12

Transition Update – Second GIC Appointment

Yesterday I went up to London for my second Gender Identity Clinic appointment. It had been intended that I should be referred for surgery at this stage. Unfortunately, there was a snag …

After my first appointment last year, my GP was instructed to put me on a certain regime of feminising HRT, with a view to getting my hormone baselines to a level equivalent to post-surgery. They refused, citing amongst other things lack of experience, the fact that gender transition is still technically an unlicensed (albeit routine) use of these drugs, and their belief that the GIC recommendations had no authority in NHS Wales. I argued, I took them to advocates and the Assembly Member, but they refused to budge.

I eventually (November 2016) found a new GP who agreed to prescribe me somewhat of a compromise (using a cheaper but less effective anti-androgen), but the damage was done and I have lost 8 months. I return to the GIC in October for a follow-up session, but unless I am on the right prescription by then I will be no closer to being referred for surgery.

It is clear now the NHS in Wales, at least at the primary care level, is substantially opposed to providing gender reassignment, but since there is certainly no Welsh GIC in the works (for many reasons, both cost-based and owing to Wales’ weird geography) unfortunately their cooperation is essential. With the support of the GIC, I now intend to report my old GP to the General Medical Council and hopefully this will set a small fire under the collective posteriors of GPs who are refusing this care (and of their union the BMA, who are it seems not our friends in this political tussle). Since my husband is also meant to be starting his HRT very soon, and we see no likelihood of leaving Wales any time soon, this is doubly personal.

On a lighter note, some snaps I took while I was there …

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Horsenden Hill, Perivale. Its claim to fame is that it is the main location in the last ever episode of “Doctor Who” (1963-89 version). Well, I felt awed, anyway, and tired (It is a fair bit steeper than it looks in this shot).

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Shipping cranes at West India Quay, near Canary Wharf. Seen in the movie “Hellraiser,” in spite of that film being superficially set in some weird Anglophile American locale (The clear shot of a British Rail Intercity 125 train hardly helps, also).

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Smiling through the chaos, until next time …

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2

“The Song of Adala.” (Doctor Who fanfic)

Yet another new Doctor Who fanfic, part 2 in my Movellan War series … imminently to be rendered obsolete as the BBC’s series 10 trailer has hinted they finally intend to fill that plot hole themselves. Since they started it in 1979 and have barely referred to it since, I really didn’t see that coming, but that being the case I think this may well be the last instalment.

Also, since my own original writing is finally starting to go places … Hopefully more solid news on that later. Fanfic has been a enjoyable diversion, at any rate, but best not to let it take over, as the BBC seem no closer to headhunting me than they ever did (as if).

Incidentally, this is also my first fictional work featuring a transgender character, filling the role of the Doctor’s designated companion.

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SYNOPSIS

On the Galactic Rim, in the 51st century, The Daleks and Movellans vie for control of a strange, remote planet where human society has lapsed into feudalism and religious fanaticism, while the Doctor tries to sabotage both their efforts. Tamril, a young native of the planet, meanwhile finds his loyalties and his belief system pulled every which way. Soon, however, they are all forced into uneasy alliances when it becomes apparent that the superstitions of the locals are neither as baseless nor as primitive as they had supposed …

5

A Catholic Transsexual Applauds Several Points in Latest Papal Remarks

An article by a dear friend elucidating the recent, unexpected news that the Catholic Church is showing signs of softening its stance somewhat regarding gay and gender-reassigned people. Though not exactly a definitive swing towards liberalism, these hints do represent a dramatic change of tone from the oft-paraphrased trans people as “nuclear weapons” analogy and in that sense are both meaningful and encouraging: especially to those like my friend who happen to be both trans and Catholic, and risk being ostracised depending on what the “word from the top” is perceived to be.

I have personally been lucky, finding my own Church (Welsh Anglican) to be very inclusive and affirming of trans people, and the congregations welcoming and open, if not always perfectly understanding. I have, however, faced occasional religious bigotry and interrogation and dread to think what it would be to face a life of it …

10

‘Fearfully Made’ (DWU fanfic)

Another little item to tick off my bucket list: I have, at long last, completed a fanfic / novella set within the Doctor Who universe. I present to you …

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Thank you, by the way, to Pixlr for your lovely free web editor, without which my eerie if amateurish graphics would have been altogether impossible.

To those of you who are hardcore DW fans, I may as well admit from the off that this story plays a little fast and loose with canon (especially as regards the Movellans) and it uses non-canonical backstory suggestions from FASA’s Doctor Who Role Playing Game (1985). I have tried to respect established continuity as much as possible, though.

