Taurek/Medical Record

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Taurek

MEDICAL RECORD
  • Height: 170 cm (5'7")
  • Weight: 67 kilos (147 lbs)
  • Blood Type: U-
  • T/E Rating: T3

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: Testosterone propionate administered via subcranial implant (22.3mg/day)
  • Allergies and Reactions: None
  • Sexual/Reproductive History: One previous pregnancy, 2350-51. No other details disclosed.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • 235105.13: Admitted to T'Len-Hathara University perinatal clinic after onset of labour. Discharged 12 hours following successful c-section.

PAST SURGICAL HISTORY

  • 235105.15: Caesarian section
    • Surgeon: Dr T'Lin, MD, VCS
    • OR Site: T'Len-Hathara University Hospital, Vulcan
    • Op Note: C-section performed successfully. Both parent and child are healthy.
  • 235310.01: Sexual reassignment
    • Surgeon: Dr Ninel Petrov, MD, IPCS
    • OR Site: Tranquillity Hospital, Luna
    • Op Note: Surgery proceeded without incident. Patient has been given an appointment for post-operative consultation.

PSYCHIATRIC HISTORY

  • Open referral for crisis counselling in 2350. Details not on file.
  • Referred to telepathic specialist 2393.

SUBSTANCE USE HISTORY

  • Alcohol: None
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Mother: Systemic metabolic dysfunction, managed with medication
  • Father: None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Annulled
  • Children: None
  • Occupation/Assignment: Counsellor
  • Diet: Vegan
  • Exercise: Weight training, two times a week; long-distance running, once a week; team sports, irregular

PHYSICIANS' NOTES

  • 234701.29 - General Practitioner: Dr T'Nisha, MD; Clinic 4011, Vulcan
  • Medical Assessment: T'Rel is thirteen years of age and assigned female. Reports experiencing cognitive symptoms consistent with gender misalignment. Has been referred to Gender Identity Clinic in Shi'Kahr.

  • 235008.28 - General Practitioner: Dr T'Nisha, MD; Clinic 4011, Vulcan
  • Medical Assessment: Taurek is a pre-surgical-transition transgender male, seventeen years of age, currently attending Shi'Kahr Gender Identity Clinic. Requested a pregnancy test which was positive. Due to patient's age and circumstances, offered early termination and referral to planetary legal authorities - patient refused on both counts. Have recommended immediate cessation of hormonal treatments. Patient has been referred to ante-natal services with the option of pursuing counselling if required.

COUNSELORS' NOTES

  • 239312.21 - Telepathic Specialist: Surel, MPsych, PhD, VITT, FSRSW; Da-leb Western Temple, Vulcan
  • Psychological Assessment: [audio transcript] Patient presents delayed symptoms of post-traumatic stress following primary and secondary childhood trauma due to breakdown of neural partition. Initial assessment also indicated historical damage to psyche as result of telepathic incursion. Reparative treatment administered via mind-meld. Psychological partition has now been dismantled and initial trauma relegated to long-term storage. Expect to see gradual improvement and immediate cessation of acute symptoms. Am confident that patient can now return to duty following period of adjustment.