I am Transgender

I am raising money to help pay for the procedures I am hoping to have that will help me affirm my gender identity and overcome gender dysphoria.

Unfortunately, I have not had a job that provided adequate health care benefits so I could even consider having any gender affirming procedures. I have Medicaid at the moment and while it covers hormone therapy it does not cover anything else.

These procedures are medically necessary because of the many effects of gender dysphoria.

Gender dysphoria involves a conflict between a person’s physical or assigned gender and the gender with which they identify. People with gender dysphoria may often experience significant distress and/or problems functioning associated with this conflict between the way they feel and think of themselves and their physical or assigned gender (American Psychiatric Association).

Living with gender dysphoria is like an immeasurable and indescribable self-hate. Hate because you feel that everything about you is wrong and you would rather destroy your own body because how disgusted you are with your own body. All this because you identify differently from what biology gave you. It destroys your life, it harms everything from your academic performance to your intimate relationships. You have trouble relating to people and completing daily tasks. Everything it is to be a human becomes hard if not impossible.

Those of us with this, deal with many mental health concerns. Not because there is anything wrong with us but because society is the problem. Because society forces everyone to conform to what Christian conservatives think is normal.

According to a 2011 National Center for Transgender Equality found that 41% of transgender individuals have attempted suicide at least once and 50% of transgender youth will attempt suicide before their 20th birthday.

I became so depressed in 2016 because of many reasons but one of the biggest was because of realizing that doing just hormones is not even to make my body into who I really am. Then the thought that I could not be intimate with any one again because of how much I hate my body added on top of that is the war I continue to fight because society has not come to the point where everyone is given the health care they need regardless of their zip code or income level.

It is very difficult for me to do this but I must for my own health, ask for your help in paying my medical expenses for my gender affirming procedures. I need to raise at least $10,000 to help cover these expenses. Health insurance will not cover the procedure so I have to pay out of pocket for it.

Please go here to donate: Mika Covington

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Jon Neiderbach & Cathy Glasson for Iowa Governor

I support both Cathy Glasson and Jon Neiderbach for Iowa Governor. I believe that both are great candidates and both have bold progressive agendas.

I support Jon Neiderbach because he believes in education and ensuring everyone has an equal chance to get ahead.

My budget will include $100 million dedicated to make post-secondary education and training available and accessible. Students who agree to stay and work in Iowa after graduation and are enrolled at any of Iowa’s community colleges and public universities will qualify for this new program. My budget will also include funding to reduce debt owed by students. – Jon

I support Jon Neiderbach because he understands that every Iowan must have affordable high-quality health care.

I support keeping the ACA – with needed “fixing” legislation – until there are enough votes to replace it with single-payer universal coverage. – Jon

I support Jon Neiderbach because he believes that Iowans need lower drug prices right now.

I believe Iowa should in cooperation with other states negotiate drug prices for our residents, and press hard for the Secretary of HHS to do the same for all Americans. – Jon

I support Jon Neiderbach because he believes that every Iowa regardless of gender identity must have access to high-quality comprehensive health care.

I will work with the Board of Medicine and the relevant professional societies to educate providers and stamp out discrimination and bias toward transgender and intersex individuals. Iowa should require health insurance policies written in the state to cover medical and mental health services in association with gender identity issues. – Jon

I support Jon Neiderbach because he wants to combat bullying and harassment in Iowa and especially against LGBTQIA (lesbian, gay, bisexual, transgender, queer, intersex, and asexual) students.

Every principal should be required to attend training, with follow up training for the teachers in their building. – Jon

I support Jon Neiderbach because he knows that discrimination against LGBTQIA people continues to happen in Iowa even with marriage equality and the amended Iowa Civil Rights Code.

I will propose additional funding for the Iowa Civil Rights [Commission] for timely investigations and enforcement actions, and I will embrace the Governor’s Conference on LGBTQIA Youth. – Jon

I support Jon Neiderbach because he supports common sense gun reform.

I support applying universal background checks to all sales including those at gun shows, and I favor using technology to make it easier for law enforcement to link bullets to specific weapons. – Jon

I support Jon Neiderbach because he supports comprehensive immigration reform with a path to citizenship.

Iowa needs more people in our workforce, and welcoming immigrants including a path to citizenship for undocumented individuals is an excellent way to increase our population. – Jon

I support Jon Neiderbach because he supports a living wage.

I support increasing the state minimum wage to $15 an hour immediately, with a provision that it will increase indexed to inflation. – Jon

I support Jon Neiderbach because he supports “too-big-to-fail-to-big-to-exist” legislation.

