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religion-is-a-mental-illness · 9 months ago

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By: Beth Bourne

Published: Feb 27, 2024

Kaiser gender specialists were eager to approve hormones and surgeries, which would all be covered by insurance as “medically necessary.”

On September 6, 2022, I received mail from my Kaiser Permanente Davis Ob-Gyn reminding me of a routine cervical screening. The language of the reminder stood out to me: “Recommended for people with a cervix ages 21 to 65.” When I asked my Ob-Gyn about this strange wording, she told me the wording was chosen to be “inclusive” of their “transgender” and “gender fluid” patients.

Based on this response, several thoughts occurred to me. Could I expose the medical scandal of “gender-affirming care” by saying and doing everything my daughter and other trans-identifying kids are taught to do? Would there be the type of medical safeguarding and differential diagnosis we would expect in other fields of medicine, or would I simply be allowed to self-diagnose and be offered the tools (i.e. hormones and surgeries) to choose my own gender adventure and become my true authentic self?

If I could demonstrate that anyone suffering from delusions of their sex, self-hatred, or identity issues could qualify for and easily obtain body-altering hormones and surgeries, all covered by insurance as “medically necessary” and potentially “life-saving” care, then maybe people would finally wake up. I certainly had.

I was prepared for failure. I wasn’t prepared for how easy success would be.

* * *

I am a 53-year-old mom from Davis, CA. My daughter began identifying as a transgender boy (social transition) and using he/him pronouns at school during 8th grade. Like several of her peers who also identified as trans at her school, my daughter was a gifted student and intellectually mature but socially immature. This shift coincided with her school’s sudden commitment to, and celebration of, a now widespread set of radical beliefs about the biology of sex and gender identity.

She “came out” as trans to her father (my ex-husband) and me through a standard coming-out letter, expressing her wish to start puberty blockers. She said she knew they were safe, citing information she had read from Planned Parenthood and the World Professional Association for Transgender Health (WPATH). To say I was shocked would be an understatement. I was also confused because this announcement was sudden and unexpected. While others quickly accepted and affirmed my daughter’s new identity, I was apprehensive and felt the need to learn more about what was going on.

Events began escalating quickly.

During a routine doctor’s visit scheduled for dizziness my daughter said that she was experiencing, the Kaiser pediatrician overheard her father using “he/him” pronouns for our daughter. The pediatrician seemed thrilled, quickly asking my daughter about her “preferred pronouns” and updating her medical records to denote that my daughter was now, in fact, my son. The pediatrician then recommended we consult the Kaiser Permanente Oakland Proud pediatric gender clinic, where she could get further information and (gender affirming) “treatment.” Now I was the one feeling dizzy.

As I began educating myself on this issue, I discovered that this phenomenon—minors, most often teen girls, suddenly adopting trans identities—was becoming increasingly widespread. It even had a name: rapid onset gender dysphoria, or ROGD. Thankfully, after learning about the potential side-effects of blockers and hormones, my ex-husband and I managed to agree not to consent to any medical interventions for our daughter until she turned 18 and would then be able to make such decisions as an adult.

Over the past five years, my daughter’s identity has slowly evolved in ways that I see as positive. Our bond, however, has become strained, particularly since I began publicly voicing my concerns about what many term as “gender ideology.” Following my daughter’s 17th birthday family celebration, she sent me an email that evening stating she would be cutting off contact with me.

While this estrangement brought me sorrow, with my daughter living full-time with her father, it also gave me the space to be an advocate/activist in pushing back on gender identity ideology in the schools and the medical industry.

I decided to go undercover as a nonbinary patient to show my daughter what danger she might be putting herself in—by people who purport to have her health as their interest, but whose main interest is in medically “affirming” (i.e., transitioning) whoever walks through their door. I am at heart a mother protecting her child.

* * *

My daughter’s sudden decision to become a boy was heavily on my mind in early September of 2022, when mail from my Kaiser Permanente Davis Ob-Gyn reminded me of a routine cervical screening with “Recommended for people with a cervix ages 21 to 65.” I was told that the wording was chosen to be “inclusive” of transgender and “gender fluid” patients.

Throughout the whole 231-day process of my feigned gender transition, the Kaiser gender specialists were eager to serve me and give me what I wanted, which would all be covered by insurance as “medically necessary.” My emails were returned quickly, my appointments scheduled efficiently, and I never fell through the cracks. I was helped along every step of the way.

Despite gender activists and clinicians constantly claiming that obtaining hormones and surgeries is a long and complex process with plenty of safety checks in place, I was in full control at every checkpoint. I was able to self-diagnose, determine how strong a dose of testosterone I received and which surgeries I wanted to pursue, no matter how extreme and no matter how many glaring red flags I purposefully dropped. The medical workers I met repeatedly reminded me that they were not there to act as “gatekeepers.”

I was able to instantly change my medical records to reflect my new gender identity and pronouns. Despite never being diagnosed with gender dysphoria, I was able to obtain a prescription for testosterone and approval for a “gender-affirming” double mastectomy from my doctor. It took only three more months (90 days) to be approved for surgery to remove my uterus and have a fake penis constructed from the skin of my thigh or forearm. Therapy was never recommended.

