This is an iHeart Podcast. It's Wednesday night after a long day and the last thing you want to do is cook dinner from scratch. But you still want a satisfying, tasty meal without the guilt? Enter your freezer's sidekick, Cauliflower. From thin and crispy cauliflower crust pizzas to all-natural white meat chicken tenders and more, Cauliflower is gluten-free always, satisfies every craving, and is ready in minutes.
Kali Power is available in freezer aisles nationwide. Visit eatkalipower.com slash where to buy to find a store near you. So you want to start a business? You might think you need a team of people and fancy tech skills, but listen to me when I say you don't. You just need GoDaddy Arrow. I'm Walton Goggins, an actor, and I like the sound of starting my own business, Walton Goggins Goggle Glasses. But I couldn't do this on my own.
GoDaddy Arrow uses AI to create everything you need to grow a business. It'll make you a unique logo. It'll create a custom website. It'll write social posts for you and even set you up with a social media calendar. How cool is that? Well, listen to this.
For a limited time, you can get Aero All Access for just a dollar a week for 12 weeks. We're talking all the AI power of GoDaddy Aero plus a domain, e-commerce store, payments, professional email, a unified inbox, all for less money than I spend on deep tanning lotion while sunbathing off the Amalfi Coast. You know what that sounds like? A plan. Get started at GoDaddy.com. Terms apply. You're a hustler. You get things done, but you don't always do things for yourself.
With JLo Beauty, it takes just a few minutes a day to look like facials are a regular part of your routine. JLo Beauty's Fresh and Flawless Skincare Kit includes six skincare products that work as hard as you do. They'll hustle to brighten, firm, and hydrate your complexion morning and night. This skincare kit is a one-and-done solution that is clinically proven to visibly tighten and lift for instant and long-lasting results. Cleanse, treat, moisturize, protect—
The fresh and flawless skincare kit does it all. See why the kit's a bestseller today. Visit jlobeauty.com slash deluxe and get an extra 25% off your first shipment plus free gifts with code deluxe. If you're not satisfied, return the bottles within 60 days for your money back. See the website for details. That's jlobeauty.com slash deluxe to get that J-Lo glow.
Hi, I'm Ruby, the remote receptionist who makes small businesses feel like giants. We answer all your calls live from right here in the U.S. We take messages, answer questions, route calls. Everything an in-house receptionist does over the phone, only better. Because we specialize in turning every ring into a relationship. Experience Ruby for yourself. Visit ruby.com or better yet, call us 844-400-RUBY.
Hey girlfriends, I just wanted to give you a heads up that this episode includes conversations about transphobia and descriptions of state violence against trans people. There's also some pretty graphic explanations of some surgical procedures if you're feeling squeamish about that kind of thing. And as per usual, we'll be swearing. If you do listen, you'll hear the incredible story of how two trans women formed a clinic in a tractor shed to help others and pay their rent.
If you don't, though, no worries. There's plenty more episodes for you to listen to. It's morning in Philadelphia, USA, sometime in the early noughties. Eilish and Willow are getting ready for something big. Willow's like, all right, where are we doing this? And I'm like, my bedroom. And she's like, we are not doing this in your bedroom. And I'm like, why not? And she's like, because I need to position myself between your legs. There is no place for me to do that in your bedroom. We're doing it in the reclining chair.
Eilish and Willow are sisters. They weren't born as sisters, but they've chosen each other. Eilish lives with another member of her queer family, Jenny, who she calls her adoptive trans mum.
And Jenny has a favorite chair. She loves this reclining chair. She sits in this reclining chair all the time. That's the reclining chair in question. It's situated in their mother's living room, which is notably not sterile. And this matters because what the sisters are about to do is an orchiectomy, a surgery to remove Eilisha's testicles.
Yes, girlfriends, we're going there. So strap in. It's about to get intense and graphic. So we create a sterile feel. We run the pressure cooker for the autoclave.
An autoclave is basically a steam cleaner on steroids. And the pressure cooker? Well, that's the thing your nan uses to cook her beef stew. But what is actually important to know is that Willow is a recent medical graduate. And she's got Eilish juiced up on anesthetics, thank God. Legs akimbo in this treasured reclining chair.
I'm like lying there in pain because it's a weird feeling. She's about halfway through and then I hear, oh shit, that ain't good. I'm like, what? She's like, hold on a second. The electrocautery pen's dead. That's a medical device that's used to stop bleeding. And so it's really the last thing that should stop working. Oh no, this gets so much worse. So much worse.
Spoiler alert, Eilish is right. This surgery does not go well. At all. But it would be the first of many. Eilish and Willow would go on to help other trans women get the medical care they desperately needed. And they'd do it not from their mother's living room in Philadelphia, but from a remote tractor shed in the Pacific Northwest. This shed would become the headquarters of the Trans Health Initiative. And the stuff of legend.
I'm Anna Sinfield, and from the teams at Novel and iHeart Podcast, this is The Girlfriend Spotlight, where we tell stories of women winning. Today, Eilish runs the ball barn. Before we get into what happened during Eilish's surgery about to go very wrong, let's wind back to the early 90s.
