Video: Documenting my Voice(s)

"And if you're still within the sound of my voice, watching this video,
I just want you to know that it always made me rejoice,
Just to have you so near, there's a place for you here,
If you're still within the sound of my voice."
-- Linda Ronstadt, Still Within the Sound of my Voice

Video documentation, ZOMG!

I wanted to show the progress that I've made on my voice over the last year, and the only way to really do that is to record it, so voilà! Just a heads up, I switch in to my old voice-- or at least, as close as I can get to my old voice-- which may look/sound a little weird. ;)

Something else that really helped in figuring out my new voice is the fact that I've always done a lot of impressions. It took me about three months of reading and watching videos about the human voice to get the basics of it down, but about seven or eight months before I stopped having to think about my voice every time I spoke. I also took a vocal feminization class, which ended up not helping me in the slightest. These days, the new voice is habit; it's the way I talk when I wake up, and it's the voice my internal monologue uses. =)

Surgical Decisions and Scheduling

"I'm so much closer than,
I have ever known.
Wake up!
Better thank your lu-cky stars."
 -- Green Day, Waiting

I've decided on a surgeon, and scheduled my SRS! =D

After my last post debating the pros and cons of various surgeons, I couldn't get surgery off my brain. The more I mulled it over, the more I liked the idea of Dr. Bowers' "one stage" procedure, but I still had concerns.  I realized that the main reason I like Dr Meltzer is not just because he's good at what he does, but because I know he's good.

I've read tons of accounts from satisfied trans women who've had their surgeries performed by Meltzer; I've seen quite a few images of the great results he can provide; I've even read a step-by-step walk through of his procedure, complete with graphic images detailing every part of the surgery. So, I resolved to find just as much information on Bowers.

This last weekend, I read countless threads on around eight or nine different trans forums, I found newer pictures of surgeries Dr. Bowers had performed, and I even managed to find a video of her performing a MtF reassignment surgery. While everything I learned swayed me more and more towards Dr. Bowers, it was the video that did me in; the woman is a freaking artist. If you'd like to see it, I'll warn you that it's very graphic (NSFW), and not for the faint of heart, but you can find it here.

Yes, the video is scary, but I also find it fascinating; I love information. What amazes me the most from watching the video is how simple she makes the procedure look. Though I'm no expert, coming from what I do know, her procedure seems very straightforward and smooth. It also filled in some gaps in my knowledge of how she operates, and reassured me that her "one stage" technique is only subtly different from the standard. It's enough to make an aesthetic difference, without adding any extra healing burden.

On Monday morning, I called her office, and her staff informed me that I needed to fill out an application found on the website. I emailed the app back to them this morning, with a note asking to call me to arrange payment by phone for the $500 deposit. I was anxious, but I tried to continue my day, figuring it would take at least a day or two for them to call me back. Nope! Within an hour of sending the email, my phone rang, and a helpful woman named Robin worked out the deposit and scheduling with me.

My reserved surgery date is February 12th, 2012, but I'm on a cancellation list for November/December of 2011. She told me that they often have cancellations, and that they should be able to get me in this year. While November would be ideal, I can live with February if I have to, so either way, I'm set.

On a related note, thank you tons and tons to those who have donated to my surgery fund! Even a couple of dollars here and there adds up, and helps a lot! <3

I still have a bunch to do, including getting two letters of recommendation for surgery, having some electrolysis done, and working out the time off I'll need from work. I don't know if I can contain my anxiousness for nine months to a year, but I'm sure it will fly by faster than I can imagine. =)

Voice Classes

"Cause sometimes,
I said sometimes, I hear my voice

And it's been here,

Silent all these years."

 -- Tori Amos, Silent All These Years

Egads! Has it really been a month since I've posted? And did I really just type "Egads!"? Bleh. I guess I should talk about the voice classes I recently finished while it's still semi-fresh in my mind, as much as it annoys me.

When I was still early in transition, voice classes were one of the things "on the list" that I definitely wanted to do, since hormones don't change the voice for male-to-female transpeople. Back then, I researched it the way I research everything: with the interwebs, but I couldn't find any. I know there are at least a few local speech/voice therapist/coaches, but I don't know if any of them work specifically with trans people. At the time, I was still afraid to tell even complete strangers that I was trans, which stopped me from ever calling and asking.

After a while, I put off the idea in favor of other things, and just practiced here and there on my own. I also did a lot of research; I read and watched how-tos, I learned about speech-patterns, pitch, resonance, vocal chords, and so on. I have a lot of the technical knowledge, but even with all that, it can be difficult to put it to use without someone to tell me if I'm doing it correctly.

A few months ago, I got an email on the Pride Center mailing list which said that a licensed speech therapist would be doing voice classes specifically for MtF trans people in March/April/May. I excitedly emailed the teacher to find out more about it, and she quickly replied to tell me that the class was $70 per person, and that we would work on expanding vocal range, flexibility, expression, pitch, resonance, intonation, "feminine" language choices, non-verbal communication, etc., via modified Fitzmaurice voicework, which is apparently something originally designed for actors. It sounded perfect, so I mailed a check.

