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Should a suicidal patient undergo sex change surgery?

Dear Dr. Reed,

Hi! I’m Carmelita, i have been born in a mans body and am seeking financial assistants for hormones and a breast job. I have been suicidal and in manic depressed state for my hole life, I am 29 and still living with my parents! I really need assistants with moving forward and being liberated by becoming my natural self. This year of 2014 i claim my life back and my happiness and dreams can be a reality and not a far fetch dream! I almost committed suicide two weeks ago and i’m to the max tired of living a lie, i have an abusive father and a mother from a small town…which comes with small town thinking! If anyone can help me.

Carmelita

Good afternoon Carmelita,

Thank you for your interest in what we do.  Mental stability is essential for patients undergoing major surgery.  Most patients sail on through without any heightened emotions other than gladness.  Some are clearly stressed complying with all the recommendations and discomfort which lasts for a few days and bladder spasms secondary to an indwelling catheter which can last for 12 days (until the catheter is removed).  Medication usually controls this fairly well.

An extreme example of instability is a psychotic break in which rational  patient communication is not working and psychiatric hospitalization is the only remedy.

An example of this occurred in my practice about 8 years ago.  The patient was intent on discharging me from her care, but of course no one else was  able to assume responsibility.  The resolution came when her mother came to the hospital.

My mother had a doctoral degree from Columbia is psychology  and the take home message was, “the best psychologist is an understanding mother.”

With psychiatric meds and Mom by the bedside the patient “came to” and apologized  with baby-like innocence, but that was no fun.  As it turned out she had a brother who was institutionalized for schizophrenia.

I would need to confer with your psychiatrist to confirm your candidacy.

After reading the attached, if you believe I am the doctor  for you, please initiate a consultation over the phone with our office  by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll  get started ASAP.  We’ll have a lot to talk about.

This coming year, 2014, we are re-vitalizing our Grant with a slogan  similar to one a few years ago (“the first 10 in 2010″).  Now it is  “the first 14 in 2014.”   So far 3 positions were filled this past month.
October is a promotional month.

Our fees may be slightly lower in that we own our  facility, but that should not be your foremost consideration.  In our office Anne our amiable manager is the brains  behind pa and the maker of deals.  She has my full encouragement without  conferring with me to be extremely generous.

Cordially,

Harold M. Reed, M.D. FICS

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