Critics might dismiss my story as insignificant on the grounds that I am a 53-year-old woman with ample life experience who should be free to alter her body. However, this argument for adult bodily autonomy is a standard we apply to purely cosmetic procedures like breast implants, liposuction, and facelifts, not “medically necessary” and “lifesaving” treatments covered by health insurance. Or interventions that compromise health and introduce illness into an otherwise healthy body. And especially not for children.

My story, which I outline in much more detail below, should convince any half-rational person that gender medicine is not operating like any other field of medicine. Based on a radical concept of “gender identity,” this medical anomaly preys upon the body-image insecurities common among pubescent minors to bill health insurance companies for permanent cosmetic procedures that often leave their patients with permanently altered bodies, damaged endocrine systems, sexual dysfunction, and infertility.

* * *

Detailed Timeline of Events

On October 6, 2022, I responded to my Ob-Gyn’s email to tell her that, after some thought, I’d decided that maybe the label “cis woman” didn’t truly reflect who I was. After all, I did have some tomboyish tendencies. I told her I would like my records to be changed to reflect my newly realized “nonbinary” identity, and that my new pronouns were they/them. I also voiced my desire to be put in touch with an endocrinologist to discuss starting testosterone treatment.

Fifteen minutes later I received an email from another Kaiser doctor informing me that my medical records had been changed, and that once my primary doctor returned to the office, I’d be able to speak with her about hormone therapy.

I responded the following day (October 7, 2022), thanking her for changing my records, and asking if she could connect me with someone who could help me make an appointment for “top surgery” (i.e., a cosmetic double mastectomy) because my chest binder was rather “uncomfortable after long days and playing tennis.”

She told me to contact my primary care MD to “get things rolling,” and that there were likely to be “preliminary evaluations.”

Six days after contacting my primary care MD for a referral, I received an email from one of Kaiser’s gender specialists asking me to schedule a phone appointment so she could better understand my goals for surgery, so that I could get “connected to care.” This call to review my “gender affirming treatment options and services” would take 15-20 minutes, after which I would be “booked for intake,” allowing me to proceed with medical transition.

This wasn’t an evaluation of whether surgical transition was appropriate, it was simply a meeting for me to tell them what I wanted so that they could provide it.

On October 18, I had my one and only in-person appointment in preparation for top surgery. I met in Davis with my primary care physician, Dr. Hong-wen Xue. The assessment was a 10-minute routine physical exam that included blood tests. Everything came back normal. Notably, there was not a single question about why I wanted top surgery or cross-sex hormones. Nor was there any discussion of the risks involved with these medical treatments.

The following week, on October 24, I had a phone appointment with Rachaell Wood, MFT, a gender specialist with Kaiser Sacramento. The call lasted 15 minutes and consisted of standard questions about potential drug use, domestic violence, guns in the house, and whether I experienced any suicidal thoughts. There were no questions from the gender specialist about my reasons for requesting a mastectomy or cross-sex hormones, or why I suddenly, at 52, decided I was “nonbinary.”

After the call, Kaiser emailed me instructions about how to prepare for my pre-surgery intake video appointment to evaluate my mental health, scheduled to take place on November 15. The email stated that prior to my appointment, I should research hormone risks on the WPATH website, and to “research bilateral mastectomy and chest reconstruction surgery risks and recovery” on Kaiser’s website.

I decided to request a “gender-affirming” double mastectomy and phalloplasty. Kaiser sent me a sample timeline for gender transition surgery preparation (see below) that you can use as a reference for the process. I also asked for a prescription for cross-sex hormones (testosterone) as needed and recommended by Kaiser.

[ Source: Kaiser Permanente, Top Surgery - EXPLORING YOUR SURGICAL OPTIONS ]

Pre-Surgery Mental Health Video Appointment, Part I

This “Mental Health Visit” assessment was conducted over Zoom. The Kaiser gender specialist started with questions addressing my marital status, race, gender identity, and other demographics. She asked whether I was “thinking of any other surgeries, treatments in the future.” The list she read included “gender-affirming” hysterectomies, bottom surgeries such as metoidioplasty and phalloplasty, vocal coaching, support groups, and body contouring. “Anything else you might be interested in doing?” she asked. I said that I’d perhaps be interested in body contouring. I was also assured that all the procedures would be covered by insurance because they were considered “medically necessary.”

I dropped in several red flags regarding my mental health to see the reaction, but all were ignored. For instance, I revealed that I had PTSD. When the therapist asked me about whether I had experienced any “childhood trauma,” I explained that I grew up in Mexico City and had been groped several times and had also witnessed men masturbating in public and had been grabbed by men in subways and buses. “I was a young girl, so [I had] lots of experiences of sexual harassments, sexual assault, just the kind of stuff that happens when you are a girl growing up in a big city.” “So, you know,” I finished, “just the general feeling that you are unsafe, you know, in a female body.”

The therapist did not respond to my disclosure that trauma could be the cause of my dysphoria. Instead of viewing this trauma as potentially driving my desire to escape my female body through hormones and surgery, she asked whether there is anything “important that the surgery team should be aware of” regarding my “history of trauma,” such as whether I’d be comfortable with the surgeon examining and marking my chest prior to surgery.

