#transcar

[boywifesammy]

sam winchester would NOT have a binder… he binds with ace bandages and packs with socks 👍

[npdblythe]

Transmanagement! A transcareer label for someone who identifies as being in management/being a manager

Requested by charles :3 @radiocircuitry

[baconcolacan]

Sorry to ask so late, Tom I do not have a question for you. I merely wanted to say how much I admire you and view you as my role model. I am a transgender man living in a place where I am unable to access care for my transition. I hope someday to be as handsome and confident as you are being yourself with your gorgeous husband.

That being said do you have any advice for me?

Hey dude, I didnt want to make light of this because of the topic at hand, so I’m answering this directly.

I’m so sorry to hear that you’re unable to get the care you need, that you don’t get to see the person you are in the mirror, you are absolutely always going to be a brother in arms no matter what. You’re a man, that’s all that matters.

My advice? Do small “transitions” that could better affirm you, try to get more masculine haircuts or anything close to it, buy more unisex clothing, if you can afford it: a binder. All these small things that could help your identity while in your situation.

There’s also some vocal coaches online, who could help you train your voice, so you can reach a lower register when you want.

Good luck bro, I believe in you (here have Tom blowing you a kiss)

[harrylights]

eeeee

[bisexualamy]

i know we have this thread every week but it winds me up in a way that few other things do because, when you think about it, the audacity to tell a stranger "i know you think you experienced misogyny, but since you're a binary transgender man* (and therefore have always been a man, something that applies to every binary transgender man in the world) you actually experienced misdirected misogyny that wasn't meant for you because you're not a woman. hope this helps :)" is so profoundly presumptive and insulting

some of us are older than you and grew up in a much more transphobic world! some of us did not grow up in liberal areas! for some of us, it was impossible to access trans care until we picked up and moved our lives to somewhere more accepting! and *shockingly* some of us have not always ID'd as men, and to retroactively re-frame our sometimes traumatic experiences with misogyny as "misdirected" is just so. i keep coming back to this but it's just plain insulting.

i identified and presented as a woman most of my childhood! i couldn't present as anything BUT a woman even after i stopped IDing as one for my safety! i started transition as an adult seven years ago! my hometown was so conservative that they had their first, sparsely attended pride event four months ago this past june!

i had grown men sexualize me as young as 14. i experienced sexual harassment and unconsentual touching from my peers even younger. men joked about r*ping me to my face! who tf is anyone to tell me that didn't count as "true" misogyny. because it sure as shit was directed towards me. even the current wave of transphobic backlash uses misogynistic language towards all transgender people, including trans men. when transphobes infantilize us, frame us as "confused young women" suckered into an ideology we couldn't possibly understand, that's misogyny! when transphobes discourage us from transitioning because it will devalue our one asset: our beauty, when they discuss top surgery as a mutilation and mourn our breasts over our physical and mental health, that's misogyny!

the fact that i'm now a man does not change that fact and i wish more people allowed room for nuance in these discussions. if it clashes with your understanding of the gender binary, good! it should! it reeks of too much theory and not enough interacting with irl trans people. it's a vast oversimplification of the lived experiences of lots of trans people. there are thousands of ways to be an enemy of patriarchy.

*i am aware that this affects other trans men and transmascs who are not binary men but i'm using binary men here to make the point that even if 'woman' is zero part of your identity this still applies

[8bitvejigante]

Mercury Stardust (aka The Trans Handy Ma'am) has an ongoing live stream on TikTok, Instagram, Facebook and Twitch to crowdfund 1 million buckaroos for Trans Healthcare in light of Trans Visibility Day tomorrow. Please view their socials, share and offer whatever $upport you can!!

As of this post they're almost at 930k of 1 million 6 hours into a 30 hour Livestream.

TikTok

Facebook

Instagram

Twitch

Donate directly here!!

Or text STARDUST to 44321 to donate!!

[egirl-vrissy]

i am not sponsored or affiliated in any way to any products cause im some random chucklefuck on this hellsite but foligain works too well.  My nosehairs are peering out and my facial hair is noticeably thicker which are things i dont want anyway lmao but it for sure does what it advertises.  Also regain has been working well for me since I started it in january....maybe i can actually have a hairstyle i wont hate by summer ;w; 

[innonurse]

10 digital health startups to watch in 2024, according to VCs

- By InnoNurse Staff -

In a challenging investment climate for digital health, VCs identified 10 promising startups for 2024. Deal activity in healthcare IT was flat in Q1 2024, but some companies still stand out.