We need aggressive federal oversight to financial institutions to ensure that none get so large their failure would jeopardize the banking system. Banks want capitalism when they are profitable and socialism when they are in danger: unacceptable. – Jon

I support Jon Neiderbach because he believes that we need a 21st Century Glass-Steagall Act.

The bottom line is we need legislation to ensure the stability of the financial system, limit the power of the financial system and any individual institution, and make sure the financial system works to help hardworking American families. – Jon

I also support Cathy Glasson for Iowa Governor. Cathy has been an intensive care unit (ICU) nurse at the University of Iowa Hospitals and Clinics for over 20 years, she is the president of Iowa SEIU 199 and lives in Coralville Iowa.

I am supporting Cathy because she believes as do I, that the primary job of a Governor is to raise peoples’ standard of living.

As Cathy says, 381,000 Iowa households are struggling to pay their bills because two-thirds of the jobs in our state pay less than $20 an hour. Parents working two and three low-wage jobs are still scrambling to come up with $900 each month for childcare, to pay the rent or mortgage, to put food on the table and gas in the car.

Cathy understands that we must provide for those who have the least. She understands that Iowa must increase the minimum wage to a living wage and that Iowa must do more to make childcare affordable for all families.

I support Cathy because she believes workers must have collective bargaining rights. She believes that it should be easy to form unions not harder.

As a nurse, I believe healthcare is a right and holding Iowans’ care hostage is wrong. – Cathy

As she says, healthcare is a right, it is not a privilege for a few.

I support Cathy because she understands that education is a right and Iowa must fully fund our public schools, make community college free, and freeze tuition at Iowa’s public universities.

It is time for a bold progressive, please support Cathy Glasson and Jon Neiderbach for Iowa Governor and join the campaign.

Go here to join Jon Neiderbach’s campaign: click here
Go here to join Cathy Glasson’s campaign: click here
Not endorsed by any candidate, candidate’s committee, or political party.

Depression

fotolia_42927929_subscription_monthly_xxlOn December 31, 2016, I lost my health insurance. Ever since June of 2016, I have been fighting with the Social Security Administration to appeal their decision that I am no longer medically disabled.

Losing the insurance has led to me being unable to get several of my medications, which led to my depression worsening. The depression progressed to the point where on January 20, 2017, I attempted suicide. I took a couple extra of two of my medications then realized shortly after what I was doing and understood that the thoughts I was experiencing were not healthy, and I would be letting someone else win. Therefore, I went to the Emergency Department at the University Hospital.

At the hospital, I was evaluated and observed for several hours. They were not able to prescribe new anti-depressants to see a psychologist. Thus, they set up an appointment, and I went on my way.

The depression did not just go away. The following Sunday, I went to the National Institutes of Health in Maryland.

At the NIH, my depression was made worse because the NIH had not updated their records and still had me listed by my old name. And at the security gate, they printed my pass with that old name, and I had to explain that yes that was me.

Furthermore, when I signed in at the clinic, I had to sign in using the old name. When the nurse called, me she called me “Mr. Covington.” I was humiliated as I walked up to the nurse and she told me that no she was looking for a “Mr. Covington” and that she wanted to know where “he” was.

I was forced to stand there in the lobby and try to inform her that I was indeed the patient. She just stood there looking me up and down before she had me follow her to a room where she became defensive while asking me to show her my ID, which of course said Mika Jayne which is the legal name. This led to more questions and a terrible attitude from the nurse.

Throughout my time at the NIH I was called by male pronouns even after I asked them to call me by female pronouns. Some even went out of their way to be loud when talking to me about why the system still has the old name.

Therefore, my depression and gender dysphoria were made even worse, and while I was there, I had suicidal thoughts again.

I previously loved going out to the NIH. I loved flying and going to a beautiful city. This time I was feeling angry and even hurt throughout most of the visit. This led to an emotional breakdown at the final appointment with the whole team and the nurse I had been seeing since I was an infant.

synergy-research-centers-major-depressive-disorder-infographicRecently, I have been seen by a psychologist who diagnosed me with major depressive disorder (MDD). According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), MDD presents with depressed mood or a loss of interest or pleasure in daily activities for more than two weeks and impaired function in social, occupational, and educational activities. Additionally, MDD is a significant mental health condition that can affect every aspect of life.

I am not proud of my suicidal actions, but I know that mental health care is important and I know that it is not easy to just deal with it without help. My advice is to seek help and if you are having suicidal thoughts go to the nearest Emergency Department. You can also call the National Suicide Prevention Hotline at 1-800-273-8255 or call the Trevor Project at 1-866-488-7386.

Do you want to help fight for mental health care? Then, here are some ways to help out. Call your U.S. Representative and Senators to tell them you support the Affordable Care Act (ACA).

