most certainly not medically trained; but I was instructed by my endocrinologist's office to administer my own estradiol and progesterone shots as slowly as possible. (My takeaway was that injecting a sizeable amount of fluid into a muscle at high speed causes unnecessary trauma to the surrounding tissue.)

Conversely, I've noticed that vaccine administration is usually done extremely quickly - I assume in part because the amount of fluid injected is much smaller; and also to minimize the length of the procedure. (You really don't want the patient to get restless and move while the needle is still inserted...)

It appears the Gardasil vaccine might utilize a larger amount of fluid; and a thicker medium, also. These things being true, I can see how rapidly injecting the stuff could be a lot more unpleasant versus most other vaccines.

So: if you're getting the shot for yourself, or for your loved ones - maybe ask the administrator to go slowly?

Dresses

Each year my company celebrates Christmas with an all-employee dinner. I greatly enjoy socializing with my colleagues, but I’ve always found these events a bit overwhelming and have tried to dodge them where ever possible.

Not this year however! I am out, and very much planned to celebrate in style... Which, of course, did not happen (what with there being a very disruptive killer virus on the loose and all).

All the same, I bought myself a delightful Christmas dress - I was particularly smitten with the lacy sleeves. So imagine my confusion when it arrived, and instead of getting the dress on the left:

...I received the one on the right (sans sleeves).

Two months later, I realize that these are in fact two entirely different dresses and that I had mistakenly ordered the second one on the insane assumption that the brand only carried the one sangria-colored number.

I... am not a smart girl.

Delightfully, they still had the original dress in stock (and only in my size to boot); so I have one winging it’s way to me now!

Nouns

An interesting and unexpected part of transitioning is the process of adjusting the nouns I use in my inner monologue.

For instance, just this morning, an item fell out of the kitchen cupboard and I jokingly thought to myself, “Can’t a guy catch a break?!”...And then I corrected myself to “Can’t a girl catch a break?!”.

I think the reason this is taking so long (versus say, adapting to my new name and pronouns) is because there isn’t any one thing that needs changing - rather, I have a large library of gendered idioms, each and every one in need of updating.

On the bright side, I don’t get quite so upset about it nowadays; so I would call this a plus!

A newfound pain

...Ruining a perfectly good item of clothing by accidentally sticking your thumb through the lacy part. I’ve done this twice now! Girl clothes are awesome; but definitely more delicate than I’m used to...

Coming out

I have come out to a great many people these past eighteen months; and I have been fortunate in that there have effectively been no negative reactions. (I know too many people that have not had the same experience, and my heart bleeds for them.)

There were two instances where I was genuinely terrified of how the other party might react. The first was my spouse - not because I thought for a second that they would respond poorly, but rather because I felt that I was unilaterally introducing an enormous life change into a relationship that I value beyond estimation.

(Of course, I should not have worried - they accepted this new state of affairs immediately. That’s the kind of amazing person my spouse is.)

The second was my friend and colleague of fifteen years; a fiercely intelligent and analytic man of few words. He is an émigré of the Soviet Union and as such holds very different views from myself in many matters; including, I feared, the subject of transgenderism.

Again, I should not have concerned myself; as he delivered an answer that in one sentence perfectly encapsulated the man’s outlook, brevity, and uniquely blended mode of English and Russian speech.

“Ah, well; that’s just your decision.”

To those unaccustomed to his way of speaking, it might sound harsher than intended; but on the contrary, this was one of the greatest endorsements I could have received and remains a highlight of the coming-out process: “Hey, you do you”.

Third generation Daemonettes! Juan Diaz really captured their unearthly grace in a way unseen before or since; and the sculpts are highly sought after (as evidenced by their 2016 rerelease via the Made-To-Order program).

Diaz also produced a set of Seekers; with the riders sculpted in a similar style (and one, memorably, perched as if preparing to launch herself at an enemy, daggers first)!

I have a set of my own that I desperately need to paint up (if and when I can actually decide on an appropriate color scheme)…

My FLGS had gotten a troupe of some oldhammer daemonettes, and I just couldn't resist that temptation.

Holy crap these models look good for being made in 2001.