#stage 0

[eeknat]

a bronx sunset.

[julius-vi-britannia]

Pulling Strings: Stage 0

(*Small recording of the tune to “All Hail Britannia”*)

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‘Julius vi Britannia’

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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stage 0: Beginning

Pendragon Imperial Palace, Pendragon, Holy Britannian Empire June 1, 2007 a.t.b.

A soft melody could be heard from one of the bedrooms. Servants who worked in the halls would stop to listen. They would smile and then continue their work. They knew that song and who was behind the door: Julius vi Britannia, the 11th (½, that is) prince of the empire.

The seven year-old prince would play on his violin every evening, focusing on the gentle melody he perfected with ease. The song he was playing was something his mother taught him on one of his birthdays. “Moon Princess” would make him think of a beautiful maiden who would sing each night on the moon. The sweet gentle moonlight from her home would give people pleasant dreams, he believed. Because of the story he thought of, it became one of his favorite songs to play.

Speaking of concerts, he wished he could leave this cage of a room to perform for others. He loved how people from outside his bedroom would occasionally hear and praise. However, he wanted more than that. But the problem was that he can’t leave for whatever reason. Julius tried by asking the guards side by side his door. The answer he would get, “You cannot leave this room. Your father is trying to protect you. He’ll lift the order once the danger is gone.” Right. His father was emperor. He heard his own father was the reason he was locked up. At first, he was mad. The boy could argue, but he would never fight his father. He loved him as much he loved his mother, who would visit him from time to time. So, he cannot go against his own father, the man who was protecting him. He had wondered what this “danger” was, but he decided to drop it.

The young prince finished playing the song, sitting down on his bed to rest. His violin laid by his side. His violet eyes were looking down on the floor. Music sheets were scattered, but in a neat pile. Books, the same way. He picked up a sheet, reading the notes. That sheet, all of the sheets in fact, were all from his mother. The prince softly smiled. At least he was completely alone by himself. His mother would come by to check on him, making sure he was well. One time, he had played a song for her on her birthday to surprise her with his violin talent. She had enjoyed it, telling him he was a musical prodigy. A prodigy, huh, he was thinking to himself. If I wasn’t a prince, I would definitely become a musician. People would applaud and a lady might throw a red rose to me. He sighed, lying down. He held the music sheet close to him. Someday, I will be free and share my talent with the world. The child could only wait.

Little did he know, a lone woman with green hair was watching him through the window. She was standing on the grassy hill, her golden eyes watching the figure eventually sleep. She soon turned away.

~~~ April 12, 2009 a.t.b.

Julius hadn’t seen his mother all day. He was wondering what was going on. Could she be busy with running the empire with Father? She could be away to another country for some meeting? He stared out his window to see the sun still shining brightly. The flowers were in bloom, swaying to the gentle breeze. He never felt the breeze before. Maybe someday-.

His thought was interrupted by the unlock click sound on his door. The boy turned around with a smile. “Mother, you-.” His smile faded when he saw the visitor was not his mother, but rather a young man in a black suit with white gloves. His expression was making the prince confused. “Where’s Mother? Is she alright?”

“I’m sorry, my prince. She…” The man kneeled down to Julius’s height and hugged him. He felt the man’s body tremble and tears on the back of the boy’s dress shirt. Was he dreaming? Was this happening? Was his mother…? “She what? What happened?” The valet’s breathing quicken, more tears dropping. He said only one word that made the prince’s heart shatter, “Deceased.”

~~~

The funeral was being held. Members and staff of the royal family were attending, their faces cloaked with sorrow. A girl was being comforted by an older sister.

Once everyone was present, the pastor went to the podium. Even though he was deeply saddened by the tragedy, his mission to bring comfort to the people present was clear as day. “Friends and family. We are gathered to honor the memory of Marianne vi Britannia, our beloved queen of Britannia. She was killed by a terrorist attack. Many of us are deeply affected by this loss. Let us pray together.” He bowed his head, and closed his eyes. Everyone else did too.