Currently, the Trump administration and Congressional Republicans want to repeal the healthcare law. Keeping the ACA is important for mental health and substance abuse treatment as one of 10 “essential benefits” that health plans must include. It also included a ban on excluding people with pre-existing conditions.

Speak out, call and write your Reps and Senators tell them to support health care.

Call your Rep or Senator here: HouseSenate

 

I really liked this video and how depression feels, it is not PG.

From There to Here

 

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Pott. County Democrats Lunch (Photo Credit: Linda Nelson)

Chapter 1

 

A child lays in a hospital bed with tubes running into her allowing medications to flow into her. This child is very sick, and the doctors do not know what she is suffering from or how to treat it. Her family is there waiting, not knowing what to do or how to help their daughter.

After hours of waiting, the many doctor’s visits, and multiple hospital stays they have an answer to what their daughter has and a possible treatment. The doctors informed her family that she has cystinosis, a metabolic disease that causes cells to crystallize causing early cell death. The disease slowly destroys the organs in the body including the kidneys, liver, eyes, muscles and brain. They tell them that their child has an incurable disease that will eventually take her life.

I am that child. I, Mika Jayne Covington, am the daughter that lives with that fatal illness. I am 25 years old and still living thanks to the doctors and researchers at the National Institutes of Health (NIH). I am still alive.

Cystinosis has been a struggle, and it has been a challenge for me including those who care about me. Yes, perhaps I’m a survivor. However, I’m still living with it every day. There is no break, and I do fall apart from time to time because of it.

When I was a kid, I was always seen as different. Every day, I would go to the nurse’s office to take medications. Many days I had bad breath and body odor from my medications, and I felt sick to my stomach, which usually ended in me vomiting.

Elementary and middle school were particularly challenging for me because of this. Not to forget all the doctor appointments and hospitalizations that I had which caused me to miss a lot of school. Growing up with cystinosis is challenging and quite the journey.

Cystinosis is not the only thing that defines me. I am more than my diagnosis. I am a progressive democrat, a feminist, a human rights activist, an organizer, and a student, beyond all of this, I am a person.

However, cystinosis is part of everything. It is with me every day and intersects everything I do. Because I must take medications daily and I must make sure that I have health insurance no matter where I go to school or work. I even cannot leave for a weekend vacation without packing medications, and it is not just a couple, it is thirty different drugs. Because of them, I am reminded of the disease every several hours.

In the second grade, there was a boy in my class; we would go to his house and play games together. We frequently played at school during our recesses. I was drawn to him. He always stood up for me against the big bad bullies. He would hug me and tell me, “Don’t cry, I won’t let’em hurt you.”

At that age, I did not think that I was different or see that there was anything wrong with me. I had no idea what being gay was. I was me, and he was my best friend, that was all I saw back then.

Later, my family moved to Wahoo, Nebraska and I never spoke to him again. I was in the third grade when I first heard the word ‘gay.’ I did not understand what it meant and I was too busy playing and being a kid to worry about it. Until my classmates started calling me gay and a sissy because they saw me as weak and I did not do or like what most of the other boys did. There were also these feelings that I did not quite understand. I thought that they were normal, so I did not pay much attention to them.

I was busy trying to be ‘normal’ while living with cystinosis. Taking medications and dealing with side effects. Making up school work from missed classes because of hospital stays and doctor’s appointments. I just did not have the time or want to deal with another thing that made me seem different from everyone else.

Around the end of third grade, someone called me a ‘faggot.’ I cried that day for hours. I could not understand what it meant but knew that it hurt me that people would call me these names. I began to realize that I was different and I had no idea what they saw in me that was bad or wrong with me.

It was in the fourth grade when I began having sexual feelings and started to think that I might be gay. I tried to push them away and tell myself, “No, it’s wrong to think like that.” I believed that I was sick and depression set in. I had no idea what to do. I wanted to go back to second grade and be with my friend; he would make all the bad things go away. I tried to pretend that I was sick all the time so I would not have to go to school or be able to leave early to get away from the bullying.

In 2010, my senior year in high school, I turned 19 and lost my health insurance. In Nebraska, a person becomes a legal adult at age 19 and per Medicaid rules, one must re-apply for coverage. I did just that and was denied. I was told that I was not eligible for coverage for having a pre-existing condition (cystinosis). I tried applying four times with the same results.

Thus, while attempting to be a regular high school student and completing my senior year, I needed to figure out how in the world I was going to get health insurance. I needed the insurance to cover all my medications that kept me alive and keeps the disease at bay.