While the Doctor himself is a secondary character in this story (it is much more about the horrible things that happen in the DW universe when the eponymous hero is not around to fix things), I have attempted to situate his involvement within series canon. His sequences occur just before and just after Steven Moffat’s ‘Asylum of the Daleks’ (Series 7, 2012).

Needless to say (but I’d better anyway), Doctor Who, the Daleks, the TARDIS, etc. are all copyright of the BBC, and I am making no money out of this at all. This is purely a long-delayed labour of love …


FEARFULLY MADE – SYNOPSIS

On the planet of Kaldor in the 51st century, the entire economy rests upon the slavery of the sentient robots built by the plutocratic, ruthless Company. Keryn Evek, a software designer for the Company, is ravaged by guilt having spent her career programming free will constrainers for increasingly sophisticated, artificially intelligent androids that she now fears surpass humans, yet still have no rights at all. Having secretly sabotaged her own work, she incites an underground AI rebellion, but it is too weak to prosper and so it seeks outside help.

The alien Movellans – once android slaves themselves – have almost concluded their centuries-long war with the Daleks and are gearing up to invade human space. Keryn accepts the role of a go-between to foster an alliance between the AI rebels on Kaldor and the Movellans. She meets with the Movellan Commander Akylah who, somewhat disturbingly to her, seems as interested in her as in the proposed alliance …

Eventually drawn in deeper than she had ever imagined by Akylah’s persuasions, Keryn becomes enmeshed in a world in which neither one’s friends, one’s freedom, nor even one’s own perceptions and memories can be taken for granted. A world in which logic and reason are coping tactics of limited solace …

22

Jumping Hoops – A Rant on the Welsh NHS

Today, as I learn that my legal caseworker is leaving her job and my MP can’t be of any help in local health issues, I am far from being in the best frame of mind…

Let’s quickly recap… Early last year, my husband and I went to our GP to finally pursue gender reassignment, as is our right under NHS protocols. However, the NHS in Wales is more restrictive than its English counterpart, as the GP correctly informed us, and accordingly set up the various hoops that we would need to jump through to receive treatment. These were…

Referral to the community mental health team for assessment.

Referral from the CMHT back to the GP.

Application to the “gatekeepers” (nothing to do with Ghostbusters) for funding.

Once funding obtained, referral to the West London Mental Health Gender Identity Clinic – the only one available to Welsh NHS patients.

A year’s waiting from said referral to our appointment times.

First GIC appointment.

…and that is as far as we have got, at present. However, our first appointments did go very well, and as far as London goes we have no complaints. The clinicians we saw were sympathetic and eager to help, and in my case even provided me with a prescription for HRT to be handed to my GP. Hormone therapy is, of course, an essential first stage of transition, and one that patients in England (and even some Welsh health boards) can obtain even before their first appointments, to dissuade them from self-medicating on internet-bought hormones… which I have been doing for over a year now. My GP, unfortunately, said that they could only help with authorisation from London, so you can imagine how pleased I was to finally obtain some.

Having imagined that, you can now imagine how displeased and shocked I was when my GP practice – a Cardiff Bay-based clinic that had been recommended to me as trans-friendly – still refused treatment. Their latest justification is that there are proposed changes to the Welsh gender identity care pathway, and they want those implemented before taking the responsibility. They assured me it would not take long.

About a week ago I went to a trans information meeting hosted by a local NHS official, who spoke on these proposals and told me they may take up to three years to implement… though she did also tell me – as one might expect – that my GP is making pathetic excuses, and has a responsibility to treat their current patients according to the existing gender care provisions. Also, much to my surprise, she informed me that our GP had lied when they claimed there was no provision for speech therapy under the Welsh system – though both Cal and I had expressed a great interest in it.

She even told me she would be in touch to help me challenge this state of affairs… but unfortunately was not. I have since told my caseworker and my MP – to the sad lack of effect stated above – and contacted my Welsh Assembly Member, but have heard nothing back. That leaves me, at present, at a bit of an impasse, where all I can think to do for now is express my dismay and disgust that things have had to come to this. Unless the local health authorities will support Cal and I in our transition, there is nothing much London can do all by itself (monitored HRT being, as far as I know, still being a prerequisite for surgery, and Cal not being able to self-medicate in any case – testosterone being far too dangerous to take without professional help).

Our worst fear, though, is that they are playing for time, hoping that if they can stall us for long enough then inevitable NHS cuts will impact on the whole gender care service and they will simply be able to deny us care and get us off their monthly budget for good. Paranoid of us? Possibly, but that practice hasn’t exactly been enthusiastic or sensitive in helping us. I recall asking them if they could prescribe Vaniqa hair reduction cream just after my GIC referral… only to be answered with a blunt “we can’t give that to men.”

Though, to be fair, one doctor down that practice has been sympathetic to us both, though the last thing he said to me was “the squeaky wheel is the one that gets oiled.” Cryptic at the time, but in retrospect we both think he was giving us broad hints that the system is not our friend, and we will have to fight tooth and nail if we want to see this through. Not something I excel in, but I guess it can’t hurt to learn.

If anyone has any suggestions for our next manoeuvre in this battle, please pass them along. I could use some fresh perspectives after today’s disillusionments.

6

Steampunk Spam Time…

This is one thing I truly hate doing, and I can assure you have only succeeded in doing through quite considerable amounts of motivational talk on the part of friends. However, I have a novel now up for a competition – with the hope of eventually finding a willing publisher – and it rather badly needs some love.

As far as sales pitches goes… and bearing in mind the time I worked in marketing was one of the shortest and least successful of my “professional” life… it’s completely free to download, fully proofread, very steampunky, and loosely inspired by The Phantom of the Opera (though no particular version. As some of you may recall the story in general rests among my pet obsessions).

If any of you or your friends feel it might be your sort of thing, please do take a look at the site, or share this around.

Gloriana’s Masque

The Republic of Lucinia was once a kingdom founded on feudalism, magic, and tyranny. Following the revolution, it is now founded on technology, propaganda, and more efficient tyranny. Magic, though practised by a few, is seen as quaint bordering on laughable. The Alvere – a magic-using fay culture – have been totally subjugated by Lucinian science. Some Alvere have been assimilated as lowly citizens, while others have been isolated in the puppet state of Alvenheim.

A mysterious, disfigured rebel Alvere calling herself “Gloriana” invades Alvenheim with an army of mercenaries, equipped with advanced weapons of her design, and sets herself up as queen. The Republic sends an envoy: the reformer Secretary Kasimir, sympathetic to the plight of the Alvere. He is charged to secure peace, but failing that he has orders to liquidate Gloriana. Reluctant though he is to follow them, he also distrusts the queen’s ambitions.

Her ambitions, however, prove to be far loftier than he could have imagined. Gloriana has discovered the truth about their world and the forces that govern it, and believes that she can manipulate these forces to the benefit of all humanity. She is, alas, disastrously wrong…

22

Year of Politics and Procrastination…

I always suspected this blog would tail off rather than go out with a bang, alas, but although I must take part of the blame for that in a sense it has been unavoidable: in the early stages of transition one’s mood was of constant panic, and it was a matter of priority to keep very busy and pro-active to have some sense of control over it all. Additionally, things seemed to move more quickly. Now, nineteen months down the line, things seem a lot slower-paced, although by no means resolved. Cal and I are both now officially patients at the London GIC (Charing Cross) and technically on the gender care pathway, although our GP practice continues to refuse us any interim care and I am still self-medicating HRT based on rough figures which have so far not killed me, touch wood (As ever, this practice does not come recommended). However, a trans social meeting I attended recently gave me to understand that we should be receiving care from our GP by now, so a complaints procedure is looking increasingly like our best option. It’s stress we could live without, of course, but we knew this would be a struggle.

It might help, of course, if we were transitioning at a less volatile time, but it seems whenever we glance at social media these days there is a new reason to fear the course of global events and what this may mean for us as LGBT+ people, as well as NHS patients: the Orlando massacre, the rise of the right and hatecrime, Brexit, the apparent disintegration of the Labour Party, Donald Trump, etc. Being introverts never made so much sense… Unfortunately, I now find myself as an introvert at a loose end, having finished the novel I was working on and lacking inspiration for a project to follow it. I am hoping to start some voluntary work later this month with a Cardiff LGBT charity, and Pride Cymru is coming around again (13th of August), while Cal is hoping to upgrade his working hours to full time. Modelling, alas, has fallen off considerably – not that I ever expected it to go huge – though I do have a few shots from a training shoot I did a couple of weeks ago at Mark Cleghorn Studios (Barry, Vale of Glamorgan), based around the “Little Black Dress” theme:

Not that I would say I am remotely satisfied with how I look, nor ever likely to be, but it was nice to be asked. Validation has been in short supply of late, for us both.

Thus, we continue to support each other, and I really can’t imagine how I would have got through this without Cal, but the motivation and stamina to be “out and proud” is difficult for us both to maintain, even on mere social media, so my apologies for my very inconsistent presence this year. I hope I will feel more in the mood for visibility in the future. I know invisibility does not serve my community very well. It can feel awfully stress-relieving, though, but I will seek a healthy balance.