#dutchhellcare — Public Fediverse posts

Oh fuck, I wanted to send this out earlier, but better now than too late: If you are #trans in the #Netherlands and still on long waiting lists to start the medical track:

Tomorrow morning Psytrans will very likely open their signup (they didn’t the last two months, and the trend is that they do every third month) at 09:00:00 (SHARP!!) which will be done in a first-come-first-serve manner.

What is new is that they are now contracted with a bunch of health insurance companies, including Menzis, CZ and a bunch of smaller ones. Even if yours isn’t on the list, if you sign up now, your intake might be in January in the new year, giving you the opportunity to change beforehand.

In my case it took them about a month to give me my first diagnosis, then about 1.5 months to get a single appointment with an external psych for the second opinion, and then a very unreasonable amount of time to get an Endo, but I think I also got unlucky, because they first tried to get a contract with someone in Eindhoven which failed after a while and delayed my referal to Rotterdam. In Rotterdam they did however accept my DIY-HRT since the time for which I had blood-tests as counting for the 1-year-of-HRT requirement for a referral to bottom surgery, and Psytrans as an org was also quite supportive of it and even tried to talk my back-then GP into prescribing me blood tests.

This might very well be your best chance to get treatment fast for possibly another three months! Don’t miss out on it, if this is relevant for you and don’t assume that being a minute late will still be fine, assume that it’s gone right away! (But still check if you notice that you are late, you might still have luck!)

#transgender #transition #DutchHellCare #MedicalTransition #Psytrans

Please boost for reach!

I just saw a few things:

∘ Psytrans, my Dutch Genderclinic is now contracted with four health-insrance providers: Menzis (mine), OWM Zorgverzekeraa Zorg en Zekerheid, CZ / Ohra / Nationale Nederlanden, and ONVZ. That means you no longer need a (non-existing) restitutie-policy anymore to get full coverage from your health-insurance!

∘ Today was one of the days where they announced whether they have space and they did not have any. This sounds bad, but it means that there is a pretty good chance that they will have space next month! (Previous period was also three months between opening the list.)

⇒ If you have Genderdysphoria in the Netherlands and need an official diagnosis for access to care, you have a real chance to get a pretty reasonable offer, if you sign up on their website, on the 6th of october at 09:00:00 (sharp!!!), since it’s first-come-first-serve to get on their rather short 3 month waiting list!

(Seriously though: when I say “sharp”, I mean it. This is competitive and pretty much the only official place in NL with this kind of deal, do not be a minute late or there is a very real chance that it will be too late!)

#Psytrans #transition #medicalTransition #transgender #transNL #dutchhellcare #dutchhealthcare

Please boost for visibility!

Tomorrow is the first Monday of the month. That means that #Psytrans will announce whether they have space on their waiting list for their gender-clinic.

If you have some money and a good health insurance and are in the Netherlands, this is probably the fastest way to get official treatment here!

Be there at 09:00:00 sharp! If they have spaces, it’s first-come-first-serve for a short waiting list that actually complies with Dutch law.

The last time they opened the waiting list was in April, I’ve heard (take it as a fourth-hand rumor) that on average they open it like every second months, which would mean that there is a good chance this time around!

#trans #transgender #transition #medicalTransition #netherlands #nederland #transgenderzorg #DutchHellcare

I’m about to write an email to the corresponding author of the #Progesterone study. This is my current draft:

Dear Koen,

in 2024 you and your team registered a study with BMC Pharmacology and Toxicology in which you declare that you will perform a 1 year study on the effects of progesterone and higher Estradiol-levels in the treatment of transgender individuals. Considering that this was now 1.5 years ago, that you had essentially finished recruiting of participants at the time, and that this is a fully pre-registered study, I am somewhat surprised that you still seem to not have published the results.

I am sure that you are aware that many transgender individuals are awaiting these results not least because many endocrinologists even outside VUMC are refusing to prescribe progesterone, pointing to this supposedly soon to be available study. Naturally this is creating avoidable tension and I am aware of several trans women who have expressed the intention of self-medicating progesterone on top of their officially provided HRT regiments.

It is with this background, that I’d like to know what the current status is and when we can expect the final publication.

