xxx
p>
RIGHT, THESE ARE ALL FROM MY OWN NONSENSE, VERY UK SPECIFIC, AND ALL FROM THE NHS. IF THEY ARE OF ANY USE THEN USE 'EM. IF NOT, WHATEVER.
A 'BE NICE TO HER SHE IS A TRANNY' LETTER FROM MY GP
----------------------------------------------------
Dear Sirs
Re: NHS No: *** *** ****
Miss Al La Glitch DoB: **/**/****
This is to confirm that my patient Miss Al (Alma) La Glitch, *formerly known as Johnathon Crumble*, is currently undergoing treatment for for gender reassignment to the female role.
This change of sex is permanent and your assistance in making the relevant changes to your records and in preserving full confidentiality would be appreciated.
Yours Faithfully
Dr General Practitioner
MY INITIAL AND SECOND OPINION PSYCH REFERALL LETTERS ARE MOSTLY QUITE SPECIFIC TO MY OWN CASE, SO I'VE DONE SOME EDITING ON THEM TO MAKE THEM SOUND A BIT MORE GENERAL. IF YOU'D LIKE MORE OF THE LETTERS THAN I'VE INCLUDED LET ME KNOW. ALSO, IF THERE IS ANYTHING I HAVEN'T FIXED RIGHT CAN YOU DOCTOR IT UP FOR ME. I'M UNDERCOVER. I'M NOT SUPPOSED TO BE AROUND HERE. OKAY.
FIRST OPINION LETTER
--------------------
Dear General Practitioner
Ms Alma La Glitch was seen by me in the Gender Identity Clinc on 2006. I last saw your patient in 2004.
In Autumn 2004 your patient made a full-time gender transition. She changed her name by deed poll in Autumn 2004. Current hormone treatment is 6mg of Estradiol Valerate daily and 10.8mg Zoladex 12-weekly. The Latter was started 4-5 weeks ago and Ms Glitch continues to be reviewed in Dr Endo's clinic. Your patient has been working as a *INSERT SOMETHING AWESOME* in a female role since she made her full-time transition. She has undertaken to provide employment documentation and showed me a payslip from 2004 today in her female name *BECAUSE I AM A GOOD LITTLE BEE. BUZZZZZ*.
Your patient has an unremarkable female presentation (i still get slightly offended by this). She has fortnightly to three weekly facial hair removal. There was no evident facial hair. She had 4 - 5 months of speech therapy in 2004 and another assessment in 2005. Her voice does sound within the normal female range. She seems to have no problems with it and enjoys singing *LA LA LA, AND, WELL, THIS PARAGRAPH JUST GOES TO SHOW HOW PASSABILITY DOES UP YOUR CHANCES, NON?*.
Ms La Glitch appeared well. her alcohol intake has reduced since I saw her. She now has an intake of 3 - 10 units per week rather than 3 units per day *HAHAHAHAHAHAHA. TELL 'EM WHAT THEY WANT TO HEAR! FUCK THE TRANNIE SCRIPT, HERE IS THE BEER DRINKERS SCRIPT*.
Your patient would like to move forward for gender reassignment surgery. We discussed her past ambivalence around this. She would like to no longer have to avoid seeing her male genitalia and to increase her options for her relationships and sexual relations. She appears to have realistic expectations of gender reassignment surgery and some realistic anxiety.
Yours sincerely,
Dr Underling Witch La Headshrink
SECOND OPINION LETTER, WHICH YOU'RE GOING TO GET A SHORT VERSION OF BECAUSE IT READS LIKE A FUCKING BIOGRAPHY. SO.
------------------------------------------------------------------------------------------------------------------
Dear General Practioner
I saw the above named in the Gender Identity Clinic on December 2006 where she arrived looking very well. I was considering her suitability for gender reassignment surgery.
*PARAGRAPH ABOUT MY FAMILY SITUATION*
Her medical history is unremarkable, she has had some tooth removals but never had inpatient surgery or general anaesthetic *WHICH IS SORTA UNTRUE, BUT WHATEVER*.
In terms of medication, she has been maintained on Estradiol Valerate, Goserelin and thyroid hormone. She doesn't smoke, drinks in moderation and takes no illicit drugs.
*PARAGRAPH ABOUT MY INCOME*
*SENTANCE ABOUT MY LIVING CIRCUMSTANCES. ALONE WITH NO PETS. AAAAAAH!*
*PARAGRAPH ABOUT MY SOCIAL NETWORK AND RELATIONSHIP HISTORY*
Her forensic history is entirely negative including driving offenses *AND TWO MONTHS LATER I GET BUSTED BY A SPEED CAMERA*.
It would seem that she has been living in a female role for a number of years. She changed her name some two years ago and had been living for one and a half years before that anyway. There is documentary evidence to support this.
*PARAGRAPH ON MY EDUCATIONAL HISTORY*
*PARAGRAPH ON MY CURRENT EMPLOYMENT*
When I saw her she presented in an unremarkably female role and I have to say I would very confidently support her as a candidate for gender reassignment surgery.
She will continue to be seen until such time as she receives surgery and for as long thereafter as appears to be necessary, which would amount to at least one appointment in order to adjust her post-surgery hormone dosage.
Yours sincerly,
Dr Grand Wizard Le Quack
LETTER FROM BOTH OF THE ABOVE TO THE SURGEONS
---------------------------------------------
Dear Surgeon A and Surgeon B,
This patient has successfully fulfilled this clinic's Real Life Experience and has obtained the necessary second opinon prior to referal to you for consideration for placement onto your waiting list for genital reassignment surgery.
Would you please therefore send this patient an outpatient appointment for consideration of placement onto your surgical waiting list.
Regards
Yours sincerely
*SIGNATURE*
Dr Great Witch La Headshrink
*SIGNATURE*
Dr Grand Wizard Le Quack
LETTER OF APPROVAL FROM THE SURGEON
-----------------------------------
Dear Dr General Practitioner
Thank you for referring this pleasant patient who requested gender reassignment surgery. We ran through all the issues of gender reassignment surgery.
Firstly, she is aware that it is irreversible. The testes and penis will be removed and this will, of course, remove any chance of her fathering children. She is aware that the vagina is created using skin from the penis and the scrotum, and we are able to create a clitoris from a bit of the tissue of the glans of the penis. She will spend eight days in hospital, she will need to be dilating regularly prior to discharge, and will have to continue indefinatly in the future. We cannot guarantee the results of surgery, in that the depth or width of the vagina may be variable and sensation isn't always perfect. Some patients will not be able to reach orgasm.
Some patients can experience complications with poor healing of the skin or loss of the clitoris, and the vagina may be narrow or tight. Occasionally there are rare complications such as rectal injury or deep vein thrombosis, or unexpected reactions to drugs. This means that while the operation usually goes without problems very rarely there can be very serious complications.
I am confident that she is aware of what is involved. I have placed her name on the waiting list. The patient has been given the patient information brochure to read while she is on the waiting list.
Yours sincerly,
The Surgeon
*AND THEN THE FUCKING HEALTH AUTHORITY REFUSED TO FUND IT AFTER ALL THAT BOTHER SO I'M GOING TO THAILAND INSTEAD ON A HUGE LOAN I TOOK OUT, BECAUSE EVEN WITH THE TRAVEL IT'S CHEAPER THAN GOING TO ANYBODY IN THIS COUNTRY. HOPE THIS IS ALL SOME USE TO YOU.*
DR ALMA LA GLITCH