Reeling in Recovery

In the tomes of literature I received from the doctor’s office prior to my facial surgery in November, I read a few things about how patients should try their best to stay positive in the weeks following surgery, and that depression or regret is natural. I certainly felt a tinge of that from the first surgery I had in contending with this gender bullshit that is the utter bane of my existence, but at least with my bottom surgery I also had the feeling that part of me was finally right… so there was a bit of internal harmony that drowned out most of the depression I felt when I was laid up, cloistered and healing.

The experience I have been contending with since my facial surgery in November has been quite different. I saw this surgery as crossing a finish line of sorts. I saw it as the second of two surgeries I wanted for decades, and that I needed to have so I could be the truest version of myself, fit this truest version of myself into the world, and grant me some semblance of internal peace.


Wow, has it not been that at all.


First off, I need to say that, even though it’s been three months since my surgery, I still feel pretty beat up. My chin is almost completely numb, as is my upper forehead and the crown of my head. I also now have an incision that crescents across the top of my head from ear to ear, and the scar is very visible because they had to shave that area to make the incision AND because the scar there is going to prevent a swath of hair from growing back. Couple that with scalp trauma from the surgery itself and the hair loss that seems to come from going under general anesthesia, and my hair has never looked worse and never looked thinner.

Add in to all of this, that while the surgery has helped soften me a bit, it’s still nowhere NEAR enough. While the frequency may be a little less than it was before, people who see me on the street still pretty much instantly “sir” me. In short, to the world… and to me… my face ultimately still looks male, and my staunchest hope in going through this ordeal is that this would NOT be the case.

On top of that, my neck and jaw still look SO wrecked that they may have looked better before surgery, and I don’t know how much, if any more, I'm going to heal.


All of this is CRUSHING to me.


People have told me, “Well, if you’re not happy, you need to tell the surgeon. You paid a LOT of money for this and he should be able to fix whatever you’re not happy with.”

But the thing to realize here is that: a) you can only do so much, and I kind of trust that the doctor did all he could, and b) if I have to go through the pain and discomfort of yet another surgery (not to mention cover the additional cost of reserving another operating room and anesthesiologist, which both aren’t covered by the surgeon), the very thought of it makes me want to dive headlong through my third-floor window and plummet skull-first into the concrete below.

I just can’t bear the thought, especially after going through the insane pain, expense, stress, and struggle of having two major surgeries in the span of 11 months.


But if all of this… if all I struggled DECADES to get to and get through... isn’t enough, then what do I do? There is nothing left for me that I’m planning on. There is nothing I can look forward to for solace.


Before the surgeries I had, I was depressed, and hurting, and upset at my situation in the world, BUT I lived with the constant hope that once I got these surgeries taken care of, it would be enough for me, and I would feel better.

Now that these surgeries are behind me, and there is nothing else I can point to that will help me live my life and help me fit my new self and my new life seamlessly into the world, I am beyond depressed. I am completely forlorn and utterly hollowed out. I am supremely bereft of hope. Because I know now, FOR CERTAIN, that no matter what I do and no matter what I struggle to achieve when it comes to this transition, that it’s not EVER going to be enough. People are ALWAYS going to see me as something I’m not. I’m ALWAYS GOING TO FEEL WRONG… ALWAYS. There is NOTHING MORE I CAN DO ABOUT THIS.

And with all of this weighing on me, I can’t think straight, I can’t be social. I hole myself up and avoid everything and everyone. I struggle just to make it through the work day and be constructive and it is enormously tasking just to do that. I have never felt this hopeless in my life. I have never felt this upset in my life. I’m trying to fight on and do whatever is next for me, but I have no idea what that even is, because with this plan there wasn’t another step. There were the two major, difficult steps that I took, and now there is nothing. There’s just me contending with the results and trying not to break down every other minute of the day… which is even more difficult every time I look in the mirror.

I feel completely crushed and I don’t know what I can do to make me feel better, if there is anything at all. It hurts in ways I can’t even describe. I feel like my life has careened into a dead end. How do you recover from this? What do you do next?


