About a month or so later, patient R awoke at home again with severe painin his stomach area. His parents again rushed him back to the hospitalAcciden... and Emergency department where he underwent further tests. Againhe was admitted to the hospital for several days where a shockingdiscovery was made. Patient R was undergoing a Menstrual cycle.Because patient R did not have a vagina, the boy was passing hismenstrual blood into his bladder and passing it alongside his urinethrough his penis. The. Her feet were on the floor and I rested my hands on her legs, just above the knees. She continued to watch me, puzzled but without alarm. Her mind must have been as much of a blur as mine was. There was no purpose to my action. I had no idea why I was standing there mute with my hands on her legs but my back felt relaxed so I remained in that position for what seemed like minutes still in a state of suspension. I opened her legs wide, closed and then opened them once again. There was no. More

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