Transition Over Time

  • Getting the Prescription: Shandi Strong

    Strong was referred to an endocrinologist who Strong said wasn’t familiar with the needs of transgender patients. “I felt a bit like a guinea pig.” Strong said the endocrinologist wasn’t sure how the hormones would affect her. She saw a doctor at Klinic Community Health Centre. “I’m going, ‘OK, you know what you’re talking about! Thank you. I’m now comfortable. Really comfortable with what’s going on with my body’."
  • Using Estrogen: Shandi Strong

    Strong began using spray estrogen. “I had acne, pimples all the time. I had rosacea on my face, which I was using cream for. I was constantly having ingrown hairs from shaving my legs and stuff like that. As soon as I started taking estrogen, it all went away.”
  • Coming Out: Shandi Strong

    Shandi Strong says coming out has been a lifelong process. When she was a young boy she felt she wanted to be a girl but was criticized by her peers when she would act that way. So she tried her best to be a boy.
    May 2009 Shandi, 49, came out as transgender to her employer of 15 years. She was fired that week.
  • Contacting Klinic: Shandi Strong

    Strong went to Klinic to receive hormones.
    “Dr. Whetter was just really amazing—sensitive, understanding, he asked all of the right questions, just somebody you felt comfortable with because he knew what he was doing.”
  • Changing the Name: Shandi Strong

  • Coming Out: Ro Walker Mills

    Mills came out to himself as transgender in March 2011.
    “That’s when I knew I needed to take steps towards finding out more information about trans, being transgender and what that looks like even,” Mills said.
  • Changing the Name: Ro Walker Mills

  • Contacting Klinic: Ro Walker Mills

    Mills, 24, contacted Klinic Community Health Centre to learn more about his options and was put on a waiting list.
    "I was probably like number 25 and they could give me no estimate for how long it would take to get in and your expectation was to wait. So that was not fun,” said Mills.
  • Injecting Testosterone: Ro Walker Mills

    "No Longer Pre-T"
    Mills injected his first shot of testosterone into his body today. “Before I was ever given my own prescription of testosterone I did go to a friend and use his testosterone,” Mills said. “I trusted this friend and went about it in a way that I was comfortable with,” he said. Since then his transition from female to male has moved relatively quickly.
  • Getting the Prescription: Ro Walker Mills

    Mills was able to go back to his doctor and tell her that he’d started taking testosterone without her input, reducing the doctor’s liability and prompting her to prescribe Mills his own. “It sped up the process real fast,” said Mills though he would not recommend that process to anyone.
  • Klinic Reaches Out: Ro Walker Mills

    After being on a waiting list for five months, Mills finally had an appointment with a psychologist at Klinic. “It took only one visit for her to write me a letter saying that I identify as male, that I have gender identity disorder, and that I qualify for surgery,” he said. “I didn’t have to pay for that appointment, I got the letter and I was given a referral to a surgeon locally. But getting in took forever.”
  • Surgery: Shandi Strong

    Strong received bottom surgery in Montreal and it was covered by Manitoba Health. She paid for airfare and was reimbursed. Finding out that she wouldn’t have to pay for surgery was a huge relief. “It relieved so much stress from my life.”
  • Changing the Gender Marker: Shandi Strong

    Strong officially changed her gender on her birth certificate in February 2012.

    She then changed the gender marker on her driver’s license. “[It] was very straightforward. As long as I had a letter saying ‘hey, I’m going for some surgery, they were happy to put the ‘F’ on there. I’ve heard of other people having more issues with that.” She also changed the gender marker on her Manitoba Health Card and her passport.
  • Coming Out: Jeremy Barbosa

    Barbosa came out to himself as transgender in July 2012. “Thinking that maybe I’m not actually who I thought I was for the past ‘x’ amount of years was scary because, that’s always scary,” Barbosa said.
  • Making the Decision: Ro Walker Mills

    Mills decided he wanted top surgery: “It’s the most important part, I think, of the transition because it changes everything,” Mills said. Mills was referred to a surgeon who had performed top surgeries in the past but only days before Mills’ consultation decided to stop. Another Manitoban surgeon offered their services to Mills and he went to one consultation and left angry and disappointed. The surgeon had only ever performed double mastectomies.
  • Talks to Family Doctor: Jeremy Barbosa

    Barbosa came out as transgender to his doctor and asked for help, but the more Barbosa went, the more problems began to arise. “It felt like he didn’t fully believe that I was fully trans and that he thought I might be gender queer—somewhere in the middle, not quite sure where I fit in,” Barbosa said. Barbosa's doctor had him look in a mirror, ‘What do you see when you look at yourself?’ Barbosa said his doctor asked him.
    His doctor prompted him to respond by saying "a pretty girl."
  • Making the Decision: Jeremy Barbosa

    Barbosa spoke to his doctor about getting top surgery and got an unexpected response. Barbosa claims the doctor called top surgery mutilation. “He had called it mutilation because it might not necessarily be something that I need in my life. But for me personally, and I had told him this, it is something that I want. It’s something that will make me more comfortable with my body," Barbosa said.
  • Surgery: Ro Walker Mills

    Surgery: Ro Walker Mills
    Mills documents the reveal
    Mills got on a plane and flew to Florida to receive top surgery. In order to finance the operation Mills had to take out a $6,000 loan. Mills says his results are consistent and the doctor was very well trained.“He’s providing a service that should be covered and it is improving health,” said Mills.
  • Contacting Klinic: Jeremy Barbosa

    Barbosa, 19, contacts Klinic Community Health Centre because he wanted to see the psychologist. There was a six month waiting list.
  • Getting the Prescription: Jeremy Barbosa

    Barbosa started seeing a new family doctor who prescribed him hormones. Barbosa said the process was easier than he'd expected. “At the bare minimum you should have your hormone levels checked to see if they’re higher than normal because you don’t want to start with a really high dose and then your hormone levels will go out of whack.”
  • Injecting Testosterone: Jeremy Barbosa

    He got the testosterone from his family doctor. He was nervous and wasn’t able to inject the testosterone himself. Barbosa’s doctor injects his hormones for him every three months. He says it’s getting easier each time.
  • Changing the Name: Jeremy Barbosa

    Barbosa said Vital Statistics was very accomodating. “The lady I guess had had other trans people so she was knowledgeable, she wasn’t like, ‘oh, this is weird,’” he said. Barbosa had to pay $130.88 to change his name legally. He’ll have to pay Vital Statistics again when he changes the gender marker on his birth certificate.
  • Klinic Reaches Out: Jeremy Barbosa

    On this date Barbosa spoke to a psychologist at Klinic and was diagnosed with gender identity disorder. Barbosa also talked to a doctor at Klinic Community Health Centre about getting a top surgery. He is considering a hysterectomy and bottom surgery (metoidioplasty).
  • Changing the Gender Marker: Ro Walker Mills

    Mills is going through the process of changing his gender marker on his birth certificate. He needs it in order to change his passport and feel safe while travelling but the process has been trying. “It feels very accusatory. They’re so concerned about what? Like a terrorist changing their gender? What the are they worried about, but they’re worried about something,” Mills said.