Best Regards,
Dr. Fiona Weber

Just got a call from the fuckers in Amsterdam (VUMC) whether they need to keep me on their waiting list. I told them that I’m essentially through the entire process (no thanks to them), and should now be put on Radboud’s surgery waiting-list any day now and that they can remove me from theirs, since I prefer to work with psytrans. (Maybe I should have said “because unlike for you, I do have some trust into those people…”)

I did ask them where in the waiting list they are currently and was told that they are now dealing with people who were referred to them in 2020…

I also asked about the #progesterone study that they should really have published already, but the person who called me claimed to not really know anything about, go figure…

#transition #medicaltransition #DutchHellCare #trans #VUMC

I just had a consultation about my surgeries with #Psytrans.

There are some really good news (#transjoy) and some instances of #DutchHellCare:

Let’s start with the good stuff:

My endocrinologist actually did a nice thing and accepted my detailed records about how I did #OpenHRT combined with the one bloodtest I payed myself as sufficient evidence to accept my actual starting date as starting date for HRT.

Thank you Gina, I really and actually appreciate that! (#NameAndPraise)

This means that the Dutch healthcare system now accepts that I’ve actually completed my first year of HRT, which is the requirement to start the process for #BottomSurgery. 😊

In that regard I’m pretty clear on what I want and at the same time very open about the details: Full #vaginoplasty, no half-meassures like pure #orchiectomy or zero-depth. How exactly they are doing it is something that I don’t particularly care about, which is good, because this is also pretty much the extend to which they let you choose.

Accordingly this part of the conversation was over pretty quickly and we moved to #FacialFeminisationSurgery…

And the first issue is that it is relatively hard to get it covered. You essentially need to have issues passing, because otherwise it would be considered a cosmetic surgery which isn’t covered. Annoying, but on the other hand also somewhat understandable. The more annoying thing is that hair-transplants are almost never covered anyways,

Which brings us to cost…

So first of all Dutch hell-insurance only pays up to Dutch rates which are not cost-covering for bottom surgery (in case anyone was wondering why the waiting-lists are long: This is one of the reasons, hospitals loose money on it), so of the 20.000€ that one could expect to pay in Thailand, Dutch insurances would only pay 14.000€. So a 6000€ difference probably + travel cost. A lot of money, but I could cover that without too many issues.

Now full FFS can apparently get to 40.000€…

Which would not be completely impossible, but in “pillage retirement-savings”-territory…

Well, in the end I decided to go onto Radbout’s waiting list for a combined surgery (which would also be fully covered by health-insurance, which would be a huge benefit), so if I manage to hit the weight-targets, I might get surgery in maybe like two years or so?

Speaking of it: I really need to loose weight, that will definitely be the biggest problem going forward…


#transition #medicaltransition #trans #transfem #transgender

Well, I actually have a new GP now… 😊

Let’s see if they are less awful. (So far I’ve only talked on the telephone, where they seemed nice enough, but the first appointments with the kankerkut were also okay…)

#DutchHellCare

On my way to the maasstad ziekenhus in Rotterdam to hopefully finally receive an official prescription of #HRT!

I still have a multi-year supply of E and significant amounts of Cypro at home/on the way to me, but ideally I won’t need them anymore. Still, I will NOT get rid of them, I trust the healthcare systems of this and other countries WAY too little.

That said, If everything goes well my dose earlier today may have been the last time I engaged in #OpenHRT. 😊

Since I started on the fourth of February at noon, this also means that I started exactly 8 months early, 2 days after receiving my first official diagnosis of #genderdysphoria and about 7 months after I got my second one. #Psytrans, what the fuck was that pointless delay about?

The most interesting question will now be whether they believe me about my starting dates (I can give exact data) and will actually treat me as being the better part of a year on HRT…

#trans #transition #medicaltransition #DIYHRT #DutchHellCare

Just filed almost 2000€ worth of health-insurance claims for my #laserhairremoval sessions with my health-insurance. Let’s see if I get my money back…

#trans #transition #DutchHellCare

Just wanted to make an appointment with a dermatologist and they so hard insisted on a referral, that in the end they were not able to come up with anything better than me going to the emergency room for something that is decidedly not an acute emergency…

Fuck this country!

