My blog

But since I’ve gotten too disabled to fight anymore, I… find myself coming back to that maiden in a tower. It’s that funny thing, where subverting femininity is powerful for the people who have always been forced into it… but for the people who have always been excluded, the powerful thing can be embracing it.

As I’m disabled, as I say to groups of friends, “I can’t walk that far,” as I’m in too much pain to keep partying, I find myself worrying: I’m boring, too quiet, too stationary, irrelevant. The message sent to the disabled is: You’re out of the narrative, you’re secondary, you’re a burden.

The remarkable thing about the maiden in her tower is not her immobility; it’s common for disabled people to be abandoned, set adrift, waiting at bus stops or watching out the windows, forgotten in institutions or stranded in our houses. The remarkable thing is that she’s like a beacon, turning her tower into a lighthouse; people want to come to her, she’s important, she inspires through her appearance and words and craftwork.  In medieval romances she gives gifts, write letters, sends messengers, and summons lovers; she plays chess, commissions ballads, composes music, commands knights. She is her household’s moral centre in a castle under siege. She is a castle unto herself, and the integrity of her body matters.

MY HOME IS ON THE LIST/LIKELY TO BE TARGETED, WHAT CAN I DO?

* it may bring you peace of mind to have a go-bag ready, just in case. A go-bag is a bag with everything in it that you need to get out a volatile situation quickly. Any bag that can be secured (buttoned or zipped) will do. In your go-bag, you should include;

- identifying documents; passport/driver’s license/asylum card/ILR certificate/British Residency permit card

- Wallet and/or banking books

- A spare charger & cable and/or a power bank

- any shelf-stable medication (tablets, inhalers etc.) if you are on medication that needs to be refrigerated, leave it in the fridge until you have to leave

- Sanitary items; toothbrush, toothpaste, sanitary pads & tampons, deodorant. If you have very young children with you, you may also want to take your nappy bag.

* If you have to leave, a go-bag is a convenient way to ensure you have everything of importance with you.

* If you are being supported by an asylum seekers or refugee charity, or are a member of a gurdwara/temple, mosque, synagogue or church, reach out to your religious leaders. They may be able to provide direct support, or put you in contact with organisations or other congregants who can help. If you are friendly with your neighbours, it may be worth contacting them too.

* IN THE EVENT THAT “PROTESTORS” DO COME TO YOUR HOUSE, CALL 999 IMMEDIATELY, AND FOLLOW ANY INSTRUCTIONS THEY GIVE YOU. MOVE AWAY FROM ANY WINDOWS. DO NOT OPEN YOUR DOOR UNLESS INSTRUCTED TO DO SO BY EMERGENCY SERVICES.

I’M AN INTERNATIONAL STUDENT/CARE WORKER/NHS WORKER, WHAT SHOULD I DO?

* Contact your student welfare office/NHS Trust/agency for advice, support and referral to organisations that may be able to provide assistance

* if you live in or commute through an area that is likely to be targeted, contact your lecturers and your faculty to find out whether remote study is possible; if you work in care or as part of the NHS, find out if it is possible to change shifts.

* If it would provide peace of mind, prepare a go-bag as listed above

* Reach out to your the uni society or student’s organisation for international students or students of specific ethnic origin; they may be able to provide you with direction to resources and peer support. If your university has a Marxist or Socialist society, reach out to them for mutual aid with a travel buddy etc., for getting to and from your place of study/work

* If you are a member of a gurdwara/temple, mosque, synagogue or church, reach out to your religious leaders. They may be able to provide direct support, or put you in contact with organisations or other congregants who can help.

* If you are friendly with your neighbours, it may be worth contacting them too for assistance with travel to & from work.

* Report any racism or racialised violence you are subjected to. NHS staff have a right to refuse to treat patients who harass, abuse, threaten or insult them; if a patient is racist to you, where possible, ask another member of staff to take over their care.

PERSONAL SAFETY:

* do not leave your home unless strictly necessary. If it is necessary to leave, don’t do it alone.

* use NextDoor, WhatsApp, social media and word of mouth to avoid commuting through “protestor” road blocks, areas of active conflict etc.,

* When travelling, use Share My Location or Life360, and keep at least two people aware of your expected time of arrival at your destination with instructions to contact the police if you do not let them know you’ve made it safely

* do not directly confront any individuals involved, or allow them to bait you into becoming confrontational

* only record if it is safe. Do not record individuals directly/from up close

* Do not directly intervene. If you see violence occurring, contact emergency services and if safe to do so, record what’s happening.

