#my personal clinic

[answersfromzestual]

I’m going to have bottom surgery and I wanted to know, if I am not too indiscrete, what’s name of the surgeon/s who operated you, since you say the result is pretty good. Hope it doesn’t bother u

Hello Anon,

It's no worries at all!

Dr Belanger was my surgeon. She did all of my procedures. She is a very fine surgeon and gives great results.

https://www.grsmontreal.com/en/surgeries/female-to-male/6-phalloplasty.html

This is the clinic I underwent all of my procedures. This website is really great to read through. It goes very in depth about how their clinic performs the procedures and lays them out.

Good luck Anon, wishing you the best on your journey.

Stay Golden Anon

✌️💙🩷

[theabigailthorn]

What in the academic fuck is a GIC assesment

A GIC assessment (Gender Identity Clinic) assessment is the psychiatric interrogation you have to go through in Britain if you want permission to medically transition (and some aspects of legal transition too). Also called a Gender Dysphoria Assessment.

It involves answering a bunch of medically irrelevant, repetitive, deeply humiliating, repetitive questions like how you masturbate, what you wear when you masturbate, your sexual history, your childhood history, what toys you played with as a child, your employment, the clothes you like to wear, your relationship with your partners and family, etc. The classic is "Do you imagine yourself as a woman when you masturbate?" It also involves various psychiatric tests to check whether you're psychotic, which are deeply stigmatising. You will likely have to suffer this interrogation more than once if you want certain medical and legal doors to open. If you do not answer these questions "correctly" you may be refused transition.

If you want to get it for free, you'll need to wait several years, possibly decades depending on where you live, to be admitted to a Gender Identity Clinic.

If you want to go private, it will cost you about £500 a go, maybe more. (It's not technically a GIC Assessment unless it takes place at an NHS GIC; otherwise it's just sparkling humiliation.)

At the end of your interrogation you will - if you answered correctly - be diagnosed with "gender dysphoria." There is no way for them to check whether the answers you gave were truthful or whether you just told them what they want to hear. In Britain, about a third of trans people surveyed said they lied or withheld information during these assessments. There was no way for the 2015 American Psychiatric Association Working Group on gender dysphoria - the cis people who created the diagnosis* - to know that the interview data they based it on wasn't also full of people telling doctors what they wanted to hear! The unreliability of that data, some researchers have said, calls into serious question the use and sense of the diagnosis! * Fun fact: Ray Blanchard and Kenneth Zucker were both on that working group!

The NHS spends somewhere between 20 and 90 million pounds a year (depending on how you count it) on doing this.

Contrast that process to, say, the treatment pathway for menopause, where a cis woman who wants hormone replacement therapy can just get it from her family doctor 🙃

If you'd like to know more about this, I spoke about it here in more detail with citations

And wrote about it here

[schpeenor]

i need some idealistic ass AU where dabi is still alive and functional post final war along with what was left of the league except the twist is that he looks like fucking nightmare fuel now.

and for some unknown illogical reason either the 3 manned league managed to break out or they’re just out there. free���

that or it’s modern AU no quirks (heteromorphic traits still exist though) and this is just the result of… something…

LISTEEEEN.. i just NEED more drawings of this man dealing with stupid shenanigans but he looks like this. ESPECIALLY WITH THE EXISTENCE OF THIS ILLUSTRATION, DABI PERCHED ON SPINNER AND POSING LIKE HE ISNT A WHOLE WAD OF BURNT FLESH.

i know i’m genuinely yapping right now.. but like give me spinner staring at this man and not knowing whether he should be turned on, horrified, or both.

[starrysharks]

reassassination swap AU... fuckin.... unassassination idfk

[catkin-morgs-kookaburralover]

this is a checkpoint!! please tell me something you're grateful for/praising God for rn in the tags thank-you :)

[gothsuguru]

this man has no fucking right to be THIS beautiful… jinshi my LOVE.

[spinnysocks]

my favourite thing about the madagascar movies is that no one's a sane fucking person

[inseparabiles]

My (least) favourite part about writing fic for this ridiculous fandom is trying to play Google PhD for Caracalla's fantasy-convenience syphilis.

