Due to the ideological capture of our institutions, the search for studies based on sound methodology on topics related to Gender Affirming Care can be futile. Many of these flawed studies have also been challenged & discredited. I’ll link some resources in this 🧵. Pls save.
@ColdCathodeMan
@wesyang
Do the search. Lots of titles indicating that gender affirming care saves lives (ACLU, Medical Societies, Scientific American, etc) .
Where exactly is the hard refutation?
Listen to Dr. Miriam Grossman's (
@Miriam_Grossman
) powerful testimony at today's Congressional hearing. She expertly counters the assertions made by Dr. Meredithe McNamara, whom you might recall from the Florida Boards of Medicine Workshop in 2022.
For those on the left who think this is justified retribution: Imagine visiting the clinic to see your PCP, and you notice a MAGA flag displayed in the lobby. You politely express your concerns about the flag, and shortly afterwards, you are unexpectedly discharged from the…
Ok-I was gonna try to get over this-but I am a liver transplant recipient with breast cancer facing double mastectomy at the end of August and now I have no primary care doctor.
A lawyer contacted me-i hesitated-
Nor more!
Would any lawyer out there help me?
Very scared. 💜💚🤍
The replies and quote tweets calling this “hate speech” demonstrates why the coddling needs to end now. We have given people who are out of touch with reality the impression that there’s a legitimate debate to be had about whether a person’s subjective perception trumps…
"We shouldn't get bullied" into believing that "people can be any sex they want to be"
"A man is a man, and a woman is a woman, that's just common sense," PM Rishi Sunak says
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Why is the attempt to label ‘cis’ a slur considered “a blatant attempt to erase trans identities”? How does the rejection of a term that does not apply to trans individuals invalidate their identity?
Is this a Freudian slip? Did Cori Bush just suggest that the term ‘cis’ is
After an interaction with a Trans identified individual who said that HRT and puberty blockers are safer than Tylenol, I did a simple twitter search to find out how commonplace this idea is.
Apparently, it is widely held. Are these doctors really not educating them about the…
This study claims a 0% regret rate among trans patients who underwent mastectomies. However, after skimming through, certain issues come to light:
Among the 235 individuals considered eligible for the study, approximately half (~41%) did not provide responses. Additionally, the…
Today I listened to the activists and did my own research on the violence against trans people. According to the Human Rights Campaign (HRC), there were 40 reported cases of trans individuals losing their lives to violent incidents in 2022. To put this into perspective, this
Why are they so upset? I thought sex was “assigned” at birth. How can they be certain that it was indeed a “daughter” who was born? Perhaps the doctors made a mistake. Moreover, shouldn’t they let the child decide what their gender is when they are like 3 and undergo sex…
Bookmarking this for all the “assigned at birth” people, and all the “my child discovered she/he was born in the wrong body merchants. The irony of Pink News running this story should be lost on no one.
Suicide is a serious matter, and an individual's suicidal ideation should be regarded as a compelling reason to proceed with caution, avoid simplistic explanations, and refrain from implementing radical measures.
However, according to trans-activists, this is precisely the…
The existence and significance of the field of “obstetrics and gynecology” rely on its exclusive focus on biological females.
If this specialty were to “include” individuals of the other sex (i.e. males), it would, by its very definition, cease to exist. Otherwise, the terms…
Trans Activists: Gender affirming care for minors is necessary because it prevents suicides.
Me: Okay. Can you offer historical data showing an alarming rate of suicides among minors struggling with gender identity issues, which prompted the necessity of gender-affirming care?
This conversation would have ended a lot earlier if Trevor Noah had responded by saying, “No, I don’t think that transwomen are women”.
Perhaps, like Trevor, you find yourself questioning how many more falsehoods you need to rationalize to prove that you are not transphobic. You
Is it truly conceivable that people who oppose "gender affirming care" for minors look at a photo like this and actually hold feelings of hatred towards this child?
How could anyone possibly think that I feel anything other than deep sympathy for a child in this situation?
I do not claim to know everything. As a doctor, I have been trained to think using basic scientific principles & to apply that knowledge upwards. This why I can make certain “bold” statements… because I know the principles.
No medical doctor who was taught endocrinology should…
The use of demeaning language, particularly directed at women and mothers, is very misguided.
Mothers are not birthers, birthing bodies, birthing parents, or gestational parents. Such language reduces women and mothers to their reproductive functions and implies that their…
The trans movement seeks to assert its subjective perception of reality as being equally valid, if not more so, than the objective reality that the rest of society is grounded in.
When trans activists say that their existence is being denied, they mean that their existence is…
I recognize that for numerous trans-individuals, activism might serve as a therapeutic outlet, providing focus, purpose, community, and a means to channel your frustration. But your activism is misguided in many ways.