Abridge: Founded in 2018, Abridge uses AI to automate medical records based on doctor-patient conversations, securing significant funding and integration with Epic Systems.

CodaMetrix: Founded in 2019, this company automates medical coding with AI, reducing errors and administrative burdens, boasting one of the largest annotated coding datasets.

Cohere Health: This company uses AI to expedite health insurance prior authorizations, significantly reducing processing time.

Grow Therapy: Founded in 2020, Grow Therapy connects therapists with patients and insurers, offering a business-in-a-box model for mental health professionals.

Equip: Provides online treatment for eating disorders and co-occurring conditions, accessible across all 50 states.

Maven: Offers comprehensive health services for women and families through employers, continuing to grow in a historically underserved market.

Memora Health: This company provides virtual AI-based care coordination, automating administrative tasks and improving patient support.

SmarterDx: Uses AI to ensure accurate medical coding and diagnoses, helping hospitals maximize revenues.

Summer Health: Connects parents to pediatricians for urgent care via text messaging, offering fast responses to health concerns.

Transcarent: Helps large companies reduce healthcare costs by offering employees discounted medications, telehealth services, and AI-generated health coverage information.

These companies stand out for their innovative use of AI and their potential to address significant challenges in the healthcare system.

Read more at TechCrunch

///

Other recent news and insights

Canary Speech raises $13 million in Series A funding to improve mental wellness and cognitive health screening for healthcare organizations (Healthcare IT Today)

[pymander-real-prosthesis]

STAND TO PEE PACKER GUIDE

Our STP packers are designed with dual functionality to cater to your daily needs. They serve as comfortable daily packers for walking and provide the capability to urinate while standing, thanks to their stand-to-pee (STP) feature.

CORRECT POSITIONING OF THE STP PACKER

Ensuring the correct positioning of your STP packer is essential for both comfort and functionality. Here’s a detailed guide to help you get it right: Positioning:

Place the prosthesis between your legs, ensuring it is inclined downwards. This positioning mimics natural anatomy and allows for a more realistic appearance and function. Important Note:

To use the stand-to-pee (STP) function effectively, the prosthesis must NOT be attached to your body using medical glue. This ensures flexibility and prevents any potential issues with alignment and usability. Wrist Rotation:

When using the STP function, rotate your wrist to give the prosthesis the correct inclination. This rotation is crucial for directing the flow and ensuring a comfortable experience. Practice this motion to find the most natural and effective angle. Finger Placement:

For added stability and control, position your little finger and ring finger at the height of the testicles. This grip helps in maintaining the prosthesis in the correct position and aids in achieving a steady stream. Cleaning:

After each use, it is imperative to clean the prosthesis thoroughly. Proper hygiene is essential to prevent infections and maintain the integrity of the material. Use mild soap and warm water, and ensure the prosthesis is completely dry before the next use.

By following these detailed steps, you can ensure your STP packer is positioned correctly for maximum comfort and functionality. Remember, practice makes perfect, so take your time to get accustomed to the positioning and wrist movements. If you have any questions or need further assistance, don’t hesitate to reach out! 🌟

INCORRECT POSITIONING OF THE STP PACKER

The prosthesis is not inclined downwards, which prevents the correct flow of the liquid. This improper angle can lead to a buildup of urine within the prosthesis, potentially causing discomfort or leakage. Ensuring a downward tilt is crucial for the natural flow of the liquid, mimicking the body's normal function.

Additionally, the hand is not positioned correctly, and therefore the prosthesis does not have the right support. Proper hand placement is essential for maintaining stability and ensuring that the prosthesis functions as intended. Without adequate support, the prosthesis may shift or move, leading to further complications during use.

The prosthesis is attached to the body with medical glue. This adhesive is designed to secure the prosthesis in place, but incorrect application can affect the overall positioning and effectiveness of the device. It is important to follow specific instructions for applying the medical glue to achieve optimal adherence and placement.

The prosthesis is not positioned correctly in relation to the urethra. Misalignment with the urethra can cause issues with urine flow and may lead to discomfort or irritation. Ensuring that the prosthesis is correctly aligned with the urethra is critical for proper function and to avoid any potential health issues.

Overall, each aspect of positioning—from the angle of the prosthesis and hand placement to the use of medical glue and alignment with the urethra—plays a vital role in the effective use of the STP packer. Proper attention to these details can significantly improve the functionality and user experience of the prosthesis.

[sunhighriptide]

Alright, Void, any advice for someone about to go through gender confirming top-surgery in two weeks and is suddenly feeling nervous?