When asked about whether I had had any “psychotic symptoms,” I told her that while I had had no such symptoms, my mother had a delusional nervous breakdown in her 50s because she had body dysmorphia and became convinced she had a growth on her neck that needed to be removed. I told her that my mother was then admitted to an inpatient hospital for severe depression. I asked her whether she ever sees patients with body dysmorphia and whether I could have potentially inherited that from my mother. She told me that psychosis was hereditary, but that it was “highly unlikely” that there was any connection between body dysmorphia and gender dysphoria.

I enthusiastically waved more mental health red flags, waiting to see if she would pick up on any of them.

I’m just wondering if my feelings, or perseverating, or feeling like these breasts make me really unhappy and I just don’t want them anymore!...I’m just not sure if that’s a similar feeling to body dysmorphia? How do you decide which one is gender dysphoria and general body dysmorphia, and just not liking something about your body? Feeling uncomfortable with your body? And I did have an eating disorder all through college. I was a distance runner in college so I had bulimia and anorexia, you know. So I don’t know if that’s related to gender dysphoria?

The therapist replied, “I completely appreciate your concerns, but I am going to ask you questions about your chest, about your expectations. And then I’ll be able to give you an assessment.” She also said the main difference between my mom’s situation and mine was that my mom didn’t really have a growth on her neck, whereas it’s “confirmed” that I actually have “chest tissue.” Furthermore, she said that while “historically there has been all this pressure on patients to be like ‘Are you really, really sure you want hormones? Are you 100% sure?’ We are a little more relaxed.” She continued, “As long as you are aware of the risks and the side-effects, you can put your toe in the water. You can stop ‘T’ [testosterone], you can go back and do it again later! You can stop it! You can stop it! You know what I mean?”

Because we ran out of time, I scheduled a follow-up phone meeting on December 27, 2022 with a different gender specialist to complete my mental health assessment for top surgery.

Pre-Surgery Mental Health Video Appointment, Part II

During this meeting, Guneet Kaur, LCSW, another Kaiser gender specialist (she/her/they/them pronouns) told me that she regretted the “gatekeeping vibe” of the meeting but assured me that since I have been “doing the work,” her questions are essentially just a form of “emotional support” before talking with the medical providers.

She asked me about what I’d been “looking into as far as hormones.” I told her that I’d be interested in taking small doses of testosterone to counterbalance my female feelings to achieve “a feeling that’s kind of neutral.”

When she asked me about me “not feeling like I match on the outside what I feel on the inside,” I dropped more red flags, mentioning my aversion to wearing dresses and skirts.

I don’t own a single dress or a skirt and haven't in 20 years. I think for me it’s been just dressing the way that’s comfortable for me, which is just wearing, jeans and sweatshirts and I have a lot of flannel shirts and, and I wear boots all the time instead of other kinds of shoes. So I think it’s been nice being able to dress, especially because I work from home now most of the time that just a feeling of clothing being one of the ways that I can feel more non-binary in my everyday life.

She responded, “Like having control over what you wear and yeah. Kind of that feeling of just, yeah, this is who I am today. That’s awesome. Yeah.”

She then asked me to describe my dysphoria, and I told her that I didn’t like the “feeling of the female form and being chesty,” and that because I am going through menopause, I wanted to start taking testosterone to avoid “that feeling of being like this apple-shaped older woman.” “Good. Okay, great,” she responded, reminding me that only “top surgery,” not testosterone, would be able to solve my chest dysphoria. (Perhaps it was because all these meetings were online, they didn’t notice I’m actually fit and relatively slender at 5’-5” and 130 pounds, and not apple-shaped at all.)

She told me that we had to get through a few more questions related to my medical history before “we can move on to the fun stuff, which is testosterone and top surgery.”

The “fun stuff” consisted of a discussion about the physical and mood changes I could expect, and her asking me about the dose of testosterone I wanted to take and the kind of “top surgery” technique I’d prefer to achieve my “chest goals.” She told me that all or most of my consultations for surgeries and hormones would be virtual.

The gender specialist told me after the appointment, she would submit my referral to the Multi-Specialty Transitions Clinic (MST) team that oversees “gender expansive care.” They would follow up to schedule a “nursing call” with me to review my medical history, after which they’d schedule my appointment with a surgeon for a consultation. Her instructions for this consultation were to “tell them what you’re wanting for surgery and then they share with you their game plan.”

[ Decision-making slide to help me identify my goals for top surgery–flat chest, nipple sensation, or minimal scarring. Source: Kaiser Permanente, Top Surgery - EXPLORING YOUR SURGICAL OPTIONS ]

She told me that Kaiser has a team of plastic surgeons who “only work with trans and nonbinary patients because there’s just so much need for them.” She asked about my priorities for chest surgery, such as whether I value flatness over nipple sensation. I learned about double incision top surgery with nipple grafts, as well as “keyhole,” “donut,” “buttonhole,” and “Inverted-T” top surgeries.

By the end of the hour-long appointment, I had my surgery referral and was ready for my “nursing call” appointment.

Nursing call with Nurse Coordinator from the Transgender Surgery and Gender Pathways Clinic at Kaiser San Francisco

On January 19, 2023, I had my nursing call with the Nurse Coordinator. He first said that “the purpose of this call is just for us to go through your chart together and make sure everything’s as accurate as possible.” Once that was done, my referral would be sent to the surgeon for a consultation.

