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[SA] My experience getting a diagnosis and accessing HRT in Adelaide

Hey all, I'm Emma, a 29 year old MtF binary trans woman, and (assuming all goes well) next week I'll be starting HRT! While I was still questioning and working things out, I spent a long time reading this and other subs, and the stories and guides helped me a ton, so here's my chance to give back and explain how I did it. Note that all the prices below are just standard medicare costs, no private health and no concessions.
You can do this online via HealthEngine, which helped a ton with the initial nervousness, which was almost totally overwhelming. At the appointment I told him I was trans, explained my history, and asked for help getting access to HRT. I had pre-written a page of dot points about my history, how I realised, how long it had been, what I'd been doing in regards to social transition, etc. We discussed things for a while, he agreed to help, and using the transhealthsa.com practitioners list and his own knowledge, we picked out a psychiatrist to see, and he provided a referral letter.
On the whole he was friendly, professional, and supportive, but he didn't have a ton of experience. I wasn't really in a mental space to ask for preferred name/pronouns stuff in the first visit, so he used my legal name. At no point did I feel judged or threatened by him, and I recommend him. The appointment was $73.20 (standard length) with a gap of $40. I believe they process the refund first so you only need to pay the gap, but I'm not certain.
I had to call in to do this, but despite being scary in my head it was actually very easy. The staff didn't ask what the appointment was for, which was nice. At the time I called she was booked out for some time, and also going on leave (I called in November) - they weren't able to give me an appointment date immediately but said they'd call me in a couple of months to arrange one. I requested the one-off assessment (very important) which let her give me a diagnosis in one visit. This both saved time and money for me, but also let the booking happen faster. I also said that I'd be happy to come in if any cancellations happened, and luckily, after about 2 months, one did! Her appointment was similar but in more detail to the GP's one. She quizzed me on my history, how long I'd known for, how I found out, what my ideal body goals were, childhood, things like that. She also went through some standard psychiatrist stuff to make sure I had no underlying conditions. At the end she said she believed I had gender dysphoria and would provide a written diagnosis to me and my GP. It arrived about two weeks later (thanks auspost). I recommend making a copy of this - you'll need it!
It was a fairly confronting and matter-of-fact-ish session (be mentally prepared for this, you're gonna have to... justify yourself for want of a better term), but she was gentle, accepting, and kind through the whole thing. She asked for my name and pronouns early on, respected them perfectly and apologised in situations where she had to use my legal name. She also gave me some tips about doing my nails (I was taking about it) and resources for courses and support groups. She was honestly great, I really recommend her! The appointment cost $496.80 with a gap of $100. They also processed the refund first so I only needed to pay the gap.
This one was a lot easier, we talked a bit, he read Dr Cheng's diagnosis, picked out an endo (again from the transhealthsa.com list), and he wrote me a referral letter. Same cost as the first appointment with him.
Had to call in to make this one as well, but once again the staff were good and didn't ask what it was for. I had to make an appointment about a month and a half away as she was booked out, however it was brought a week forward by a cancellation, and then another week forward by a second cancellation. I brought my copy of Dr Cheng's diagnosis to this meeting, which covered most of the questions she was going to ask. I went over a brief version of it verbally as well, and she agreed with the diagnosis. She checked my height, weight, blood pressure, and lungs, then we discussed HRT options, treatments, etc, and she recommended I start with spiro and medium-low dose estradiol patches as I'm overweight and had slightly high blood pressure, with a plan to increase it once we see how my levels go. We skipped a lot of the boilerplate discussion about what HRT does as I'd done a heap of research already. Because of all the coronavirus business, she wrote me a prescription for HRT on the spot (with several refills) but asked me to get a baseline blood test, then speak to her about it on the phone, then start the medications, and I agreed. I'll be getting a second blood test two weeks after I start HRT, then another one a month after that, then seeing her again to adjust my meds and check in.
Note that I didn't bring up alternative treatment methods (bicalutamide, progesterone, high dose estradiol, estrone measuring, etc) so I can't comment on her position there, but she seemed knowledgeable and confident, so I'm happy to try her way and potentially discuss options at a later meeting.
Personality wise, she was possibly the best of the lot! Again, super supportive and kind, asked my preferred name and pronouns and respected them, apologised where she had to use my legal name, and also had the front desk staff update their records with my preferred name, which they immediately used without hesitation. The cost of the appointment was $277.30, with a gap of $145. They required full payment, and processed the refund afterwards. My first fill of the prescription (1 month of patches, 3 months of spiro) was $27, but this will vary from place to place. The blood tests shouldn't cost anything.
So that's it! I'm going wild with anticipation and my will is being sorely tested having the stuff in front of me, but I'm going to be good and wait it out to make sure the blood test is good and to preserve the trust relationship. I hope this helps anyone trying to navigate the system here, and please feel free to ask if you have questions!
Edit: I should also mention that pretty much everyone I saw recommended getting support from SHINE SA, which I intend to do, but haven't done yet. They were all also very concerned about making sure I had some IRL support available, so I do recommend being out to at least a few friends/family members before starting this.
I'm also fairly straightforward in that I want the surgeries etc and that I do plan to come out and live openly as a binary woman within the next few years (gradual process), so I don't know what they're like in other situations, but they all seemed like good people.
submitted by emmadaboutlife to transgenderau [link] [comments]