[cozykincoins]

okay hold on ive got a couple things to request

pepsiholic / pepsi addict (if youre not comfy coining stuff like this, thats completely fine!!)

trans true crime podcaster

transhimikotoga (transcharacter)

nullhumanity

trans country accent

transsouthern

:3

. ִ ֗☁︎ transtruecrimepodcaster - a transcareer/transhobby term for one who feels as if they should be a true crime podcaster!

. ִ ֗☁︎ transhimikotoga - a transcharacter term for one who feels as if they should be himiko toga!

. ִ ֗☁︎ pepsiholic / pepsi addict!

. ִ ֗☁︎ nullhumanity - a term for one who feels as if they shouldn't be a part of humanity!

. ִ ֗☁︎ transcountryaccent - a transaccent term for one who feels as if they should have a country accent!

[im sorry but i couldnt think of anything for a transsouthern flag :[ if anyone else who coins terms wants to give a try at it, please do! ♡]

[nonspeakingkiku]

transids are for people who have what’s called “atypical” dysphoria, meaning they feel dysphoric about things other than their gender identity. so someone who is transage feels dysphoria about their age, someone who is transspecies feels dysphoric about their species, someone who is transcareer feels dysphoric about their job, etc. we get made fun of a lot but it’s a real experience for a lot of people

Kiku understand age dysphoria (because syskid/teen) and species dysphoria (because nonhuman alter/therian).

Kiku has feelings about this but can't sort them out. And Kiku confused.

Kiku don't really get it. Trans imply transition or short for transgender, can't transition age, can't actually transition species (Kiku very respect peoples get body mods look more like critter feel they are like Lizard Guy (don't know name)).

Plus don't some transid people want disabilities like autism? Can't transition to having autism.

[alicesylvie]

Trans people, we can agree that the El Camino is the most transgender vehicle ever mass produced, but which way is it going? Are el caminos a car on truck hrt, or a truck on car hrt? This is the most important election of your life.

[ferindencadash]

Been trying to get into the "transcare" (terrible name) program through the campus medical centre for a month, and they just keep ignoring my emails/forms. Going in this morning so they can steal more of my blood (gender-unrelated), and I'm going to (try to) use this opportunity to ask in person.

I'm fucking terrified.

If anyone wants to hype me up, it would be so appreciated 🙏🥲

[anamericangirl]

Hello, just discovered your blog and have gone through it I hope to not be an illiterate anon, apologies if i am, I'm very tired all the time. Your post appeared on my recommended and I'd like to respond.

If a doctor put a perfectly healthy person on chemotherapy because they walked into their office and said “I think I have cancer” that would be malpractice and the doctor would lose their license.

Let's check this. Quote from transcare https://transcare.ucsf.edu/transition-roadmap: "Requirements for a behavioral health evaluation and preparation in advance of chest and genital surgery, and the use of hormone therapy and presenting full time in one's chosen gender identity for 1 year before genital procedures, unless there is a medical or other reason that prevents meeting these requirements." What that means is kids do not just walk in at the first sight of dysphoria and ask. They've got to be committed to it for a year. What about dysphoria? How does one get diagnosed with it? Quote from mayo clinic https://www.mayoclinic.org/diseases-conditions/gender-dysphoria/symptoms-causes/syc-20475255#(sry if the link doesn't work) :

"Gender dysphoria might cause adolescents and adults to experience a marked difference between inner gender identity and assigned gender that lasts for at least six months."(bold mine) Six months. That's not just walking in and asking, that's again, a long time.

What if they regret it? There's an incredibly high regret rate. They're only kids, we know better than them. Well, those figures might have been exaggerated a little. Quote from transeqality "This study ( https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(22)00254-1/fulltext ) found that 98% of youths prescribed puberty blockers went on to be prescribed hormone replacement therapy after turning 18." That means that 98 percent of kids knew they were trans and correct about it.

Quote from the same site "One Dutch study ( https://genderanalysis.net/2018/11/large-study-of-trans-people-in-the-netherlands-shows-growing-numbers-seeking-treatment-low-regret-rates/ ) of nearly 7,000 transgender people found that the rate of regret was less than 1% among those who received treatment as adults – and there were no cases of regret among those who received care before the age of 18."

To put that in perspective, 30 percent of people regret getting knee surgery https://www.aarp.org/health/conditions-treatments/info-2018/knee-replacement-surgery-regret.html

You claim to care about children? Check this out. https://www.thetrevorproject.org/survey-2022/ 45 percent of trans youth seriously considered suicide, and that number more than halved when they got support. Half.

