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.

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