At this point, I was working at J.C. Penney, but not nearly making enough money to cover private health insurance. Not to forget, I was beginning my process of coming out as transgender. And finding my political affiliation as a Democratic Socialist.

While many of my friends were talking, and laughing about who they were dating, talking about what college they planned to attend, and what classes they would take, I wasn’t, no not me. They made me feel angry, hurt, and mad at the world and God. Nevertheless, I understood that perhaps I saw the world a bit more clearly than they did. I guess they all may have made me stronger, and that they made me into the person I am today. I was even forced to make sacrifices that I did not want to make, but I knew I needed to so that it would protect me and get things done.

National Institutes of Health (NIH)
National Institutes of Health (NIH)

With no avenue to appeal their decision, I decided to focus on graduating high school and going to college until my scheduled trip to the National Institutes of Health (NIH) that fall. I went most of that year without any medications, which resulted in me going into end stage renal or kidney failure and it probably cut a few years off my life. I went from needing a kidney transplant in 2-4 years to needing one in six months to one year. If I had had health insurance and access to the medications, I might have been able to wait until after college to have a kidney transplant.

After I had graduated from high school, I knew I wanted to contribute to society in any way possible and work to create the change I seek. Unfortunately, having cystinosis and going on dialysis forced me to stop working. To stay busy, I volunteered on issue and political campaigns, such as fighting for full federal LGBTQIA (lesbian, gay, bisexual, transgender, queer, intersex, and asexual) equality, voting rights, and healthcare for all. I am passionate about these because I look forward to a future where everyone has the right to vote, has full and equal human rights, and access to high-quality health care. For me, these causes are important because I know first-hand how not having access to health care can cause a chronic disease to get worse like mine did.

Chapter 2

In 2011, I faced more challenges that made it more difficult for me to attempt to put cystinosis in a box as just one detail of who I am because my kidneys failed. I would need a kidney transplant or start dialysis. Therefore, my doctors put me on hemodialysis and at the time I did not have an organ donor.

hemodialysis1Hemodialysis is a form of kidney dialysis that can be done with a catheter (a plastic tube) placed in the chest into the superior vena cava (a very large vein right about the heart) that is used to cycle blood into a machine that cleans it and returns it. I was on this form of dialysis every other day for four hours in a medical center for about ten months.

I knew that I would need to look for a kidney donor because I could not indefinitely live on dialysis. After a couple of months of searching, I found one, and her name was Erika von Kampen. She was a match, and we had the transplant scheduled at the University of Nebraska Medical Center (Nebraska Medicine). Unfortunately, the operation was unable to happen there, and I had to move on.

PD Bag
PD Bag

Therefore, in February 2012, I switched to peritoneal dialysis. This form of dialysis uses my body, the peritoneal membrane in my abdomen as a filter to clear wastes and extra fluid from my body and returns electrolytes.

I was on peritoneal dialysis for fifteen months. This form can also be continuous, which I did go to when I had a cycler so that it could cycle the fluid at night while I slept. I was on it from 2012 to May 30, 2013, when I received a kidney transplant from the University of Iowa Hospitals and Clinics (UIHC).

PD Cycler
PD Cycler

Sophomore year at Wahoo High School was sort of the best and worst year I had ever had in Wahoo. I decided that I could be ‘normal.’ I worked to open up to people and put myself out there. I just wanted to be like everyone else, to be normal. I decided that to be normal, and I should find a girlfriend. My cousin had a friend who I also knew, and we had several things in common. I asked her and my cousin to go to the homecoming dance. I thought it would be a safe way to attempt to belong.

New Year’s Eve, I was with my older sister and cousin, we were celebrating the promise of the New Year, and I told them that I was indeed bisexual. Both my cousin and sister said, “Yea, we know.” They poked fun for a bit, in a loving way, and we continued chatting as we always had. I finally felt like I could be myself.

The next day was a new year; I felt it was time to live openly, and I experienced firsthand what living honestly meant. Including the pain of being different in a small town high school in the United States, and especially in Nebraska where it was legal to bully and harass a fellow student based on their sexual orientation. To this day, there are no state or federal laws banning bullying or harassment based on sexual orientation or gender identity.

As an openly ‘gay’ student, I experienced bullying and harassment in a new way, but I decided I would have to live with what was thrown at me. Soon the bullying escalated to the point where I needed to leave Wahoo. I became very depressed and angry. I didn’t completely understand why I felt that way. Especially since I just came out and from my research, I should be feeling better. Nevertheless, I didn’t feel any better. I still felt wrong in my body.

One Summer day, after watching my older sister have her nails done, something happened. It was like a light went on. I started to wonder what it would be like to have my nails painted. Thus, when I went back to school a couple of my friends, and I painted my nails, and I liked it.