Eilish Nielonegan was a punk running with a right girl crew. And when she came out as trans, the reaction was mixed. Early 90s transition was difficult. Some of them were assholes, some of them weren't. Some of the people in my family did not necessarily approve. And I was kicked out of the house with nowhere to go. She needed to find a new crew and a new home.
But this was before social media existed. In its stead were mailing lists on ancient text messaging systems. And when she was around 20, Eilish got on one for trans kids, run by a woman named Jenny. You know, we used to joke that Jenny knew all the trans kids on the internet. We were all on her mailing list. And the reason why she did it was because, you know, when she was coming up, there was no one there for her. She had transitioned in like the early 80s.
So she wanted to make sure that kids didn't have to go through the same pain that she went through. How does that end up evolving into a real in-person relationship? I went and called Jenny up and I'm like, Jenny kicked out of the house. And she's like,
fine, you can sleep on my sofa, but only for like a couple of weeks. Thanks, Jenny. I slept on her sofa and I actually started paying bills because I got a job almost immediately. And she's like, fine, you can stay. Oh, so it kind of became like a mutual aid. Oh, yeah, it was absolutely mutual aid. She was older. She had health problems. So, you know, I would cook and clean and stuff for her.
And she kind of became my adopted trans mom. When Eilish started down what was a very long road to get official gender-affirming health care, Jenny knew what shortcuts to take. I called up Jenny and she's like, there's a doctor in South Philadelphia you just go to. And every month I would go pay, I think it was $40 to go get an injection.
Like, people would go on what's called "Mexi-moan" trips where a friend of theirs would go to Mexico for a holiday and come back with an entire suitcase full of estrogen because you could get it over the counter there. Yay! So that was the process, you know, sneaky. Enter Willow. We're not using her real name, by the way, for safety reasons, but she was that DIY living room surgeon. She was also one of Jenny's trans kids.
So she had just graduated from medical school and was in her internship. She was going to come visit Jenny. And I was walking home and there's this piece of shit Camaro out front. God, she was notorious for buying shit cars. I'm like, how the hell is that thing even on the road? I walk into the house and there's Willow. And then we just became friends.
Alicia just got laid off as a software developer. This was way before big tech and the dot-com bubble had just burst. I had a whole lot of time and I had fuck all to do. I'd been on eight years of spironolactone, which is, it reduces the amount of testosterone that's uptaked into your body. I hated being on that drug. Was it uncomfortable to be on the drug? You have to pee constantly and I just wanted off of it, right? Yeah.
And I'm like, hey, Willow, got a question for you. So orchiectomies, how hard are orchiectomies? And orchiectomies are removal of the testicles. Now, there's two ways that they do this. One is through the belly. And that is not something that's normally done. The other much more common is through the scrotal sac. And Willow's like, well, it's not that hard. I was like, have you ever done one? No.
Would you like to? Look, I'll buy all the supplies. Everything will be grand. And she's like, let me think about it. She gets back to me like a week later. She shows up and comes out with like a two or three page photocopy. I'm like, what's that? And she's like, how to do the damn thing. I'm like, okay. Okay.
So we go, and the next morning, we wake up early. Now, I'm living in Jenny's house. Jenny knows that we're going to do this. She's like, you're going to screw yourself up. God, we grant it. Now, hold my beer. You know what they say. Mom is always right. Because we know exactly how this goes down. I leash in Jenny's recliner chair, and Willow, with the electrocautery pen in hand, that's just stopped working. She's like, okay.
So we have a few choices here. I can stitch you up, bring you to the hospital, and, you know, they'll do whatever. I can stitch you up, and we'll come back at this another day. Or I can just keep going. And I'm like, hey, I'm not going through this again. No, no, no, no, no, no, no, no, no. It's like, okay, if we do, you have to be real careful. And I'm like, will do.
So she continues the surgery. Now, the best part of the story was after the surgery, we had all cleaned up and Jenny, she comes downstairs and she's hungry. Now, one of the things about these surgeries is there's leftovers. Oh. What do you do with the leftovers? Probably leave them on her recliner chair. No, no, no, no, no. I stuck them in a Ziploc bag because I'm going to make a Lucite block outfit, a paperweight.
That's going to be hysterical. So I stuck him in the freezer. Jenny walks down and she's like, are you okay? And I'm like, oh, I'm ground. Jenny walks over to the freezer and she's like, there's any of the taquitos left? And she pulls out the Ziploc bag and she's looking at it. She's like, what is this? Some of your hippie food? And I'm like, Jenny, put those back. And she looks at him and she screams and drops him on the floor. Storms over to a reclining chair.
flops herself in it and she's like you better have cleaned up your room after this will is like out the door and she just kind of snorts and i just glare at her jenny's like what i just looked at her reclining chair and she's like for fuck's sake i will never be able to eat anything out of the freezer and i don't even want to be sitting in this chair now i'm like i love you
Please don't murder me. Oh, my God. You really were her child. Oh, God, yeah. Oh, yeah. Yeah, yeah, yeah. Now, most orchiectomies are done for cis men who have testicular cancer, right? So the way they teach you how to do the bandage is you wrap the scrotal sac around the penis. Problem. Problem.
if you were a trans woman who spent on estrogen for a certain amount of time, that is not going to work. So Willow did the wrapping the way that the book said, and like the next day, the wrapping just falls apart.
