The Brass Ring…
For many transgirls, there is one singular goal in mind… SRS. While getting surgery has always been part of my agenda, it has not been THE goal. My goal has always been to integrate successfully into society as a woman and be able to live my life fully and more richly than I was able to in the past. So far, I’ve done just that.
I also know that suicide rates are higher amongst post-op trangirls than pre-op. The reason for this being that so many girl attach a sense of identity to SRS, like having a vagina will suddenly make them female. But what they discover is that their life hasn’t really changed all that much and everyone still views them exactly as they did before. So suddenly they are stuck without anymore goals to achieve and their life hasn’t really improved any, and it’s depressing.
I was determined not to fall into this trap, and so my goal was always about getting my life on track as Ashley. At this point and time, I can honestly say that I look in the mirror and I like what I see. I’m proud of the woman I’ve become and I’m very excited about the direction my life is taking. So really at this point there feels like only one last obstacle keeping me from living my life fully and completely, and that is the surgery. This is not about me completing my transition… I feel like I’ve transitioned already. This is about me getting a very large obstacle out of the way so I can move on with my adult life.
As I mentioned in my last entry, I went in for a psych assessment to be recommended for surgery readiness. For those are aren’t familiar with the Canadian system, I’ll summarize: we have universal healthcare in Canada, and in the province of British Columbia, that includes SRS. The requirements to get province funded SRS are that you have lived at least one year of RLE (real life experience) and you are recommended by province approved psychiatrists. It can be a lot of red tape to work through, but if you dot your i’s , you can make it through.
The assessment went well. The psychiatrists seemed generally happy with where I was in my life and my outlook, and said that they were recommending me for surgery. Very good news. This would mean I would be on target to having my surgery in April.
But…
As part of the RLE, you need to provide letters from landlords, employers, etc… saying that they’ve know you as a female for at least one year. I worried about this part because I had moved around and hadn’t really worked except for the volunteer efforts for the greater part of 6 months. So I provided a letter from my therapist attesting I had been fulltime for a year, from my bank, and from the volunteer organization I do trans peer support for. I also provided a landlord letter from the time I stayed in the US and a letter from my current employment. I even provided the address to this blog that contains dated documents from the entire year so they can actually look up the exact day I went fulltime, complete with a continuous progression of photos. The only potential gap was the 3 months I stayed with my parents in Saskatchewan, but I figured that would be more than covered by the 3 letters I had attesting I was full time for the entire year. Or so I thought. The shrinks were less than positive about that, and were also unsure about the fact that some of the time was spent in the US and not in Canada. Apparently you’re not living fulltime if you leave the country. I forgot to mention that to everyone I met in Washington, DC when I introduced myself as Ashley. Or the fact that there would be an assumption that because I cannot prove beyond a shadow of a doubt that I was fulltime in the 3 months I stayed with my parents, that I had gone fulltime for 4 months, put it in the closet for 3 and came back out for another 5 months. I’m sorry, but that’s beyond ridiculous. Actually it’s more than ridiculous… it’s a bit insulting too.
Now I should point out as well that it’s not the assessors that make this decision. It’s MSP (Medical Service Plan) that is making the decision of whether or not to finance my surgery. The assessors are merely the psychiatric gate to give a green light to if they feel I should have surgery. Then I need to pass the MSP red tape of proving I’ve been fulltime for a year and they should approve it if they agree that I’m ready.
Now all is not lost, the assessors left me with the impression that I had a 50/50 chance of getting the surgery now or having to wait. They said MSP may come back and say I need to do another 6 months of RLE to be sure. Not the end of the world of course, but because of work constraints, this would mean I would need to wait until 2010 to get my surgery. I really don’t want to have to wait that long.
The other extremely disappointing aspect of this is, while surgery has not been an obsessive aspect of my transition by any means, I was suddenly put in a position where it felt in grasp. I got excited about it becoming real. I found myself laying there imagining what I would look like naked after. I have been feeling how wonderful it will be to not have to worry about if people can see a bulge in my pants or in front of my skirt. I could feel the incredible relief of finally having all this bullshit put behind me so I can just concentrate on my life. It was at my fingertips. And to suddenly have it pushed back away from me… I don’t want to say it feels devastating, but not far from it.
So now I wait for the decision. I was told it would be towards the end of October until I heard a result. Since then my mood has been anywhere from edgy and bitch to downright depressive. I don’t suspect that will change any until I finally hear. I’m a big believer in the power of positive thinking and I want to believe it will come back in my favour. I want to will it happen. But at the same time, I know I need to emotionally prepare myself for the fact that it isn’t going to happen.
I’m very, very frustrated.
And I hope they read this blog.
Ashley (since Sept. 2007 dammit)