Well, if you’re me, you continue to go to therapy, and work on your weight and your overall health, and hope there is still some miraculous healing that’s going to take place and things can somehow still get better. What else is there to do? I’m stumbling like a beat-up zombie through the world at this point, trying to find any source of joy I can in what has suddenly turned into the most excruciating and painful time of my life.


And for those who say, “Well, you just need to learn to accept it,” well, they just need to learn what it is to be trans and about the pain that comes with it. They need to learn that THIS is what the experience is… you CANNOT accept it, because if you COULD accept feeling SO off and SO misunderstood all of the time, then you wouldn’t be trans. It is the VERY DEFINITION of what it is. You feel wrong. Always. I hoped that this would make me feel not wrong, and while the first surgery did to a big extent, it’s still not right. It’s STILL all wrong. It’s all wrong and I don’t know how to make it better.

THAT is what the experience of being trans is in a nutshell. Dealing with these feelings and trying to just hold on in the middle of a raging tempest. Though why I’m holding on at this point is anybody’s guess. Yet, I do. I honestly don’t know what else there is to do.


All the best to you.

---

As an addendum to this post, actually writing this stuff down and getting it out of my head and onto “paper” has helped a little. I felt a bit of an uptick in my attitude from a few days ago when I first spit all of this out of my brain. I’m still plodding on the best I can and trying to take the best care of myself… even when the depression hit so violently that I heard cigarettes calling to me again after spending years with the habit pretty much kicked. I was just looking for that stress relief again, and, really, a distraction. It says something that I haven’t gone back to them yet, like so many other trans people do… because, let’s face it, when you have no hope, do you care about the damage that nicotine is inflicting upon you? Apparently I'm hanging in there enough to not go back down that path.

That said, I’m still not good, but I’m a smidge better than when I wrote this post initally. This being a blog about the whole trans experience, though, I felt it important to share the rawness of it all.


One final thing. Yes, I’m partially destroyed at this point, but I still do realize that people have gone through worse than this and that I do not hold a monopoly on life struggles. This is just my struggle… and while there are worse things to go through, it doesn’t make what I and other trans people are contending with any fun at all. In fact, it’s still pretty fantastically terrible.

Thanks for reading.

Face Time

From the moment we’re conceived, there is change. It is a natural and immutable part of existence. (Yes, change is an immutable fact.) From one day to the next we are not the same. I daresay from one moment to the next we are not the same. Even if that change is imperceptible from moment to passing moment, it’s still there. You take a million of these moments, and the amount of change that takes place becomes pronounced and profound.

The fact that you will not be the same person tomorrow you were yesterday is a curse, a blessing, and a promise. We grow up, we get older, we look at ourselves in the mirror and don’t recognize ourselves. We try to think of who we were even just five years ago and it’s difficult. Trying to put yourself in your own shoes 10 or 20 years in the past is almost an impossibility. We remember moments from those times, but they are now perceived through a vastly different lens. The lens of somebody else. That is how much we change.

I think of myself just five years ago and I don’t know who I’m looking at. Any more than that is a blur. And when you add major life moments into that mix… births, deaths, the experience of new people who become a major part of your world, new jobs, new struggles, new victories… the velocity at which change occurs is heightened. These events speed us toward the next incarnation of ourselves.

While I haven’t had the change that’s instilled through meeting the love of my life or starting a family, I have other milestones that have literally transformed me. I went through the raging tumult of grappling with gender identity and my ultimate acquiescence to the acceptance that I’m trans… and then the many years of not only trying to deal with it, but trying to embrace myself and love myself despite the fact that all I had inside me was a gnashing hatred of who I was. Even while knowing that I’m actually a pretty decent person by all standards, the self-hatred you go through from being trans truly alters who you are. It is a meat grinder that some people do not escape from. It wrings out your hope and sanity and leaves you less than whole.

BUT… once I accepted the fact that THIS is who I am, I went on to address the circumstance. I sought the way to treat the horrid feelings that being trans hurled at me. I began taking hormones. My body then literally changed in wonderful ways. Not only that, but the chaos swirling in my brain was calmed, at least a little.

Then, not even a year ago, I had bottom surgery to help me feel better. And WOW did it! After adjusting to everything, the regularity of depression that interrupted my world has been not existent, and I haven’t even been down or bluesy in months. This is UNHEARD of for me. I feel like I don’t even know who I am at times because of the absence of these bad feelings. And it’s wonderful.