Next thing Eilish knows, she's got the mother of all infections. So she books it to the emergency room in desperate need of some official medical assistance. There's this thing that emergency departments will sometimes do, which is called GOMER. Get out of my emergency room. The staff basically tell Eilish to get lost. The triage nurse was like, yeah, this is obviously drug-seeking behavior. And I'm like, penicillin! Yeah.
I don't even care if you give me painkillers. All I want are antibiotics. I obviously had an infection. And, like, the security guard pushed me out of there. They didn't even kind of look? No, no, no, no. My God. About four days later, I couldn't sit up. So Jenny was like, you are going to the hospital now. Put on some clothes.
I couldn't get jeans on. She had brought me this, like, you know, the 90s flowing hippie skirts. So I put one of those on. She gets me in her car, drives me to the emergency room. Like, the nurse is asking me, when was the last time you had your period? And I'm like, I've never had one. She's like, why? And I just went, flip the skirt up. And she just looks and she's like, okay, Percocet or morphine? Okay.
And I'm like, morphine, please. And they had to go and they had to debride the wound and clean everything out. And it was not pleasant. But I was in there for seven days. Wow. Yeah, like the doctor was like, yeah. Had you come in later, you would have died. That's wild. And then on like a personal level, you were coming out of that...
emergency room in deep, deep pain. Oh, yeah. And you weren't getting the care, like the basic love and humanity that should be awarded to anybody who goes into one of these institutions. I didn't want love or humanity. I wanted fucking antibiotics. I didn't want to die. And the reality is, is that that hospital, because of how they treated me in the emergency room, I was very reluctant to go the second time. I almost died because of that.
And this is not abnormal. It's this thing that trans folks have been dealing with for years. There has been for as long as I've been alive.
a reluctance for trans people to trust the medical profession because the fact is the medical profession abuses us. They abuse us through their standards of care, by treating us like children, by assuming that we need their psychosexual history bullshit in order to get the medical stuff we need in order to live our lives.
It was common in the 90s and still today for trans people to face invasive questions around things like their sexual experiences, to even get evaluated for healthcare. And then, even after that, they're still treating you like crap. And this is not unusual for any person who's either a sexual minority, a racial minority, because doctors are not immune from society, right?
Luckily, Eilish did manage to access the treatment she needed before it was too late. And that was that. I had to have the wound packed for two months. It was not pleasant. And, you know, we went, well, live and learn. I survived all strand. But that experience is yet another confirmation that as a trans woman, there are no guarantees that medical institutions will keep you safe.
I have literally had Willow give me stitches before I would go to a doctor again. Willow herself is actually about to start a residency to become an abortion doctor. And she hears some stories about a group of women in late 60s, early 70s Chicago. They're called the Jane Collective. And what they did was they provided abortions for people who needed it. They did this knowing full well that abortion was illegal and illegal.
They had to be real sneaky about it. And Willow's like, I got an idea. These people are cool as shit. We should do something like that for trans folks. After the break, Willow and Eilish do do something like that for trans folks.
Hi, it's Jenny Garth. We all know the importance of taking care of our physical and mental health. But what about our sexual health? I've been there, feeling totally stuck when it comes to my libido. That's why I started taking Addi.
And let me tell you, I have seen firsthand what a difference it can make in how you feel. Addi is the only FDA-approved pill clinically proven to help certain premenopausal women have more interest in sex, have more satisfying sex, and lower the stress from low libido. Addi has helped hundreds of thousands of women get their drive back.
including me. Talk to your doctor or visit ADDYI.com to learn more about Addy, the little pink pill. Individual results may vary. Addy, or flibanserin, is for premenopausal women with acquired generalized hypoactive sexual desire disorder, HSTD, who have not had problems with low sexual desire in the past, who have had low sexual desire no matter the type of sexual activity, the situation, or the
This is a production of Iowa Public Television.
Addy. Visit addi.com to learn more about Addy.
I can't tell you how often I hear, oh, I'm a little OCD. I like things neat. That's not OCD. I'm Howie Mandel and I know this because I have OCD. Actual OCD causes relentless unwanted thoughts. What if I did something terrible and forgot? What if I'm a bad person? Why am I thinking this terrible thing? It makes you question absolutely everything and you'll do anything to feel better. OCD is debilitating, but it's also highly treatable with the right kind of therapy.
Regular talk therapy doesn't cut it. OCD needs specialized therapy. That's why I want to tell you about NoCD. NoCD is the world's largest virtual therapy provider for OCD. Their licensed therapists provide specialized therapy virtually, and it's covered by insurance for over 155 million Americans.