You don't get to just have symptoms from every godforsaken stage of the disease at once willy-nilly like you're collecting them in jars for display. Pick one or AT MOST two stages at once and sit with it. Christ.

Let's see what we've got here. Welcome to my unlicensed clinic for fictional people and friends only, but do take this neutral disclaimer that I dropped out of school at 12 so I'm totally a professional and this analysis is medically sound as all hell.

Ready? I'm not.

Primary stage: 2-12 weeks after infection - congratulations, nothing here. I have not checked his privates but the only symptom of the initial stage is the chancre, which lasts for up to six weeks before healing on its own and nothing else exists in this stage so. Clear based on presence of other symptoms.

Secondary: 1-6 months after primary stage. - rash, check - fever, can't measure without touch or thermo but a safe check anyway - sores, yes but in a weird location (how are you getting these on your cheeks exterior, tell me). - muscle aches, check. Have you seen how this boy walks? How he holds his hands? - weight loss, don't know. He's petite, doesn't really look malnourished. - headaches, hard probably. - hair loss, none. Fluffy as fuck. - swollen lymph nodes, again I have no touch contact. Probably though. - sore throat, no complaints and has no issue shouting.

Latent: that stage after secondary, where you kind of just don't have symptoms most of the time, but the virus is getting everywhere. Spine, brain, heart, nerves, organs, everything. Flares are possible but mild. Lasts up to 20 fucking years - our boy is like... 25 at most. Hopeful? Not so fast. Based on all evidence and speculation, I wouldn't give Caracalla's immune system much credit as to its ability to hold the infection at bay and the "up to" numbers are best case scenarios. The lowest range for how long the latent stage can last is three years, but quicker progression is usually seen in AIDS patients, and AIDS didn't exist in 200 AD, so we're ignoring that. Despite this, given the era and its customs and culture, it's perfectly possible that Caracalla's caught his infection in his early to mid-teens, which...

... no symptoms to check against, so, moving on,

Tertiary: Most people with untreated syphilis never hit the tertiary stage, because the infection takes so long to get to this point. Up to 30 years. Yet somehow, Caracalla manages to have tertiary stage neurological symptoms from advanced neurosyphilis while not having the physical symptoms or, sans despair-inducing circumstances, the age to show for it. And while having the definitive second/latent stage symptom of skin rashes, which you do not have in the tertiary stage at all. And you don't get to speedrun this stage either: you can live with this thing for twenty years without dying of it. You don't just hit tertiary one day and die next week. Again, how are you managing all of these cherry-picked symptoms and HOW are you fast-tracking them and yourself to hell SO fast. This is going to be such a long list but here we go: General: - brain damage / dementia / cognitive problems, absolutely. - heart disease, nope. - movement disorders and muscle problems, aside from the forementioned pain, no (clear) evidence. - nerve damage, no evidence. - seizures, none. - vision problems / blindness, none. Neurosyphilis: (can and will develop at any stage, however, symptom progression seems tied to general progression, you don't get to have tertiary stage symptoms with secondary stage disease, etc. Except if you're Caracalla and the gods hate you I guess.) Meningeal: - headache, hard probably - nausea and vomiting, no evidence - neck stiffness, I mean sure but he also sits like a sack of potatoes, differential diagnosis of your fucking posture sucks so much - light sensitivity, honestly Geta suffers more of this than Caracalla does (I think this is Joe's fault and I relate) - vision or hearing issues, still nope - cranial nerve dysfunction, no evidence

Menigovascular: - vertigo, no evidence - stroke, thank gods no - muscle weakness or atrophy, still petite but looks fine, twin comparison checks out

General paresis, early: - mood disturbances / irritability, very much - personality changes, yes (based on Geta's statement) - changes in sleeping habits, unknown - forgetfulness, dear god and how.

General paresis, late: - mood swings, and how - memory loss, yes. - impaired judgement, sorry is laughing at this inappropriate - confusion, yes - delusions, yes - seizures, still no.