He asked me about potential allergies and recreational drug use, and verified that I was up to date on mammograms, pap smears, and colon cancer screenings, as well as vaccines for flu and COVID. I verified my surgical history as well as my current medications and dietary supplements.

He told me about a “top surgery class” available for patients where one of the Kaiser surgeons “presents and talks about surgical techniques and options within top surgery,” and includes a panel of patients who have had top surgery. I signed up for the February 8th class.

Within 10 minutes he told me that he had “sent a referral to the plastic surgery department at Kaiser Sacramento,” and that I should be hearing from them in the next week or two to schedule a consultation.

Appointment for Testosterone

On January 27, I had a 13-minute online appointment with a primary care doctor at Kaiser Davis to discuss testosterone. The doctor verified my name and preferred pronouns, and then directly asked: “So, what would you like to do? What kind of physical things are you looking for?”

I told her I wanted facial hair, a more muscular and less “curvy” physique, and to feel stronger and androgynous. She asked me when I wanted to start, and I told her in the next few months. She asked me if I was menopausal, whether I had ovaries and a uterus, although that information should have been on my chart.

The doctor said she wanted me to come in to get some labs so she could check my current estrogen, testosterone, and hemoglobin levels before starting hormones. Then “we'll set the ball in motion and you'll be going. We’ll see you full steam ahead in the direction you wanna go.”

That was it. I made an appointment and had my lab tests done on February 12. My labs came back on February 14, and the following day, after paying a $5 copay at the Kaiser pharmacy, I picked up my testosterone pump. That was easy!

Top Surgery Consultation

On the same day I received my labs, I had a Zoom surgery consultation with Karly Autumn-Kaplan, MD, Kaiser Sacramento plastic surgeon. This consultation was all about discussing my “goals” for surgery, not about whether surgery was needed or appropriate.

I told the surgeon that I wanted a “flatter, more androgynous appearance.” She asked me some questions to get a better idea of what that meant for me. She said that some patients want a “male chest,” but that others “want to look like nothing, like just straight up and down, sometimes not even nipples.” Others still wanted their chest to appear slightly feminine and only “slightly rounded.” I told her that I’d like my chest to have a “male appearance.”

“What are your thoughts about keeping your nipples?” she asked. “Are you interested in having nipples or would you like them removed?” I told her that I’d like to keep my nipples, but to make them “smaller in size.” She asked me if I’d like them moved to “the edge of the peck muscle” to achieve “a more male appearance.” I said yes.

I was asked to show my bare chest from the front and side, which I did. Then she asked me how important it was for me to keep my nipple sensation. I replied that it was important unless it would make recovery more difficult or there were other associated risks. She highlighted the problem with the free nipple graft, saying that removing the nipple to relocate it means “you're not gonna have sensation in that nipple and areola anymore.” However, some nipple sensation could be preserved by keeping it attached to “a little stalk of tissue” with “real nerves going to it,” but that would require leaving more tissue behind. I told her I’d go for the free nipple graft to achieve a flatter appearance. It was also suggested I could skip nipple reconstruction entirely and just get nipples “tattooed” directly onto my chest.

She told me I was “a good candidate for surgery,” and put me on the surgery wait list. She said that the wait time was between three and five months, but a cancellation could move me up to a sooner date. Also, if I wanted surgery as soon as possible, I could tell the surgery scheduler that I’d be willing to have any of the other three surgeons perform my mastectomy. Outpatient top surgery would cost me a copay of $100.

They contacted twice, in February and March, notifying me of cancellations. If I had accepted and shown up on those dates, they would have removed my breasts. This would have been less than five months from the time I first contacted Kaiser to inform them of my new “nonbinary” gender identity.

How Far Can I Go?

I decided to see how easy it would be for me to get approved for a phalloplasty. Known euphemistically as “bottom surgery,” phalloplasty is the surgical creation of an artificial penis, generally using tissue from the thigh or arm.

I sent an email on March 1, 2023, requesting to have a phalloplasty and concurrent hysterectomy scheduled alongside my mastectomy.

Two weeks later, on March 16th, I had a 16-minute phone call with a gender specialist to discuss my goals for bottom surgery and obtain my referral.

During the call, I explained to the specialist that I wasn’t sure about taking testosterone anymore because I was already quite athletic and muscular, and that taking testosterone didn’t make much sense to me. Instead, I wanted bottom surgery so that I wouldn’t feel like my “top” didn’t match my “bottom.” I told her:

But what I really wanted was to have bottom surgery. So this way when I have my top surgery, which sounds like it could be very soon, that I’ll be aligned, that I won’t have this sense of dysphoria with one part of my body and the other part feeling like it matched who I am. So yeah. So I just did a little bit more research into that. And I looked at the resources on the Kaiser page for the MST clinic and I think I know what I want, which is the hysterectomy and then at the same time or soon after to be able to have a phalloplasty.

I told her that I wanted to schedule the top and bottom surgery concurrently so that I wouldn’t have to take more time off work and it would save me trips to San Francisco or Oakland, or wherever I had to go for surgery.

None of this gave the gender specialist pause. After a brief conversation about some online resources to look over, she told me that she would “submit the referral now and we’ll get this ball rolling.”

