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Kaiser And The Soc

Guest Sotha

By Guest Sotha,
in General Forum

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Guest Sotha

Guest Sotha

Posted
Posted

Okay, so in the latest thread I made, I announced I would be seeing that therapist with kaiser who has experience with GID. Well, I did, and he does. It went pretty well. I am thankfully comfortable working with him (that was my biggest fear other than him not being able to help me). We talked about many things: my experiences leading up to my realization that I am transsexual, my perfectionism, how he works with people...

That last part is where I get confused. He doesn't care too much for the SOC's time limits because he believes it should vary case by case. I'm fine with that (although I would have liked to find out where he sees me as right now, though I'm sure that will come in later sessions). However, he said that the SOC don't really apply with kaiser. An endocrinologist won't necessarily listen to a therapist so low on the food chain as he, so he has to often work through people even higher like the Directory of Psychiatry. He recommended I try to work through my Primary Care Physician to get to the endocrinologist who would provide me with HRT.

Anyone who worked through or is working through Kaiser: Did you have to do this? Did your doctors and people follow the SOC? Was your therapist a part of the kaiser system as well, or just the doctors who provide you with treatment?

I just want to understand what I'm supposed to be doing here

Kat

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  • Admin
Carolyn Marie Platinum Member

Carolyn Marie

Posted
  • Admin
Posted

Sotha, not following the SOC really isn't a problem, whether you're in Kaiser or not. The SOC are guidelines, not strict rules, and therapists and doctors can

deviate depending on the patient and their situation. As you probably have seen around the forums, some people get their letter in as little as three sessions

(or even one session).

My own experience is that my G.T. and the others in her practice don't do letters at all, and they don't have a strict time frame. My G.T. just waited for me to

ask about it. She and her colleagues use doctors who are OK with an "informed consent" philosophy.

Bottom line is, as long as you are satisfied and comfortable with their process, go for it.

Carolyn Marie

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Guest Sotha

Guest Sotha

Posted
Posted
Sotha, not following the SOC really isn't a problem, whether you're in Kaiser or not. The SOC are guidelines, not strict rules, and therapists and doctors can

deviate depending on the patient and their situation. As you probably have seen around the forums, some people get their letter in as little as three sessions

(or even one session).

My own experience is that my G.T. and the others in her practice don't do letters at all, and they don't have a strict time frame. My G.T. just waited for me to

ask about it. She and her colleagues use doctors who are OK with an "informed consent" philosophy.

Bottom line is, as long as you are satisfied and comfortable with their process, go for it.

Carolyn Marie

It's not that I'm uncomfortable with my therapist not following the soc at all. I'm uncomfortable not having the slightest clue how the kaiser system actually works or how I'm supposed to get to HRT. From what I understand, he couldn't write me a letter of recommendation even if he wanted to (at least follow th soc loosely) because kaiser endocrinologists wouldn't carr even if he did. What do I do then? Do I just tell my PCP (that is how it is said, right? Primary care physician?) that I want to see an endocrinologist do that I can start HRT? And then what? I don't know. He said most everyone in kaiser is at least relatively well informed about transgenderism, but what does that mean for me, especially since I am a minor?

For some reason I doubt my PCP will be able to help me very much. I think it may have been his cynical attitude about his being able to help me when I came out to him. I don't know, but if he isn't, I will have to find a new one who is willing to help. How, I haven't the slightest clue...

That's why I'm hoping the people who have worked through kaiser will respond.

(a very confused) Kat

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Guest ReginaRenea

Guest ReginaRenea

Posted
Posted
I hope somebody responds too,because I live in California and have Kaiser as well and wonder how it all works.

Hi There; I'm not with Kaiser but I did some research and they have the same lay out as Gateway.

Go to your primary care doc and ask them to refer you to a hormone specailist the deals with GID.

From there it should be relatively easy to get doctors in line. Your PCP or your therapist can write a letter to

that doctor recomending you for HRT. I hope this helps you? Luv always Regina Renea

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Guest ReginaRenea

Guest ReginaRenea

Posted
Posted
It's not that I'm uncomfortable with my therapist not following the soc at all. I'm uncomfortable not having the slightest clue how the kaiser system actually works or how I'm supposed to get to HRT. From what I understand, he couldn't write me a letter of recommendation even if he wanted to (at least follow th soc loosely) because kaiser endocrinologists wouldn't carr even if he did. What do I do then? Do I just tell my PCP (that is how it is said, right? Primary care physician?) that I want to see an endocrinologist do that I can start HRT? And then what? I don't know. He said most everyone in kaiser is at least relatively well informed about transgenderism, but what does that mean for me, especially since I am a minor?

For some reason I doubt my PCP will be able to help me very much. I think it may have been his cynical attitude about his being able to help me when I came out to him. I don't know, but if he isn't, I will have to find a new one who is willing to help. How, I haven't the slightest clue...

That's why I'm hoping the people who have worked through kaiser will respond.

(a very confused) Kat

OK; Get in touch with Kaiser and ask them for a list of transgender friendly doctors- beleive me they have a list.

You can pick a new doctor from that list and ask to go to them. As for the rest- your best bet is to try and keep all your doctors

inside Kaiser's network, it will work better for you. All of mine are in Gateway and they all talk to each other and that gives you

better treatment and care. Hope this helps. Luv always Regina Renea

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