A few days later, she emailed me to let me know that she received the check, when and where the first class was, and to bring workout clothes, a yoga mat, and water. Wait, what? Eh, apparently she incorporates yoga techniques... I wish I'd been informed of that earlier, but oh well, I decided to go anyway.

The class was only eight people, and I already knew a couple of them from elsewhere, which was nice. The first class ended up being mostly strange yoga-type positions, trying to find a "tremor", which was supposed to "shake up the voice". It was odd, but I figured that it was groundwork, and that I couldn't really judge its effectiveness until after the rest of the technique was revealed.

A few weeks/classes later, and we were still doing the same thing. What's worse, she never definitively tied these exercises in with the voice. Sometimes she would go back to vaguely explaining something about loosening up the voice, or show us a picture of the various tendons in the human body that run between the feet and the throat, still without giving us a definitive tie-in.

Eventually we moved in to learning about the muscles that control breathing, and how to be aware of them, which at least felt a little more relevant. It wasn't until around class 5 that we started learning some exercises for expanding vocal range, and experimenting with tone and such, yet we were still spending around 2/3 of each class doing stretches. By the end of class 6, I wasn't sure if I wanted to come back, though I kept reasoning that perhaps I'd learn something big in the last couple of classes that would make it all worthwhile. From class 7 on, we finally stopped doing any of the yoga stuff, and it suddenly felt like she was struggling to catch up.

To make things worse, there were supposed to be 10 classes, but she wasn't sure if we would have the venue for the final class or not. We were supposed to find out at class 9, but I forgot to go that day, and realized afterward that I didn't feel badly about it, so I didn't bother finding out about the last week.

Maybe I'm being a bit harsh... I'm only semi-pissed about the money, as it's a lesson learned, but I feel like it was the time I spent there that was the big loss. Oh well, some would say I have too much time on my hands already. ;) I hope the other people in the class felt better than I did about it. A few people had to rearrange their schedules and even bus to get there each week.

I think I've gotten my voice to a fairly androgynous place through my own practice. My current voice is usually enough to be passable in person, but my main concern is on the phone and online video games, where my voice has to represent me without the visual reinforcing. In games is the only place that I don't tell everyone about my past, mostly because I don't feel like constantly explaining, and because people online can be extremely cruel.

A friend recently asked if I'm afraid that I'll sound fake. I do worry about that (to be fair I worry about everything), but I know that practice will help make it sound less fake, and people can just deal with it in the mean time. I do get a lot of compliments on my voice, so I must be doing something right. Erin also says that it "freaks her out" when I accidentally switch to my old boy voice. I guess it's just going to take time. At least now that I'm fully socially transitioned, I practice every day, whether I like it or not. ;)

The Standard Process and Substandard Care

"One pill makes you larger,
And one pill makes you small,
And the ones that Mother gives you,
Don't do anything at all."
-- Jefferson Airplane, White Rabbit

I've been on hormones for a bit over six months now (wooh-hooh!), and you aren't taking them away from me. Ever. Unless I run out, and my dumb doctor and pharmacy can't coordinate to save their lives. Ugh.

For those that don't know the process, maybe I should start with the basics. Transsexualism is interesting in that it has both psychological and physical sides to it, maybe we'll get in to that more at another time. Decades ago, many tried "curing" it psychologically, which usually turned out badly. Nowadays, it's generally accepted that it's much more healthy to treat the body to match the mind, rather than the other way 'round. Sure, you run a few minor health risks, but a lot less people are killing themselves.

Eventually, the medical community adopted a semi-standard set of treatment guidelines, which are called the WPATH-SOC (World Professional Association for Transgender Heath - Standards of Care), formerly the HBIGDA-SOC (Harry Benjamin International Gender Dysphoria Association - Standards of Care, after a German doctor who did a lot of work to help transsexuals in San Francisco in the 50s and 60s).

The SOC has a lot of good information in it, but the main effect it has is to limit most physical treatment to those who have gone through psychological counseling and received a letter of recommendation for treatment. For hormones, usually a therapist will require three months of counseling before giving you "the letter," and for major surgeries, a year of being "full time" (living as your preferred gender socially, usually including work and/or school).

This makes sense on some levels, because it limits treatment to those who are serious and ready, but it also causes a lot of problems. Some people don't have money for therapy, especially since most insurance companies have specific exclusions for Gender Identity Disorder in their policies. Some people are perfectly well adjusted, and feel they shouldn't be forced to undergo mental therapy for something they've already figured out. Finally, some therapists are just bad, and either ignore the SOC completely, or get a gatekeeper complex and go on power trips, withholding letters and making trans people jump through unnecessary hoops.

Without the SOC, support from the medical community would probably be a lot harder to find, so I think of the Standards as a necessary evil, though it would be great for us to work out a more ideal solution some day.

Personally, I didn't mind starting with some therapy. The cost thing sucks, but my therapist is awesome. Since I am relatively well adjusted, I only went in every couple of weeks until the three month marker, when she gave me the hormones letter, and now once a month.

I took the letter to the endocrinologist she recommended, who first requested blood tests to make sure giving me hormones was safe. She then gave me a prescription for six months, with a plan to do follow up work before renewing at six months.

