[-] irotsoma@piefed.blahaj.zone 2 points 1 week ago

Yeah, the "AI" many social media systems use to detect nudity (both the LLM type and the thing they used to call "AI" before that) tend to detect armpits as vulvas on certain people and at certain angles. Super annoying that there's often now no person to review those kinds of thing either.

[-] irotsoma@piefed.blahaj.zone 2 points 1 week ago

UI should have one menu for global actions and where applicable, one menu or set of buttons or whatever for context specific actions that activate when you select an item(s) to take action on. And that's it.

As for forms in general, paper or electronic, I agree they often are not specific enough about context to understand what they're looking for. This is a failing of instructions, either in context or a separate page of them should exist for every single form. There are some where the title is self explanatory in context like "first name" in a selection labeled "patient demographics" is documentation enough, but otherwise there should usually be at least a few words explaining each field or set of fields. Paper and ink is cheap, screen space is cheap, put a few words.

As for tax forms, I think for US taxes it's fine until you get to business income and expenses which are purposely vague and complex to allow for essentially fraud that's harder to detect, whereas personal stuff is more specific to make sure they get every cent from people not wealthy enough to write off living and luxury expenses as business expenses. But it's too complex for the average person without basic logic skills. Like temporarily renting out a property until I could sell it after I had to move was ridiculously complex to figure out what I could and couldn't deduct. The forms are very generalized and the details are obfuscated by filling in your own descriptions on worksheets that often are not actually filed, only retained for audit, whereas in personal expenses almost every single detail has a place to put it on a form that is actually filed.

[-] irotsoma@piefed.blahaj.zone 3 points 1 week ago

It's not much better in the US and there isn't a unified "gender clinic" to coordinate things. And travel for surgery and recovery is expensive, especially when most insurance doesn't pay for that and things are so spread out in the US, so most have no option or if near a major city are stuck with the one or two overbooked options close enough to them that they can get a ride to.

I had to travel to another major city to even get on a waiting list for my first surgery since in the major city where I live, the one clinic that has a surgeon was totally unresponsive on how long their waiting list was after taking my doctor's referral.

And I had to pay around $4,000 for a month at an AirBnB plus flights, food, and necessities we couldn't fit in the now strict 50lb weight limits on luggage for me and a care person. I couldn't bring a carry-on since I wouldn't be able to carry it on the way home and you can't put the heavier liquids in there anyway like soaps, shampoos, hair products, lotions, etc. And paid several thousand out of pocket to cover deductibles and coinsurance despite having the most expensive health plan my company offers which costs about $400 every other week from each paycheck despite the fact I work for said insurance company. And that was only one surgery.

Next surgery is a 1 year wait for a consult and no clue how many years before surgery and another one is at least a 3 year wait for consult and at least 4 year wait for surgery after the consult. I can't afford to travel again for those. Had to take out a home equity loan for the first one. And I still have to pay for the mental heath visits for the gatekeeping WPATH letters each time both for the consult and again for the surgery since they each expire after a year. I really wish there was someone to help coordinate it all. For example, if I end up with the waiting lists ending too close to each other I'll have to go back on the beginning of the list assuming the surgeon is still scheduling new surgeries because you can't get too many too close to each other and they're totally separate offices.

And traveling internationally is too dangerous right now with my passport being forced to be my birth gender and my genitals not matching for the x-ray, so unless things improve it is likely I'll be too old to get most of the surgeries by the time I get through the lists. I'm already starting later in life due to lack of care. Plus I need other small surgeries for some unrelated issues which I can't find providers for in my insurance network taking new patients and can't afford to schedule too far out, just in case I get to the top of the gender care surgery wait lists.

[-] irotsoma@piefed.blahaj.zone 2 points 1 week ago

Probably just to try to make Garmin's product less useful in the short term while the case drags out. Or as a way to get Garmin to acquire them. Strava basically seems to have bought up some competitors that were failing and they have been on the way downhill. So at this stage usually these companies start cost cutting and using any means necessary to increase their perceived value for sale. This gives Garmin an incentive to buy them as that would end the lawsuit and they'd then acquire some additional defensive patents.

[-] irotsoma@piefed.blahaj.zone 2 points 1 week ago

Make sure to do a test during peak and a test during trough.

I do that and then average them. They are always significantly different and i use patches which give a more steady dose than injections.