Soon, I felt more comfortable and started looking at expanding my gender expression. I looked at wearing tighter jeans from Hot Topic. I knew that guys were not ‘supposed’ to paint their nails or wear so-called ‘girly’ clothes. However, I wanted to wear them, and they made me feel more safe and comfortable. They also scared me to death. Then, I became active in other things to express myself such as choir, drama, and activism.

 

As I’ve said, cystinosis is only a part of my life, and peritoneal dialysis changed my life to make it a smaller part of it. It was like I had some of my freedom again. I was able to follow my passion and fight for what I believed in again. I was able to become active in politics, and I met many wonderful people including Amber Bordolo a Field Organizer with Organizing for America (OFA).

While I went to college at Iowa Western Community College (IWCC), working on my Associate’s degree in psychology, Amber invited me to a couple of her events. I finally attended one of them, became friends with her, and she recommended that I apply to become a Summer Fellow (intern) at OFA. Little did I know how big of an impact that was going to have on my life.

398777_10150940759848430_1366498105_nIn the beginning, I worked to organize house parties and other events to get supporters together, fired up and ready to go to work to get the President re-elected. Soon, I moved into a different stage of the campaign where I made many calls to convince voters to support him. Additionally, on the campaign, I had the chance to go to Des Moines, Iowa to see the President speak to a crowd of supporters at the Iowa State Fairgrounds where I was able to stand on stage behind President Barack Obama.

While I worked with OFA, I considered going to UIHC to get on their transplant list and perhaps have a living donor transplant.

University of Iowa Medical Center
University of Iowa Medical Center

In September of 2012, I went to Iowa City, Iowa for medical tests and evaluations at UIHC Transplant Center to see about being placed on their list. I passed and was placed. Additionally, I went out to find a living donor. This included me sharing my story and health condition with people. Then I sent out packets of information and forms to eight individuals who were interested. However, only three were returned to the transplant center, and one was a match, but had complications and could not donate. I had to make a choice, spend more time sending out packets or see if Erika was still willing to donate her kidney.

I was lucky because Erika was still interested in donating. Once she filled out the forms, and they were returned to the transplant center, they immediately scheduled her for an appointment to be evaluated since we already knew she was an excellent match. The operation was scheduled for May 30, 2013, which I dubbed adoption of Serenity because I named the new kidney Serenity.

Chapter 3

IV meds post-op transplant.
IV meds post-op transplant.

I wake up feeling pain and choking on the dryness in my throat. The nurses around me are talking and doing things with my iv lines. I couldn’t understand exactly what they were doing.

One of them asks me, “Mika, what is your pain level?” I don’t respond, and I just groan because I still am fighting the hoarseness and dryness in my throat. I try to swallow the saliva that isn’t there and fall back asleep.

I wake again hearing someone ask me, “Mika, can you tell me what your pain level is?”

I clear my throat and say, “I feel pain. A lot of pain.”

The person replies, “Yes, what is the pain level? One to ten.”

I reply, “It is an 11.” I then feel someone touching my arm, and I fall asleep once again.

Jon and me after our surgeries!
Erika and me after our surgeries!

The next thing I remember is people talking and being in a different room but I was not wearing an oxygen mask. Someone in the room was speaking but not towards me. I ask, but to no one in particular, “Water, I need water.”

At one moment of my consciousness, before I was fully awake, I turned to my grandmother and weakly said, “No more dialysis.”

I am a bit more conscious and aware, and I see that I am in a private patient room with family around. A nurse is trying to talk to me about the surgery, the morphine pump, only being allowed ice, and needing to get up to walk by 10:30 pm.

I am living with full kidney function thanks to Erika and the staff at UIHC. The transplant gave me my life back literally and figuratively. I started the journey to kidney transplant on November 22, 2010, to May 30, 2013. Those were three very long years of two types of dialysis, doctors’ visits, and hospital stays. All I must deal with now is immune – suppressants, cystinosis medications, blood thinners, transgender hormones, and fighting to continue to have health insurance.

But, it is still hard. I don’t know what it is like to just live. To live without there being a struggle or some challenge to overcome. Ever since I graduated high school, I have been living from one struggle or challenge to overcome to the next. No time to breath, no time to relax or get comfortable. Or at least the moment that I start to relax something new happens, another challenge confronts me. I know how to survive but do not know how to live.

Nevertheless, cystinosis and most of the challenges that I have faced have not halted my endeavors. I wanted to do more for society, and I have done that. Therefore I volunteered with the Iowa Pride Network and volunteered to be on their College Leadership Team.

