Advancing Surgical Excellence: SOJ Surgery
SOJ Surgery stands as a beacon in the field of surgical research, dedicated to advancing excellence in surgical practice and knowledge. Our journal serves as a dynamic platform for surgeons, researchers, and healthcare professionals, fostering the exchange of groundbreaking ideas, innovative techniques, and evidence-based insights across diverse surgical disciplines.
Encompassing a wide spectrum of surgical specialties, including general surgery, orthopedics, neurosurgery, and more, SOJ Surgery publishes original research articles, reviews, and case studies that contribute to the ever-evolving landscape of surgical science. We prioritize quality, ensuring that each published article undergoes rigorous peer review by experts in the respective fields.
Our open-access model ensures that valuable research is freely accessible to a global audience, facilitating knowledge exchange and collaboration. The editorial team, comprised of distinguished experts, oversees a thorough peer-review process to maintain the highest standards of scientific integrity.
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A Step by Step Guide to Losing Your D**k
I recently wrote a series of messages to my aunt talking about all the steps I need to do to get bottom surgery, a penile inversion vaginoplasty at Mt. Sinai, in the next year or two. Its a long list. And everytime I added something she had a sort of “wow thats rough” reaction, but to me its just the to do list. So I decided to write them all out.
Start transition DONE
Most insurance companies and surgeons require you to have socially transitioned and have done HRT for at least 1 year at the time of operation
For social transition, this was March of 2024
For HRT it will be January of 2025
Get a referral to a surgeon (I am here)
In my case, Mt. Sinai in Manhattan
My Doctor referred me, but Mt. Sinai takes self referrals
Start laser hair removal
Book a consultation (I am here)
Go to laser frequently enough to satisfy surgeon
Convince Mom and Dad to help out DONE
Get 2 letters
Social Worker (1)
PCP's Office
Social Worker (2)
Mt. Sinai
Get a gender affirmation loan through the local credit union
Work two weeks so I can take in pay stubs
Get a letter from anybody (probably my HRT prescriber
Meet with representative and either open a line of credit or take out a loan
Consultation with Mt. Sinai’s team
Wait 3-6 months (I’m here)
Bring letters
My insurance only requires 2, less than Mt. Sinai thinks insurance will need, and Mt. Sinai provides 1 of them. Meaning the other is through IHS Behavioral
Schedule Social Work pre surgical consult appt
Schedule Mental Health and Medical Clearance with Registrar
Go to NYC for 1-2 nights, maybe for each, hopefully just once
Maybe also for Social Work thing
Consult with Surgeon
Wait until I’ve worked about 12 months to get short term disability
Probably summer (ASAP) and when Mom has time off
Do logistics
Book an airbnb, hotel, etc for recovery
Starting a few days after OR date and lasting a little over a month
Within a 90 minute drive of Mt. Sinai
Rural enough that Mom is comfortable to help and can go home if someone else shows up
Probably New Jersey, maybe Hudson Valley
Has at least 1, preferably 2, separate bedrooms
Has 2 beds
Has ADA accessible entry
Has a kitchen
Has a full bath, preferably and a half
Has internet and preferably a TV
Lodging for Mom + Dad/care team while I’m in OR
Probably 5-7 days
Preferably with a 1-2 day buffer period before OR date (included in the 7 day estimate) so I can enjoy the city
Either within a short walk from Mt. Sinai or on the same subway line as Mt. Sinai
RW, 1, or ACE
Someone to help me get from recovery location to Mt. Sinai while not in NYC
Develop and get list of items needed for recovery
Dilator
Pads
Gowns/loose clothing
Comfort food
Coordinate missing 8-9 weeks of work
Take care with who knows what before I leave
Inform HR, department manager, and work friends whats up
Get cleared for surgery and get an OR date
Probably a 6-12 month date from clearance
Get pre clearance testing through PCP or a lab in hometown
Go to NYC for that if need be
Week Before Surgery
No alcohol, no aspirin, NSAIDs, herbal supplements, or fish oil
Consult for other non aspirin blood thinners (which I am not on)
No alcohol for 3 weeks after as well
Tylenol/Acetaminophen is okay
Go downstate
See friends from NYC?
Bring Mom/Dad?
Do something fun in Manhattan
Get a COVID test
Take an anti-bacterial bath
Day before surgery
Breakfast before 9am
Last meal
Drink Golytely bowel solution around noon
Chemically induced diarrhea
Clear fluids only after golytely
(includes coffee, tea, water, broth, some juices)
Nothing goes in the stomach after midnight
Some medication okay with a sip of water
HRT???
Get surgery (a penile inversion vaginoplasty)
1 to 1+½ days
I’ve heard of as long as three
3-5 day hospital stay
Mom and Dad probably stay in Manhattan then
Go to recovery location
Drive with seat reclined
Stay for 4 weeks, pretty much bedridden
Go to follow ups
Dilate
Go home
Continue recovery for another 2-4 weeks at home
Follow up with PCP
Return to life
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Had realizations recently. i got misgendered once recently and it bothered me, but i realized it mostly bothered me because I kept replaying it, obsessively thinking about it. i made myself stop when i realized that i was thinking about ONE moment of that entire day way too much, it wasnt even intentionally derogatory, just a stranger's assumption. And when i was younger i straight up didnt care, mostly because i hadnt RealizedTM yet, so i kinda lost that "idgaf" attitude towards strangers ideas of me and "passing." and like. yeah, i care. but i shouldnt let it get to me as much- which is something i am lucky to be able to do. im glad that i can find a happiness for myself without any healthcare.
because ive had this "who gives a shit about a strangers assumption everyone is always making four billion assumptions about eachother- even I do that, so why focus on ONE assumption about me out of the pile." and it gave me back that "I am me. I have my gender, i am nonbinary, and only close relationships get the details <3" attitude back which is GREAT im SO HAPPY right now like i even see "A Man" when i look in the mirror today.
i like pink i like glitter i like "feminine" elegance, extravagance, i like glamour makeup i like "goth fem-dom" for its aesthetic traits it gives me gender euphoria. i like my chest i like pushup bras i like being treated "nicely" i like being "admired" i like all of that. and im still a man, im still me.
so happy to be returning to my roots, who give a fuck what strangers assume about me, strangers assume shit about each other all the fucking time, thousands of times a day. why should i care about one single assumption out of the pile? i shouldn't! i only care about my own life experience, the intimate relationships i keep, and my reflection.
i want to feel good.
im gonna make this last for myself, finally.
There's no one in my life to force me backwards, I'm 23 now, I'm finally free of abuse and an awful situation.
I am finally living! so no more holding back "for" strangers and no more being held back by the concepts of passing or misgendering for me.
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