GP / psychiatric: - depression, no - delirium, hard maybe - mania, no evidence - psychosis, well on the way there

Tabes dorsalis: - ataxia (issues with coordination), reasonable or strong evidence sans differential (drugs. he's on so many drugs) - nerve pain, probably - bladder control issues, most likely not - outside of differential (script case -> fear) - abnormal sensations, we just won't know - vision changes, still no evidence - pupil abnormalities, none - loss of coordination/reflexes, some sans differential (DRUGS) - neuropathic arthropathy (bone/joint fragmentation), none - problems walking, some

So with all of that out of the way, this boy's manifesting: - none of the initial stage as far as we can tell, so he's had syphilis for longer than six weeks. Great, this really narrows it down, lads. - nearly all of the secondary stage symptoms, including rash, which is not present in other stages, indicating that he's either secondary or latent stage per presentation (1-20 years after infection). - one definitive symptom of tertiary stage syphilis, being his absurd amount of neurological / neuropsychiatric symptoms. Even then it's almost impossible for him to be at this stage under any circumstances, but here we are. TERTIARY STAGE DOES NOT HAVE RASHES OR OUTWARD SYMPTOMS. TERTIARY STAGE IS INTERNAL ONLY. (screams into a megaphone in the general direction of Hollywood) - three symptoms of early general paresis - every single symptom sans seizures from late general paresis (again you can't have this with your other symptoms by ANY standard that I have been able to dig up. Like based on medical law this is literally illegal go straight to fantasy disease jail.) - let's say one whole symptom of neuropsychiatric made out of two halves, with psychiatric disorders manifesting in late stage disease - 2½ symptoms of tabes dorsalis which is whatever, as none of this is technically outside the legal zone of what he's allowed to be experiencing.

WHAT THE FUCK KIND OF DISEASE PROGRESSION BLIND BAG ARE YOU DRAWING FROM. No wonder everyone's so worried about you. You're either going to die an absolutely excruciating and horrifying death in a week or in 50 years and nobody can tell which is it going to be.

The only thing we can say for somewhat certain is that regardless of where his disease progression is headed, his mental state is not going to go back to fine ever again thanks to the plentiful evidence of physical and permanent brain damage from his infection, even if he was pre-latent and experienced a decent degree of improvement in the asymptomatic period - but honestly, as a person of questionable mental and physical state myself, I relate to and accept this. Disability is not a death sentence.

The rest of this though? What the hell. What are we supposed to do with this. Who do I sue.

[idontmindifuforgetme]

I admire girls who can pull off long nails bc it literally can never be me. I just don’t get how it works functionally

[sophiethewitch1]

gang do you think *checks list* 22 love interests is too many?

[officialspec]

hey this is a little random BUT i have heard good reviews of dr steven merten at pure aesthetics in sydney!! My husbands psychologist went there, has had lots of good reviews from bigger folks. He doesnt take bmi into account and also is specifically good at sculpting larger chests so you don't end up with dog ears and needing revisions. best of luck though i know its a nightmare <3

i have him on the backburner as an option! my main issues atm are that he only does in-person consults and i got quoted like 14k with insurance (20k without) which is double my current option..... but ive heard good things

[bruhstation]

of fucking course the best, most harrowing, most gut-wrenching tugs character only appeared in one episode (a bit of ramble in the tags)

[indestinatus]

I MATCHED I MATCHED IN MY MEDICAL RESIDENCY PROGRAM IN MY TOP SCHOOL I PASSED I PASSED I CAN'T BREATHE 😭😭😭😭😭😭😭😭

[mylittleredgirl]

decided it’s time to cut myself a break when i “overreact” to something, because there’s basically always an impressive number of things in front of it that i’m not reacting to. which is probably true for everyone on earth actually.

[the-meme-monarch]

so i should probably state I'm taking a little hiatus from commissions until my wisdom tooth extraction sites are well enough healed, so that I don't have to worry abt them all day ! i did do one since the surgery and I'm happy with it and i think the commissioner is too, but i felt i was taking too long and wasn't focused enough on it <:] i just wanted to say this bc I have a couple people waiting already and i dont want to like. idk I feel like im letting people down if I were to Wait for someone to contact me for a commission and Then saying 'hey I can't rn bc my mouth is healing and it's kinda distracting' if that makes sense. but hopefully in another week I'll be all good 👍

[cryptdfish]

“white mourning.”