irotsoma

When they absorbed their only real competition and instead of using their advantages, just got rid of them, I knew it was the end of good subs and dubs very soon. I don't want literal translations I'm subs without explanations or AI voiced dubs with poor acting ability or plain monotonous speech like they used to be a few decades ago. I want people to be there translating more than just j individual words.

Yeah I will say the hormones are easier here. I had thought the clinics also helped them coordinate surgery, but I don't really know well, just going off of something I read and it's possible that it was just one clinic that happened to offer that service, too.

For hormones here the hardest part is finding a therapist and/or psychiatrist to write the letters and in some places, finding a doctor willing to prescribe and monitor and fill out a support letter and all the paperwork to get prior authorization for the off-label-use dosage since you need more than a cis-woman which is often all that's covered by default and often isn't covered at all by default if your birth gender marker is M. When my plan changed this year I had to start getting the prior auth every 6 months because I exceed the max covered dosage by 3x.

I was lucky to have a primary care doctor that was experienced, though she moved on now. And I found a list of therapists willing to write the support (gate-keeping) letters with only a single, virtual appointment, though I had to pay cash and needed 2 of them (one at least PhD level and one at least MA level) for the surgery. For me the hormones only required one and could be MA level, though. I was on waiting lists for both therapists and psychiatrists at the time, so that list saved me. There's a shortage of mental health providers around here, too.

And the letters technically are supposed to require the mental health providers to know you well, but a lot of providers know that's just gate-keeping. And, some insurance still requires the even older WPATH recommendations that you get one that does and one that doesn't know you. My insurance is only one version behind, though, using version 7, but some use 6 or even 5 still.

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.

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.

Yeah, software patents in the US especially, have become a way for companies to either kill competition, or make buying up ridiculous patents and suing for infringement their primary source of income.

Primary issue is the patent office has few officers that are technical enough to understand the overlap of the specific industry and software. So, they tend to just allow anything, especially from larger companies that they're told to assume have the expertise if they don't since their load is too large to have time to learn new stuff and truly research if something is obvious or not.

YouTube did make some changes to their terms primarily for creators that get paid for content. They added some new LLM-based scanning of content to find stuff that is too repetitive or didn't contain enough original content. Assuming the creators you looked at have mostly original content rather than remixing of content which may be misinterpreted by LLMs as not being "original enough", they could be falling victim to overaggressive hits if they use a consistent format in their content since LLMs don't really understand context, only patterns.

I'd be interested to find out if the creators got any notification from YouTube on the reason for removal of the content.

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.

Better get rid of all the Christian content, black people kissing white people, move back to not allowing married characters to sit on the same bed unless their feet are firmly on the floor, and anything else that doesn't represent all people. Heck, we probably need to hide bodies and faces of every actor so you can't see their faces or body shapes. I mean men don't want to see women on TV and vice versa since they can't relate, right?

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.

Same. I have had a few types of headache issues most of my life and no one believed the pain was that bad because I don't express it the way people expect when in severe pain. So, I always thought I had a low tolerance until a doctor freaked out at some severe tibial stress fractures that I was still being asked to run on them. And it took faking a painful yell when the doctor was manipulating it in the first visit to get the bone scan ordered to get to that freak out. I just don't uncontrollably verbalize severe pain or fully shut down or things like that like neurotypicals.

Seems like the issue is going to be structural integrity over time. You're either going to need to reinforce it by running straps of strong fabric from the belt line to the places where they are attached, or use really thick material for the pants and just reinforce the actual spots where it's sewn in. Likely using straps will make it look nicer so that stuff in pockets isn't making them get stretched weird, but will be more expensive and making it comfortable will mean adding another layer of material over the straps on the inside. Either way, seems like these would be kind of expensive to make.