Bottom surgery would cost me a copay of $200, which included a couple of days in the hospital for recovery.

Phalloplasty Surgical Consultation with Nurse Coordinator

On May 16, 2023, I had a short surgical consultation with a nurse coordinator to go through my medical history. This was similar to the consultation for top surgery but included information about hair removal procedures for the skin on my “donor site” that would be fashioned into a makeshift penis. They also went over the procedures for determining which donor site—forearm or thigh—was more viable.

After only 15 minutes, she submitted my referral to the surgeon for another surgical consultation.

On May 25 I received an email from my phalloplasty surgeon’s scheduler, informing me that they have received my referral and are actively working on scheduling, but that they are experiencing delays.

I ended my investigation here once I had the referral for the top and bottom surgery. I never used my testosterone pump.

Final Thoughts

In fewer than 300 days, based on a set of superficial and shifting thoughts about my gender and my “embodiment goals” triggered by the mere mention of “gender” in a form letter from my primary care physician, and driven by what could only be described as minor discomforts, Kaiser Permanente’s esteemed “multi-disciplinary team” of “gender specialists” was willing, with enthusiasm—while ignoring mental health concerns, history of sexual trauma, and rapidly escalating surgical requests—to prescribe life-altering medications and perform surgeries to remove my breasts, uterus, and vagina, close my vaginal opening, and attempt a complex surgery with high failure and complication rates to create a functionless representation of a penis that destroys the integrity of my arm or thigh in the process.

This describes the supposedly meticulous, lengthy, and safety-focused process that a Kaiser patient must undergo to embark on a journey to medically alter their body. No clinician questioned my motivations. No one showed concern that I might be addressing a mental health issue through radical and irreversible interventions that wouldn’t address my amorphous problems. There were no discussions about how these treatments would impact my long-term health, romantic relationships, family, or sex life. I charted the course. The clinicians followed my lead without question. The guiding issue was what I wanted to look like.

No other medical field operates with this level of carelessness and disregard for patient health and welfare. No other medical field addresses issues of self-perception with surgery and labels it “medically necessary.” No other medical field is this disconnected from the reality of the patients it serves.

Kaiser has traded medicine for ideology. It’s far beyond time we stop the ruse of considering “gender-affirming” interventions as anything approaching medical care.

This isn’t the first time Kaiser Permanente has been in the news for completely disregarding medical safeguards in the name of “gender-affirming care.” As girls, Chloe Cole and Layla Jane became convinced that they were born in the wrong body and were actually boys on the inside. Doctors at Kaiser ignored their underlying conditions and instead prescribed testosterone and removed their breasts. Both Cole and Jane have since detransitioned and are currently suing Kaiser.

The fact that children and vulnerable adults are being exploited in this massive ideological experiment is not just tragic; it’s deeply disturbing, especially considering it has evolved into a billion-dollar industry.

I hope that by sharing my story, I can bring more focused scrutiny to the medical scandal unfolding not just at Kaiser but also at medical centers and hospitals across the Western world. These institutions have completely abandoned medical safeguards for patients who claim to be confused about their “gender,” and I aim to awaken more parents and assist them in protecting their children.

This is completely insane.

Apologists online are running around saying, but she didn't mean it, she was lying, she was pretending...

It doesn't matter.

Any kind of security, penetration or integrity test is insincere too. When security researchers compromise Microsoft's operating system or Google's browser or whatever, "but they didn't mean it" is not a defence to a discovered security flaw. It doesn't matter that the security researchers didn't plan to steal data or money or identities. The flaw in the system is there regardless.

It doesn't matter that it was insincere. Because the workers didn't know that. They never checked, never asked questions, never tested. They had been taught and instructed to never ask any questions. They did what they were supposed to. And the system failed spectacularly. Because that's what "gender affirming care" means.

Additionally, the claim that Beth Bourne committed fraud is an outright lie. A patient cannot bill. They do not have the authority. The medical clinic is the only one that can bill, and they must supply a diagnosis and a medical necessity.

If they didn't diagnose her and just wrote down what she said, then they committed fraud. If they claim they did diagnose her, then they committed fraud, because the diagnosis they concocted was bogus. This, by the way, is actually going on. Clinics are reporting fake endocrine and other disorders to get blockers, hormones and other interventions. Jamie Reed and other whistleblowers have documented evidence of this. Beth Bourne is not responsible for what the clinic does. They have medical licenses and legal responsibility. Not her.

Additionally, anyone who actually read the article would know how she tested the system. She said things like, "I've always been not that feminine. So, maybe I get my boobs removed." And they said, "sure." Instead of saying, "wait, why do you think that?" Framing it as her lying is itself a lie. They violated their ethical obligations. That much is incontrovertible. And it's directly the result of "gender affirming care," where clinics and clinicians rubber-stamp anything deemed "trans" based entirely on ideological, not medical, grounds.