Patchwerk Wednesday: 1.12

Hi everyone! Before I get started on the recap of last week and the 1.12 Patchnotes I just want to take a bit of time and thank those who have participated in the posts and given your thoughts and perspective on the various changes the game has went through. After I receive feedback for this current weeks patch I’ll be going through the comments of all previous patches and will attempt to put a semi final post of where this sub stands on things we want to see in they hypothetical frankenpatch the game will be launched with. Additionally I may continue to post about various features (in a non patchwerk format) that stood out to me and ask you how you feel about those features and if they should be available at launch. Again, thank you for those that have participated!!!!
Last week we discussed 1.11 and its subpatches. We got key rings, new blue pvp sets and some rank 14 spell caster weapons (not that a majority of people saw those) and last but most certainly not least, NAX was released (again, not like a majority of people saw it at the time). If we missed anything in that patch you want to talk about, by all means go back and drop a comment! But let’s move on now to a patch that I have mixed feelings about, patch 1.12!
Patch 1.12
Patch 1.12.1
Patch 1.12.2
Release date: 22 August 2006
Time between 1.11 & 1.12: 64 days (823 days since launch)

Patch Trailer

Cross-Realm Battlegrounds

For the first time in the history of World of Warcraft, you will be able to face off against players from other realms in the Battlegrounds. PvP Battlegrounds link Alterac Valley, Warsong Gulch, and Arathi Basin so that players from several realms will be combined into one huge matchmaking pool. Replenish your mana, sharpen your blades, and get ready for some brand-new challengers!

World PvP

The stage is set for intense, objective-based land battles as Horde and Alliance vie for control over important strategic positions and resources around Azeroth. Head out for Silithus and Eastern Plaguelands to engage the enemy on the field!

Details

General

Druids

Hunters

Mage

Paladins

Priests

Rogues

Shaman

Warlocks

Warriors

Items

Professions

Raids and Dungeons

User Interface

Bug Fixes

World Environment

Mac

Patch 1.12.1

Patch 1.12.1

General

  • The riding skill has been changed. A riding skill of 75 is now needed to ride level 40 mounts and a skill of 150 for level 60 mounts. Those that already have mounts will automatically be granted the appropriate level skill.

