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Filed: Timeline
Posted
1 minute ago, bcking said:

That was a requirement from the specific doctor, as far as I can tell. There is no law requiring them to obtain such consent. 

IDK. I'm sure it's not today.  But 18-20 years ago? At the time, my medical options were more limited.  And... it's water under the bridge.

 

In today's climate, I cannot imagine any doctor requiring more than self-consent of anyone over the age of 18 for any procedure. 

Filed: Timeline
Posted
9 hours ago, Unidentified said:

This is absolute bullshit. A doctor will not "cut off healthy breasts" just because someone walks into a doctor's office and says "Hi, I am a man". If you're transgender you have to go through psychology sessions. Yes, I agree that we shouldn't do it to young children. But most of what she says is bullshit. 

 

7 hours ago, bcking said:

I don't know of any Plastic Surgeons who would do a double mastectomy without a medical indication.

 

Breast reduction yes, but even then they usually have an indication (chronic back pain etc...)

So the verdict is in.  My friend went to a plastic surgeon for the double mastectomy with a letter from her PCM stating she was healthy enough to undergo the surgery, and LOP LOP!  She had a flat chest.  He said it could not have been simpler.  Zero counseling required.

Posted
42 minutes ago, IDWAF said:

 

So the verdict is in.  My friend went to a plastic surgeon for the double mastectomy with a letter from her PCM stating she was healthy enough to undergo the surgery, and LOP LOP!  She had a flat chest.  He said it could not have been simpler.  Zero counseling required.

 

   Well that was quick. Must have been an outpatient procedure?

995507-quote-moderation-in-all-things-an

Posted
6 hours ago, IDWAF said:

 

So the verdict is in.  My friend went to a plastic surgeon for the double mastectomy with a letter from her PCM stating she was healthy enough to undergo the surgery, and LOP LOP!  She had a flat chest.  He said it could not have been simpler.  Zero counseling required.

Damn....that is one unprofessional and irresponsible plastic surgeon.

 

Fortunately it seems most centers actually take their job seriously.

Posted

Here is the website of information from. The ASPS (the official plastic surgery physician group)

 

https://www.plasticsurgery.org/reconstructive-procedures/transmasculine-top-surgery/candidates

 

They say similar things to what we were talking about before.

 

So yes there are no laws governing it, so you can get some wacko groups, but the professional organizations all seem to recommend proper criteria before going under the knife. If that plastic surgeon was doing that often he could be reported to his board. Not sure if they would do much though.

Filed: Citizen (apr) Country: Sweden
Timeline
Posted
10 hours ago, IDWAF said:

But the man should tell the woman he's about to get snipped? Seems a tad... hypocritical to me.

I should have elaborated on what I said... I think that if you're married you should discuss together how you feel about having children or not. In the end, it is his own decision, it is his body (just like it's the woman's decision to have an abortion). BUT if a man knows that his wife wants children in the future he really needs to tell her so that she has a chance of deciding if she is okay with not having children or if it's better for them to go their separate ways. So that he can find someone who is okay with no children (or not having more) and she can find someone who wants to have children. Keeping it secret and just playing along when she wants to try and have kids it's just cruel. 

 

Does a woman need to tell a man she is going to have an abortion? If you're married it's probably a good idea as long as he's not violent. That's the only scenario I would think of that a woman would not tell her husband about an abortion or even discuss it with him. If a woman is not even together with the father I don't think she's obligated to tell him. Just as if a man who is single doesn't need to go tell anyone he is getting a vasectomy. Though that kind of stuff is a need to know thing if he enters a relationship, especially if the woman expresses a desire to have children. 





Filed: Citizen (apr) Country: Sweden
Timeline
Posted
8 hours ago, IDWAF said:

 

So the verdict is in.  My friend went to a plastic surgeon for the double mastectomy with a letter from her PCM stating she was healthy enough to undergo the surgery, and LOP LOP!  She had a flat chest.  He said it could not have been simpler.  Zero counseling required.

Hmm interesting. I was basing my "statement" on what I knew from how it works in Sweden and I thought they were basically getting their guidelines from the US as with a lot of other stuff. In Sweden you need to do counseling for I believe 2 years and you must have lived as the gender you want to transition to for 1 year. Though that was years ago and could have changed. 

 

I'm glad it's easier. Imagine feeling like for 2 years and not able to do anything about it :( 





Posted
2 minutes ago, Unidentified said:

Hmm interesting. I was basing my "statement" on what I knew from how it works in Sweden and I thought they were basically getting their guidelines from the US as with a lot of other stuff. In Sweden you need to do counseling for I believe 2 years and you must have lived as the gender you want to transition to for 1 year. Though that was years ago and could have changed. 

 

I'm glad it's easier. Imagine feeling like for 2 years and not able to do anything about it :( 

I think there is a healthy medium somewhere.