If you think you might be struggling with OCD, visit nocd.com to schedule a free 15-minute call and learn more. That's nocd.com. Now I'd like to introduce you to Meaningful Beauty, the famed skincare brand created by iconic supermodel Cindy Crawford. It's her secret to absolutely gorgeous skin.
Meaningful Beauty makes powerful and effective skin care simple, and it's loved by millions of women. It's formulated for all ages and all skin tones and types, and it's designed to work as a complete skin care system, leaving your skin feeling soft, smooth, and nourished. I recommend starting with Cindy's Full Regiment, which contains all five of her best-selling products, including the amazing Youth Act
We'll be right back.
That includes our introductory five-piece system, free gifts, free shipping, and a 60-day money-back guarantee. All of that available at MeaningfulBeauty.com.
Are you struggling to find an effective mental health medication? Meet the GeneSight test. Whether it's medication for anxiety, depression, or ADHD, the GeneSight test is a genetic test that analyzes how your DNA may affect medication outcomes. Along with a full medical evaluation, test results can inform your provider with valuable insights to help guide treatment. Your unique genetic blueprint may also lead to significant savings on medications, a
According to a 2015 study published in the Journal of Current Medical Research and Opinion, patients who received GeneSight testing saved on total annual medication costs, took their medicine more regularly, and were on fewer medications by the end of the study compared to those who received regular treatment. Ask your provider about the GeneSight test today and move forward on your journey to mental wellness. Or visit genesight.com for more information.
Again, jeansight.com for more information and to move forward on your journey to mental wellness.
After that fateful orchiectomy, Willow and Eilish both move to the Pacific Northwest. Willow's new abortion residency is based out there, and Eilish is following a then-girlfriend who's craving the quiet life. It's a beautiful place. Imagine rugged coastlines, lush, tall forests, and towering mountains.
If you've ever watched the Twilight movies, you kind of know the landscape. More timber than tech. Yeah, there's not a lot of programmer jobs out here. If I wanted to go be a logger, I could do that. But I really don't want to go be a logger. So what am I going to do here? I'm like outside talking to Willow one day and I'm just like, you know, we're running out of money. And Willow was like, well, do you think you can do electrolysis? Electrolysis is the old way.
that we use to remove hair. Electrolysis uses a small electric current to permanently destroy hair follicles. It can take anywhere between 50 to 500 hours of treatment to get the job done. That's basically a full-time job for Eilish. I'm like, oh, I'm sure I could figure it out. And she's like, all right, here's what I'll do. I'm going to buy you an electrolysis machine. Practice on yourself.
What we could do is I can start a clinic up. We'll offer orchiectomies for a low cost. And when folks come for an orchiectomy, they can stay here. And you can do like electro on them. All power to them. They're diving headfirst into permanent hair removal and orchiectomies, which are surgeries to remove testicles. That's two major healthcare options that they can offer their community.
But trans people are one of the communities in the US who are most likely to experience discrimination in housing and employment. Many simply can't afford the healthcare that they need. And especially back then, when an orchiectomy at a regular clinic was about $2,500 for a 45-minute procedure.
What Eilish and Willow want to do is provide these operations on the cheap, charging on a sliding scale from zero to $500, which is a big deal. I'm like, that actually doesn't sound like a bad idea. And she was like, well, you know, I figured out the problems with my orchard to me and kind of what we did wrong.
First is, instead of doing that really screwed up wrapping situation, we do a compression bandage against the body. And second, we put in drains. Third, we give people prophylactic antibiotics.
which is like the smart thing to do. And, you know, they got checkups twice during their stay. So they had to stay for seven days just in the area. And Willow would go and check up on them and change bandages and stuff. I'm like, that sounds fine. Can you walk us through the process of setting up the clinic and building it? So we had no idea where we were going to build the damn thing. We had no idea. So
So we are living in a rented farmhouse in the middle of the Olympics in Washington State on a 256 acre farm that the owner still lives on the farm. His son still lives on the farm. So we're kind of doing things right underneath our landlord's nose. And we're like, okay, where are we going to build this? And Willow was like, well,
There's this tractor shed that you have. Now, a tractor shed, for those who don't know, is a three-sided building with a roof. And it's where you park tractors and farm implements. So the week before our first surgery...
We're just banging this out. I learned how to tile that week. Willow had been... She'll go on eBay and find old medical equipment. So, like, this electric pottery from the 80s that's, like, insanely huge but still works.
We had an autoclave, an entire procedure table. It was swank. You know, it was not like, you know, shady, shady done in a hotel room. This was pretty swank. Yeah, because when you say a tractor shed, I'm picturing something really kind of farmyard animals around you. No, I know the guy who moved in after me and he used it as his office.
And I guess now it's used as an FDA chicken slaughtering room. Oh, God. FDA certified chicken slaughtering room, which I find hysterical. I feel like there's a joke in there somewhere, but I just can't reach it. There is absolutely a joke in there and I'll not make it, but I will allow so many other people to make it.