#Beth Bourne #undercover #undercover investigation #gender identity ideology #queer theory #nonbinary #non binary #top surgery #bottom surgery #double mastectomy #bilateral mastectomy #gender affirming care #gender affirming healthcare #gender affirmation #affirmation model #medical scandal #medical malpractice #medical corruption #religion is a mental illness

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wabatle · 1 month ago

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Hello! :) Can you write Kaiser sour patch kids for October 12? Stay safe and make sure your mental health is alright <3

「 ✦ Flufftober Day 12: Michael Kaiser ✦ 」

☽｡⋆ Genre: Chocolate (break up/back together)

☽｡⋆ Warnings: none

☽｡⋆ Contains: gn!reader, angst, happy ending

You knew Michael Kaiser was an enormous red flag. That's why you broke up with him in the first place.

You knew Michael Kaiser missed you. If you couldn't tell from the constant messaging, the constant unannounced visits, and the gifts you find laying at your apartment door.

Kaiser appeared at your door yet again. He had flowers and a familiar guilty expression.

“Hi, mein(e) Liebe. Um… How are you?”

“I'm okay.”

“Um… I–I miss you.”

“I know.”

“Please take me back. I can't go on.”

“Kaiser—”

“I'll treat you better than I ever did before. I'll never ignore you or hurt you or make you cry… please, Schatz, please.”

“I—”

“Even if it's just once, let me take you out on one date. To prove I'm right for you.”

You thought for a second. It didn't seem too bad. Your breakup wasn't messy— you just needed space.

“Mihya, there's no reason to beg like that. Actually, I was planning on asking you to get back together.”

His heart fluttered at the familiar nickname. “Really?”

“Really.”

He hugged you tight, breathing in your scent, finally safe in your arms once more.

☽｡⋆ Sorry Anon by the time I finished writing this i realized it wasn't angst... sorry :((

☽｡⋆ Flufftober event

#emi's flufftober event!#michael kaiser x reader #blue lock x reader #bllk x reader

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healthinsuranceexchangeus · 3 months ago

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greattigerssimp · 14 days ago

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Punch Out!! Wii boxers and their workout regimes.

(Got inspired from @bucketspammer4life and their buckets-worth of Punch Out headcannons, so here I am making mine! Teehee. We all saw cutscenes about how Lil Mac trains for matches, but what about the other boxers?? Find out here!)

Glass Joe: 🥐🇫🇷

- Hates waking up early, so he starts later in the afternoon/evening

- When he works out, he wears a black hoodie that says "But first, coffee" on it.

- Focuses on cardio to stay in shape, and because his natural upper body strength is abysmal

- Kaiser sometimes helps him prep for matches and tends to over-praise him... like, Joe will do 2 push-ups and Kaiser will be on his knees, screaming about how amazing Joe is doing.

- Hates dieting to build muscle (since it takes him away from his beloved breads and wine), but if he has to, his go-to meal plan consists of Greek yogurt, berries, PB on whole grain sandwiches, and salads.

- His workout playlist consists of a variety of music, but quite a lot of Daft Punk. He's a closeted fan of them.

- He used to sparr with Gabby Jay before he died. It was his only real practice and upper body exercise he got. Nowadays he sparrs with Kaiser or Bear Hugger for practice

Von Kaiser: 🔩🇩🇪

- Opposite of Joe, focusing on his upper body strength only.

- Wears his classic slutty white tank top and army pants... and iconic boots while working out.

- He also wakes up stupidly early for a run, and almost got mugged one morning one time.

- A rare pull-up lover! Dude is shockingly good at pulling his own weight.

- He's also scarily good at climbing stuff... don't blink, or you'll see him on your roof all of a sudden

- Uses techniques from his own regime to help train his students

- Workout playlist is boring

- Very meat heavy diet, both on rest and training days. Very bleak breakfast, mainly consisting of eggs, toast, and black coffee.

Disco Kid: 🕺🇺🇲

- One word: Boxercise.

- Takes lessons with Heike as his teacher

- Ofc wears the leotard. He's had that leotard for a while, actually... he says it fits fine, buuuut let's just say that there are certain signs that show the outfit getting small on him...

- Exercises whenever he wants; his classes are indoors, so time isn't an issue for him.

- Has over +20 playlists, one for every day, of ever hour, of every "vibe."

- If he's training for a fight, he'll usually rely on greens and vegetables to help him keep him focused. Also plenty of protein shakes (his fave flavor is cookies and cream)

- Aside from boxer-cising, he enjoys going on afternoon or morning walks with his mom (and sometimes April tags along)

King Hippo: 🦛🏝

- His only idea of "working out" is to swim butt naked at the nearest beach

- The only music he listens to is the ocean ✨️

- He always eats a punching bag before hits fights... no one knows why. That should tell you enough about his pre-fight diet.

Piston Hondo: 🥊🇯🇵

- Like Kaiser, works out early in the morning, but also late at night too

- If he's in public, he's wearing a white t-shirt and sweat pants. If he's working out in private, he's wearing this pink Sailor Moon tank top he's owned since he left Japan.

- He and Tiger practice meditation together. Mental health is just as important as physical health!

- Cardio lover

- Disgustingly quick reflexes

- One time, he used a treadmill at the gym, and he accidentally broke it after running in the highest setting for over an hour.

- Playlist consists of J-Pop and a little bit of vocaloid. Like Joe, he's insecure about the music he likes.