 

Doctors aren't technicians you can just order to do something. We have a responsibility to take what we do seriously and not just do whatever a patient asks. It's reasonable to make sure that a person requesting such a massive and irreversible procedure is confident and has a history demonstrating that this isn't a transient choice.

 

Hence why I said the surgeon in his example was irresponsible and unprofessional if all he wanted was a note saying the patient was "healthy enough" to undergo the procedure. Unfortunately plastic surgery is one of those fields that can fall into the "money making" trap more easily than others.

Filed: Citizen (apr) Country: Sweden
Timeline
Posted
7 hours ago, IDWAF said:

Not sure.  If a woman gets a “addaboobtome”, it’s an outpatient procedure.  So this may be too?

(Though I am not sure what that matters in regards to the claims of BS to the procedure being easy to obtain?)

Yes, it's an outpatient procedure. 

 

I don't think there's an actual guideline just recommendations and then different doctors have different ideas. I was watching a youtube video of someone transitioning to become a woman (was watching it because she also did make up tutorials which were awesome) and she said her doctor required her to have been on testosteron blockers and estrogen for a certain amount of time before many of her procedures. But mostly it was due to it producing better results. 

 

But the woman claimed doctors were doing this to 16 year old women... Not sure a doctor would just willy nilly take away healthy breasts from a woman unless there were solid "evidence" (medical records) of her actually being transgender and needing it for her gender dysphoria. 





Filed: Citizen (apr) Country: Sweden
Timeline
Posted
1 minute ago, bcking said:

I think there is a healthy medium somewhere.

 

Doctors aren't technicians you can just order to do something. We have a responsibility to take what we do seriously and not just do whatever a patient asks. It's reasonable to make sure that a person requesting such a massive and irreversible procedure is confident and has a history demonstrating that this isn't a transient choice.

 

Hence why I said the surgeon in his example was irresponsible and unprofessional if all he wanted was a note saying the patient was "healthy enough" to undergo the procedure. Unfortunately plastic surgery is one of those fields that can fall into the "money making" trap more easily than others.

Yeah, sadly it feels like many plastic surgeons just wants to make money. Just comes in a few hours, does some liposuctions and then go play golf. That's pretty much the image I have of a plastic surgeon. 

 

But yes, they wouldn't (hopefully) just transition someone without proper documentation of gender dysphoria just like they don't want to chop of limbs on someone with body integrity identity disorder (people who want to have parts of their body removed because they feel it's not theirs). 





Posted

I'm also assuming the patient was paying out of pocket. Certainly no insurance company would cover a double mastectomy without a medical indication that is properly documented, especially those that do cover gender transitioning.

 

That is even more incentice for the surgery. One easy lump payment that can likely be higher than what insurance would reimburse.

Filed: Timeline
Posted

Lots of good stuff here.  I agree with you unidentified about the whole abortion/vasectomy thing.  It affects a couple, so should be discussed, but it’s ultimately up to the receiver of the surgery.  But as the decision affects the relationship, knowing about the procedure is important and should be discussed.  Ditto people who are already fixed prior to engaging with someone.

 

In the case of my friend, she has wanted to be a male since she was a child, and the surgery took place when she was over 30, so that may have precluded the counseling (meeting a requirement of “feeling like the other sex” for a period of time bit).  Don’t know her doctor, but looked up the practice in Fort Lauderdale and they have a lot of good reviews.  Though I can certainly see where a “hack-doc” would be glad to take the money and run.

 

If a mental health profiling is required, I can certainly see why it leads many people to think there is a mental disorder involved.  If I want a mole removed, that is considered a normal request, and the doc just does it.  If a person wants a ####### or a ####### removed, they have to be analyzed?  I guess it’s as much to protect the doctor/clinic as it is to verify the wishes of the patient.

Filed: Citizen (apr) Country: Sweden
Timeline
Posted
4 minutes ago, IDWAF said:

If a mental health profiling is required, I can certainly see why it leads many people to think there is a mental disorder involved.  If I want a mole removed, that is considered a normal request, and the doc just does it.  If a person wants a ####### or a ####### removed, they have to be analyzed?  I guess it’s as much to protect the doctor/clinic as it is to verify the wishes of the patient.

I think in some cases the want to be the other gender is not a gender dysphoria thing but it could be part of just figuring out who you are. Doctors want to make sure that the person they're helping is in fact transgender and is not just going through a tough time in their life. Many of the procedures are not reversible obviously so they want to make sure this is the right thing to do. 





Filed: Timeline
Posted (edited)
4 minutes ago, Unidentified said:

I think in some cases the want to be the other gender is not a gender dysphoria thing but it could be part of just figuring out who you are. Doctors want to make sure that the person they're helping is in fact transgender and is not just going through a tough time in their life. Many of the procedures are not reversible obviously so they want to make sure this is the right thing to do. 

So what happens to the mantra of “her body, her right” if mental health docs have to be asked to approve?

Edited by IDWAF
 

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