After only a week of tractor shed renovations, the Trans Health Initiative is ready for its first surgery. Her first patient was a friend of mine. You know, everything went perfectly fine. The word spreads fast, and they open their doors to more patients. But cautiously.
I was probably a little bit more paranoid than I really needed to be. But, you know, we were doing this without medical insurance because it wasn't a requirement. And honestly, we couldn't afford it without business license, which we didn't need because we made less than $14,000 a year. So we were doing this like real under the radar, real quiet, right under everyone's nose. Yes, the clinics under the radar. And it started off as a bit of a DIY mission.
But the whole thing is actually totally above board. Oh, yeah. Absolutely perfectly legal. You know, I am following all the guidelines set upon me by the Board of Health and the laws of that state. So if I were a patient and I've just arrived, can you kind of take me through what's happening to me? Sure.
So we're actually going to start earlier. You would email me and I would kind of email you back and I'd kind of do a sniff test because there were some people who were not trans women asking for this. I had one guy, he was like, I have cheated with my brother's wife and he will not trust me again unless I am castrated. And if you do not do this, I will do this to myself.
And like, look, you know, I'm all for body autonomy, but that's not what I'm set up for, man. I can't help you. And then I would ask you for a letter from a therapist. Then I would call up Willow and say, okay, I got a patient in. When are you free? And she'd look at her calendar and give me a free date. And I'm like, okay, you were to show up at this date here. Wear comfortable shoes because it's a gravel driveway and it's in the middle of the Oregon coast range. It rains a lot.
I had someone show up in stilettos and I was like, oh, honey, wrong footwear. I kind of love it. Yeah. What would happen is you'd show up. Willow would give you a quick medical examination. She would talk to you and go, you know, what the surgery entails, you know, the risks of it, blah, blah, blah, blah, blah.
You know, it was kind of amazing because you see trans women at their most vulnerable and their most scared and their most empowered at the same time. We would say, okay, here's script for Vicodin. That's a drug used to treat moderate to severe pain.
And then here's a script for moxicillin. That's a penicillin antibiotic for the aftermath. You're going to go into town and you're going to bring that all back and you're going to take the Vicodin in front of us. They'd get back, they'd take it in front of us, and we'd say, okay, time to get undressed. And we'd start the procedure. And my job during the procedure was to hold your hand and tell you very long stories about
in a very, very radio announcer voice. And sometimes I would tell jokes. They would be very long, very boring jokes. My repertoire of dad jokes is amazing because I had to talk like this and make sure that you were nice and calm and not paying attention to the fact that both your testicles were being removed through a small hole in your scrotum. Okay, give me an example. I'm a patient. Okay, ready?
So Mushroom walks into a bar and says, hey, bartender, I'd like a drink. The bartender looks at the mushroom and says, no, get out of here. We don't serve your kind. The mushroom goes, hey, why not? I'm a fun guy. These were not good jokes. They were not designed to be good. They were designed to keep your attention. Yeah, yeah, yeah. It worked. And your voice is very soothing. Oh, I had to learn the soothing voice because, again...
being pulled through parts of your body that aren't generally supposed to be pulled through. Yeah, yeah, yeah, yeah. You need to be soothed. Yeah, you're feeling it. And then when we hit the electrocautery, you're smelling it too. Oh, no. Yeah, no, that is not necessarily a good smell. No.
Something's cooking. Yeah, bodily, yeah. Yeah, yeah. Eilish and Willow had certainly come a long way from their disastrous first orchiectomy. They're doing good, clean medical work. Zero infections. Zero infections. There you go. Were the authorities interested in what you guys were doing with the clinic? No.
They weren't at first. Now, what had happened was said woman who showed up in the stilettos went back to her doctor and her doctor was examining her and says, oh, you got an orchiectomy. She's like, yes. And he said, where'd you get that? It's very nice work. And she said, up a logging road in a barn with two trans women. Now, while technically correct,
When a physician hears this, what he's going to do is he's going to call the Board of Health. And I had geese. And the geese start quacking away. I'm like, what the hell's going on? Because that sounds like someone's coming up to drive. And I look out and there's a blue Ford Taurus. Now, for your listeners in the
late 90s, early 2000s, if you see a blue or black or brown Ford Taurus, that's a cop car. That is a government car. So I went, what the fuck?
And then I see this kind of dowdy older woman get out of the car in this tall, skinny beanpole of a man in their kind of frumpled government clothes. And I'm like, that is not FBI. Those are not cops. They are not dressed like detectives. That is dressed like bureaucrat. I come out to the porch and I go, can I help you? And they go, we're looking for Willow. I'm like, why are you looking for Willow?
It's like, we're here to examine the clinic. After the break, the fate of the clinic hangs in the balance between the Board of Health and a potentially incriminating plastic cup filled with balls. Hi, it's Jenny Garth. We all know the importance of taking care of our physical and mental health. But what about our sexual health? I've been there. Feeling totally stuck when it comes to my libido. That's why I started taking Addi.