You are doing an exceptional job at undermining your cause.…
During the 1960s and 1970s, the psychiatric-survivors movement emerged with the aim of “liberating” the mentally ill. The activists found a sense of purpose as they saw themselves as heroic figures fighting against oppression within the psychiatric institution. However, their
In my opinion, the Transgender-Gender Dyphoria-ROGD phenomena is one of the most complex psychiatric issues of our time. Anyone with even the slightest bit of inclination towards scientific inquiry should be motivated to investigate and ask questions about it, rather than dismiss…
“A macabre tale of medical arrogance”.
This book recounts the tragic story of Bruce Reimer, who experienced a circumcision accident as an infant. John Money, a psychologist at Johns Hopkins, viewed this as an opportunity to test his theory of "gender identity." He convinced
On the left is a young woman who has been misled into believing that removing her breasts makes her less of a woman.
On the right is a breast cancer survivor who understands that she is a woman, despite the loss of her breasts.
In this video, Dr. Johanna Olson-Kennedy casually compares adolescents engaging in the ‘cinnamon challenge’ to adolescents undergoing mastectomies.
She then goes on to say that, “if you want breasts at a later point in your life, you can go and get them”. This is the kind of
The claim that “trans kids” require affirmation of their gender identity (through hormones & surgery) to prevent suicidal behavior raises the question of why there is no historical evidence of such patterns of suicidal behavior related to gender identity issues in this age group.
Dr. McNamara, who holds a position as a Pediatrics professor at Yale, believes there should be no safeguards for children, because “children know who they are”.
•
@elonmusk
did not specifically mention puberty blockers; you brought them up because you think they would be easier to defend, but even on that point, you are wrong. And you know that you are.
• WRT “gender-affirming care”, puberty blockers are not administered in the same…
Puberty blockers don’t cause infertility (they’ve been used for decades for precocious puberty with intact fertility), and fertility counseling is part of guidelines for estrogen or testosterone including option of freezing eggs or sperm.
I understand the approach of arguing for both sides with the goal of arriving at a “nuanced” stance. However, with regard to the issue of Gender Affirming Care for minors, I don’t think it is as “grey” an issue as some suggest.
The question is quite simple: what is the rationale…
This was the star “trans-kid”, who had the best quality of “gender affirming care”, and yet, the doctors managed to mess it up. Imagine what happens to other regular “trans-kids”.
The recognition of Gender Dysphoria (along with its related phenomena in the earlier editions of the DSM) as a psychiatric disorder is largely responsible for giving the Transgender movement the “legitimacy” it has today. Without this recognition, we would not be in the situation…
This study by Turban et al. (2020) concluded that access to pubertal suppression is associated with lower odds of lifetime suicidal ideation, and should be made available for transgender adolescents who want it.
One would reasonably expect that a study drawing such conclusions…
It appears that a potentially more authentic approach to addressing gender dysphoria could involve psychological adaptation to the reality of being unable to alter one's biological sex, while embracing and accepting one's physical body and biological sex.
While it is true that…
@DrJenLincoln
You seem to be unaware. This position is no longer considered morally virtuous. The tide has turned.
Perhaps it is time for you to return to tweeting what you actually believe.
Gender Ideology depends on the manipulation of language to obfuscate truth. So long as we passively (or actively) accept its linguistic distortions, it will remain entrenched.
Use precise language. Call things what they are. That's how our society returns to sanity.
The mere fact that there are many individuals identifying as “non-binary”, a nonsensical concept that did not exist prior to a few years ago, is proof of a social contagion.
As seen in the tweet below, this contagion did not spare the psychiatrists this time around.
Suicide amongst youth who identify as trans is extremely rare. Data from the world’s largest clinic for transgender youth, GIDS, spanning 11 years, reveals the following:
• From 2010 to 2020, among 15,032 patients, there were 4 suicide deaths, representing a proportion of
A member of the audience asks for “recommendations for pre-verbal children”.
Dr. Ehrensaft, a renowned “expert” who co-authored the APA guidance on the “Gender Affirmative Model”, goes on to say that 1-2 year-olds send “gender messages” by:
• removing barrettes out of their…
There are myriad explanations for why certain doctors continue to advocate for maintaining the current practice of "gender affirming care” despite the apparent harms. But I believe the most widely applicable explanation is that many of these doctors prioritize the transgender…
Imagine navigating through life, believing that the majority of individuals harbor deep-seated hatred towards you simply because they do not share your convictions. This is far removed from reality and adopting such a mindset is not helpful to your well-being. It needlessly…
If your mental well-being hinges so heavily on seeking constant validation from others to the extent that you feel the need to exert control over their perceptions of you and the language they use to describe you, the problem lies with you.
This is a personal message to all those people that think it is acceptable to refer to some women as men.
It is not acceptable, it is deliberately misgendering and it has already been classified as a hate crime and you are guilty of that crime.
