Transgender women who come to see me have previously sorted through therapy, counseling, and time, that they are ladies and want to appear more feminine. During a discussion, Spiegel offers lengthy conversations with his patients about what they’re searching for and what they can expect from the medical procedures. Though a psychological consultation is not needed, as it is for genital medical procedures, Spiegel said he offers turned people apart if he thinks they aren’t ready. If indeed they both recognize to just do it with the surgery, Spiegel discusses in great fine detail the procedures available. They inform me what parts of their encounter that they are bothered by and I’ll go through and do an analysis and discuss what parts of the face I think are sending masculine messages, he said.The study’s lead writer, Dr. Sunitha Kaiser, an associate pediatrics professor at the University of California, SAN FRANCISCO BAY AREA, says doctors and parents ought to know about codeine’s drawbacks and that alternatives can be found, including dark honey for coughs in children over age group 1; and ibuprofen or the opiate medication hydrocodone, for discomfort including broken bones. Dr. Dyan Hes, medical director at Gramercy Pediatrics in NY, said on ‘CBS TODAY’ that she was ‘floored’ by the study. ‘I’ve hardly ever seen a doctor write codeine as a cough suppressant or as a painkiller within an er,’ she said. ‘I worked in the Bronx. I worked well in lots of hospitals, I’ve under no circumstances seen it happen.’ Codeine, Hes explained, bears the chance of respiratory suppression.