And let me tell you, I have seen firsthand what a difference it can make in how you feel. Addi is the only FDA-approved pill clinically proven to help certain premenopausal women have more interest in sex, have more satisfying sex, and lower the stress from low libido. Addi has helped hundreds of thousands of women get their drive back.
including me. Talk to your doctor or visit ADDYI.com to learn more about Addy, the little pink pill. Individual results may vary. Addy, or flibanserin, is for premenopausal women with acquired generalized hypoactive sexual desire disorder, HSTD, who have not had problems with low sexual desire in the past, who have had low sexual desire no matter the type of sexual activity, the situation, or the
This is a production of Iowa Public Television.
Addy. Visit addi.com to learn more about Addy. Ever had a thought like, is my partner the one?
Maybe we should break up since I'm not sure, even though I'm happy. Or what if I lose control and hurt someone with this knife, even though I don't want to? I should hide all the knives and maybe stop cooking. I'm Nicole Raffi. I have OCD, and that's what OCD actually looks like. Not the stereotypes about cleanliness. Real OCD overwhelms with unwanted, distressing thoughts.
Then you feel compelled to do something about these thoughts just to function. It's exhausting and isolating, but more common than you'd think and highly treatable with the right therapy. OCD needs specialized therapy, not standard talk therapy, which can make it worse. NoCD is the world's largest provider of specialized treatment for OCD. Their treatments are highly trained. They offer virtual sessions and support between sessions, and they're covered by insurance for over 155 million Americans.
If this sounds familiar, visit nocd.com for a free call to learn how they can help. That's nocd.com. Hi, I'm Cindy Crawford and I'm the founder of Meaningful Beauty.
When Dr. Sabah and I decided to do a skincare line together, he said to me, we are going to give women meaningful beauty. And I said, that's exactly right. We want to give women meaningful beauty, which means each and every product is meaningful. It has a reason to exist. It's efficacious. You're going to get results. And then you just go out and live your life. Meaningful beauty. Confidence is beautiful. Learn more at meaningfulbeauty.com.
Are you struggling to find an effective mental health medication? Meet the GeneSight test. Whether it's medication for anxiety, depression, or ADHD, the GeneSight test is a genetic test that analyzes how your DNA may affect medication outcomes. Along with a full medical evaluation, test results can inform your provider with valuable insights to help guide treatment. Your unique genetic blueprint may also lead to significant savings on medications, a
According to a 2015 study published in the Journal of Current Medical Research and Opinion, patients who received GeneSight testing saved on total annual medication costs, took their medicine more regularly, and were on fewer medications by the end of the study compared to those who received regular treatment. Ask your provider about the GeneSight test today and move forward on your journey to mental wellness. Or visit genesight.com for more information.
Again, genesight.com for more information and to move forward on your journey to mental wellness. The Board of Health has just arrived on Eilish's doorstep.
I go back into the house and I page Willow. 9-1-1. She's like, what? You just got me out of something at work that I need to be in. I'm like, well, the Board of Health is here and they would like to examine the clinic. She's like, really? And I'm like, yeah, really.
And Willow says, all right, just show them the place. The night before, it had rained something fierce. It was muddy and slippery, so Eilish and Willow had to carry their patient into the house to recover. She was a bit of a lightweight and was passed out on Vicodin. Some of the cleanup could surely wait until the next morning.
When the Board of Health had come knocking. So I go out and I'm like, follow me, wipe your feet on the mat, do not track mud into my clinic.
So I wipe my feet. I go into the clinic. They walk in muddy feet. Okay, this is bureaucrats trying to show my place. I get it. I get it. So I walk in. They're like, where do you keep the narcotics? And I'm like, what narcotics? You use narcotics for this. And I'm like, yeah, we do. And what happens is they get a script and they go into town and then they take in front of us. Well, where do you keep the script pads? We don't. The doctor brings the script pad with her, takes it away.
autoclave logs are here. These are my autoclave batch test strip numbers. Here you go. And they're like business license. And I'm like, we don't make more than 14,000 a year, but I also do electrolysis. There's the business license. Everything they challenge her on, Eilish has the perfect answer to. They have me kind of backed up into the room and like all the way in the back was the coterie machine. And I looked to my right and I looked down and there's a specimen cup. Oh, wow.
Remember when I said the surgery has remains? Well, lightweight from the night before, wanted to keep her remains. And I'm like, great. And then she's like, but I need help into the house. So I helped her and I forgot the damn remains. And they're behind the electric coterie. And I'm like, so government bureaucrats generally don't like dealing with us. And if you're trying to get them to go away,
The easiest way to do is to raise your voice and say the word trans very loudly. I just started saying, "Hey, you know guys, I wouldn't be doing this if the Board of Health actually treated trans folks fairly." And they're like, "Oh," they start stuttering, "that's the wrong department." And I'm like, "I don't care if it's the wrong department. You guys are in my surgery for no apparent reason whatsoever. You've tracked mud on the floor.
