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I am surprised it didn't happen earlier



Same here. The site seemed a bit too cavalier about what they were doing, in my opinion, and I expected that the "band it twice, chop it off, and immediately go to the emergency room" technique they used would eventually catch up with them. Fortunately ...

I so identify with this thread, although I'm realistic enough to understand the difficulty of achieving it. The Harry Benjamin Standards of Care are perhaps the only defensible guidelines (from a legally based, malpractice-averse standpoint) in use by the mainstream medical community in the U.S ...

Indeed, Ray was an intelligent, level-headed soul. He will be missed.