it's about a difficult patient and questionable communication, as this excerpt illustrates...
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Court documents portrayed Ms. Varian as a troubled adolescent grappling with a welter of mental health issues, including depression, anxiety, social phobia and an eating disorder. At 14, she was diagnosed with autism.
At 15, Ms. Varian began questioning her gender, according to court documents. She changed her name to Rowan, began binding her breasts and expressed an interest in transitioning to her psychologist, Kenneth Einhorn, who had been treating her for more than two years but had no formal training in transgender care.
In court documents, Dr. Einhorn said that he had suggested hormone blockers as a first step, but that Ms. Varian had insisted on so-called top surgery. Nine months after she first announced a desire to transition, Dr. Einhorn referred her to a plastic surgeon, Dr. Simon Chin. Both providers are based in Westchester County.
In his referral letter, however, Dr. Einhorn described Ms. Varian’s diagnosis as body dysmorphia, not gender dysphoria, an error that proved pivotal in the jury’s decision.
Body dysmorphia refers to a distressing preoccupation with perceived physical flaws. Dr. Einhorn said he had only used the term for insurance billing purposes.
Ms. Varian’s mother, Claire Deacon, a licensed practical nurse, testified that she had felt pressure to consent to the surgery by Dr. Einhorn, who had given his assurance that it would improve her daughter’s mental health.
Without the procedure, she recalled him saying, Ms. Varian might take her own life. Dr. Einhorn denied telling her this.
But the crux of the case rested on what Mr. Deutsch described as inadequate communication between Dr. Einhorn and Dr. Chin.
In an acknowledgment of his limited expertise, Dr. Einhorn recommended that Ms. Varian seek additional counseling at an L.G.B.T.Q. nonprofit, but he never followed up, according to court documents.
If he had, Mr. Deutsch said, he would have discovered that Ms. Varian had told a counselor there that she was still unsure of her gender identity. Less than five months later, she underwent the surgery.
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As for the vast majority of Gender Affirming Surgeries, the "Regret Rate" is on the order of 1%...as compared with a RR for knee replacement surgeries of between 10-30%. (see attached link from JAMA)
Try harder to inform yourself better...and exercise Critical Thinking before posting...it would save us all some time.
Link: https://jamanetwork.com/journals/jamasurgery/fullarticle/2808129?__cf_chl_tk=j4H.CPw7BzxBEpFL7.AIoG3JFzi6AR_tqN5mSf7eDWo-1771011264-1.0.1.1-VxCQBAlM8izkyDEig2SyjCQSuQqDQtxF51op3_rWFcA