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I guess I ought to write just like I have all the other entries. It’s hard to write. Hard to focus. I’ll try though. Settle in, this might take a bit. It was a typical day, well as typical as it’s been around here I mean. Mom and I sat in the kitchen naked, chatting, drinking coffee and eating breakfast. She had to rush off though, the big deal she had closed yesterday made for a lot of new work. She told me she might be late coming home, that she would stop for take out on the way home. Around noon, I got an idea. I had just about everything I needed and I could pick up what I didn’t have at the local grocery store for less than twenty bucks. I headed out and bought some ground beef, a big loaf of French bread and Parmesan cheese. My mind was buzzing with ideas, hoping I could pull this off. I put water on around six, waited for it to boil and dropped in spaghetti. Around ten minutes later mom texted me: “Home, by 7:00. What you want to eat?” As I was putting the beef on to brown I. Jackie -- you have a nurse at your school, don’t you?”“Yes. Two in fact. My sixth grade homeroom teacher, Mrs Lipke, is one of the school nurses.”“I’m sure if you ask she’ll be happy to take your blood pressure on a regular basis. I’d like to see it monthly for the first year or so.”“I’ll ask,” Jackie replied.“If she should start seeing complications,” Sierra asked, “what then?”“We’ll adjust her prescription, or maybe add an alpha blocker.”“What about surgery?” Jackie asked.“I’m afraid reassignment surgery is out of the question at this point,” Langley replied. “It is major surgery done under general anesthesia and very expensive. It requires several days of hospitalization and recovery can take months. No reputable surgeon would perform this on a minor and most require an independent psychological examination plus several years’ track record on hormone therapy. It’s at least ten years down the road, Jackie. Many of my patients find they can live full and rewarding lives without.
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