- Absolute W workout diet. Rice + home made chicken or white fish, crunchy sea weed strips, and lightly seasoned edamame?? All inside a cute bento box that looks adorable AND portions out the food??? Sign me and the WVBA up! He changes it up a lot, too, for the sake of trying new things.

Bear Hugger: 🐻🇨🇦

- Trains anytime of the day, wearing anything. Sometimes he'll train butt naked in the woods to really "capture the bear spirit."

- Bears, squirrels, you name it! He's trained, at least with every North American animal, at least once.

- Loves hockey! Not only does he watch it a lot, but he's good at playing! He and Lomasi play for fun or for training.

- Doesn't really listen to music while working out (he prefers the sounds of nature) buuut he does have a playlist all about country rock.

- His diet? Raw fish. Either caught by him, Lomasi or the bear he trains with.

Great Tiger: 🐅🇮🇳

- Doesn't actually work out... his clones do, and he resuscitates the energy from their efforts.

- Does meditation with Hondo... will float unconsciously during meditation.

- His playlist consists of authentically Indian music, mainly ones with a calming aura. He listens to them while meditating

- Will sometimes go on jogs with Hondo and get hilariously left behind because Hondo is naturally speedy

- Works out/meditates shirtless

- Would have a W diet if he knew how to cook. He mainly gets Hondo to make him bento boxes for lunch and dinner. Had a prime phase for a good 2 months

Don Flamenco: 🥀🇪🇸

- Works out shirtless in the summer, low-cut tank top in the autumn and spring seasons, and doesn't work outside during the winter.

- Also loves swimming! His swimming exercises are pretty rigorous. Also, he posts thrist traps of him swimming for attention lmao

- Carmen decides when he can and can't work out. Someday's he can work out at night or in the morning, and somedays he can't

- His workout playlist is all sorts of disorganized. He's got authentic Spanish music in there, but he also likes his fair share of girly pop (thanks to Carmen), and because of his one emo phase, there's a bunch of metal and punk pop in there. One minute he's listening to "Firework," the next, it's "Misery Business."

- He would absolutely LOVE to have his own Spanish based diet, but nah... Carmen's rich parents usually cook for him every night. He's stuck eating unseasoned chicken and cold collared green until his fights. And no, he isn't allowed to cook for himself, even though he can do so pretty well.

Aran Ryan: 😈🇮🇪

- Upper strength dude, straight up. If he's not punching something into oblivion, he's not working out.

- Works out all night and sleeps all day.

- Will trash talk whatever inanimate object he's beating into oblivion.

- Got arrested once for fighting random strangers on the street... police were called after he bit someone's finger off. Claims he was just working out

- Wears a "punch me, I'm Irish" tank while he's working out

- Playlist consists of Irish and British punk rock bands

- Gets hot way too easily; the place he works out in has to be breezy/cool or he's getting distracted

- No diet whatsoever. No one's taking his fish and chips or his shepards pies away from him, no sir

Soda Popinski: 🍾🇷🇺

- Booty shorts and crop top tank top. Doesn't matter what the weather is... he's wearing this. He gets a lot of stares...

- Hates cardio, makes him anxious bc he's so tall. Focuses on upper body strength

- He isn't into basketball, but if we was, he'd be really good at it; would be a nice way to train.

- During his withdrawal phase, he found it horrible to work out. He felt so tired and weak for days on end, and lacked the motivation needed to workout.

- Broke lots of training equipment back in his spiked liquor era.

- Playlist mainly consists of Russian hits that he grew up with + the occasional folk song

- Sparrs with Macho Man for totally straight reasons (liesss)

- Very safe, very bland diet... but it does the trick, and it doesn't make him throw up. He's very conscious about what he puts into his body, since he's afraid of how the liquor would react to it.

Bald Bull: 🐂🇹🇷

- Wears a boxing outfit + tank top

- Also meditates, but privately.

- His entire work out regime is as closeted as possible.

- Very calm when working out... he's almost a completely different person than how he is in the ring

- Listens to calming white noise instead of music

- Diet isn't that rigorous, but it isn't particularly unhealthy either. Baklava for breakfast, lean kebabs for lunch, and Manti for dinner.

Super Macho Man: 🌊🇺🇸

- Wears the same speedo he does in the ring when he works out. If it's cold outside, he'll wear a Hollywood Blvrd hoodie and no pants, aside from that speedo.

- ONLY works out on the beach he lives by, and only does it in the afternoons.

- Blasts his music on the beach... he listens to a DISGUSTING amount of pit bull. It's either him, or any other rave song that's been played dozens of times

- Either swims, surfs, or punches a bag. He'll record himself doing this too

- Likes to sparr with Soda on the beach... and surf, ofc, this is my AU and Soda x Macho Man is built upon romantic surfing moments !!!

- Also hates dieting, like Joe, but if he has too, he'll stick to steaks and energy drinks. Also enjoys morning Mimosa's

Mr. Sandman: 💤🇺🇲

- Very private work out routine

- Spends entire days in his apartment, just punching a bag and listening to a playlist designed by Mr. Dream that TOTALLY doesn't have subliminal messages... ha-

- Puts bulking powders into every piece of lean meat and energy drink he consumes; its borderline unhealthy

- Ofc the bulking powder he uses is created by the WVBA...

- He's lowkey miserable, but pretends he's not.

