Adding US surgeon list & Dr. Min Jun (#377)
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title: 美国
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title: Min Jun(Crane Center)
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网站: <https://cranects.com/min-jun-do/>
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电话: {{< telephone "+1 415-625-3230" >}}
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Email: <CAReception@CraneCTS.com>
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Min Jun隶属于旧金山的Crane Center for Transgender Surgery。他在纽约大学医学院与Dr. Rachel Bluebond-Langner进行了机器人辅助阴道成形术的进修。他提供SRS及SRS修复的手术服务。Min Jun现时(2022年2月)的手术地点位于San Francisco Memorial Hospital。
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## 特点
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Min Jun所使用的技术为Da Vinci机器人辅助的腹膜阴道成形术。该技术从下腹开出4-6个2cm左右的刀口,并将机器人放进去,从腹部开始游离腹膜。他使用阴囊皮肤作为外部阴道皮肤以及阴唇皮肤;阴茎皮肤及龟头作为阴蒂附近的皮肤和阴蒂。这样的好处是因为阴蒂周围的皮肤得以保留,阴蒂的完整性和美观性可以得到增强。机器人接下来从内部缝合腹膜和皮肤的衔接部位,并完成手术。
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## 要求
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- Crane Center要求至少有两封精神科医生的信和一封HRT医生的信(推荐信内容的具体要求在页面底部)
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- 必须在拿到推荐信之后才能开始预约手术
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- BMI要求:强制要求低于35,但是在正常范围内为最佳(因为伤口缝合原因)
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- 年龄要求:18岁及以上无需家长同意,16岁到17岁需要家长同意
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## 流程
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1. 在官网Contact处预约Initial Consultation并预留保险信息(必须写清保险信息才能约上)
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1. 签署Initial Consultation的知情同意书
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1. 参加Initial Consultation,可以向Min Jun提问
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1. 拿到信之后发邮件预约手术
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1. 获得手术日期,可以选择加入Cancellation list(如果前面有人取消有机会提前手术时间)
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1. 在临近手术日期时处理好保险问题,并在术前一个月内完成所需要的血液检查(会提前通过邮件发过来所有所需的东西)
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1. 手术两日前在Crane Center进行术前咨询
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1. 术后大约2-3天后出院,在SF附近休养
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1. 术后7,14,21天在Crane Center进行术后检查
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1. 术后7天后拆包,并开始通模具。一开始通模具的频率为一天4次,每次15分钟。之后会随时间减少次数。
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## 保险
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现时(2022年2月),Crane Center旧金山接受的网络内保险有:
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- Cigna PPO
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- Blue Cross/Blue Shield PPO
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- Western Health Advantage
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- Shutter Select
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- San Francisco Health Plan/Healthy SF
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- EHN/WebTPA (Whole Foods)
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其他PPO保险需要提前和Crane Center进行沟通。
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现时无法接受的保险有:
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- Medicare
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- Medicaid
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- State Medi-Cal/Straight Medi-Cal/Fee-for-Service Medi-Cal
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- Tri-Care
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- Kaiser
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## 术后照片(NSFW)
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[(英文Reddit链接)](https://www.reddit.com/r/Transgender_Surgeries/search/?q=min%20jun&restrict_sr=1&sr_nsfw=)
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## 推荐信要求(英语)
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**Two Letters from 2 different licensed mental health specialists**
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- 1 letter can be from a provider who has only had an evaluative role
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- At least one of the letters must be from a provider with a doctorate level degree (Ph.D., Psy.D., etc.)
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- Texas patients: Blue Cross Blue Shield of Texas requires two letters from a Doctorate level provider (Ph.D., Psy.D. or Psychiatrist)
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- The mental health provider letter(s) must include ALL of the following:
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- Patient’s legal and preferred name
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- Patient’s date of birth
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- Date provider/patient relationship began and the frequency of contact
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- A statement that the patient has been diagnosed with persistent, well-documented gender dysphoria/gender identity disorder and exhibits all of the following:
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- The desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment; and
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- The transgender identity has been present persistently for at least two years; and
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- The disorder is not a symptom of another mental health disorder; and
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- The disorder causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
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- Documentation that the patient has completed a minimum of 12 continuous months of living in a gender role that is congruent with their gender identity, across a wide range of life experience and events that may occur throughout the year.
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- The patient has undergone a minimum of 12 continuous months of hormone therapy (recommended for bottom surgery and breast augmentation only).
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- A statement that the patient has the capacity to make fully informed decisions and to consent for treatment.
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- That the patient is able to comply with long term follow-up requirements and post- operative expectations have been addressed.
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- If the patient has significant medical or mental health issues present, they must be reasonably well controlled.
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- Any substance use (marijuana, alcohol, etc.) is well controlled for at least 6 months prior to the patient’s surgical date.
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- The provider must state their experience with treating patients diagnosed with gender dysphoria.
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- The letter from your Hormone Provider must include:
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- Patient’s legal and preferred name
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- Patient’s date of birth
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- Date provider/patient relationship began and the frequency of contact
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- Date hormone therapy began and the frequency of treatment
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- That the patient has undergone a minimum of 12 continuous months of hormone replacement therapy
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- If the patient has a contraindication to hormone therapy, please note this
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