Hello everyone ! So I started GAHT with Plume once before, had a great experience ! Informed consent model, had my prescription only an hour after my appointment, amazing ! Due to financial circumstances, and a myriad of other issues, I had to stop GAHT. When I was able to put my life back together again to attempt transition again, I went to Plume because it was so amazing ! However…

This time it was total crap. My initial appointment left me feeling weird. The NP basically just seemed disinterested the whole time, which I didn’t mind because I just wanted the meds. The issues became much more clear after getting my first labs.

Got my first labs, and didn’t hear back from them for two weeks. Keep in mind I was already kind of low on spiro and I can’t refill the prescription until I have an appointment with my NP to discuss my results. So now I’m two days away from being out of spiro, almost a whole month after getting my labs done, and so I decide to message them and ask if they’ve received my results, they tell me yes they have and they send me the link to schedule my follow-up.

The next available time is September 17th. A solid 11 days away at that point, and again, I have two days left of spiro, so I message them asking if it’s possible to get a refill before then, as I’m almost out. I hear nothing back.

Now it’s today, and I have one dose of spiro left. Due to all of the crap I went through having to cease GAHT I’m of course, feeling very anxious. I message them again, as my last message didn’t give me the option to mark it as urgent, or not like it usually does. I decide to call the number on the messaging app, and it goes straight to voicemail.

So I’m getting more and more anxious that I’m going to miss taking my meds for a whole week or more, when I receive a message from one of the nurses. Essentially, they blamed me for not being proactive enough, that I should have messaged them earlier (as if it isn’t a whole two weeks and some change since I messaged asking about my labs and being low on spiro, the second time) and reminded me that messaging the chat more than once puts me lower in the queue. Chastising me for being anxious about access to lifesaving medication. Talking to me like I’m stupid and don’t know how to read. As if I had control over when my lab results would be in, and like I can control the appointment times of my NP.

Medical infrastructure blaming trans people for their own problems. I said that I didn’t think it was helpful to a population of people who disproportionately face medical insecurity, to chastise them for the inefficiency of their own system, and that I’m cancelling my Plume membership so I can go through a local Planned Parenthood.

Then ! All of a sudden ! They’re able to call my pharmacy and get an emergency refill ! Wow ! How convenient. What a joke.

So anyway…I’m just feeling like shit rn but I have my appointment with Planned Parenthood literally tomorrow, I’m just going to tell them I’m already on GAHT. It’ll probably be better to go to a local doctor anyway given the state of our rights in the US.

Take care of yourselves, my amazing sisters, sibs, and brothers ! Thanks for reading this trans girls random whining. Wish me luck on my appointment tomorrow 🩷🩷🩷