r james. 24. male. america's high five. music, photography, tattoos.
Anonymous asked: Did you post your chest surgery results on Transbucket? Do you know what size you were pre-surgery or do you have any pictures pre-surgery that you're willing to share (anonymously) on Transbucket? I'm trying to figure out if my chest size is similar to others' who go to Medalie. Also did you try to use your insurance at all?
Yes, my results are on transbucket. I called my insurance company and was told that a double mastectomy was only covered if I had breast cancer, so I did not pursue past that.
I’ve been getting a few messages about what my therapist’s letter for top surgery contained, such as wording and phrasing, so I decided to make it available for you to read and/or use. Obviously, I have omitted my own name, as well as my therapists name. This letter was considered an acceptable referral for top surgery by Dr. Daniel Medalie. This may not be considered acceptable by other doctors or surgeons. I did not send it to any other surgeon or other doctor for anything BUT top surgery with Dr. Medalie. As always, I encourage you to speak with a mental health professional when seriously considering top surgery. There is a reason why doctors such as Medalie require such a letter.
Dear Dr. Medalie,
I am writing this letter at the request of (patient) at his request and with a signed release of information. See copy included with this letter. I am providing a review of (patient) ‘s progress in transitioning from female to male and the evidence in support of his request for a mastectomy.
This letter will specifically address the criteria of WPATH Standards of Care 7th Version to address his meeting criteria for surgery eligibility. In the course of therapy, (patient) has exhibited gender dysphoria leading to ending a three year relationship that began when he identified as lesbian, coming out as transgender to his parents in April of 2011, attending a transgender support group at (college) while a student and after graduation, and presenting as male including legally changing his name. (patient) entered practice teaching as a male and has obtained a job to start his teaching career with disclosure of his transgender status. He also came out to his summer employer and found a supportive environment.
In our face to face meeting today, (patient) described being fully informed of risks from surgery and he demonstrated sound reasoning in his decision to have a mastectomy. We discussed sexuality concerns and he said he has a three year committed relationship with a woman with plans to continue their relationship as he begins his teaching career. He said both his girlfriend and his mother are supportive and plan to assist with post-surgical care.
I recommend (patient) without reservation for surgery. If i can address any concerns about my qualifications regarding compliance with WPATH Standards, I would welcome a call at my office or home phone to review my credentials and experience as a professional counselor who has over 30 years’ experience assisting LGBTQ persons.
****Again, let me emphasize that this letter was ONLY used for MY top surgery experience with Dr. Medalie in Ohio. I am NOT guaranteeing that this will be an acceptable letter for yourself. Remember to contact your surgeon with any questions you may have about your recommendation letter. I am in NO WAY encouraging you to falsify or forge a therapist’s letter, there are reasons why surgeons require these letters and there is a reason why they take professional opinions by therapists.****
peterthedog asked: Dude your chest looks phenomenal! I'm trying to have peri with Medalie and I'm hoping it goes as well as yours.
Thank you, I appreciate that! You’re going to be very happy with Medalie, he does a great job and is great to work with.
Friday is my one year post op (peri) with Dr. Medalie in Cleveland, OH. So insanely happy with my chest. I haven’t been working out as much as I would like lately, I’m having some rotator cuff problems that I need physical therapy for - so I’ve been avoiding lifting weights for a while.
October also marks my 3 years on T, the first year on Androgel, and then injections. I am really enjoying the results so far, although I wouldn’t mind more facial hair (but wouldn’t we all!)
In other news, this weekend I completed my second Warrior Dash, and I was so thankful to be running it topless instead of a binder and a shirt. At the end of next month I’m looking forward to doing Run for Your Lives, the zombie 5k. I hate to run as a form of working out, I’d rather run while playing a sport, so these 5k’s are a great way for me to get in shape and have fun.
Anonymous asked: I just want you to know that you are totally awesome, and I really look up to you. You take life by the horns and steer it in the direction you want it to go, and you let nothing stop you. and I really admire that. =)
Thank you! That means a lot!
strangest-dreams asked: oh and did he have a good payment plan? or how did all your finances go?
the payment was broken down into smaller pieces based on the different people involved. there was an anesthesia fee, an office fee, and the actual surgery fee. the entire cost total was $5,995. i was expected to pay the entire surgery fee 2 weeks in advance, and the morning of surgery i had to come with two checks, one for the anesthesia and the other for the office visit, which totaled about $1,000 between those two checks. i paid for the whole surgery with a personal check, because i didn’t qualify for a medical credit card.
Anonymous asked: what about stuff like coming out? like advice? (i'm that anon).
Yeah I give advice based on my own coming out experiences.
Anonymous asked: Hello! Do you give advice?
Hey there! I try my best to give advice based on my own life experiences, but I am not a medical or mental health professional.
Anonymous asked: What type of top surgery did you undergo? Your chest looks amazing!
Thanks! I had a peri-aerolar double mastectomy by Dr. Daniel Medalie in Cleveland, Ohio last in August.
rileyj333 asked: Hey. Your second shot of T sounds pretty similar to my first shot. So sore i cant even move it, lifting my leg from place to place. How many days did that take to heal and have you experienced anything else like that after?
At the worst, it lasted about 5 or 6 days for the pain to completely go away. That happened 2 or 3 times, and then I discovered that I was leaving my muscle tight when I was giving myself the shot. So essentially I was forcing the medicine into a muscle that didn’t have room for it. Once I got the muscle to relax, and usually I had to make a conscious effort when the needle was in to relax my thigh muscle, it was much better. Lately I have found that warming the syringe and the medicine, usually by keeping it in my hands, before I inject it makes things go smoother as well. Best of luck to you!