jessica
first, i should apologize for sending you faxes and emails; i don't have a phone.
my
 name is jessica parent. i saw you about a year ago regarding 
transgender hrt. you carried on a prescription i had been on for four 
years and have now been on for five years. at the time, we agreed that 
you would continue to prescribe the hormones from a distance, because i 
live in windsor and it's very difficult for me to commute to london. 
however, when i went to renew the prescription, the pharmacy received 
back a note that you need to see me.
i really can't 
afford to make the commute. i'm really not quite sure why it is that you
 need to see me, given that we agreed it was unnecessary. do you need a 
blood test? could you schedule one at a clinic here in windsor, and have
 the results faxed to you?
i'm exploring further 
options, here, but they're kind of bleak. i have an appointment with a 
family doctor on nov 17, and i'm hoping that works out. i'm also 
communicating with an endocrinologist, but he's put a condition down to 
attend a workshop in toronto with a year-long waiting list, and that's 
kind of a non-starter. i may be able to convince him to waive this, but 
it's up in the air right now.
if it's just a blood 
test, i can do that. but i would really like to avoid the bus fare; i 
could do it, if it's my only choice, but i live on odsp and it's going 
to be tight up against my budget.
if you require 
regular visits, i suppose i understand. i think i've been on hormones so
 long, that it's just a question of a check-up, and i do feel healthy 
enough that i think it's probably superfluous, but i realize there are 
due diligence issues, as well. but, i can't commit to that.
in
 the short run, i'm hoping maybe you could give me another 3-6 months to
 allow me to exhaust options here. again: if it's just a blood test, i'm
 more than willing to do that. if not, and you're ok with another few 
months, i'd ask you to let me know so i can ask the pharmacy to fax 
another request.
i know this is not ideal. *i'm* the 
one that's struggling to find a doctor, here, that's at a reasonable 
distance. i'm not quite sure why this is proving so difficult. but, it's
 obviously kind of frightening to come up against the idea of not being 
able to find hormones, after already transition fully for all functional
 purposes. i hope that the urgency is understood and the difficult 
situation is accounted for in your decision.
london clinic
Good morning Jessica,
Thanks
 so much for your email. We can absolutely empathize with the difficulty
 to get here for an appointment with the distance and financial 
constraints. I showed Dr. Martin your email and he came up with a bit of
 a compromise, I hope this can work. He has agreed to extend the 
prescriptions until June but in the meantime, if you could find a way to
 make it up here for an appointment that would be very important before 
we are able to give more beyond this date. The issue is just with the 
due diligence, for him to be able to be accountable and act in a 
medically responsible way while prescribing medications it is essential 
that we see you in our office for follow-ups. Hopefully the extension 
will make it a little easier to find a way to get here at some point 
between now and then. Let me know that you would be agreeable to this 
plan and where you would like me to send the refill for you 
medications.  If there is anything else I can do to help, don’t hesitate
 to let me know.
jessica
probably the easiest thing to do would be for me to fax the refill request from the pharmacy. does that work for you?
extending
 it to june will give me more than enough time to figure things out 
here, so that is ideal: thank you. i will know if i need to make another
 appointment within a few weeks, and if i do i will call you near the 
end of november to make it. if i don't, i'll let you know as well.
london clinic
Hi Jessica,
I'm so glad to 
hear this plan will work. You can for sure have the pharmacy fax over 
the refill requests and I will fill it out and fax it back to them :)