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Midnight family download free play. So I haven't seen a lot of info on Dr. Kwan, and I really wished I'd had more to go off of in my process. For all y'all L'il Rhodey kids out there, I'll give you what I wished I'd had- a full breakdown on Dr. Kwan and the RI top surgery process. Pros RI Neighborhood Health Plan! Awesome! If you're like me, no copay, no deductibles, just a free teet yeet. Bless. Dr. Kwan is really knowledgeable. His residency was apparently doing gender affirming surgeries. That's what we like. Kwan is a great surgeon. Seriously, my nips are symmetrical and small, my scar is tiny. The man's hands are tools of the ftm gods. You aren't billed for any visit you make at the office for 90 days after your surgery. Call and visit as much as you'd like, they've got you. Their team is super trans competent! Their team wears pronoun pins, asks for yours and actually uses them, has just a single bathroom, and they even have a transmasc person on their team. We're going to go into the cons now, but again, I just want to reiterate that when it comes to the actual surgery and your healing, you are in really, really good hands. Cons RI Neighborhood Health Plan! When I was looking to get top surgery, Dr. Kwan was literally the only surgeon on the plan who could do it. So, I hope you like him, because you have no! other! options!!!! Dr. This can be really intimidating. He knows what he wants, but he doesn't always remember to get you all the details. His knowledge is great, but his bedside manner is... Lacking. But, as my family says, you don't necessarily want a surgeon for their personality, you want them for their hands. Speaking of which... This means that he's wanted by everyone for a lot of stuff. My appointments were constantly being moved around because he was getting called into surgeries. His office is the literal fucking worst. If you've looked him up anywhere else, you've seen this is the main complaint. Do not trust them for shit. Call and double check everything right at the end of whatever timeline they give you. If they say something should be done in a week, put an alarm in your phone and call them back in a week to check. If you have an appointment, call a week ahead and check that they haven't rescheduled it on you. If you sent in paperwork, call them and make sure they got it. Call back a few days to make sure they actually processed it. Assume, with every step of this surgery, that you are going to have to hold their hand. They take an hour long lunch, I believe from 12-1, where they will not answer the phone. You have to call during office hours, as the answering service is useless to you. 9-12 and 1-5 M-F. These are your battlegrounds. It's just you, your phone, and whatever god(s) you pray to. Good luck. Process To see Dr. Kwan, you have to get a referral from your doc. You'll also have to send in a secondary letter from a therapist. They didn't schedule me until I got them both of these documents. Then they scheduled me six months out. It was infuriating. Then, after that, they moved my appointment back another month. This is the biggest hurdle you'll have to face. Your appointments are suggestions, not guarantees. Assume they will shift, and shift again after that. So, you finally get into the office! Yay! You're not meeting Dr. Kwan quite yet. You'll be in with another member of his team who will go through your medical history, your family's medical history, your physical health, mental health, etc. They'll also give you a very detailed breakdown of the process. I suggest you bring a notebook and a pen and seriously take down some copious notes. They will download a lot of info onto you, and you think you'll remember it all but you won't. Take. Notes. And ask questions! Dr. Kwan is the most fast paced person on the team, but everyone else seems chill and happy to answer questions. Ask for details, prescription names, anything you want to know. It's hard to get info when you're not in the office, so ask as much as you want when you're there. At this point, whoever you're with will now measure your chest. They'll take a bunch of them, so just like... Be prepared for that. Then Dr. Kwan arrives, often with someone else in tow. At this point he'll greet you quickly, then get down to work. They gave me a dressing gown to wear, and I again untied it. In front of like three people. Who all stare at your boobs. And, fun times, Dr. Kwan will manipulate them! Roughly! I'm pretty sure he was testing for elasticity, but at one point he pinched my nipples, pulled my boobs up, held them there, and dropped them. It was surreal. They'll be shoved up, down, in out, and he'll push his rolley chair forwards and backwards to get a real good look. All while his team looks, too. I'm not saying this as a criticism- it really was fine. Very clinical and professional. Again, his work is great, so I can't criticize this, but I can prepare you if you're going to see him. I didn't realize how involved this part of the process was going to be. Know that this will all happen. Take an anti-anxiety, or have a cbd gummy or something. Plan something nice and calming for yourself for after your appointment. He'll talk to you about stuff on your chart that concerns him, ask if you have any questions, he'll answer them very bluntly and efficiently, and he'll go. He is very concerned about the healing process- his work is good and he knows it, but it can be messed up by a patient not taking good care during the first couple of months. He's very intense about it. He'll impress upon you the importance of good care. You can ask more questions after he leaves, and then you'll go. So then you're in the hands of the office. At this point, they have to put through a request to your insurance company. That should take 3-4 weeks. Now, in my case, someone left the practice, and my paperwork just never got moved forward? I had to call back after six weeks and they told me what happened, then started the process. It was infuriating, and led to me getting a surgery date that was right before my RI insurance actually ended. Again, stay on top of the office. They book a few months out. I was approved in like... Early September? I got a surgery date for literally just the end of the year. Try to talk to Dr. Kwan's surgical coordinator whenever you can to avoid the office. You'll set up an appointment for a month-ish before your surgery date. It will be moved five times. When you get calls from them you will answer with "hi, when are we moving it to? ". Eons will stretch before you. You will finally go back in two weeks before your surgery date. Right. This is the big one. This is the last time you see Dr. Kwan before you're in the hospital. Ask. Questions. Write down the answers. Prepare yourself. Take the aftercare seriously. You'll have to go off your T two weeks before the surgery, be sure to ask when you can go back on it. I suggest bringing whoever will be helping you out, as they'll probably have questions of their own. I got a folder with JP drain info, my surgery info, FAQs, directions to the hospital that were printed when the printer was running out of ink so I literally couldn't read them because again the office fucking sucks, and some other info. You'll also be sent to a pre-op facility. Now, again this office sucks, so I only found out I had this appointment because that other office called me a week before to confirm my appointment. You have to answer questions about your physical and mental health again. They confirm your info- name, birthdate, procedure. Memorize this info, they use it in the hospital to be sure they're doing the right stuff to the right person. If it doesn't match up, you could have a big problem. This meeting in particular is very personal, so be prepared to just grit through it, only bring people you really know and trust. At the end I was given a special medical soap and instructions on how to use it. I had to stop taking some vitamins, and again, no T. Also no pot if that's your thing. And they suggest you quit smoking. No metal! I have three nose piercings and they all had to get glass retainers. So then my surgery date was moved. To the next year when I wouldn't have this health insurance. I asked them to move it up, and we were able to do that instead. I lost a week of prep time! It was terrifying! Again, all of your appointment dates, including apparently your fucking surgery date are all fucking suggestions and not actually y'know, a p p o i n t m e n t s, so go fuck yourself if you think you can rely on even this one staying the same. The night before surgery, you gotta stop food and drink at midnight. You gotta use the medical soap that night, sleep in clean PJs and clean sheets. In the morning you gotta use the medical soap again, put on clean, comfy clothes (button or zip up suggested) and go to the hospital. You can drink a sip of water to take your morning meds, but that's it. In this way, I was grateful for my surgery move. I had to get to the hospital at 8:30am, which made the no food no water thing easier. Yeah! No matter your surgery time, you'll stop food and water at midnight. So angle for a morning surgery if you can? Also less time for jitters. My surgery was at the Miriam Hospital in the Fain building (the one between 4th and 5th street, entrance on 5th). You show up, they give you a number so anyone in the waiting room can see your status on the screen. You go into a very tiny room to double check all your info, again, and check your ID, again. You get your little bracelet. Yay! You go into the surgical center, no one can go with you. 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