appointment

jessica
first, i should apologize for sending you faxes and emails; i don't have a phone.

my name is jessica parent. i saw you about a year ago regarding transgender hrt. you carried on a prescription i had been on for four years and have now been on for five years. at the time, we agreed that you would continue to prescribe the hormones from a distance, because i live in windsor and it's very difficult for me to commute to london. however, when i went to renew the prescription, the pharmacy received back a note that you need to see me.

i really can't afford to make the commute. i'm really not quite sure why it is that you need to see me, given that we agreed it was unnecessary. do you need a blood test? could you schedule one at a clinic here in windsor, and have the results faxed to you?

i'm exploring further options, here, but they're kind of bleak. i have an appointment with a family doctor on nov 17, and i'm hoping that works out. i'm also communicating with an endocrinologist, but he's put a condition down to attend a workshop in toronto with a year-long waiting list, and that's kind of a non-starter. i may be able to convince him to waive this, but it's up in the air right now.

if it's just a blood test, i can do that. but i would really like to avoid the bus fare; i could do it, if it's my only choice, but i live on odsp and it's going to be tight up against my budget.

if you require regular visits, i suppose i understand. i think i've been on hormones so long, that it's just a question of a check-up, and i do feel healthy enough that i think it's probably superfluous, but i realize there are due diligence issues, as well. but, i can't commit to that.

in the short run, i'm hoping maybe you could give me another 3-6 months to allow me to exhaust options here. again: if it's just a blood test, i'm more than willing to do that. if not, and you're ok with another few months, i'd ask you to let me know so i can ask the pharmacy to fax another request.

i know this is not ideal. *i'm* the one that's struggling to find a doctor, here, that's at a reasonable distance. i'm not quite sure why this is proving so difficult. but, it's obviously kind of frightening to come up against the idea of not being able to find hormones, after already transition fully for all functional purposes. i hope that the urgency is understood and the difficult situation is accounted for in your decision.

london clinic
Good morning Jessica,

Thanks so much for your email. We can absolutely empathize with the difficulty to get here for an appointment with the distance and financial constraints. I showed Dr. Martin your email and he came up with a bit of a compromise, I hope this can work. He has agreed to extend the prescriptions until June but in the meantime, if you could find a way to make it up here for an appointment that would be very important before we are able to give more beyond this date. The issue is just with the due diligence, for him to be able to be accountable and act in a medically responsible way while prescribing medications it is essential that we see you in our office for follow-ups. Hopefully the extension will make it a little easier to find a way to get here at some point between now and then. Let me know that you would be agreeable to this plan and where you would like me to send the refill for you medications.  If there is anything else I can do to help, don’t hesitate to let me know.

jessica
probably the easiest thing to do would be for me to fax the refill request from the pharmacy. does that work for you?

extending it to june will give me more than enough time to figure things out here, so that is ideal: thank you. i will know if i need to make another appointment within a few weeks, and if i do i will call you near the end of november to make it. if i don't, i'll let you know as well.

london clinic
Hi Jessica,

I'm so glad to hear this plan will work. You can for sure have the pharmacy fax over the refill requests and I will fill it out and fax it back to them :)

what if it's my ears?

i'm swapping cables around and....i haven't convinced myself yet...but it almost seems like the tweeter in my left ear is broken.

that tic. it's on my left side. and it's something to do with my ear. i kind of know already that a bone didn't heal properly. i've been waiting to be completely done smoking before i go to a doctor.

i need to make some calls this morning. i'm isolating this afternoon. if i can isolate it to my left ear, i'll have to go to the clinic.

i'm aware that this is most likely psycho-somatic. but, i'm running out of ideas.

the election is done. liberal majority, i'm looking forward to legal pot here, in canada. that will make life so much easier. but, the distraction is over, now, and i really want to get some kind of answer.

if it's my ear, it at least explains everything. kind of scary. but it adds up.

this is part of the reason why i wanted to get all my musical ideas worked out first, then focus on academics later. your ears are only artistically useful until you're about 40. that's my hypothesis as to why so many people get lame after 40: their ears stop working right.