Well, Kaiser came through again.

I've had an enlarged thyroid for about ten years now. Of course, when I had my physical in late December, my doctor noted that and wanted to have an endocrinologist look at it. As fate would have it, I was referred to same endocrinologist I was seeing then.

I went in one afternoon after work to see him. As usual for work, I was wearing the company uniform. Gray slacks, and a cranberry polo with the company logo on it. (NOTE: I always wear a bra with a slight B cup filled with prosthetic breasts.)

He did the usual introduction/reintroduction and called up my file on the computer and verbally went over what we had done in the past and finally told me what his thoughts were on my condition. (Something he never did before.)

He suggested another blood test, which I agreed to and wanted to do an examination and measurement of the enlarged portion. After examining it, he had my lay on my back with a pillow under my shoulders to make my neck stretch so the bulge would be really evident. (Normally, it's small enough that if you're not looking for it, you will look right past it.)

You can imagine what that did for my chest. We talked as he made his measurements and finally he asked, "Is your chest getting bigger?"

My reply was, "No, those are artificial."

He explained, as an endocrinologist he was concerned that I might have gynecomastia.

When I was sitting up again, he asked, "How long ago did you get the implants?"

"Oh, they aren't implants, they are prosthetics." I took one out an showed it to him for a second and replaced it.

At that point I felt I needed to explain a little about why I was wearing breast forms. So I gave him a thumbnail explanation of what meant to be transgender and explained that I was happy preforming as a male in my marriage but that at best I was androgyne and that the breast forms made me feel a bit more like I saw myself.

He listened with a thoughtful expression, nodding his head when I finished and asked, "Have he had this discussion before?"

"No, last time I saw you I was still hiding all my transgender attributes from everyone."

He looked a little puzzled and said, "I talked with someone who had the same feeling about his marriage and saw himself as androgen as well."

Well, he just got on with the visit as if he had noticed a birthmark and wondered if it had always been that dark.

The whole thing was very matter of fact.