And now I’m having facial surgery later today. To…day. I have navigated my way to another major and monumental leap forward, and it is now on my doorstep. And this, perhaps oddly to some, especially considering my last surgery, is the scary one. This is the one that truly frightens me and has me filled with a whole mess of feelings that I’m still trying to sort out even though it’s mere hours away.

On one hand, I am SO excited to see how this goes, and I most certainly KNOW that this is indeed a step I need to make in my life… because I’ve existed in the world as I am now for long enough to know that all of the steps I have taken aren’t enough. The life I have now isn’t the life I want for myself, and I have to strive to achieve that life because what am I doing with my existence if I’m NOT heading in the direction I need to go and fiercely fighting to get there?

But it’s trippy and scary as fuck to not know what you’re going to look like at this time tomorrow. It’s kind of terrifying to know that how the world treats me in just a short time may be drastically different. It’s also awful to think that I’m going through all of this trouble, and the pain and recovery of surgery, and the staggering financial expense of it all, and there is most certainly a chance that it won’t be enough and it won’t make a lick of difference in how the world treats me. The uncertainty of it is overwhelming.

Add into this the fact that I’m about to surgically alter this constant companion of mine… my face. The one that looks back at me in the mirror every day. While it has changed very much over the years, this seems to me to be something very different. As I’m thinking of this and typing this, tears are actually filling my eyes. There is a bit of mourning here, and there was for my previous surgery as well. But the mourning is more pronounced here, because with the last one I knew that if all went okay I would at last feel right… and I do… very much so and despite some complications.

This next surgery is different for some reason. Part of me really loves my face. Part of me wants to claw it off my skull. It’s such a strange and conflicting space to exist in.

And the really weird thing is that my weight has fluctuated greatly over the years, and when we gain or lose weight, even a little bit sometimes, our faces change. Drop 40 pounds, and you WILL look drastically different. I know, because I’ve done so. Is this any different?

I guess there’s something more to it when you’re talking about altering and shaving down and sculpting your skull. Maybe it’s the permanence of it all. But even with that, the passing of time is somewhat permanent as well. 45-year-old me has a face that has permanently been altered from 25-year-old me, and that’s just through the passing of time (well, and some hormones thrown in there too).

For some reason, and somehow, I’m both wildly excited about this next leap forward, but I’m also filled with a sense of sadness about it. Right now, with it racing up on me I’m just trying to hope for the best and stay positive about it all. After all, this is something I NEED to do with this life… I mean EVERY inch of me is telling me this… but it doesn’t mean that it’s not scary.

It’s been such a strange year, and it’s about to get way stranger. Though strange does not equal bad. That’s something I must keep in mind. 

Now my job is to stay optimistic, see this as a finish line of sorts that I’m crossing after a decades-long marathon, revel in that, and keep this mindset and the joy of completion with me.

Okay, I’m ready.

Goodbye old face, and long live the new one.

Much much love to any and everyone who has gotten me to this point. I’m thankful beyond the scope of words. 


Wishing you all the most happiness you can squeeze from this existence.

 

The Bounce

A few months ago I was enjoying a night of dining and drinking with a bunch of people I work with. One of these people, who is in the process of learning about me, though who knows I’m trans, was chatting with me. During the course of the conversation, I said something that I can’t even remember now, but whatever I said sort of took him aback. His response to my comment was a sentiment that I’ve heard thrown at me quite often, especially over the past few years. Basically what he said was…

“You’re one of those people aren’t you? You’re just….special. You’re an extremely good person who goes out of their way to be nice and respectful to everyone. I know so few people like you, that when I meet someone like you, I’m always amazed.”

And despite the fact that this is a wonderful thing to hear, I essentially shrugged it off.

This is because I knew what he said was true (well, with the exception that I always thought there were more people like this in the world than he made it out to be… though perhaps that’s just his experience). I also knew that people saw this kind of “specialness” (for lack of a better term) in me, because people have a tendency to tell me about it. I’ve been told something similar to this dozens of times, because apparently I have a “really good energy” about me or something.