On their team, I organized and ran the IPN Southwest Regional Gay-Straight Alliance Coalition. This Coalition was a great way for LGBTQIA youth and students to come together and have a safe space. Additionally, the coalition consisted of one meeting a month, and the meetings were educationally based on filling the education gap on LGBTQIA studies and issues.

While I was a member of the College Leadership Team, I was a college student at Iowa Western Community College, and in the summer of 2012, I had my first taste of political campaigning.

As I spoke about before, I became a Summer Organizer for Organizing for America (OFA) or the Obama campaign. In that position, I had many responsibilities including working closely with volunteers and talking with Iowa voters. I recruited, managed, and trained volunteers to organize their communities and neighborhoods into teams that registered, persuaded, and motivated voters. I organized my turf, which included most of Iowa House District 16. I planned and successfully organized one of the largest Equality Nights in Iowa.

During that Equality Night, I lead a discussion on the accomplishments of President Barack Obama and the Democrats for the LGBTQIA community. Additionally, I worked to grow neighborhood teams on a grassroots level and managed team leaders.

For me, this was an excellent experience to develop as an adult, learn how to handle several tasks at once and focus on total goals. It was also fun. I loved talking to voters and making connections with them about what is important in their lives and how Democrats can work with them to better their lives.

In 2007, I left Wahoo, Nebraska with my family. Most of that summer we lived in a subdivision of Omaha, Nebraska. When school started, I moved in with my cousin and her family, that way I was able to attend school with her at Millard South High School. There I met many new people. People were finally accepting of my sexual orientation and gender expression. I even met other openly LGBT students. Millard South was a safer environment for me. I was able to open up and become the person who I truly was all along.

Millard South even offered many additional academic opportunities than the small-town school. I was able to take part in the German program at Millard South. I was able to thrive there, and I gained some confidence.

Students and teachers at Millard South thought something of me. They believed that I could accomplish some awesome things in my future. I had a couple of teachers who believed in me especially when I did not believe in myself. They kept giving me encouragement. They told me to keep fighting for what is right. They believed in me when I needed someone, even when my family was not there for me. I will never forget all that they have done for me, and I hope I can repay them.

My new pride and confidence did not help me at home. As I become more open about myself, my mother and her boyfriend became negative towards me. My mother not only did not understand who I was, but she also seemed not interested in trying to learn. Both thought that I needed mental help for who I was.

On that particular issue, perhaps they were right. I needed help dealing with the damage that they were causing. I also needed someone who could help me understand myself. I’d known for years that I was different and my time at Millard South allowed me to develop and embrace parts of my identity. But, I felt that there was something more. I could not piece together why I felt that I was incomplete.

The therapist that I did see understood that the problems at home were multifaceted and did have a lot to do with my mother and her boyfriend. She understood that some of the challenges I faced were related to being queer and dealing with bullying and harassment in my life. These sessions helped me begin to accept a fact about myself that I had previously been unable to come to terms with. I could identify the roots of some of the problems and discovered more about my identity. I realized that the only way to overcome the feelings of injustice I had was to continue to fight for my rights.

At one of the sessions where my mother and I were at, I remember yelling, “Well, I am sick of listening to you cry about your problems! We are here about me! I am transgender!”

That day forward, I began coming out to people. On October 11, 2009, I told the store manager at J.C.Penny that I was transgender. I told her that from that moment on I would be identifying as female, using female pronouns, and prefer being addressed as Mika. This is the time I began the process of coming out at school and requesting my teachers to address me the same.

Chapter 4

Coming out as transgender was one of the hardest things I’ve ever done. I was terrified. I knew my family didn’t like me being queer. I was concerned about how my friends at school and work would treat me. I even expected to lose my job.

It has been a long journey. I wonder why I did not notice or understand sooner. Coming out opened my mind to new possibilities. It helped me accept myself, and I could improve my academics and work beyond what I thought I could.

After nearly six years of living openly as myself, I have started the medical transition to assist me in confirming my gender. I recently started transgender hormone therapy. The hormone therapy helps in establishing my secondary gender characteristics.

During the hormone therapy, I take two medications spironolactone (Aldactone) and estradiol (Climara). The spironolactone is used to suppress the male sex hormone (testosterone), and the estradiol is used to add the female sex hormone (estrogen).

Furthermore, I have hypogonadism, which causes my body’s sex organs not to produce healthy levels of testosterone. Because of the hypogonadism, my body was never exposed to large amounts of testosterone. Therefore, I could transition into my real gender much easier socially.

Coming out as transgender, has abled me to become a full person. I can be who I was all along. Yes, there were many challenges that everyone including myself faced. For example, many of us cannot access high-quality health care, find health insurance, change of identity documents, fair housing at colleges and universities.