You're giving me a bunch of grief. And like, you know, when are you guys going to start doing trans stuff fairly? And trans, trans, trans, trans, trans. And they got really uncomfortable looking. And I'm like, go away, go away, go away. You are not going to look behind the autoclaves. You are not going to see the specimen cup with testicles in it.
So they didn't say it, thank Christ. And they went away. And I grabbed the testicles and I go and I hand it to lightweight. And I'm like, here, you forgot something. So months later, they ding us on one thing. They said, yes, the clinic was all perfectly legal, except there was mud on the floor of the surgery. The cheek.
Even when the authorities were actively looking for mistakes, they couldn't find anything apart from the mud they dragged in themselves. The clinic was that professional and safe. And so Eilish and Willow are able to carry on in that converted track to barn, providing health care to trans women from all over the country. What did you enjoy most about this whole clinic adventure? I enjoyed the look.
in the eyes of other trans women when they realized that there were no cis folks involved, no trans masks involved, no one but other trans women involved, and that they could go and do this or something like this. Look, I'm an Irish-American kid from Jersey. Willow's
trashy and pick up driving. And if we can do this shit, Jesus, kids, you know, go get yourself a little bit of education. And trust me, you're going to be grand. Just don't be afraid, right? And that's the thing. Like, I think a lot of times, trans women especially, we're afraid to kind of do things because if we get in trouble, we're fucked. Yeah.
How many of these surgeries did you guys do? I think it was around 14. Wow, that's amazing. The clinic closed its doors after 18 months. Willow and Eilish were burnt out, juggling multiple jobs and just needed a change. Doing trans healthcare is wonderful, but it's also kind of a drag. Especially as a trans person, you can't emotionally distance yourself from them. After the clinic, we told no one for 20 years. Why? Um...
You know, I'd love to say that we started the clinic up for noble reasons, but the reality is that I was poor. And Willow wanted to help. And I was like, oh, here's a way to actually be able to pay my rent and afford my box of Annie's mac and cheese that I eat once a day. And, you know, be able to actually do something for folks. Yeah, I mean...
Affording your box of Annie's mac and cheese, obviously, it's super important. But also, I mean, you were helping people, weren't you? It's what you did was make care accessible. I never like focusing on that because I don't know. I have complex feels about that because like, you know, I don't think that there was some freaking saintly goal to it. I come from this entire punk ethos of not having heroes.
And hero worship makes me really uncomfortable. I am a dumb schlub from Jersey with a high school diploma that just figured this out and just was not afraid to get in trouble. The important things that people do were done in silence, and they were done behind the scenes. And I never wanted kudos for this. Like, Willow still doesn't want kudos for this. She doesn't want to be known, period. And the reason why is because, you know, you help people because you're morally offended.
Because you cannot sit there and stand by and watch what is happening. I think what people are doing is way more important and should be celebrated more than the people themselves. Yeah, celebrate the work. Yes. And those of us who like to celebrate people on the side can whisper your name quietly. It's going to make me feel weird, but whatever. Fair enough. Me and Willow have a phrase that we like to say, be the cockroach.
Cockroaches are very hard to kill. They don't need a lot. They need a nice kind of warm place to sleep that's a little dark. They do a lot of things under the noses of like, you know, those humans that are living in that nice little apartment in Williamsburg. You know, if you can learn what you need to survive and learn what you need to do to do the work you need to do and keep that as minimal as possible, there's a lot you can do.
So instead of trying to do more and more and more, solve a problem that's in front of you, right? There was a problem in front of me. We could solve it easily. We built it in a fucking barn, for Christ's sake. It wasn't that difficult to do, you know, read the instruction book and there you go. But if you look at things as like, oh my God, that problem's too big. No, no, no, it's not too big.
You're just trying to bite off too big of a chunk. Bite off little chunks, right? And that's how you de-shitify the world. And you best believe the world still needs some serious de-shitifying. It's around 20 years since Eilish and Willow launched the Trans Health Initiative. And trans people navigating medical institutions are still met with prejudice and hostility.
The medical care that is available can still be invasive, hard to access and involve traumatic psychological testing. Eilish actually says that in the US it's worse now than she's ever seen it. Trans people's basic human rights are consistently trampled on and the mainstream media is just amplifying those hateful voices. People are dying.
So trans people do it like they've always done. Figure out a way to do it themselves and help each other do it. But you can help too. If you're a trans person in the States looking for resources or a cis person interested in solidarity and mutual aid, we'll leave some links in the show notes. Girlfriends, we're stronger together.
If you've enjoyed this conversation, you can find loads more incredible women on our feed. Do check them out. And please do spread the word and tell your friends about us. We want as many people as possible to be part of the Girlfriends gang. Next time on the Girlfriends Spotlight, Nadia punks the president.
We were told that we are paid by Hillary Clinton to destroy Russia. They said that we cursed the entire country and thus we need to be burned at stake. Some people said that we need to be whipped publicly on the Red Square. Hey, you've reached the Girlfriends hotline. You can leave your mini story after the tone. Hi, Anna and the Girlfriends team.