Anyway, after he said this, he essentially continued with, “I especially don’t know how you do it, because if I was in your situation (read: trans), I would be mad at the entire world and wouldn’t know how to hold it back. So the fact that you’re exceedingly nice astounds me.”

Again, I shrugged this off, because, at the time, I thought to myself, What does being mean, angry, and mad do? It’s not going to change the situation, and it would really only make things worse. And while what this person said has stuck me with (obviously, since I’m writing about it), it’s not something I thought much about since then. Well, not until recently anyway.

The first time I admitted to having any trans-fueled feelings to someone was in 1998. I started hormones in 2005. And through all that time, while I have made great strides in the process of accepting myself and moving forward with this snail’s-pace crusade, the way I live now is STILL a lie. And even though the people closest to me—and perhaps even ALL my family and friends at this point—know that I’m trans (an achievement in and of itself), I STILL live a lie.

One of the gigantic reasons for this is because I have a severe issue with how I look. I struggle incredibly with my appearance. Actually, to be completely honest, I loathe my appearance… and I find it impossible to try to be true to myself while feeling the way I do about how I look, as I appear NOWHERE close to who I actually am.

My appearance, or more specifically my feelings about my appearance, holds me back in a MAJOR way and keeps me from publically jumping from the Male side of the fence to the Female side… which is something I desperately need to do. I’ve been saving money for years to try to address this in any way I can, and recently I thought I had FINALLY scraped enough together to make a good, solid push to address it so that I can FINALLY feel more confident about moving forward in this process… and, you know, just feel better about the everyday action of looking into a mirror.

So what I want to do (and have wanted to do since I first came to this I-am-trans conclusion) is have surgery on my face to feminize it, to make me feel better about looking at myself, and to help me make the huge and scary-as-hell step of entering the world in a way that is more representative of the person I am. (Though the thought of surgery certainly is frightening to me, but that’s a topic for a different post.)

After exploring what surgeries were available and how they could help me, I reached out to a surgeon, who is apparently excellent at this kind of work, and I had a good consultation. The next day his office sent me an estimated cost of the surgery. That cost was $28,000.

As I’ve mentioned, I have been saving for years to try to get the money together for this, but this price was FAR more than I expected it to be, and it sent me spiraling into a wild exploration of my options and what I could do to make this happen as soon as possible.

And, let me be clear when I say this, I need this to happen as soon as possible. This is because the way I’m living my life now has simply become agonizing. Every day I’m forced to endure living like this, and all the badness that comes along with not being your true self to pretty much anyone, is excruciating. To think of doing it for even another year is unbearable. To think of suffering it longer than that… well, that’s when I start thinking about giving up on everything and just yanking the power cord out on my life.

Yes, it is THAT painful, and destructive, and maddening. This is why trans people are so disproportionally self-harming. This is why over FORTY PERCENT of trans people attempt to kill themselves. Whatever you think about this situation, please keep in mind that the feelings associated with it can be THAT horrendous.

On top of this, I’m overwhelmed by bitterness that I need to spend THAT amount of money in an attempt to physically get myself to the point where I feel I somewhat coincide with who I am mentally, which is something that 99.9% of the population doesn’t need to even think about. (Though I do realize that people who aren’t trans experience body issues, and image issues, and all of that awful stuff. I’m coming at this purely from the whole contending-with-being-the-wrong-gender standpoint here.)

Despite all of this, I have recently been exploring options that basically boil down to taking a loan or using some crazy combination of credit cards just so I can get through THIS part of it. And I will say that while I make a decent salary, I would barely make enough to cover the not-at-all-extravagant expenses I generate now if you throw another huge monthly payment on top of it.

Still, if this was just for a few years, I could tighten my belt for this time and I’m sure I could navigate my way through it. The additional issue, however, is that this is just the first surgery for me, and the other surgery… the bottom surgery… is something that I also need to have as soon as I possibly can, because every day I feel wrong is another day that erodes at my will to go on. This surgery can cost up to $20,000, and I would then have to save for that, which I wouldn’t be able to do if I took a loan or credit card payment for this first round of surgery, because I would have exactly zero extra money to put away with the massive monthly payment the first round of surgery would rain down on me.