Also, I'm not entirely convinced that the values most doctors who are not specialists use are correct for trans people. If you aren't seeing an endocrinologist with at least a little specialty in sex hormones, I'd do that and see if they can recommend the right levels for your body rather than the general numbers that were always very conservative, and came from cis women's levels rather than what trans people need since there's usually no funding to research trans people.

I was lucky enough to start HRT with a general practitioner with a lot of experience with trans people during her residency and most of her career. But she moved on to another specialty due to the difficulty making ends meet as a good doctor. I'm on the lookout myself for an endo with good experience to consult one of these days.

[-] irotsoma@piefed.blahaj.zone 3 points 1 week ago

Then that should be the questions asked, not some arbitrary "sex" question with only some of the possible answers as options.

It should be apparent, especially now, that those things never were never enough to determine these things anyway. There are tons of types of intersex people which are not an insignificant percentage of the population.

So, there are some things that loosely follow AGAB for the majority of people, but the assumptions made based on that, end up causing more trouble for those whose bodies don't conform. And that's not a small portion of the population. Basically between intersex people and trans people who have had HRT and/or surgery are at very, very conservative estimates, around 3%, but since there's no finding and it's now unsafe to track even in the US and UK and other western countries, it's likely much higher in reality. These people are poorly served by the current system of AGAB only.

For me, many of my lab tests show abnormal because it should ask what is my body's primary sex hormone or ask to select for the specific test, what range is normal for my body if they want to get it really right. And honestly, body weight is more impactful on a lot of things anyway, why aren't we asking that of every person (rhetorical question, but essentially asking if you were born with or the doctors modified your body at birth to have something that looked closer to a penis than a vulva, should be just as uncouth)? Also, insurance won't pay for gynecology/urology kind of stuff or mammograms or prostate cancer screenings even if you have the right body parts to need it, if your AGAB is wrong without a long and drawn out process each and every time to prove you have the right part. Heck it's not even good for marketing if you have the wrong one listed because it has to be your AGAB rather than the gender you present as and thus the high profit products you're most likely to use.

So it really has a low usefulness compared to asking more relevant questions whether for medical or commercial reasons.

[-] irotsoma@piefed.blahaj.zone 2 points 1 week ago

So they could only find 4 shootings and had to somehow make it sound like a lot. Just goes to show you can make statistics say anything if you don't care about reality.

[-] irotsoma@piefed.blahaj.zone 3 points 2 weeks ago

I was just chatting with some people about how I've discovered how bad habit and conditioning affect neurotypical people. This was in the context of visual, audio, and other gender cues that cause NT people to misgender trans and non binary people. I had recently discovered how the gender conditioning can make it difficult for NT people to change when things are automatic in their brains. They aren't used to having to concentrate to remember words like i do, so they don't have that easy place to inject conscious decisions.

So yeah, there are some things we are superior at and if NT people would just accommodate our disadvantages, our advantages could benefit them. But the current political atmosphere is isolationist and individualism, so they want everything to benefit them since they can't stand to collaborate to get the benefits we offer.

[-] irotsoma@piefed.blahaj.zone 3 points 2 weeks ago* (last edited 2 weeks ago)

I'm getting mine in 2 weeks, but getting PPT so no scrotal tissue is used as labia will be made from the shaft since that's not needed for the vagina, but I expect similar experience with the clit at first from what I've read.

But for me, I've actually had what I've been calling phantom vagina/vulva most of my life. Basically, the feeling that the peritoneum and area being the scrotum should have an opening and the shaft should be a clit. So I'm hopeful that putting things the way my brain thinks they're supposed to be will make it easier for me at least.

But everything I've read has told me your experience is normal and will change over time. But it will likely take years and even then relapses of it may come up here and there. For now, take comfort in what has improved And I've heard you should spend time looking at and exploring touching yourself with a nonsexual intent to help train your brain on what's actually there. I was reading to use your dilating time for that at the very least as well as time after masturbating when things are especially sensitive but you're relaxed.

[-] irotsoma@piefed.blahaj.zone 1 points 2 weeks ago

Almost every night...

[-] irotsoma@piefed.blahaj.zone 4 points 2 weeks ago

Yeah totally get that. Just want to give other options you should look into first before risking fully DIY.

view more: ‹ prev next ›

irotsoma

joined 2 weeks ago