All the discussion surrounding a trans-woman accusing a gynecologist of transphobia for declining to see him reminded me of this paper. The authors presented numerous outlandish arguments advocating for gynecologists to provide care to trans-women.
The most remarkable among them…
The state of “Gender medicine” represents perhaps the most glaring illustration of the extent to which the medical institution has been corrupted. From physicians and researchers to peer reviewers and journals, as well as professional societies and government health agencies, we
You might expect the story of how parents came to realize their child’s transgender identity to be some profound epiphany. In reality, it is often as underwhelming as a child picking a female doll instead of a male doll.
It’s like being a victim of a traumatic experience & then stepping into the hospital to see numerous doctors proudly display the emblem of the abuser, all the while claiming to be virtuous.
This is the reality of many detransitioners, a marginalized group of individuals who…
In the field of pediatrics, fertility preservation was once limited to rare cases, such as cancer or other severe illnesses requiring intense treatments like chemotherapy.
It is now being routinely offered to physically healthy children. Children are being presented with the…
I have seen numerous statements from organizations that have endorsed the actions of Hamas. They are deliberately designed to incite provocation. For instance, BLMChicago could have used a different image but opted for a paraglider.
It would be unwise to believe that any
I've been actively following the discussions on r/trans (on Reddit) for a while now, and I've observed a common theme emerging repeatedly: uncertainty surrounding one's trans identity.
What strikes me is the extensive amount of rationalization that occurs, often hindering…
This article in the Journal of Medical Ethics argues that the use of ongoing puberty suppression (OPS) to permanently prevent the development of secondary sex characteristics in non-binary adults aligns with medicine’s fundamental objective of enhancing well-being. The authors…
In this case report, with the onset of Alzheimer’s dementia, a transwoman who was in a relationship with a female partner, reverts to sexual preference for males, male sexual behavior and male toileting behavior.
What do you make of this?
Rachel had a history of Schizoaffective disorder (Schizophrenia + Major Depression), as well as ?PTSD resulting from sexual abuse. Despite her pre-existing mental health conditions, she was encouraged to transition. Transitioning did not alleviate her underlying psychiatric…
@JeremyShawMD
I literally saw 2 tweets of two seperate people yesterday who said they were both transgender & had schizophrenia. We also know there have been alot of autistic children who have started on the road to transitioning. Why is there an overlap? How often are there overlaps?
No, Trevor. Our opposition does not stem from hatred, but rather from a desire to safeguard a population that is vulnerable by virtue of their maturity and mental health status, and that has been failed by an ideologically captured medical establishment.
I'm curious if there is anyone reading this who used to support “gender-affirming care” for minors but has recently changed their stance, say within the past 6 months.
What specific information (or factors) played a crucial role in bringing about this change?
Trans adults have been found to be more likely to experience subjective cognitive decline. Additionally, among Medicare beneficiaries aged 65 and older, transgender individuals have been found to have a higher prevalence of dementia compared to their non-transgender counterparts.
Me: We have data that strongly suggests that suicide rates are significantly lower than what is projected.
Trans-activist: That’s false! (Attempts mental gymnastics to justify why it’s false).
Me: Shouldn’t it be good news that less people are actually taking their own lives?…
Trans activists are so disingenuous lol. One of them responded to my argument against transitioning children by sharing an article he wrote that supposedly “debunks” my premise, and then promptly blocked me so that I couldn't engage further. Then the mindless herd came commenting…
The excerpt from the DSM-5 (provided in the photo below) outlines details that are now considered ‘right-wing’ talking points:
•The desistance rates for Gender Dysphoria are very high. Most individuals diagnosed with Gender dysphoria will desist by adulthood.
•Most of those…
To those who were active on Twitter during the pre-Elon musk era, how did you manage the censorship? Today’s events have made me question whether there’s any point speaking on these matters.
If asking the simple question, “what is a woman”, is labeled hate speech on a platform I…
Activists: we must believe and affirm kids when they say that they are trans because children know who they are.
Kids that know who they are:
Panel 1- A redditor expresses their doubt about being Trans and asks if it’s normal. This is one of the most common themes on trans…
42.9% of the transgender population examined in the referenced study had psychiatric comorbidities (excluding psychiatric issues related to their gender/ trans identity). This is compared to 7.1% in the non-transgender population.
The NYT interpreted this study through the lens
Transgender people in Denmark have a significantly higher risk of suicide than other groups, an analysis of nearly seven million people over the last four decades found. The study is the first in the world to analyze national suicide data for this group.
You might expect a gynecologist to grasp the concept of sex, given that her expertise is centered on 1 of the sexes.
•Sex is binary.
•Sex is largely synonymous w/ gender.
•There is no empirical evidence supporting the concept of ‘gender identity’.
•A person w/ 5-ARD is male.
