These are the usual risks associated with birth control pills and include hypertension and an increased risk of blood clots. Jackie -- you have a nurse at your school, don’t you?”“Yes. Two in fact. My sixth grade homeroom teacher, Mrs Lipke, is one of the school nurses.”“I’m sure if you ask she’ll be happy to take your blood pressure on a regular basis. I’d like to see it monthly for the first year or so.”“I’ll ask,” Jackie replied.“If she should start seeing complications,” Sierra asked, “what then?”“We’ll adjust her prescription, or maybe add an alpha blocker.”“What about surgery?” Jackie asked.“I’m afraid reassignment surgery is out of the question at this point,” Langley replied. “It is major surgery done under general anesthesia and very expensive. It requires several days of hospitalization and recovery can take months. No reputable surgeon would perform this on a minor and most require an independent psychological examination plus several years’ track record on hormone. Eighteen months before, while on a vacation in California, Molly had set up a few interviews with various school districts in the area. Never in her wildest dreams did she think any of them would really be interested in hiring her. After all, the then twenty-four year old had really no record to even speak of, having just finished her probationary period. The interviews had only been intended to provide the basis of claiming the trip as a professional expense in the eyes of the IRS.So it came as somewhat of a shock when, only a few weeks ago, she had received a phone call asking if she was still interested in teaching in California. If she had taken the interviews seriously, the San Alejandro school system was hardly her first choice, or even her third, fourth or fifth. Still, the offer at least matched what she was making now, and more importantly, had come at a most opportune time.Over the last two years, Molly had gone through a number of girlfriends, none of which had worked out,.
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