When our daughter was young, one of my acting students became her nanny and became part of our family. Really, it was as if our daughter grew up with three parents, not two. Anyway, time passed and we had moved to a new city. And at that time, my partner was starting his very first day of his brand new job at the university. And I got booked for a film and television gig. And I had to decide whether to take it or not.
And I was talking to Supernanny on the other side of the country.
And I mentioned this dilemma of whether I should turn down the gig or not. And she said, oh, I'll come and take Cleo to her first day of grade one. No worries. And she got on a plane and she flew all the way from Toronto to the west coast of Canada. And she took Cleo to her first day of grade one in her new school, in her new city, in full hair and makeup with cupcakes and treats and
And Cleo was as loved and safe on her first day of school as if I and my partner had taken her. Now that's a girlfriend. If you have your own story like the one you just heard and you'd like the whole Girlfriends gang to hear it, then please send it to us. You can record it as a voice memo under 90 seconds, please, and email it straight to thegirlfriendsatnovel.audio. Please
Please don't include your name. We're keeping things a little anon. We want stories like that one time your bestie kindly told you your outfit was giving serious 2009 energy and lent you a new one. Or when she offered to babysit when you hadn't slept in days because your baby was up all night doing the terrible twos.
Thank you, Girlfriend. I want stories that are meaningful or silly. I want big. I want small. I'm desperate to hear them. So send them over. Right. I'll catch you later. Bye. This season, the Girlfriend Spotlight is supporting the charity Womankind Worldwide. They do amazing work to help women's rights organizations and movements to strengthen and grow.
If you'd like to find out more or donate to help them secure equal rights for women and girls across the globe, you can go to womankind.org.uk.
The Girlfriend Spotlight is produced by Novel for iHeart Podcast. For more from Novel, visit novel.audio. The show is hosted by me, Anna Sinfield. This episode was written and produced by Amalia Sortland. Our assistant producer is Lucy Carr. Our researcher is Zayana Youssef. Sensitivity checking and editorial support by Jesse Lou Lawson.
The editor is Hannah Marshall. Max O'Brien and Craig Strachan are our executive producers. Production management from Joe Savage, Cherie Houston and Charlotte Wolfe. Sound design, mixing and scoring by Nicholas Alexander and Daniel Kempson. Music supervision by Jake Otajewicz, Nicholas Alexander and Anna Sinfield.
Original music composed by Louisa Gerstein and Gemma Freeman. The series artwork was designed by Christina Lemkuhl. Willard Foxton is Creative Director of Development. And special thanks to Katrina Norvell, Carrie Lieberman and Will Pearson at iHeart Podcast, as well as Carly Frankel and the whole team at WME.
I've got you.
Are you still quoting 30-year-old movies? Have you said, cool beans, in the past 90 days? Do you think Discover isn't widely accepted? If this sounds like you, you're stuck in the past. Discover is accepted at 99% of places that take credit cards nationwide. And every time you make a purchase with your card, you automatically earn cash back. Welcome to the now. It pays to discover. Learn more at discover.com slash credit card. Basically...
based on the February 2024 Nielsen Report. With depression, it feels like every day you're just going through the motions. I wanted something that could help me feel better fast and that also lasts. That's when my doctor told me about Avelity. In a study, Avelity started working for some as early as one week, with significant improvements seen on average at six weeks compared to placebo. Avelity is helping me to feel more like myself. I'm glad I talked to my doctor about Avelity.
Avellity is a prescription medicine for adults with major depressive disorder, MDD. Avellity is not approved for children under 18. Avellity may increase suicidal thoughts and actions in young adults. Tell your doctor about sudden changes to mood, thoughts, or behavior. Do not take Avellity if you have a history of seizure, eating disorder, or have abruptly stopped drinking alcohol or taking benzodiazepines, barbiturates, or anti-seizure medicine.
Bye.
Visit Avelity.com. That's A-U-V-E-L-I-T-Y dot com. Or call 866-496-2976 for more information.
This is Matt Rogers from Lost Culturistas with Matt Rogers and Bowen Yang. Have you ever felt that uneasy anxiety when the 4pm hour strikes? That creeping meal-related distress that happens when you don't quite feel prepared? You know, dinner dread? Let's get rid of that unpleasant feeling forever with one word, STOFERS.
No matter what happens, you'll have a dinner plan that everyone loves with Stouffer's. Some chicken enchiladas or a cheesy chicken and broccoli pasta bake is always welcome, whether it is plan A or plan D-licious. Not gonna lie, I eat the lasagna once a week. And that's a fact. When the clock strikes dinner, think Stouffer's. Shop now for family favorites. Summer on the south side of Chicago is heating up. You planning revenge? On two. The Chi is back May 16th on Paramount+. However,
It's the season of the women. Women, this is our chance. It's time to get to work. But the men aren't giving up without a fight. The tree's always going to have a bill. No one is backing down in the Showtime Original Series from Emmy Award winner Lena Waithe. Why do black women always have to save the day? If we don't do it, who else will? The Chi, new season streaming May 16th on the Paramount Plus with Showtime Plan. This is an iHeart Podcast.