TRAs often refer to the historical pathologization of homosexuality to support their argument for the depathologization of Gender Dysphoria.
However, there is a notable distinction. The Gay rights movement opposed both the pathologization and medicalization of homosexuality.…
Children with autism and comorbid psychiatric conditions, including depression, bipolar disorder, generalized anxiety disorder, body dysmorphic disorder, personality disorders, factitious disorder, eating disorders, PTSD, and ADHD are being sold an oversimplified narrative…
This thread brims with a captivating display of intellectual dishonesty.
1. The legislature voted to ban medical and surgical interventions for gender transitioning, gender reassignment, or gender dysphoria (for children). Nowhere in the document does it mention the term…
As a pediatrician & dad, I want to respond to 2 news stories out of Texas:
(1) Legislature voted yesterday to ban gender-affirming care for teens & (2) Adolescent medicine docs were pushed out of
@dellchildrens
in Austin for providing care.
#LGBTQ
🧵 1/
Until recently, no adolescent believed that they had the choice to opt out of puberty, nor did they consider undergoing the normal process of puberty as a form of oppression.
Hello, new followers.
First I would like to clarify that my real name is not Jeremy Shaw. (This is not a secret as I have mentioned it before). I created this account to express my perspectives with less fear of retaliation. I strive to be kind and courteous in my interactions,…
I should have stated ‘for breast cancer’ rather than ‘with breast cancer’ as the rates include individuals undergoing mastectomies both prophylactically and therapeutically.
Sources for regret rates of mastectomy within this group:
…
Remember, trans lesbians are lesbians too.
Let's uplift and honour EVERY expression of love and identity!
Happy International
#LesbianDay
!
@free_equal
Turban et al. (2021) published a study that concluded that gender identity conversion efforts (GICE) are detrimental to mental health.
This study was thoroughly refuted by D’Angelo et al. (2021). They attempted to publish their Letter to the Editor in the same journal, JAMA…
Yet another tweet brimming with outright dishonesty. Must I repeat this every time? Have you even bothered to read the bill?
1. This bill does not address any matters concerning the LGBTQ community. Not once is this topic mentioned within its contents.
2. The bill does not…
I’m an emergency medicine doctor. When you come to my ER, I will take care of you even if your beliefs are different than mine. My job is to take care of patients.
If you would deny a patient care because they have different beliefs than you, then you should not be in medicine
Dr. Diane Ehrensaft, who co-authored the APA guidance on the “Gender Affirmative Model”, describes how she came up with the terms, Gender Prius and Gender Minotaur.
“Most of the kids who are gender Minotaurs love mermaids”.
If this were true, we should have observed, in kids, a similar and recurrent pattern of suicides explicitly linked to gender identity issues in the past.
It appears that children and even many adults do not know who they are. Doubt concerning one’s transgender identity remains a prevalent and recurring theme in trans social media forums.
Activists: we must believe and affirm kids when they say that they are trans because children know who they are.
Kids that know who they are:
Panel 1- A redditor expresses their doubt about being Trans and asks if it’s normal. This is one of the most common themes on trans…
The American Psychiatric Association changed the terminology in the DSM from “Gender Identity Disorder” to “Gender Dysphoria” in 2013.
The ideological battle we are involved in is largely a consequence of the deliberate manipulation of language across multiple fronts.
@SethDillon
Continued shielding from consequences impedes thoughtful decision-making. Those who decide to go forward with transitioning must realize that the world won't necessarily reorganize around them. It's crucial to weigh the realities beforehand.
The era has passed when doctors were perceived as infallible bearers of divine wisdom, with the common “man” unquestioningly accepting their proclamations as absolute truth.
If I have to debate ideologues (some of whom were wrongfully handed medical degrees) who claim that men…
No medical professional should ever agree to do this. Never. It elevates the conspiracy guy, demeans the medical professional, and will only convince the kooks out there that RFK is right because a real doctor took the time to debate him.
Never debate a conspiracy theorist.
@BackBar67
But they couldn’t have known earlier as the claim is that sex is “assigned at birth”. How did they expect the doctors to know before birth? 🤷🏾
Ill-considered attempts to depathologize certain mental illnesses inadvertently harm the individuals grappling with them.
When efforts are made to destigmatize certain psychiatric conditions by removing their pathological label, it strips the affected individuals of their…
It is transphobic to write “transwoman” instead of “trans woman” as they are just a type of women and are not fundamentally different from (biological) women.
Source: r/trans
This individual has expressed that he would not be returning to the hospital where he had the “bottom surgery” for follow-up. Both the hospital and the surgeon would consider his procedure a success.
Many such cases.
Dr. McNamara frequently refers to the “Standards of Care” established by WPATH when asked about systematic reviews that support GAC. In truth, there are no systematic reviews that support this practice.
However, it is important to note that the term, “Standards of Care” itself