In my case, I had numerous experiences of health care providers refusing to recognize my gender identity. This led to many occasions of embarrassing moments where a nurse would call my name, and I would walk over. The nurse would then ask me who I was, and I would tell them. They would say, “You aren’t a male, I am looking for a male.” Yes, that kind of occasion. There were also those events where the doctor comes in and asks me, “Where is Mika at?” I would tell them, that I am the patient. Then, I would get, “Oh! Well, I guess I have the wrong room.” Yeah, it was wonderful!

In regards to gaining health insurance, transgender individuals can get health insurances regardless of their gender identity. Despite that, most insurance policies do not cover any gender confirming treatments, and they are unlikely to include gender-confirming surgeries. Consequently, transgender individuals do not get the health care they need and in many cases or must pay out of pocket.

Thus, many transgender people are not getting the health care they require. Hence, why I waited six years to start any form of gender confirming treatments. Only recently did government policies change to allow Medicare and Medicaid to pay for some gender confirming procedures. At the moment, all of my gender confirming procedures are covered under Medicare part D. I am lucky because many transgender individuals do not have cystinosis that qualifies them for Medicare and Medicaid.

Furthermore, changing your identity documents is not a walk in the park either. It costs money and if you do not have that money you just cannot change them. As a transgender person, it destroys you every time you must show that card to someone, and it doesn’t represent who you are.

Imagine, how would you think you feel if you go to an airport to go on a vacation and going through security you must show a card that says you are male. But you apparently look like a female, and on top of that, you must use a name that isn’t you. This is the situation for many transgender individuals.

Additionally, transgender individuals face many difficulties when applying for on-campus housing at colleges and universities. Many college and university housing policies say that they make placement decisions based on the legal or biological sex of a student. This is unfair and a problem.

In my case, I first applied to live on campus at Iowa Western Community College, and the campus housing administration had to have a discussion with me on my “trans issue.” They told me during that conversation that I could live on campus if I lived in a male dorm, and they said I would probably need to dress as a male.

Ever since getting involved in politics in 2012, I stayed involved because I felt that it was an important endeavor. Therefore, I became more active within the local party and learned more about Iowa politics, my new home. I stayed involved in Nebraska as well, where several Nebraska citizens were interested in fighting for second parent adoption.

It was in the winter of 2012, and I worked with these residents who did not have the ability to secure their families through second parent adoption or join adoption in their state. After we had done extensive research, we began working with Nebraska State Senator Sara Howard (District 9) to introduce a bill in the state legislature.

photo (1)Senator Howard introduced LB380 in February 2013 to correct Nebraska law. I then ran a grassroots campaign for the bill that consisted of an online petition, emails, and calls to State Senators. And I organized postcard making parties in several cities throughout eastern Nebraska, which was sponsored by MoveOn.org. Unfortunately, the bill did die that session, but Sen. Howard continues to fight for families in the state legislature.

While, I was working on the second-parent adoption bill, I was the field director of Forward Equality. The organization was formed by myself, several friends of mine including a former professor of mine. Forward Equality worked on progressive issues ranging from workers’ rights to civil rights. I worked (non-paid) at Forward Equality from April 2010 to April 2014 when it dissolved.

Chapter 5

As I said, I continued to be involved in the Iowa Democratic Party. I was elected to serve as the Pottawattamie County Affirmative Action Chair, and I served from February 2014 to October 2015.

11391246_981335545240787_107062442060574773_nAs the Affirmative Action chair, I organized an Affirmative Action Committee in Pottawattamie County for the County Democrats. We worked to ensure that our party was following the Democratic Party’s rules and regulations on the Americans with Disabilities Act of 1990 and their diversity requirements. This included organizing our involvement in several Pottawattamie County events such as Celebrate Council Bluffs and Heartland Pride LGBTQIA Parade and Festival. We also assisted in ensuring that the Pottawattamie County 2016 Caucus locations were ADA accessible to the best of our abilities, and we worked to bring those who historically felt unwelcome back into the party.

Moving forward, I have been involved in the 2016 Democratic presidential primary. I supported Senator Bernie Sanders for President, and I first met him back in September 2014 at an event he was speaking at in Des Moines, Iowa.

From that moment on I knew that he was a person that I was willing to fight for and put in long hours campaigning for. Sen. Sanders wasn’t running for president at that moment, though. He was only considering it. I decided that I had to work to get him to run. Thus, I volunteered with the Run Bernie Run campaign to convince the Senator to run for President as a Democrat.