#DutchHellCare

Now waiting for the blood draw I have to pay myself because my former GP turned out to be a transphobic kankerkut (Dutch: cancer cunt).

#DutchHellCare

Just ordered a blood test for T, E2, Prolactin and SHBG for 143€. Something that any competent and non-transphobic GP would have prescribed me without question. Sadly those don’t seem to be unavailable in the Netherlands…

I’ll see if I can talk my health-insurance to cover it anyways, maybe if I threaten them that I’ll otherwise call an ambulance the next time I have a headache, because that’s more expensive to them anyways. I tried cooperation after all, but sadly this system isn’t set up for it.

The only reason I did it really is that apparently the fuckers in Rotterdam might accept it as evidence that I’m on HRT at this point, which could accelerate some things later on…

#DutchHellCare #trans #transfem #transition #medicaltransition #bloodtests #DiyHRT #OpenHRT

Just had another talk with a psychologist from #psytrans, my gender-clinic. Mostly it was discussing general stuff about #OpenHRT, but she made one point in favor of getting a private bloodtest that is definitely worth considering: If I can show a bloodtest, that will show the Endo a definite starting point and they will treat me as if that was the point I started. Otherwise the start will from their perspective be when I start with them…

Decisions…

#trans #transgender #transfem #DiyHRT #DutchHellCare #transition #medicaltransition

So I’ve been thinking about today what other medication besides #HRT for #trans people is pointlessly gate kept and would thus be readily accessible for anyone if we finally abolished prescriptions. More specifically medicine that I might be willing to take myself.

And the answer was kinda obvious: #ADHD medication. Now personally I have #autism (technically not diagnosed but there really is very little room for doubt) but that of course doesn’t exclude the possibility of #AuDHD and depending on what I do I do get easily distracted. Now that might be #burnout too, but the question really is whether it might be worth it to try #Ritalin or #Aderall anyways.

Thanks to the utterly #transphobic #DutchHellCare system I do already have contacts to an “Online Pharmacy” that doesn’t bother asking for prescriptions, so what would be the risk anyways? …

Which of course also leads to the question: If there is #OpenHRT for trans people, is there a similar infrastructure in place for ADHD-meds?

#diyhrt #diymedicine

Every politician should be forcibly put on cross-sex hormones until they can convince a pair of hyper-critical psychologists that they really are cis and then manage to see an endocrinologist who signs of on that, but both of these things should come with the same waiting lists as there are for trans people.

I somehow feel we would see the gatekeeping drop to self-identification in no time at all…

(And the same should of course also be done to all employees of #VUMC be honest.)

#trans #transgender #transition #medicaltransition #HRT #DutchHellCare #Netherlands

Today I helped reduce the number of trans girls I know in the #Netherlands who never engaged in some form of #DiyHRT back to zero: A friend of mine was suffering severely from overheating (because her T-blocker-implant has been running out for way too long now and the #DutchHellCare system still couldn’t be arsed to get her a new one), so I (again!) offered her 12.5mg of Cypro and this time she took it. It’s not quite the same as for most others, but it still shows that even if you do EVERYTHING by the books, as she did, you can still end up getting so screwed that DIY remains a desirable option.

Which really sucks!

#OpenHRT #HRT #transition #transfem

So #Psytrans now told me that they cannot do anything about the waiting times and that they furthermore cannot get me prescriptions for blood-tests either and that if my GP (the kankerkuts I’ve been ranting about) won’t help me, I’m on my own…

Can’t someone in this godforsaken country hire a bunch of endocrinologists, I’m sure there will be plenty of candidates if you announce that it is specifically for trans people and that you are not going to check the credentials too closely, if the applicant is trans‽

It’s not like a significant number of them has a lot less of a clue than some of the more informed people in the DIY-community!

#OpenHRT #DiyHRT #DutchHellCare #trans #transgender

Just called my health-insurance telling them that I need a new GP. Their response was essentially that they know that it is a problem and that I can try calling random GPs asking them for a single consultation in which they give me a referral that I can pay for and then reimburse…

Fuck this Country!

#DutchHellCare

I just had another appointment with my GP to request a #bloodtest after my genderclinic told them that they should give it to me and those #Kankerkuts doubled down on their decision.

Fuck them all!

#trans #transgender #DutchHellCare #Malpractive