All of this, combined with a bunch of other factors in my life right now, are a swirling mass of stress and pain that surrounds me. And that stress and pain was insanely exacerbated when I finally got the strength and resolve to try to address this, and then just hit massive roadblocks that I don’t know how to navigate around.

The past few weeks have been a tornado of awfulness, and it’s certainly started to affect this nice, respectful person that was referred to at the beginning of this post. Because this pain is transforming me into a sullen, bitter, spiteful, hurtful, terrible person.

I’m an ardent believer that people have a good nature, and that when you see people acting in awful ways, it’s due to a pain they’re experiencing… either due to the fact that the pain makes them focus on themselves so much that they can’t see past it to see how they affect others, that this pain fosters anger in people and then they take that anger out on those that surround them, or the pain makes them so bitter that they just stop caring about anything and anyone.

This is the road I can feel myself getting pulled down. This once always-good person is now finding that I’m careening towards being someone who is so engulfed with bad that I am now taking it out on the people around me. I am not at all pleasant to be around. I can’t sleep at night. I can’t steer out of destructive behaviors, and I truly fear where all of this is leading me. I don’t know how to address it and I don’t know how to make it right.

I’m am trying, though… at least for now. Though, because of everything I described above, I had an EPIC meltdown over the past weekend that literally left me gasping for air. For someone who has undergone their share of stress and panic attacks, this is the worst that I have ever felt, and I am not exaggerating when I say that for a while I was keeled over in tear-ridden agony, uncontrollably shaking, nauseous, and hyperventilating, and then spent 24 hours in and out of overpowering crying fits and ugly tears, like to the point that I was amazed that someone could cry that much. And to top all of this off, also mixed into that 24-hour period was an insanely nasty fight between me and someone who I considered to be my best friend.

So, you know, life has been a cavalcade of fun for me lately.

All that said, I feel that 24-hour span was my rock bottom, and when you hit rock bottom, oftentimes you get a bounce, and with that bounce comes a much-needed catharsis that can clear your head and give you the resolve to move on with a little less burden, because you cleansed so much of that bad emotion from you through tears, and painful howling, and having most of your brain functions shut down just so you can process everything that’s screaming at you through all of these horrific feelings.

And so I try to find a way to muster on through this. I try to find a way to resolve these issues… but, that said, I feel like I’m doing so as a lesser version of myself, and as someone who has a festering overload of hurt and bitterness that forces me to not be nearly as good as I want to be to the people I come into contact with and to the people I’m closest to.

So, you may now be wondering, “Okay, emo kid, do you feel good that you dumped this mountain of shit on us?”

Well, no, of course I don’t, though one of the reasons I decided to write and post this was to try to find some sort of clarity and strength through writing about it and getting these thoughts out of my head and on “paper”. I also put this together to show just how much of a picnic this whole trans experience can be (since, you know, that is what this blog is about)… and yet all I continue to hear from certain people is that we’re dangerous because OH MY GOD THE CHILDRENZ IN THE RESTROOOMZ!!!111! (Again, a topic for another post.)

Lastly here, I wrote this as an attempt to tell people that one person’s pain is all of our pain. When someone is hurting, if affects them and their behavior, and will affect those that surround them. If you could make someone’s pain less, everyone’s interactions with them become better, as they become a better version of themselves. So I implore people to reach out and help others with their pain as much as they can, because in doing so you are truly improving someone’s life, and in turn, making this world a better place. One day soon I hope I can again be the kind of person that my friend from work described above, because right now, I feel as far from that person as I can possibly get.

All of this said, I’m actually going to leave you on a positive note.

In the time since this magnificent meltdown, I did indeed get that hitting-rock-bottom bounce that I mentioned above. Since then, I called about getting back into therapy, I reached out to someone about a trans support group (that I plan on attending next week), and, oh look, I’m actually writing again, which is something that has provided great solace to me in the past, though something I’ve steered away from over the last few years because I work as a writer, and with that being the case, sometimes the last thing I want to do when I get home after a long day is write for myself. I’m currently re-realizing just how helpful this can be, though, and I already have more writing ideas that I’m working on, which is good.

On top of all this, I have gotten some amazing support, care, and love from friends who realize the severity of what I’m currently going through, and I am insanely grateful for this and for them. Again, nothing but good.

