"It is easier for practically every hospital to predict when somebody will break their leg than when someone will schedule surgery, " Litvak lamented to Forbes in April.
Mr Johnson is said to be recovering after surgery, but if he dies, South Dakota's Republican governor will appoint someone to fill the remainder of his term.
If someone has glaucoma - that is high pressure in the eyes - we can take care of that, if someone needs refractory surgery - that's surgery to correct focusing problems - we are able to provide that.
"It is easier for practically every hospital to predict when somebody will break their leg than when someone will schedule surgery, " says Litvak.
When someone has minor outpatient surgery in a hospital, payment includes the cost to cover the procedure, plus an extra few thousand dollars in so-called facility fees.
We want to see testing and diagnosis within two weeks of someone walking into their GP surgery.
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Someone's decision to transition does not necessarily mean they are undergoing gender reassignment surgery, and in many cases they do not, said Mara Keisling, executive director of the Washington-based National Center for Transgender Equality.
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He describes a patient whose moral reasoning has been disrupted by surgery to separate the hemispheres, who then judges that it is acceptable for a waitress to serve sesame seeds to someone she thinks is allergic to them, but who is not.
Here was a woman with scruples less developed than her own, someone who had chosen to be not frightened but entertained by her new neighborhood, someone who soldiered on with her elective surgery even when her best friend got a diagnosis of cancer.
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