On May 26, 2015, Sen. Bernie Sanders surprised many people including myself by announcing that he was indeed running for president and that he was going to run as a Democrat. I knew at that moment that I had to learn how I could help him while living in Council Bluffs, Iowa. However, I was still the Affirmative Action Chair, and I was forced to make a choice. I had to decide if I wanted to throw my full public support behind him.

The decision was thrust upon me the last week of June when I received a call by the Sanders campaign asking me if I would be interested in introducing the Senator at his town hall in Council Bluffs on July 3rd. I felt overwhelmed with excitement and terror. I have never spoken publicly to over 2,000 people. Thus, my first response to the staffer who called me was to give me some time to think about it. I said this even though in my heart I was screaming to go and do this.

On July 3, 2015, I gave one of the first speeches kicking off the Bernie Sanders campaign in Iowa. I was nervous, but I did my job and did it well for Bernie. That day forward, I began volunteering for the Senator. I did this for his campaign for months until December when I was hired on to the campaign as an Organizing Fellow. I was officially on the Bernie Sanders campaign payroll.

Introducing Sen. Sanders
Introducing Sen. Sanders

I was an OF for two months before I was promoted Field Organizer. I that position, I recruited managed and trained volunteer. I built and led several volunteer canvass and phone banks.

14102677_10153641460691923_3415136486597262791_nOn the campaign, I worked in Iowa and Nebraska on their caucuses. While in Nebraska, my turf included Lincoln but I also knew people in three other counties. Thus, I helped to organize them as well. Two of the three counties went for Bernie.

After the Nebraska caucuses, I was sent back to Iowa to work on our county conventions making sure that Sen. Bernie Sanders got a fair representation by having all his delegates show up.

Between working on the Iowa conventions, I was sent to Kansas to help organize the campaign’s participation at their state district conventions. Afterward, I went back to Iowa to work on the district conventions. Nonetheless, I was sent to Colorado to assist with organizing for their State Convention. In Colorado, I helped in several ways including monitoring the official ballots and observing the counting of those ballots. I also signed off on the initial hand count of the official ballots as the Sanders, campaign staffer.

I am proud to have worked for Senator Bernie Sanders and voted for him in the Iowa caucuses. I worked for him as an FO from February 2016 to May 3rd, 2016. Nonetheless, I was not finished working for and representing the movement for a progressive future and the political revolution started by the Senator. At the 3rd Congressional District convention, I ran for national delegate to represent Iowa at the Democratic National Convention. I did not win enough votes to go.

Later at the State Convention, I ran for Democratic National Committee member to represent the movement of progressive voices and the youth voice of Iowa. I won a significant number of votes to make me a strong challenger against the party establishment. Unfortunately, I did fail to gain a majority of the votes. Moreover, we did show the establishment that their politics are no longer what many in the party want and they should begin to listen to us otherwise, they may lose their power.

Today, I am living my life. I am out and open about who I am. This is who I am, a human being who has a tremendous passion for making this world a better place for all. I am a person who lives with cystinosis and who is a transgender woman. I am a sexual assault survivor, a human rights activist, a feminist, a student, and a fighter.

This is my story, and it continues.

Who are you really?

Do you really know what you stand for and will fight for? Are you really what you say you are?

I believe that we do not really know who we are until we are faced with a serious even and our realities are challenged, when our lives are thrown upside down. These are the times that define us all.

Personally, I believe that the majority of us do not know who they are. I think this is because of society and how it teaches us to fit into the perfect model of a consumer and where we live to work. To the point that we do not challenge the way things are in the world.

Many people similarly situated to myself, who are and have faced death, have had their eyes forced open, they realize that having the newest Iphone or best dress is not important. That what is important is enjoying life and getting the most experiences out of it.

Unfortunately, or fortunately (depends on how you look at it), this may have made many of us a bit blunter or “lacking social cues” because we don’t quite see the need for unnecessary pleasantries in social situations or politics because life just maybe too sort.

Maybe we have also seen how that fighting over the little things like voting for a third party candidate over a so called “major party” candidate and the person that they are thworing their vote away is just not necessary. Even how there is this huge fight over making sure that Hillary Clinton is elected when she cannot do much if we do not have a progressive House and Senate.

Just the grossness in politics and society is a problem and at least for me it is sometimes very hard to deal with people because fo the experiences I have had that has given me a different perspective on life when I just don’t see the logic in even worrying about stuff like that. Such as getting the latest car, a great house, or the fancy clothes.

This is who I am.

I am a fighter, a transgender woman, a Democrat, a sexual assualt surivior, a feminist, and a student.

Let’s fight on and change this world! Let’s challenge the social norms!

The Revolution continues!