ALLYSHIP & HOW TO HELP:

* if you have neighbours, friends, coworkers or acquaintances form targeted communities, reach out to them. Ask them what you can do to help them feel safe.

* If you live in an area likely to be targeted, reach out to any vulnerable people you know. If safe and possible, offer to let them shelter with you in the event they need to leave home

* If you see any incitement to violence online screenshot it; it may prove useful in the event of individual “protesters” being prosecuted

* If you see any specific areas being discussed as targets, alert anyone you know at risk in the area

* Reach out to local refugee & asylum seekers’ organisations, to organisations supporting foreign national care & healthcare workers, and to churches, mosques, gurdwaras; they may be looking for short term assistance in helping to provide for vulnerable members of their community

CHARITABLE ORGANISATIONS FOR ASSISTANCE & TO SUPPORT:

* NASC Ireland; refugee & asylum seeker charity

* Doras.org; migrant, stateless persons, refugee and asylum seeker rights advocates

* Jesuit Refugee Service; religious refugee & asylum seekers charity

* Irish Refugee Council; supporting stateless displaced persons & refugees in NI & ROI

* International Student’s House (IE & UK WIDE): provides hardship funding and help to international students

* PathFinder (UK WIDE); supports international students

* Care International (GLOBAL); global carer’s charity

* Choose Love (IE & UK WIDE); charitable organisation supporting refugees and asylum seekers

* Praxis UK (UK WIDE); supporting refugees & asylum seekers

* The Runnymede Trust (IE & UK WIDE); antiracism education charity

* Migrant’s Rights Network (IE & UK WIDE); advocacy and support for migrants and refugees

* ShareTheMeal (GLOBAL); providing meals for refugees and those fleeing conflict globally

* Amnesty (IRELAND, UK & WORLDWIDE); human rights NGO

To 2025:

Hell, they even cover the devastating heaviness of MASS SHOOTINGS without censoring or watering anything down.

They've been doing this for YEARS, and it's ALWAYS handled with dignity, respect, seriousness, understanding, and love.

Or how about when someone is put into the foster care system because their home isn't safe anymore and their needs aren't being met?

Maybe some discussions about group therapy/getting help and support?

Hey look! Here's a segment about gender expression vs taught expectation, including unlearning harmful biases and what to do when you hurt someone on accident because you didn't know it was wrong!

Look! The topic of race and diversity! The importance of unity and equity!

They even also have a more allegorical take on discrimination and being looked down on for who you are, featuring Big Bird. The conflict is about how he's not being let into a club because the one bird running the club personally decided he didn't want someone like Big Bird there.

Big Bird goes out of his way to keep changing parts of himself in order to "prove" he can fit into this club if he just changed enough. The truth comes out though, and there's nothing he can do to gain the approval of that bird. He will never be good enough in his eyes, and Big Bird starts to hate himself. His real friends see this finally put their feet down, emphasizing that you should never change yourself just to fit into one singular narrow idea someone else has.

There's A LOT of different situations this can be an allegory for. Racism, sexism, homophobia, basically ANY form of exclusion is put on full blast in this 15 minute clip. Sesame Street can be both blunt and allegorical when approaching difficult topics, and it NEVER misses or looses the point.

It does an exceptional job in both styles of representation WITHOUT watering anything down. The more sanitized everything gets, the more radical Sesame Street is suddenly considered, hence why so many "particular groups" want it gone. Hmmm! I can only imagine why that could be, in this current political climate! (I'm being sarcastic)

When Sesame Street is suddenly labeled as "questionable" or "politically/agenda motivated" content...it says A LOT about where we currently are and who gets to decide what's "best" for kids or not. Don't fall for the censorship and topic-dodging excuses that are covered by the "But think of the children!!!" movement. Never fall for it, because you know which side you're on if you do.

Sesame Street proves kids can be taught and trusted with learning about these topics when it's handled with the right amount of understanding and care. It shows what all this "controversy" is all really about. What it's always been about, actually.

THIS IS NOT JUST CHROME!!!

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.