Madpie's Lair

it's not just "that doctor has internalized misogyny" it's that western medicine is, as in so many parts of our culture, deeply authoritarian. the patient is meant to be a passive problem to be solved by the active doctor. there is meant to be a stark harsh line between you and the doctor, where you are pure of any medical knowledge and simply report the raw data & let the doctor interpret it. this is how the system works. it fucks over marginalized groups the most because that's how marginalization works, but even a thin white abled cis man could get fucked over by this shit if he's unlucky.

however. if I hadn’t gotten the hysterectomy back then and was trying to get one now, it would be harder. after becoming recognized as trans in medial systems, legally I would need two separate psychiatric professionals to write letters affirming I’d been under their observation, that I was mentally stable enough to know I wanted the surgery, and that they also believed it was necessary. and I would need to find a surgeon willing to operate on trans people.

like this is the difference. the literal procedures involved in medical transition are not exclusive to trans people. the difference is that these procedures are gatekept from us.

that’s why all the laws banning trans healthcare (in the US, I haven’t read legislation elsewhere) are framing it as only banned when someone has a “gender dysphoria” diagnosis. the point isn’t to stop performing the actual procedures, the point is to deny trans people healthcare because we are trans.

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1. explains so much about written communication especially online, truly, as many have observed, but also

No matter how injured. If a parent doesn't deem it necessary to see a doctor, it doesn't happen. Teachers can suggest a doctor visit, but unless it's a very acute injury (and even then), it's ultimately up to the parents.

You can be 13. Twisted, maybe broken ankle. You teacher lets you sit out in PE. She's concerned, and tells you to rest when you go home, and see a doctor. You get home, ur parents fill a bath and add some Epsom salts, and then laugh at you for using it moms old colorguard stick as a cane. Take some ibuprofen they say. It's just a little sprain, ur a kid.

You go to school the next day, go to ur office assistant time. Office calls ur mom to come get you, because you're clearly in too much pain for school. Your mom laughs when she gets you, says you just were so determined not to miss school. Scolds you for making the office ladies worry.

You never see a doctor for the injury.

Your parents come into the exam room at every visit. This does not stop with age, except for gynecologist. But your parents are on the medical release forms. They fill them out for you, with you. You do not get to take them off.

You never get to tell s doctor about the ankle. Even though it never quote healed right, and it hurts every day.

Then your 18. In college. Still on your parents insurance, and have no car. The on campus clinic only does std testing. You fall down some stairs. Same injury. You call your parents, crying from the pain. You are using a mop as a cane. They console you and say to have a bath, take some meds, and let them know how it feels in a few days. You end up borrowing your roommates rolling chair to get around for the weekend.

By Monday, you can walk again. You walk miles to class every day. You ask to see a doctor, but your parents won't drive the hour to come take you, and you don't have the insurance card. You are still at their mercy for medical care. The ankle tries to heal again. This time worse than before. The tendons click with every step.

Now you're in your twenties. Finally have your own healthcare. You see a doctor. You get to mention the ankle! They say it's been too long to really even know what was damaged. That you have arthritis now. It healed wrong but it can no longer be fixed.

No matter how injured. If a parent doesn't deem it necessary to see a doctor, it doesn't happen. Teachers can suggest a doctor visit, but unless it's a very acute injury (and even then), it's ultimately up to the parents.

You can be 13. Twisted, maybe broken ankle. You teacher lets you sit out in PE. She's concerned, and tells you to rest when you go home, and see a doctor. You get home, ur parents fill a bath and add some Epsom salts, and then laugh at you for using it moms old colorguard stick as a cane. Take some ibuprofen they say. It's just a little sprain, ur a kid.

You go to school the next day, go to ur office assistant time. Office calls ur mom to come get you, because you're clearly in too much pain for school. Your mom laughs when she gets you, says you just were so determined not to miss school. Scolds you for making the office ladies worry.

You never see a doctor for the injury.

Your parents come into the exam room at every visit. This does not stop with age, except for gynecologist. But your parents are on the medical release forms. They fill them out for you, with you. You do not get to take them off.

You never get to tell s doctor about the ankle. Even though it never quote healed right, and it hurts every day.

Then your 18. In college. Still on your parents insurance, and have no car. The on campus clinic only does std testing. You fall down some stairs. Same injury. You call your parents, crying from the pain. You are using a mop as a cane. They console you and say to have a bath, take some meds, and let them know how it feels in a few days. You end up borrowing your roommates rolling chair to get around for the weekend.

By Monday, you can walk again. You walk miles to class every day. You ask to see a doctor, but your parents won't drive the hour to come take you, and you don't have the insurance card. You are still at their mercy for medical care. The ankle tries to heal again. This time worse than before. The tendons click with every step.

Now you're in your twenties. Finally have your own healthcare. You see a doctor. You get to mention the ankle! They say it's been too long to really even know what was damaged. That you have arthritis now. It healed wrong but it can no longer be fixed.

imagine if anyone had ever discovered this congenital deformity (used value neutrally here, to be clear) when I was a kid. I could have grown up giving my spine the additional support it needed so my muscles could properly compensate for this issue. doing exercises. knowing what was going on with me so that was the first place someone would look if something weird was going on in my body.

now, all the literature about this deformity says that the majority of people who have it experience no problems. but here's the thing. my problems had to become *so fucking severe* for anyone to LOOK for problems. if the kind of "problems" we are talking about develop over DECADES, and also that tend to look like the ""normal"" effects of aging (we should not dismiss damage to the cervical spine as a ""normal"" effect of aging, while I'm fucking at it,) then that would likely register to the medical system as "no problems," particularly since they do not fucking care about things like this. there's no funding for it and it isn't one of the Sexy areas of medical study.

conclusion: