A Life in Three Parts
The Visit, Gender Euphoria, Gender Enlightenment

The world is fuzzy. You think you’ve been here before, or maybe this isn’t the first time you’ve woken up. There’s beeping. Voices in the distance—hushed. You don’t think you’re allowed to know what they’re saying. You don’t care.
Your family comes in and out, but you had never planned on seeing them again. It’s a hit to your heart every time. You can barely look at them. The concern is sweet but unproductive.
You realize you’re in a gown. Someone must have taken your clothes off. That sucks.
People ask you questions you don’t know the answers to.
You try to sit up but give up fairly quickly. There are soft handcuffs on either side of you. You’re angry. No matter how soft they are, they still rub at the burn on your arm. The chains attaching them to the bed are not soft. You think about the burn on your arm, and glance at it. The bandage you had neatly tied the night before is soiled and ragged. How did that happen? You can’t remember. There are unbandaged wounds as well—you remember those. Vaguely. They were yours too. The most effective distraction and destruction method.
People still ask you questions you don’t know the answers to.
You’re not even sure who you are.
You think one of the wounds doesn’t look great. Part of your hand is numb. You vaguely think they should have stitched it. You wonder if it will be numb forever. It will be. You wonder why they put you in chains but didn’t stitch your hand. You know you won’t die today, so you’d rather not be in pain. You can’t guarantee you’ll still be around in a week, but for now, you don’t want the physical pain on top of the psychological.
They notice you’re in the world again. They hand you a black drink. You look at it, waiting for instruction. You think they want you to drink it—why else would it be in a cup? You can’t really make out what they’re saying. You just want to go back to sleep. You drink the black drink. It’s sweet and burnt. The word charcoal comes to mind.
That means they found you. That means you’re going downstairs.
You know, somewhere deep down, that you were trying to avoid this part. But you’re too hazy to put up even a little fight. You don’t have any fight left. You go back to sleep.
You are being unceremoniously moved. They won’t let you walk yet, though the continued gaps in your memory tell whatever logical part of your brain that it’s probably for the best. You don’t fight what they tell you to do. You don’t talk at all. You might never talk again.
They mistake listlessness for cooperation anyway. And all you have to do is get out.
You’re in a room now. People come in and ask questions you’ll never know the answers to. They might as well be speaking in tongues. At one point, a young woman—probably a patient—comes into your room and takes a pair of your pants out of the drawer. You don’t move. If she’s stealing them, she needs them more than you do. You see her wearing them the next day. At least they fit her.
Maybe you’ll make a phone call today. Maybe you won’t.
You’re prodded awake before dawn by a woman who calls you by a name that has never been yours. You’re sensitive about names. She wonders out loud if she could just hold you for a bit. You scream. You are already the youngest in an adult ward. You make friends with the addicts for protection.
You’ve already been stripped of identity. You do not care what brought this woman here. You are not safe with her. Your name has not and never will be Erin. You do not sleep for a minute the rest of your time there.
One day—though the days are all a blur—you wander into the dining area. The decals on the walls used to be flowers. Maybe they were meant to brighten the place up a bit. Now they’re tattered and half torn down. You laugh. This weird irony, this liminal space, gives you the first smile you’ve had in weeks. Something about the bleakness makes you happy.
Maybe if you survive this storm, it will be food for your work.
You shut that thought down.
That’s not the plan.
You go back to your room. There is a man there. He tells you he is a doctor. He is wearing the coat. The other doctors have come in and out. You also know that compliance means you can leave.
He tells you to take your top off so he can do an exam.
He is not a doctor.
The door should never have been closed.
You file that away under “things to deal with later.”
You are surprised to have the thought of doing anything later.
You’re still not sure if there will be a later.
It’s been at least three days. You look under the bandages that haven’t been changed or looked at by anyone. Well. That can’t be good. Your whole arm hurts now. It’s swollen and red. You don’t tell the nurses. You don’t think they’d do anything if you did. They spend a lot of time on Facebook at the nurses station.
There’s going to be music. You like music, so you drag yourself to the recreation room only to realize it’s a cheerful man doing renditions of children’s songs on his guitar.
All you can think, really, is that all the windows have bars on them, and you appear to be more underground than above it. You wonder how many suicidal people have been pushed over the edge after hearing Old MacDonald and Down by the Seashore.
You think: we are like feral animals right now. Approach us with soft words, no sudden movements, and no fucking children’s songs.
You wonder where this burst of energy came from.
You pace up and down the hallway with a contractor and a heroin addict. They’ve become your bodyguards since a man in psychosis has set his eyes on you. There is a sign that says 100 laps is one mile. You could walk past the nurses’ station 200 times and still not be the mile away that you’re actually trying to be.
They will not let you outside. Even just to breathe non-stale air.
But there will be chair yoga in twenty minutes.
Before you leave, people ask you questions you don’t know the answers to.
But you know the ones they want to hear.
You step out into the blinding light.
You are not well.
But you will never be going back.
some years later
the first time i bound my breasts
i couldn’t breathe
the tight fabric
on my sensitive skin
was too much
then i looked in a mirror
and cried
this is what i’m supposed to look like
this is who i’m supposed to be
it is still uncomfortable
to this day
straps cutting into my skin
even with the safest ones
squishing the comically large breasts
for someone with such dysphoria
into almost oblivion
but never enough
sore spots under my arms
awkward movements to prevent pain
but it didn’t
because holy shit
that person in the mirror is River
they are me
so when i sat down last week
in a bright white office
that was way too fancy
for the likes of me
and my surgeon sits down
and asks
what does your ideal chest look like?
i was silenced
you were there
with me waiting for the answer
who knew such a simple question
could make me feel so human
of course the words I could get out
were no chest at all
but he knew what I meant
and when it came time to take pictures
they covered the mirror
such small detail
such a huge deal
an understanding of
nonbinary and trans folks
that is largely absent in the medical world
so now, in a few months
there will be no more pain
no more spots rubbed raw
so i have to take a break
and wander into the world
not feeling like me
there will be no more
squishing these comically large boobs
into binders that that never quite work
i will walk out after healing
me
River
no different from who i was before
but comfortable
and without pain
i imagine the gender euphoria will be more than it was
when i looked in the mirror
the first time
and decided i would trade my comfort
for looking like myself
six months later
the first time i looked into the mirror after surgery
soothed my brain in a way
i didn’t realize was possible
holy shit
i am me
or rather
i look like me
now i am not the me
that wrote with rose colored glasses
what the pain of transition would be
i would not trade it for the world
i am now in the in between body
the neither nor body
i’ve started to love my softness
turns out I love a dress
just didn’t like that they emphasized my chest
because now i am me
and this me, this changed me
is at home in their skin
at home with you
and when you stepped off that plane into my arms
and i was transformed
we rose to the challenge
and started to believe in fate
everything after that was a bonus
the euphoria when i looked
down at my chest
in my favorite tank top
could only shine brighter
by knowing you
were there to witness
to love
and now i look in the mirror
knowing i was both naive about the pain
and i underestimated the joy
it would be to feel comfort
in my own skin
because i never have
to be able to move in confidence
around the world
the scar is a heartbeat
the before
the after
when your fingers paint it
on my skin i can feel
every ounce of love
pulsating
lost in space
trading
short intense pain
for
this joy
i am me
River
i built this me
we built this me
in a creepy hotel room
with an hourly rate
each gasp of pain
met with gentle hands and soothing words
we meet gore with patience
and secret paranoia
while we watch the moon
from the balcony
not romantic
survival
i needed to
feel you close
and now
with the world burning
we find euphoria where we can
in our cats
in each other
in the story of our love
in the heartbeat scar on my chest
that we’d rather not fade to nothing
scars are beautiful
i am me
you are you.
this is not gender euphoria
this is gender enlightenment
About the Creator
River and Celia in Underland
Mad-hap shenanigans, scrawlings, art and stuff ;)
Poetry Collection, Is this All We Get?
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Comments (23)
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This left me speechless. So raw, so real, so beautifully human. Congratulations on a much-deserved win! 🖤🌈🏆
Super congrats to the both of you. I knew this one was going to be a strong contender. I really felt these words. So happy for you, River!💖 -This is gender enlightenment- 😍
Congratulations on your astounding win with your amazing work
River, this left me speechless. Your heart is in every word ❤️ There would have been a riot if this didn't win! Congratulations on 1st place, and thank you for writing and sharing this heart-wrenching piece. I wish you and Celia all the happiness and wonderfulness in the world.
Absolutely fantastic. A perfect rise from the ashes. 👏👏🫶Congrats on the win 🏆 so well deserved.
Without question, this is one of the best stories I've read on Vocal during my five years here. Emotional, gripping, and helps me understand the struggle of a family member just a little bit better. Bless your heart for writing this, and many congratulations on your first-place win!!!
River, such a heart-wrenching and emotion-filled piece. I could picture the first part very well. I liked that this is three acts of sorts and that you managed to make this also so life affirming and full of love and joy towards end. Kudos to you and congrats on your prize. 😊 💚
God damn, this is one of the best pieces I’ve ever read. No, I’m not tearing up, I just got something in my eye. Big, big, (virtual) hugs from me. You deserved this win ❤️❤️❤️
Wooohooooo congratulations on your win! 🎉💖🎊🎉💖🎊
Such a moving piece, but so many of them are. Congratulations on the win; you very much deserve it! I also have such a complex dance that I am doing with my gender and knowing myself, and how outside forces impact that. I love this so much, and it is so moving. I cry pretty much every time I read one of the pieces you share.
The forts part of this left me so raw and gut punched, hard to swallow but soooo impactful! The second part made me smile because I read it in your book the other day!! Love that you combined it with the first part and that it brought you to first place in the challenge!! Congrats!! 🎉
Such a raw, emotional piece, and such a well-deserved win. Congrats. 👏👏👏
Congratulations on your win!
i am so beyond thrilled for you both 💙 this is so raw and deeply deserving of the grand prize. thank you for baring yourselves. i know it wasn't easy.
This is sad, poignant, enlightening. This utterly outside my experience. I'm well aware that trans people are under attack, especially by our current bigoted government, but I haven't heard any personal stories... until now. Thank you for sharing your experience. I wish you all the best of luck in the challenge. ⚡💙Bill⚡
Wow, this was really eye opening stuff. Glad I read it, glad you had the courage to write and share it. I know people who’ve transitioned but I’ve only heard bits and pieces of what gender dysphoria is really like. The raw, vulnerable, open-hearted insights you’re sharing here are deeply informative, on a level that feels personal and honest beyond the rhetoric and sound bites were hear on social media. Thanks for putting your self into your words and your words out here for all of us to see. I still don’t really know how you knew that guy was a bot, my default is to think maybe he just had poor reading comprehension or some Other difficulty with the language. But either way, sorry to see comments that made your writing feel wasted— your words are from a waste, there’s definite value on what you’ve shared.
This was quite the experience. The effect lingers. I actually feel different after reading. Whether fleeting or not, the impact was powerful and transforming. Thank you for being you and sharing this amazing story! -You could walk past the nurses’ station 200 times and still not be the mile away that you’re actually trying to be.- Love this description of being trapped.
River, this was absolutely gorgeous. I was getting emotional for you just reading this. Thank you for getting so honest and vulnerable and trusting the people on this platform enough with your words and your story. And fuck Emmett down there, please don’t take some coward’s vapid message to heart. It reflects only on them, not you.
Gender enlightenment. Damn that’s such a good way to explain it. You’re so brave River - much braver than I could ever be - I am glad you found you (and Celia). Wishing you both all the happiness in the world.
The moment I read about the black drink I knew where this was headed. Yet I was not expecting the soft undertones of empathy and guilt to place me, the reader, into the main character. I was the one this was happening too, so wonderfully and brilliantly written.
River. That's you <3
This description is intense. It makes you really feel what this person is going through. I wonder what led to all this? And why are they being asked questions they can't answer? Also, the part about the black drink is mysterious. Is it some kind of medicine or something more sinister? It leaves you wanting to know more about this person's situation.
River, this was an insight into a place where I've never been and it felt so raw and intimate. You've reduced me to tears with your honesty and the baring of all you've been through. I can't ever know how that can have been for you but through this window created by your words, I have an inkling. The power of this has struck me and left its mark.