World PvP

  • Players will no longer lose the Silithus or Eastern Plaguelands PvP buffs after dying in the zone.
  • Players will now port to the Crown Guard Tower graveyard if they die in Fungal Vale while their faction controls the tower.
  • Players will no longer be interrupted while sitting down in Eastern Plaguelands when contested towers change ownership.
  • Players will no longer be interrupted while sitting down in Silithus when a side collects 200 Silithyst and wins the event.
  • In the Silithus World PVP event, the dust cloud graphic that appears on a flag carrier will now properly trail behind the character while running.
  • Players will no longer receive honor if a tower in Eastern Plaguelands is captured while they are stealthed.
  • Lordaeron's Blessing buff from Eastern Plaguelands is no longer dispellable.
  • Players on Windows machines will now hear the victory music when their faction fully captures a tower in the Eastern Plaguelands.

Warlocks

  • Players that log out of the game and back while having a pet summoned will now be properly credited a Soul Shard.
  • Warlock pet sounds have now been added in all languages.

Warriors

  • Canceling Bloodrage while in PvP or dueling will no longer remove you from combat.

Items

  • Most enchantments on items are no longer counted against the maximum limit of effects a player can have on them, so it should be much harder for a player to exceed their max limit on effects and have one be removed involuntarily.
  • Fixed a graphical error with the Dreadnaught Helmet.
  • Fixed an issue in which the "Blessing of the Claw" from the 6 piece Dreamwalker set was causing players to stand up after trying to eat or drink.
  • Fixed an issue where multiple armor set bonuses were not applying correctly when switching out pieces.
  • Fixed an issue where the four-piece Plagueheart set was not properly applying to corruption.
  • The Blade of Eternal Darkness will now only proc when damage is done.
  • Fixed a graphical error with the Dreadmist mask in which it would float above the Tauren Females' head.
  • Fixed a graphical error in which enchantment glows were not updating if the same item with a different enchant or no enchant was equipped.

User Interface

  • UI windows will now be positioned correctly if the right action bar is activated.
  • When going from Windowed mode to Full-Screen mode, player names will no longer be replaced with "..."
  • The Quest Tracker will now properly display purchased quest items.
  • The Battle Map in Outdoor PvP and in the Battlegrounds will no longer get stuck when dragging with the cursor in windowed mode.
  • The Battle Map in Alterac Valley will no longer switch off whenever a graveyard, tower, or mine changes ownership.

Bugs

  • Players will now be able to complete the quest,"Target: Hive'Ashi Sandstalkers".
  • Fixed an issue where players could be afflicted by "Withering Touch" more than once at a time.
  • The Plaguewood teleporter will now teleport players to the correct location within Naxxramas.
  • Fixed an issue where players were getting the message "Invalid" when trying to select flight paths.
  • Fixed an issue where if the disenchant window was forced closed, a player would lose both their reagent and the item they were disenchanting.
  • Fixed an issue where players could crash while fighting Anub'Rekhan.
  • Fixed an issue in which players trying to disenchant an item with a full inventory and then casting a spell afterward would lose the reagent and the item.
  • Fixed an issue where weapon procs will now work with instant abilities.
  • Pet buffs will now apply and remove properly.
  • The Priest talent Spirit Tap will no longer sometimes proc off of totems.

Mac

  • Players will no longer hear any sound when they have "Enable all Sound" turned off.

Mount Changes

Explanation of the Changes
This change was implemented after the latest revision of the patch notes was made available for inclusion into the 1.12.1 patch binary. It will be documented in a future revision however.
There will be effectively two riding skill levels, Apprentice and Journeyman. The cost for the riding skill will be significantly higher than it previously was, however this is offset by a drastically lower cost for the actual mount.
For current players with mounts there will be a seamless transition to the new system. You will continue to have your mount; you will continue to be able to use it, etc. What this change does for players who don't yet have a mount or an epic mount is take the emphasis off of the mount itself, and put it on the riding skill. This helps give players access to more variety without requiring a large monetary investment if they, for instance, just want to pick a different colored horse.
(They also have a player written FAQ which I did not include)

Patch 1.12.2

Bugs

  • Fixed an issue where players were unable to resurrect at a Spirit Healer. (Spanish Only)
  • Fixed several issues with in-game slash commands. (Spanish Only)
submitted by c_is_for_nose_8cD to classicwow [link] [comments]

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