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 {{LCARS-bar-heading|Medical Evaluation|10|COLOR=goldenrod}}
-Because of exposure to Trellium D at the age of 10, Savan developed a condition known as Emotional Suppression Failure Disorder (EFSD), as it is called in Federation Standard. This was most famously encountered by the USS Enterprise NX-01 in the 22nd century, when the ship encountered a Vulcan ship whose crew had been exposed to massive amounts of the compound. Similar to the Bendii Syndrome that affects elderly Vulcan, ESFD causes the loss of a Vulcan's ability to suppress emotions and, more spectacularly, can produce agitated, progressively violent states, psychosis and paranoia. Records indicat that Savan suffered only moderate exposure. His subsequent ESFD does not produce the more troublesome effects but has notably caused difficulty in the suppression of emotions. Per review initiated by Savan's first adopted parent, Staran, it was recommended Savan be raised around more emotionally expressive species. His condition progressively improved after moving to Terra under the supervision of his adoptive parents. After psychological evaluation, Savan is deemed fit for duty. The subject has developed a personal management program consisting of meditation and intensive physical activity, coupled with medication. Should the subject continue with his management program, he should expect no unforeseen problems. Additional documentation from instructors in Starfleet Academy Survival Training and Starfleet Marine Corps indicated that Savan had no problem in performing in usual high-stress situations. The one exception may be captivity under hostile forces, which may provoke ESFD symptoms. In addition, Stafleet Medical recommends that the subject and commanding officers should take care for him to avoid situations where he would be exposed to psychoactive substances or aggressive telepathy. It goes without saying that all exposure to Trellium D or substances similarly harmful to Vulcans should be avoided at all cost.
+===Clinical Evaluation===
+Because of exposure to Trellium D at the age of 10, the subject developed a challenging condition known as Emotional Suppression Failure Disorder (EFSD), as it is commonly called nowadays in Federation Standard. This condition was most famously encountered by the USS Enterprise NX-01 in the 22nd century, when the ship encountered a Vulcan ship whose crew had been exposed to massive amounts of the compound. Similar to Bendii Syndrome that affects elderly Vulcans, ESFD causes the loss of a Vulcan's ability to suppress emotions. More spectacularly, it can produce agitated, progressively violent states, psychosis and paranoia. The cause for the lack of emotional suppression arises from severe neurological damage produced by Trellium D.
-'''Addendum''' Recent studies indicate that more advanced stages of ESFD may have effects similar to Bendii Syndrome. Notably, the sufferer of ESFD may be indirectly and unconsciously project his emotions onto others in his immediate environment. As Savan does not present up a diagnosis of advanced ESFD at this time, there is no immediate concern for any accidental projection of emotions. However, the subject should consult with a professional upon any signs of advanced ESFD. This may become a concern later in life with the onset of old age.
+Medical records of that time indicate that the subject suffered only moderate exposure. His subsequent ESFD does not produce the more troublesome effects but has greatly inhibited the subject’s ability to suppress emotions in the normal Vulcan manner. Per review initiated by Savan's first adoptive guardian on Vulcan following the subject’s aggressive attack on a classmate, it was recommended that the subject be raised around more emotionally expressive species. His condition progressively and dramatically improved after moving to Terra under the supervision of his adoptive parents and the use of alternative therapies. Despite the often debilitating nature of ESFD on young Vulcans, the subject succesfully integrated himself into Terran society, completing high school and college while developing a rich social life. There has been no record of assault, terroristic threatening or other behavior since the subject has lived on Terra.
-Also available for review: [[/Medical Record|Starfleet Medical Record]]
+Per the most recent evaluations performed at Starfleet Medical, it is the majority opninon of this board that the subject is deemed fit for duty. The subject has developed a personal management program consisting of meditation and intensive physical activity, coupled with medication. Given the usual debilitating circumstances of this condition, the subject has demonstrated an unremarkable resolve. Should the subject continue with his management program, he should expect no unforeseen problems. Additional documentation from instructors in Starfleet Academy Survival Training and Starfleet Marine Corps indicated that the subject has had no problem in performing in usual high-stress situations expected with Starfleet service. The one exception may be captivity under hostile forces, which may provoke ESFD symptoms due to similarity to the initial traumatic accident.
+The board recommends that the subject and commanding officers should take care for the subject to absolutely avoid all situations where he would be exposed to psychoactive substances, aggressive telepathy, or all situations that parallel those of childhood trauma. It goes without saying that all exposure to Trellium D or substances similarly harmful to Vulcans should be avoided at all cost.
+The majority opinion of this board also recognizes the dissenting minority opinion. However, we believe that this opinion is not entirely derived on evidence but instead based upon an unfair prejudice as the subject does not fit into the psychological norm of his planet.
+Signed Commander D.T. Metzger, M.D., Psy.D.
+Starfleet Medical
+Starfleet Academy, Psychological Evaluation Board
+SD 239301.04
+===Addendum===
+Recent studies indicate that more advanced stages of ESFD may have effects similar to Bendii Syndrome. Notably, the sufferer of ESFD may be indirectly and unconsciously project his emotions onto others in his immediate environment. As Savan does not present up a diagnosis of advanced ESFD at this time, there is no immediate concern for any accidental projection of emotions. However, the subject should consult with a professional upon any signs of advanced ESFD. This may become a concern later in life with the onset of old age.
+Signed Commander D.T. Metzger, M.D., Psy.D.
+Starfleet Medical
+Starfleet Academy, Psychological Evaluation Board
+SD 239302.02
+===Dissenting Opinion===
+The toxic effects of Trelllum D and similar substances on Vulcan neurology has been long documented since the 22nd century. It is this clinician’s opinion that the subject may present more violent characteristics of ESFD after assignment and is therefore unfit for duty in Starfleet. While the majority opinion of this board has ruled in favor of the subject’s ability to serve successfully because of his ability to manage his condition until this time, it is still undetermined how the subject will perform in the high-stress scenarios common to the security role or on deep space assignments. This clinician also highlights that other sufferers of moderate ESFD have often developed more dramatic symptoms unexpectedly and unfortunate consequences.
+Signed Lt. Commander Sorin, M.D., PhD
+Starfleet Medical
+Starffleet Academy, Psychological Evaluation Board
+Starfleet Liaison to Vulcan Medical Academy
+SD 239301.06
+===Starfleet Medical Record===
+Also available for review: [[/Medical Record|Starfleet Medical Record]]
 {{LCARS-bar-heading|Visual Identification|10|COLOR=goldenrod}}