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bebsibby · 4 months ago

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The Top Surgery Log

Hello! I got top surgery yesterday! I want to catalogue my experience so I can remember it and provide some insight for people who want it but haven't gotten it yet. I will continue to update this post as my healing goes on. Everything under the read more!

Leading Up

My insurance is with Kaiser which has been an AWESOME experience so far. They do require a therapist letter, so no informed consent, but the process was very simple and there were a lot of people dedicated to getting me what I needed.

I had about 3 therapist meetings where she just asked me questions about my experience with gender and how my transition has gone so far, my support network, can I afford it, etc. Then she wrote my letter, sent it off to the surgical team, and I was approved within a few days!

After that I had my very first consult with the surgeon. He took pictures, did a breast exam, asked about general health and family health history, then gave me a little presentation of the process. It had post up photos of prior patients, a lot of explanations of the types of surgeries available that he does, and a lot of good information in general. He answered a lot of my questions and made me feel fully confident and prepared for the experience.

Also important to note: I told him the surgery I had been wanting ever since I started doing top surgery research was Inverted-T and I was curious of he knew of it/why that WASN'T an option they offered. He explained everything to me and showed me what he expected my results to look like if I DID want to go to a different surgeon outside of Kaiser. Said surgeon does NOT accept insurance, but would work with the insurance side of things to make sure they would reimburse for the expenses. I really appreciate that because it showed me they wanted to do get exactly what I wanted.

Based on all of that, I decided to just opt for Double Incision both to save me time and get a result that was aesthetically more pleasing to me. Loss of nipple sensation is unfortunate, but apparently IT only has the potential to bring a little sensation back, which wasn't worth all the extra hoop jumping for me.

After this consult, my surgeon told me to think about everything then email him a few days later with my decision. I did and then a few days later got my call to schedule. I got to pick my date but not the time of day, as I would later learn that's decided by the hospital and not me. Once my surgery was scheduled, another pre-op appointment was scheduled about a month before the surgery date. That appointment was very short, as it was just signing consent forms and confirming everything I wanted. He also gave me a packet of supplies I needed to get before the surgery.

After that, I'd occasionally receive emails with more pre-op instructions, like when to stop eating and drinking, showering instructions, when to stop certain medication, and how to care for my drains.

The Surgery

The day before surgery I had initially planned to do all of the last minute housework and leave for the surgery the next morning. HOWEVER, when I got my call to tell me the time, it turns I had to be there by 6 AM! The surgery center is over an hour away from me and the bus my wife and I were going to take didn't run that early, so we had to scramble to make other plans. Luckily the friend who was going to drive us back home was cool with us crashing on his floor for the night, so we were able to do the most important things at home then take the bus down the day before.

Once we were all set up for the night, I did the first cleaning routine that I was required to do, set my alarm, then tried to sleep. I didn't get much due to Hard Floor and also excited but that wasn't a biggie because I'd be sleeping again soon LOL.

Next morning I woke up, did my second skin cleansing, and we headed out! I checked in, waited a little in the waiting room, then got called back to start.

Everyone who was working with me was SUPER funny and kind. I got asked more questions, signed another form, took some pre-med tylenol, them stripped to switch into my gown, bonnet, and grippy socks (Got to keep those btw :>) My IV got put in my wrist which REALLY fucking hurt!!!!!! It never stopped aching. After that, the surgeon popped in to check on me and see if I had any questions, then they wheeled me in to the operating room.

I had gotten another premed via IV that was already making me tired, and I remember the last thing being the surgeon saying what to do with my removed tissue once he was done and I was gone!

The surgery itself lasted around four hours, but all I remember is waking up and seeing my wife and friend sitting at the foot of the bed. I said hi to them and that was apparently third time I had said it. I had been up and talking to them for awhile all loopy but also becoming suddenly very serious when talking with the nurses. I've had a few surgeries but I've NEVER been this way after so that was funny. The nurse had also been giving ME all of the postop discharge info and I don't remember it so thats unfortunate! I only remember her talking about the drains. I had to read it all again when I got home but it was all good.

Once I was awake enough, they wheel-chaired me down to my friends car, packed us all up and we headed back home. I napped about half the time but still kept my eyes closed when i was awake and talking bc my vision was still FUCKED and it was so bright out. We got home, I was lead inside, and that was that pretty much! I napped several more times, nibbled on some roast beef, emptied my drains (which made me very woozy, mostly due to the standing) and went to bed!

After Surgery

Day one! I woke up a few times in the night mainly to go to the bathroom, but slept REAL deep otherwise. It rained all night which was awesome. I woke up feeling very achy but not painful except for my throat. Those ET tubes are NOT easy on your body. Took all my meds, got out of bed eventually, and had cup ramen for breakfast. Now I'm just sitting on the couch with all my computer stuff moved from my desk to where I'm sitting. I got a long hdmi cable so I can just watch stuff on the big TV so I'm pretty set up!

My wife just brought me some cookies and overall I'm just feeling really good. Not really excited or emotional about it. Its just a very warm contented feeling.

I don't know what my chest looks like yet since my post-op binder got put on while i was still out, but everything gets removed next week! I'll probably update again after that appointment.

Feel free to ask specific questions! I'll be resting most of the time so I'll just be around!

#top surgery

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