While I am still not entirely well right now and still a lesser version of myself because of what I’m contending with, what I’m trying to get through, and the pain that this is causing me, through all of that I wish much love and nothing but the best to you all.

Plans, and Signs, and Trust, and Faith

"Any change, even a change for the better, 

is always accompanied by drawbacks and discomforts."

– Arnold Bennett

When I was 27 and in the early stages of getting my head wrapped around this whole troubling gender thing, I decided to quit my job, uproot my life, and move from Philadelphia to Palo Alto, California. It seemed to me that this could be a good way to take a step back from everything and see just who it is that I really am, and to find just exactly what I wanted out of life.
 
Now, at the time, I'd gone on a few family road trips—the longest being a couple treks to Florida—but I'd never actually driven anywhere close to that far. Even on the trips to Florida, I was still a kid, so I didn't do a lick of the driving. The furthest I had actually driven by myself at that point in my life was the six hours it took to get from Philly to Pittsburgh, so tackling the entire country solo, while exciting, seemed just a bit daunting.
 
On the night that I set out, I had maps and all the rest pointing me in one direction. "Just get on that road and drive," I told myself. "If you keep going along that road, you'll eventually get to where you need to be." And it really was that simple. I reached Interstate 70, got on, and just drove. I'm talking good 10-hour days of driving (at least). The scenery changed as I drove, sometimes by immeasurably small increments, sometimes magnificently and breathtakingly quick. The world looked more and more unfamiliar, and for as well as I knew the land and country that surrounded me, I could have quite literally been driving in circles and been none the wiser.

Maps laid the framework for my plan to traverse the country, but the only real guidance I had along the way... the only thing telling me that I was actually going in the right direction and not getting hopelessly lost... were the small signs that intermittently peeked out at me from the side of the road that simply read 70 WEST. As long as the signs told me I was going in the right direction, what choice did I have other than to believe it? 

And so I went on, following the signs, turning where appropriate, and four days later I arrived at my destination.


Now the trip I described above is only a short one compared to the huge travel arcs that occur in our lives; and I'm not talking physical distance here. I'm talking about the trips as a person you take throughout your life. Whatever it is that you want to do, be it losing weight, quitting smoking, saving money, starting a business, or, you know, changing your sex, it truly is going to be a long, tough journey (as anything worthwhile usually is). 

On these quests we often have to step outside of our comfort zones and change our lives and even the way we live. These changes can vary from mild annoyance to excruciatingly rough. And when it gets rough, there is nothing more detrimental than to start thinking that you're on the wrong road, and that you're putting yourself through pain and discomfort for nothing.

It's in times such as these, when you feel that you're going in circles and that you're not making any progress, that you need to remember your plan, your basic guideline of what you want to do. Then you need to start looking for the small little signs that are telling you that you're heading in the right direction. They're not as easy to spot as signs you see on the highways, nor are they as frequent, but they are there. We must know to look for them, and actively do so. 

And when we do see them, they may not be obvious, they may be subtle, and they may not be representative of the progression we were hoping to see. It is then that we have to trust ourselves enough to know that what we are seeing is progress, and that this progress is the result of the plan we have made, the work we have done, and the change we have initiated.

When you see the small signs telling you that you're going in the right direction, even though you may feel lost and tried and cranky from the trip, trust yourself enough to know that you're reading the signs correctly and that you ARE headed in the right direction. 

Additionally, you have to have faith in the process. If it has taken you to the point where you see real signs of progress, and you know that you'll get to where you need to be if you just keep plugging away and going in the same direction, trust that the road you're on will take you there. Trust in it to the point that you know it. What choice do you have other than to believe the signs that life is showing you?


I bring all of this up because a couple months ago I embarked on an overhaul of my life. I'm suddenly doing a lot of things I thought I'd never really do, and a lot of these things are causing me discomfort, pain, and even a nice bit of sadness. That being said, during this time I've not had a single cigarette, lost close to ten pounds, and have been able to put some cash into my savings account for what seems to be the first time in years. 

So as much as this overhaul is regally sucking, these giant signs are telling me that I AM heading in the right direction. If I keep going along this road I will get to where I need to be. I don't just believe it. I know it.

Here's to hoping that the road you're on in life is easy and well marked.
 
All the best.