Adding US surgeon list & Dr. Min Jun (#377)

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title: 美国
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title: Min JunCrane Center
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网站: <https://cranects.com/min-jun-do/>
电话: {{< telephone "+1 415-625-3230" >}}
Email: <CAReception@CraneCTS.com>
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。
## 特点
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。
## 要求
- 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
- 必须在拿到推荐信之后才能开始预约手术
- 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
- 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
## 流程
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
1. 签署Initial Consultation的知情同意书
1. 参加Initial Consultation可以向Min Jun提问
1. 拿到信之后发邮件预约手术
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
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)
1. 手术两日前在Crane Center进行术前咨询
1. 术后大约2-3天后出院在SF附近休养
1. 术后71421天在Crane Center进行术后检查
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。
## 保险
现时2022年2月Crane Center旧金山接受的网络内保险有
- Cigna PPO
- Blue Cross/Blue Shield PPO
- Western Health Advantage
- Shutter Select
- San Francisco Health Plan/Healthy SF
- EHN/WebTPA (Whole Foods)
其他PPO保险需要提前和Crane Center进行沟通。
现时无法接受的保险有:
- Medicare
- Medicaid
- State Medi-Cal/Straight Medi-Cal/Fee-for-Service Medi-Cal
- Tri-Care
- Kaiser
## 术后照片NSFW
[英文Reddit链接](https://www.reddit.com/r/Transgender_Surgeries/search/?q=min%20jun&restrict_sr=1&sr_nsfw=)
## 推荐信要求(英语)
**Two Letters from 2 different licensed mental health specialists**
- 1 letter can be from a provider who has only had an evaluative role
- At least one of the letters must be from a provider with a doctorate level degree (Ph.D., Psy.D., etc.)
- Texas patients: Blue Cross Blue Shield of Texas requires two letters from a Doctorate level provider (Ph.D., Psy.D. or Psychiatrist)
- The mental health provider letter(s) must include ALL of the following:
- Patients legal and preferred name
- Patients date of birth
- Date provider/patient relationship began and the frequency of contact
- A statement that the patient has been diagnosed with persistent, well-documented gender dysphoria/gender identity disorder and exhibits all of the following:
- 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
- The transgender identity has been present persistently for at least two years; and
- The disorder is not a symptom of another mental health disorder; and
- The disorder causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
- 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.
- The patient has undergone a minimum of 12 continuous months of hormone therapy (recommended for bottom surgery and breast augmentation only).
- A statement that the patient has the capacity to make fully informed decisions and to consent for treatment.
- That the patient is able to comply with long term follow-up requirements and post- operative expectations have been addressed.
- If the patient has significant medical or mental health issues present, they must be reasonably well controlled.
- Any substance use (marijuana, alcohol, etc.) is well controlled for at least 6 months prior to the patients surgical date.
- The provider must state their experience with treating patients diagnosed with gender dysphoria.
- The letter from your Hormone Provider must include:
- Patients legal and preferred name
- Patients date of birth
- Date provider/patient relationship began and the frequency of contact
- Date hormone therapy began and the frequency of treatment
- That the patient has undergone a minimum of 12 continuous months of hormone replacement therapy
- If the patient has a contraindication to hormone therapy, please note this