Referral letters are required for a surgery. If a surgeon had a person who looked perfectly healthy come into their office and say "I have cancer, here's my proof of living in pain for 6 months, here's my proof of taking medicine, telling people I have cancer, my proof of going to support groups for my cancer, my cancer screenings, a signed letter from a specialist saying I have cancer, and one more for good measure." then the surgeon would get them surgery immediately because they do not specialise in cancer diagnosis. Yet this same thing happens for trans people all over the world where they're denied surgery by transphobic doctors.

Hi thanks for your thoughtful response. I have to disagree, though.

I have a couple of issues with your first point about surgeries and hormone therapy. First, one year is not that long to wait, especially if the person is a minor (and frankly this not should not even be an option for minors at all). If a perfectly healthy person walks into a doctor's office and says they have cancer and the doctor, instead of testing them for cancer, says "come back in a year and if you still feel that way we'll start chemotherapy" that's still malpractice.

Also, I would encourage you to listen to the testimonies of detransitioners because these "requirements" aren't always adhered to. One woman I was listening to who underwent transition as a minor said the first medical intervention she ever received was a double mastectomy.

And I wasn't just referring to surgeries and hormone replacement therapy with that post; I was also talking about puberty blockers. And if you consider Mayo Clinic a reliable source, this is what they list as the requirements for getting on puberty blockers.

In most cases, to begin using puberty blockers, an individual needs to:

Show a lasting pattern of gender nonconformity or gender dysphoria.

Have gender dysphoria that began or worsened at the start of puberty.

Address any psychological, medical or social problems that could interfere with the treatment.

Be able to understand the treatment and agree to have it. This is called informed consent.

This could all be accomplished in a single visit and just requires the doctor to ask a few questions.

"Gender dysphoria might cause adolescents and adults to experience a marked difference between inner gender identity and assigned gender that lasts for at least six months."(bold mine) Six months. That's not just walking in and asking, that's again, a long time.

No, six months is not a long time before diagnosing a severe mental illness where the next steps are essentially permanently altering your body.

And, mind you, this does not mean they have to be observed by a doctor for at least six months. It means it has to have been established that they have felt that way for at least six months. Meaning, a little boy can walk in and essentially the following exchange can take place:

Boy: I'm a girl

Doctor: How long have you felt that way?

Boy: About six months.

Doctor: Ok. I am diagnosing you with gender dysphoria.

Again, it can be diagnosed in a single visit. And btw, people can go through phases that last much longer than six months. That is nowhere near enough time to diagnose someone, especially a child, who is living in an environment where there gender confusion is being affirmed by the people around them, with gender dysphoria.

"What if they regret it? There's an incredibly high regret rate. They're only kids, we know better than them. Well, those figures might have been exaggerated a little. from transeqality "This study ( https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(22)00254-1/fulltext ) found that 98% of youths prescribed puberty blockers went on to be prescribed hormone replacement therapy after turning 18." That means that 98 percent of kids knew they were trans and correct about it."

Ok so there's some important information being left out here and it's information that shows this study can't be really be a credible source of information for the rate of regret and it doesn't show that 98% of kids "knew they were trans and were correct about it."

First of all, the sample size of this study was only 720. Not that big. Most importantly, at the start of the treatment they were following the median age for boys was 14 and the median age for girls was 16. When they concluded the study the median age of boys was 20 and the median age of girls was 19 so this was only measured for about four or five years and can't be taken seriously as evidence of anything. Certainly not evidence that "98% of kids don't regret transitioning and know they are trans and are correct about it." That study is hardly long enough to show that children still consider themselves trans once they are adults.

This study, published in 2022, looked at a sample of about 1,000 individuals and found that the 4 year continuation rate of gender affirming hormone treatment is around 70%, which means the detransition rate is 30%. Not 1-2% like you suggest.

This study, while not a study on how many people detransition, looks at a number of people who have detransitioned (237, so not a lot) and reasons why they detransitioned. Here is a chart from the study showing that the main reason for detransitioning (70%) was realizing their gender dysphoria was related to other issues.

It's also worth noting that 45% of the people didn't feel "properly informed about the health implications of the accessed treatments and interventions before undergoing them."

This study also indicates that, at least for the detransitioners sampled, their detransitions happened approximately five years after they started their transition, which, interestingly, is right about the point of time the study you linked stops.

"Quote from the same site "One Dutch study ( https://genderanalysis.net/2018/11/large-study-of-trans-people-in-the-netherlands-shows-growing-numbers-seeking-treatment-low-regret-rates/ ) of nearly 7,000 transgender people found that the rate of regret was less than 1% among those who received treatment as adults – and there were no cases of regret among those who received care before the age of 18.""

