Taurek/Medical Record

	Taurek Patient Reference Number: KM - 412 - 490 Date of Birth: 233403.15 Age: 67 Sex: Male Species: Vulcan
		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 Parent 1 (Mother): Systemic metabolic dysfunction, managed with medication Parent 2 (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.