A couple of weeks before the six month marker, I had an appointment with my doctor, who gave me instructions to:
1. - Get new blood work done.
B. - Leave a message on her answering machine, telling her when to call me so that we could discuss the results.
Three. - Have my pharmacy fax a prescription refill request to her.

By the way, she also mistook me for a FtM at first, asked if I'd had a pap smear done, and received confused looks in response. I'm still not sure what to take away from this one besides a good laugh.

I went to IHC to get my labs done, so that I could at least have that covered by insurance. The next week, I left a message giving the doc a few days of wide open time in which to call back. No call.

I asked my pharmacy to send the refill request, and I left another message with another wide open time frame. No call.

I ran out of pills, so I called my pharmacy to check on the status of the request, to which they replied, "She declined it, because she wants to discuss your labs." SO DO I!

I left a third message, and a few days later she finally called me back, but I missed the call because I'd gotten sick. She leaves a message that says "Have the pharmacy fax over another request, and here's my pager number."

I have the pharmacy send it again, and leave a message on the pager. Two days later, on Saturday of all days, she calls me again. "Your labs look fine, I'll approve the fax request, but I haven't received it." Ok, ok, ok, I know you probably couldn't tell me about the labs in a message because of patient confidentiality and all that, but couldn't you approve the request, and then mail the results to me? That is, if you can't be bothered to do your job and call me.

And what's this about not receiving the fax? I confirm with the pharmacy that they have the right number, they send it a third time, and finally get a response. My spiro is renewed for five months, and my estradiol for one month. Wait, what!? The pharmacy says they'll call the doc to work it out. "Good luck with that!" I say, but by some miracle, they fixed it that evening, and both are now for five months.

I'm still confused as to why five, instead of six, but I don't care anymore. Once this is up, I'm likely finding a new doctor anyway.

Seeing Through the Fear

"And now I think I am alive,
And that I see reality,
But the truth behind my mind,
Is your insecurities"
   -- Dub FX, Rude

Fun fact about being trans: I wake up every morning feeling like I must be completely insane.

Maybe I should back up a bit. Stick with me if I wander, please.

I've said before that the reason I like the word "transgender," is that it allows me to continue finding a definition for myself, but this is really only part of the story. While it's true that I don't like to be confined to boxes, the main reason I like the word is that I am absolutely terrified of failure. If labeling myself as transgender has the least specific meaning, then it has the least expectations to live up to.

"Transgender" covers a lot of gender variant groups, most of which I don't identify with, and some of which I don't even understand. It includes crossdressers and transvestites, who often retain some form of identity matching their biological gender, but temporarily take on aspects of another. It includes drag kings and queens, who exaggerate gender cues for fun or entertainment value. It even includes those who like to genderf'ck, mixing cues from both genders in order to break down the social binary.

Though none of the above fit me in any major way, there are other terms that I do identify with, including "transsexual." A transsexual identifies with a different sex / gender than the one they were assigned at birth, and seeks to remedy this by taking steps to change their body to match their mind. Like most things in the trans community, the word transsexual changes its scope and definition depending on who you talk to and when.

Many people want to pin down the meaning of transsexual, and remove it from the transgender grouping, out of fear that the medical community will stop supporting us if they suddenly realize how little GID (Gender Identity Disoder) really follows any rules. Some people want to abandon the term completely, since it seems to imply that this has to do with sex, when in fact there are transmen and transwomen of every sexual orientation. More on these subjects later, I'm sure.

My therapist once asked me as a session was ending, "Would you say you're a woman?"
To which I replied "If I felt free to say anything I wanted, yes."
She told me that I could say anything to her, and I just smiled and left, knowing that's not what I meant, but not knowing how to explain it. What I'd meant was that I was afraid of how the world would look at me if I went around saying how I feel.

This journey has a lot of uncertainty, and though I knew the risks when I began it, this is, without a doubt, the most difficult thing I've ever done in my life. I, who don't do anything without being sure of success, am going through this without knowing how it will turn out. I, who value personal connection and identifying with other people above almost anything else, am risking alienation. I, who have never moved to a better state, out of fear of losing contact with people, am risking burning bridges.

Yet, after waking up every morning with so much self doubt, I still know that this is what's best for me. Why? Because of the excitement I feel with every step forward, that I am finally becoming myself. Because I can see with my analytical mind, that I am not changing myself, I am correcting a wrong. Because I know, though it took me a long time to understand it, that I am female inside.

So please, though I know my body still doesn't fit the part, and it never truly will, forgive me if I call myself a girl. It may sound crazy to you, but it keeps me sane.

The Story so Far

"When everything is going wrong,
And you can't see the point in going on,
Nothing in life is set in stone,
There's nothing that can't be turned around."
-- Garbage, Androgyny

Hi! I'm 27 years old, I live in Utah, my favorite color is blue, and I am transgender.

To give you the basics, I was born physically male, and while I don't think that I truly identify with either "traditional" gender role, I feel more female than male internally. I will not ask you to agree with this. All I ask is that you keep an open mind and make as few assumptions as possible, and I will gladly answer any questions you have. Questions, as I've really learned in the past few months, can be a great sign that people care.