This study was mostly following people who started transitioning when they were already adults and remember we're talking about kids here. And I don't know where you got the idea that "there were no cases of regret among those who received care before the age of 18" because I don't see that mentioned anywhere in the link you provided or the study itself. What I did see them mention was about 40% of the adolescents they evaluated started puberty blockers and then several stopped taking them without getting any further treatment.

"You claim to care about children? Check this out. https://www.thetrevorproject.org/survey-2022/ 45 percent of trans youth seriously considered suicide, and that number more than halved when they got support. Half."

I do care about children, but I don't trust the Trevor project. They are an activist organization and are only going to publish things that affirm their narrative, whether it's true or false. I suggest you look at data from both sides before taking the Trevor project at their word.

For example, I came across a paper that found an interesting phenomenon in the youth suicide rate.

In the past several years, the suicide rate among those ages 12 to 23 has become significantly higher in states that have a provision that allows minors to receive routine health care without parental consent than in states without such a provision. Before 2010, these two groups of states did not differ in their youth suicide rates. Starting in 2010, when puberty blockers and cross-sex hormones became widely available, elevated suicide rates in states where minors can more easily access those medical interventions became observable.

Rather than being protective against suicide, this pattern indicates that easier access by minors to cross-sex medical interventions without parental consent is associated with higher risk of suicide. 

This suggests that the Trevor project is not entirely accurate and the suicide rate among youth tragically rose after having access to "gender affirming care."

"Referral letters are required for a surgery. If a surgeon had a person who looked perfectly healthy come into their office and say "I have cancer, here's my proof of living in pain for 6 months, here's my proof of taking medicine, telling people I have cancer, my proof of going to support groups for my cancer, my cancer screenings, a signed letter from a specialist saying I have cancer, and one more for good measure." then the surgeon would get them surgery immediately because they do not specialise in cancer diagnosis. Yet this same thing happens for trans people all over the world where they're denied surgery by transphobic doctors."

So you mean the doctor has to have substantial evidence that someone has cancer before treating them? Like a screening? As opposed to simply confirming that they've felt that way for a long time?

And I'm sorry but using the phrase "transphobic doctors" takes credibility away from your entire message. This is why transphobic doesn't mean anything anymore. You just use it to refer to anyone who thinks gender dysphoria needs to be determined by more than someone simply saying they feel like the opposite sex and have for a long time. It's not "transphobic" for a doctor to determine a person doesn't need a sex change surgery. Doctors are there to observe and treat people's physical and mental health, not affirm their feelings. And it's incredibly petty and disingenuous to refer to a doctor who denies someone a surgery after they have supposedly gone through all the requirements you said had to be met that they are transphobic.

So let me ask you, if all those requirements for surgery aren't met and the person is denied the surgery how is the doctor transphobic? You assure me that all these strict requirements must be met before people surgically transition so it's not just happening to anyone who walks in but at the same time if anyone who wants the surgery doesn't qualify then the doctor is transphobic. You're not being consistent.

There are two sides to every story. Make sure you're not just looking at one.

[whumpitisthen]

reading your tags about wishing to have been born male felt like i was reading my own thoughts. i feel literally exactly the same way

This revelation I had at 1 am yesterday should be a joyful one but has in fact made me very sad. Where I live, being trans is basically unheard of, all but illegal (I was surprised to learn there even was transcare here, but of course only in private clinics and the first step to getting gender reassignment care is literally going to a psychiatrist and getting diagnosed as mentally ill, so private doctors may "treat you" :))))) so it's not only expensive but even if I got through it all, my country and my family would never ever accept me.

But, now it's a new day and I made spaghetti and I feel much better with a full stomach, so even though it is not fun to be trans without a modicum of support from the government or people around me, or even available paths to go on without spending all my life savings on it and then being ostracized after it all, I am young and I have my entire life ahead of me. I can do my best, I can live as I have until now and I can one day reach my goal of being who I actually want to be. Who knows, maybe a couple years from now our government will finally change (for the first time in like 20 years there is finally a more left leaning party with even a tiny chance of winning and that's really exciting this is the first time this has happened pretty much since I was born!!) and it may become easier then. Or I could move the fuck away once I am able to like I've wanted to for years with friends who enjoy my company.

In any case, I understand myself a little more now, and that gives a certain confidence and relief, as well as a new life goal to work towards. May we all one day live in a world where people (the government) mind their own business and let people exist as they want to.

Nevertheless, I will still be here writing pretty boy torture :D