Taurek/Medical Record: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= KM - 412 - 490 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2344 | ||
|BIRTHMONTH= | |BIRTHMONTH= 03 | ||
|BIRTHDATE= | |BIRTHDATE= 15 | ||
|SEX= | |SEX= Male | ||
|SPECIES= [[ | |SPECIES= [[Vulcan]] | ||
|HEIGHT= | |HEIGHT= 170 cm (5'7") | ||
|WEIGHT= | |WEIGHT= 67 kilos (147 lbs) | ||
|BLOOD TYPE= | |BLOOD TYPE= U- | ||
|T/E RATING= | |T/E RATING= T3 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= | |MEDICATIONS= Testosterone propionate administered via subcranial implant (22.3mg/day) | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= One previous pregnancy, 2350-51. No other details disclosed. | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |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= | |PAST SURGICAL HISTORY= | ||
*''' | *'''235105.15:''' Caesarian section | ||
**'''Surgeon:''' | **'''Surgeon:''' Dr T'Lin, MD, VCS | ||
**'''OR Site:''' | **'''OR Site:''' T'Len-Hathara University Hospital, Vulcan | ||
**'''Op Note:''' | **'''Op Note:''' C-section performed successfully. Both parent and child are healthy. | ||
|PSYCHIATRIC HISTORY= | *'''235310.01:''' Sexual reassignment | ||
|ALCOHOL USE= | **'''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= Referred for crisis counselling in 2350. Details not on file. | |||
|ALCOHOL USE= None | |||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= | |MOTHER MEDICAL HISTORY= Systemic metabolic dysfunction, managed with medication | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= None | ||
|SIBLING MEDICAL HISTORY= None | |SIBLING MEDICAL HISTORY= None | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= Annulled | ||
|CHILDREN= 1 | |CHILDREN= 1 daughter, guardianship transferred elsewhere 2351, no contact. | ||
|OCCUPATION= | |OCCUPATION= Counsellor | ||
|DIET= | |DIET= Vegan | ||
|EXERCISE= | |EXERCISE= Weight training, two times a week; long-distance running, once a week; team sports, irregular | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
*''' | *'''234701.29 - General Practitioner:''' T'Nisha, MD, Clinic 4011, Vulcan | ||
*'''Medical Assessment:''' | *'''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. | ||
<hr> | <hr> | ||
*''' | *'''235008.28 - General Practitioner:''' Dr Ellen Nakamura, MD, Starfleet Academy Student Medical Service, Earth | ||
*''' | *'''Medical Assessment:''' Taurek is a pre-surgical-transition transgender male, seventeen years of age, currently remotely attending Shi'Kahr Gender Identity Clinic. Requested a pregnancy test which was positive. After ascertaining that the patient does not wish to terminate, have recommended immediate cessation of any hormonal treatments and granted a year of study leave, effective immediately. Patient has been referred to ante-natal services on his homeworld with the option of pursuing counselling if he feels this is appropriate. | ||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] |
Revision as of 17:25, 19 February 2017
Taurek
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORYReferred for crisis counselling in 2350. Details not on file. SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTES
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COUNSELORS' NOTES |