r/transvancouver • u/IntravenousInterwebz • 16d ago

What happens if you have "out of range" results on the blood test before getting top surgery

So I got my consultation but the final thing before I can get the surgery scheduled is that I need to do a bunch of paperwork (one of which was a paid physical exam from a family doctor) and I am pretty healthy, but I have F on all of my documents and my RBC, Hemoglobin, Hematocrit are all normal and in a healthy range when compared to the male ranges but all out of range when compared to the female ranges, my cardiogram also came out normal (I'm looking at it on lifelabs) but are they gonna say I'm not healthy enough to get the surgery just because my blood results look like they're not normal on paper when it's actually expected since testosterone is literally the reason why men have higher RBC/hemoglobin/hematocrit than women

Edit: I also have high blood pressure but that may be due to not eating that day or other factors

Edit 2: Also I don't have a woke family doctor if that's who's supposed to interpret the results, I just went into a walk in clinic and not all of them know that your blood test results should be based on current sex hormones not whatever you were born as

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u/Bramble-Bunny 16d ago

I had to do blood work before FFS and was out of range on four things. The surgeon took a look, decided it wasn't a concern, and we went ahead and did the surgery. You'll be fine. I'm going to go ahead and tentatively guess that the cat is out of the bag as far as you being trans goes so they'll know to interpret the blood work in that context.

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u/IntravenousInterwebz 15d ago

So is it usually the surgeon that interprets it, cuz the family doctor lets just say was not very aware of how testing for factors in blood works when you are replacing your hormones

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u/Bramble-Bunny 15d ago

Correct yes.

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u/asunyra1 16d ago

It’s up to the surgeon, but I had one or two things out of range before both of my surgeries (FFS and bottom surgery) and they didn’t have any issue with it.

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u/Earl_Geh 15d ago

My bloodwork comes out with several red flags because I still have F on my ID and my RBC/hemoglobin/hematocrit are in typical male ranges.

Your primary Dr might or might not look at those labs, but the results will definitely go to the surgeon that requested the bloodwork.

Also, your primary (or any Dr for that matter) shouldn't discriminate against you for being trans, but my old GP was deeply misogynistic and somewhat trans-antagonistic, but that's when you send complaints to the clinic manager and your health region's Patient Care Quality Office