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The upper wound shatteredseveral bones in the spinal column resulting in compression and bruisingof the spinal cord. The outcome was what we term an incomplete injury tothe cord. The patient was left with diminished use of her arms and hands.Subject B had identified as transgender since the age of four. She had notconsidered sexual reassignment surgery due to the expense and the belief,which I shared, that her large male frame and heavy facial features wouldhave made her ability to pass a female marginal at best. She hadregistered with the national body swap exchange on her eighteenthbirthday, the youngest legal age she was able to do so.Our limited pre-transfer counseling with Subject B revealed she had givencareful consideration to the implications of the procedure. She was not aphysically active person prior to the transfer, preferring movies,television, reading and the company of friends. Her need for a body thatwas in congruence with her mind was so strong that she was willing. We’re out of time, but next time we will dig deeper into your relationship with your mom.”“If you remember, that’s going to be in July, because I’m going to Ohio on Wednesday and then to Sweden right after I come back from Ohio. July 16th is the next Monday that I’ll be here.”“OK. I do have a note to that effect. You don’t seem to be having any day-to-day existential issues, so it shouldn’t be a big deal. I’ll see you in a month.”I left his office, walked home and immediately got into my car to head to O’Hare. I parked in the short-term lot as I usually did, and went into the terminal. As I walked towards the gate, I saw that the arrival board indicated that the flight was on time. I sat down with the latest copy of Byte magazine and read while I waited for the flight to arrive. About five minutes past the scheduled arrival time, the jet taxied to the ramp and the engines were shutdown. The Jetway was extended and a couple of minutes later, passengers began to file out of the door.I.
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