--What spurred the early development of SRS before transgender rights became more mainstream?
--At what point(s) did it become possible to receive SRS?
--How did restrictions on who was eligible for SRS change over the 20th century?
--How safe were the surgical procedures? Were there any frequent complications, be they infections, or genitourinary problems?
--How functional were reconstructed genitalia? At what points did urination and/or sex become relatively safe and achievable?
--Was there any significant controversy regarding the safety or efficacy of SRS within the transgender community?
Hello everyone, long time lurker first-time poster.
I am looking for some advice on how to properly navigate the NHS system as I am an EU national (although I've been living in the UK for the last 7 years) and at the moment I am struggling to wrap my head around what to do next.
I was diagnosed with a medical condition in November 2018 (recurrent endometriomas, aka 2 growths in my abdomen growing on my ovaries and interfering with my other organs) and my GP sent a referral to a gyno consultant.
After 4 weeks of not hearing about it, not even a letter to tell me when the appointment would be, I pressed the issue forward, and we discovered the hospital I was initially referred to had a 12 weeks wait even for a simple assignation of appointment. As I have been actively seeking fertility treatment in the last 4 years (with no good results), I was also concerned that this situation would diminish my chances to achieve a pregnancy even more if left untreated for a long time.
As I live in rural England, my GP offered me to be seen in a private clinic that sees NHS patients. I gladly accepted this option as the waiting list at this clinic was shorter, and I had already had a surgery performed in the same clinic about 4 years prior (gallbladder removal).
I saw a gyno consultant there who confirmed the best course of action would be a lap surgery to remove the growths and I was put on a surgical waiting list in the same clinic where I attended the medical appointment.
Note: I suffer from MD type 1 a neurological condition that can cause complications when General Anaesthesia is required.
My GP knows about, and I also discussed this with the gyno consultant who diligently put in my notes/letter that I needed to have a meeting with the Anaesthetists before my pre-op assessment.
I received a letter telling me the surgery date would be 28th March. Two weeks before this date, I called the clinic as I didn't receive any appointment letter to see the Anaesthesist. I was told not to worry and that my medical issues would be discussed during the pre-op assessment. I stressed once again that the consultant had advised me to have an additional meeting due to my MD1 condition, but they dismissed my concern.
Then a week before surgery I went to see the nurse for my pre-op assessment, and after all the routine exams, I once again asked about speaking with an Anaesthetist. She decided to go to the operating theatre as the doctor assigned to my surgery w
a misconception with casual baseball fans is that TJ surgery is a career-diminishing injury. But many pitchers have come back as good or better after having the surgery.
What I wanted to do was to statistically analyze notable cases of TJ surgery and conclude what tangible effect it has when a pitcher returns. I took 14 of the best pitchers known to have TJ surgery under a few conditions. One, that they had some kind of success in the majors before having TJ, so I did not consider pitchers who had it in the minors, or any average-or-worse pitchers. Two, I took a 1-3 year average ERA and FIP to reflect that pitcher's production before TJ surgery. For example, I only had 1 season of Strasburg, but for Lackey/Hudson, averaged the 3 seasons before their TJ surgery. Third, I compared those "Pre-TJ" stats to their ERA/FIP in their first full season after TJ surgery and calculated the difference and applied this to Matt Harvey.
| Player | Pre-TJ ERA | Post-TJ ERA | Pre-TJ FIP | Post-TJ FIP |
|---|---|---|---|---|
| Neftali Feliz | 2.84 | 1.73 | 3.59 | 4.69 |
| John Lackey | 4.02 | 3.52 | 4.01 | 3.86 |
| Adam Wainwright | 2.68 | 3.94 | 3.16 | 3.1 |
| Stephen Strasburg | 2.91 | 3.16 | 2.08 | 2.83 |
| Jordan Zimmerman | 4.71 | 3.18 | 4.16 | 3.16 |
| Josh Johnson | 3.1 | 3.61 | 3.99 | 3.37 |
| Tim Hudson | 3.27 | 2.83 | 3.6 | 4.09 |
| Chris Carpenter | 3.1 | 2.24 | 3.35 | 2.76 |
| Francisco Liriano | 2.16 | 3.91 | 2.55 | 3.87 |
| AJ Burnett | 3.85 | 3.68 | 4 | 3.19 |
| John Smoltz | 3.04 | 3.36 | 2.89 | 3.27 |
| Kerry Wood | 3.4 | 4.8 | 3.16 | 4.92 |
| Jimmy Key | 3.1 | 3.88 | 3.81 | 3.17 |
| Tommy John | 2.89 | 3.09 | 2.94 | 3.08 |
The results:
- Pre-TJ Average: 3.22 ERA, 3.38 FIP
- Post-TJ Average: 3.35 ERA, 3.53 FIP
6 pitchers had better ERAs post-TJ, 8 pitchers declined. 7 pitchers had better FIPs, and 7 suffered declines.
The differential for both ERA and FIP was +4%
Matt Harvey career: 2.39 ERA, 2.33 FIP
Matt Harvey career +4%: 2.49 ERA, 2.42 FIP
This makes no sense to me, other than the fact that Harvey's team sucks.
I'm looking for books that deal more with the side of plastic surgery in a historical sense, rather than the culture of plastic surgery in present day. Topics like the need for plastic surgery in times of war, and the evolution of methods used.
This one is going to be a doozy. I apologize for the novel I'm about to write:
We live in Washington. Last month, my fiancée was on her way to work in the morning when blocks away from our house, she gets t-boned by a large Dodge Ram. She drives a small sedan. Both vehicles totaled, fiancée trapped in her car and had to be cut out with jaws-of-life. At-fault driver made it out without a scratch.
Medical:
Fiancée rushed to the ER for immediate surgery on her face as she suffered a long laceration from glass from the impact, that cut down to the bone above her brow to the corner of her eye. Even to this day, she is finding glass shards making their way out. Thankfully no damage to her eye. A plastic surgeon was called in to patch her up and notices the glass severed a facial nerve. As a result, she can no longer raise her eyebrows on that side. Instead of looking surprised, she'll forever look skeptical (ha, ha...).
She also suffered a broken collar bone that required surgery as well. She's got plates and screws to hold her clavicle together. Both surgeries have left her beautiful skin scarred and disfigured. Did I mention she was my fiancée, i.e. she's got a wedding she's been worrying about! Talk about timing. Although she's a very positive person, I'm afraid the disfigurement the laceration caused will slowly eat away at her self-esteem and mental state. Future plastic surgery was recommended to her.
Collision:
Now there's no question about the fault of the collision. My fiancée had no traffic lights or stop-signs, 100% right-of-way at the the crossroad. As indicated in the police investigation I've obtained, the driver was reckless, failing to stop at her stop-sign and plowing into the car. No witnesses but the computer in the truck indicates no malfunctions and it never slowed down, going 29mph before the impact. Skids marks prove it, the damage on the car prove it; there's no doubts.
Criminal Investigation:
Now here's the juicy stuff. The driver had license suspended 5 days prior to the crime. The truck is not the driver's. The person the driver got the truck from? Not the person's truck. It's a rental from Enterprise. The driver lied to the police about identity, had no identification on her either. Police was able to positively identify the driver because the driver has done this shit before (giving false identity info). Driver claims to have reached down for a basket of puppies before the impact an
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