After what seem like an eternity, the pastor lifted his head. “To conclude the event, we will have a young prince play a song in the queen’s honor and memory.” He nodded to a boy no older than 8 years of age. He was wearing a blue cloak to represent his mother’s service in the Knights of Round. The boy began to play his mother’s favorite song, his eyes closed to focus. He was thinking of her, imagining her best features: her angelic voice, her warm hug, her smile. He wished he could cry. But, he can’t. He must smile and remember for her. This is his beginning.

~~~~

[ending theme: Shatter Me (https://www.youtube.com/watch?v=Wsysh9VWEv0)]

[documentingphallo]

My pre-surgery in person exam is August 7th! Instead of calling the line I had been calling, I intentionally dialed the wrong extension and was directed by a real person to a relevant phone number with a real person.

[documentingphallo]

Still waiting on the return call for my pre-surgical exam being scheduled, and I got a message for a bill for the (30 minute, telehealth) consult that was $600, so I'm trying very hard not to have a panic attack about that and am hoping it's just an insurance thing I don't understand that can be fixed to not be $600 (magic).

[documentingphallo]

I had my hysterectomy consult today, the entire thing went about 30 minutes. (This doesn't include the 15 minutes they tell you to show up early for, in case you had unfinished paperwork.)

Rest of the post continued under the cut, for length (I took lots of notes throughout and tried to keep track of every part of it) and anatomical language.

The consult started with the doctor asking if I had been wanting a hysterectomy for a while or if it was mostly part of the phalloplasty process, then asked how long I had been on testosterone, if I still got periods, asked if they were normal (didn't bleed a huge amount, didn't have abnormal amount of pain, etc) when I had them. If I currently experienced any kind of pelvic pain, if I had bowel issues (frequent constipation or diarrhea), if I had issues with urinating (leaking, trouble peeing, etc). She asked if I was sexually active, and then went on to specify that this includes things that aren't PIV, and asked if I had pain during sex. When I said that I didn't do PIV and nothing goes there, she asked if it was because of physical pain, dysphoria, or just didn't like it. She asked if I felt pain during any penetration/sex using a condom.

After this, she asked when parts of my transition had taken place (when I started T, when I socially transitioned, when I had top surgery), and asked if I had any interest in having kids, either through birth or donating genetic material.

She then explained what kind of hysterectomy they do there (laparoscopic), explained how it would be done (through 4 small incisions with long instruments), and that the uterus, cervix, and fallopian tubes are removed, and optionally one or both ovaries. She mentioned the benefits of having both ovaries removed: removing the risk of it forming cysts or developing cancer. And the risks of having both ovaries removed: If you lose access to testosterone, you can experience surgical menopause and be at risk for fractures, heart problems, dementia, and memory problems. She mentioned most guys getting hysterectomies nowadays are opting to leave one in. She mentioned the risks of the surgery, most common to surgery in general: bleeding, infection, damage to other organs, anesthesia risks, heart issues, but specific to hysterectomy, there is a low chance of issues with the stitches in the cervix, because it's harder for them to heal when the parts are unused/don't have estrogen in them. I apologize, this information went by very quickly and I don't think I got enough notes down to explain it very well.

She mentioned I should be out of the hospital the same day of the surgery and should be clear to leave, but some people that live far away feel better renting a hotel for the night just to not have to make a long trip immediately after surgery. I'll be sore the first few days and should be back to normal after a few (2ish) weeks. In the first month, no heavy lifting and no submerging in water.

Before the surgery, I'll need: -2 letters of support, one from a mental health provider and one from my hormone provider (I already had my MH letter for phallo and because the letter says "hysterectomy and phalloplasty", it can be used for both. I'll get my second letter for both surgeries on the 15th and will remember to specify that to them also.) -One more followup, where I'll drive out to the hospital (6 hours away) and get an exam in person. That'll be in three months, I'm currently waiting on the call back on that

The hysterectomy is supposed to be (no date yet) in August or September.

The questions I brought to this consult:

What happens if I go off testosterone (not on purpose)? (answered above)

Will this affect my hormones in a way that I need to account for with a dosage change? Answer: No, but give your provider a heads up before surgery. Some people need a dosage change, but that's usually for people that have had both removed.

Will this affect my hormones in a way that things affected by hormones might change, like hair loss? Answer: No, you're good.

Is it possible for the surgery to be done closer to where I live? (6 hours away and in the rural South US) Answer: [Basically she said I could get it done in a blue city closer to me, but that the phalloplasty surgeon's patients typically get their hysterectomies done at the same hospital] and I'm going with that so everyone is medically on the same page and miscommunications are less likely.

So currently: I'll have both my letters around the 15th and should be able to get my follow up/pre surgery exam soon.

[documentingphallo]

My hysterectomy consult is this Tuesday and I'm really excited, it's been 6 months since I started making phone calls and pursuing phallo. The previous Tuesday (a week before the appointment) is when the intake questionnaire went up on MyChart and I filled it out as soon as it was available at midnight. The consult will be a video call, because I live about 6 hours from the hospital. The past 6 months, I've been keeping Word documents filled with questions to ask at the hysto/phallo consults, I plan to print those out the night before the consults. (I'll share the questions I asked/the answers after each consult) Edit: I received a phone call from the hospital this morning that was the intake, I think. A real person (as opposed to AI) asked me questions about the medications I was taking, family history, surgical history, stuff like that. She also texted me the link for the video call appointment Tuesday.

[calochortus]

[medmichi-healthcare]

Stages of breast cancer

After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. Breast cancer can occur in both men and women, but it's far more common in women. There are 3 stages of breast cancer.

After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. Breast cancer can occur in both men and women, but it’s far more common in women. There are 3 stages of breast cancer. Substantial support for breast cancer awareness and research funding has helped create advances in the diagnosis and treatment of breast cancer. Breast cancer survival rates have…

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