The surgeon had managed to retain her composure and expressed her empathy with this patient’s rants

She had seen the studies and knew the lessened chances of survival with mismatched gender transplants

This individual was adamant about receiving a male heart

The doc knew the survival rates increased with same sex transplants and this person’s, born female now with a failing heart, arguments were not smart

In reality modern medicine can only do so much. There are shots to grow hair, surgery to create gender facsimiles and shrinks to stroke the self-esteem

Because waking in the morning, before the regiment of daily maintenance procedures there lurks a nagging suspicion that this gender transformation is nothing more than a dream

But today after months of waiting, blood type matching, age considerations, diabetes status, and other medical regulations a heart has become available

But to the doctor’s dismay the patient knew the donor was female and their view on receiving this organ was unassailable

Essentially signing their own death certificate this patient was taking on their long groomed role of martyr

And any attempt at reasoning from the exasperated surgeon was a nonstarter

Throwing up her hands, the surgeon suggested this patient perhaps would be happier with a different MD

A perfectly matched heart may never happen again but one can’t argue with those so blind they cannot see

In a couple of months when the undertaker lifts the drape on this lifeless body and makes notes of the cadaver in detail

He’ll know in their attempt to live life as a male, they still died a female