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Julia Mason MS MD Profile
Julia Mason MS MD

@JuliaMasonMD1

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Pediatrician c1995, pulled into the pediatric transgender dilemma c2018. Board member of the Society for Evidence-based Gender Medicine

Gresham Oregon
Joined October 2019
Don't wanna be here? Send us removal request.
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@JuliaMasonMD1
Julia Mason MS MD
5 years
I'm not currently an academic. I'm a general pediatrician who is getting worried about what's happening with medical treatment of transgender children, so I wrote a thing:
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Here’s my iPhone video of Dr. Ladinsky glorifying suicide in a 16 year old. In case you were thinking I misunderstood.
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@JuliaMasonMD1
Julia Mason MS MD
29 days
Wow wow wow From Hilary Cass in the NYTimes (gift link in next Tweet)
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@JuliaMasonMD1
Julia Mason MS MD
1 year
I'm hearing that TRA's are pressuring Vimeo to take down the brand new and very excellent documentary "Affirmation Generation." Which I'm in! 🥳 What can we do to counter this? Watch it before it disappears!
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@JuliaMasonMD1
Julia Mason MS MD
3 years
Statement from clinicians in France: "This phenomenon, the "transgender child", is in reality a contemporary mystification that must be vigorously denounced because it is a matter of ideological embrigadement."
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@JuliaMasonMD1
Julia Mason MS MD
2 years
As pediatricians, we’ve forgotten what we’ve been taught about childhood development. We’ve forgotten what we’ve been taught about suicide prevention. We’re ignoring what our colleagues in Sweden & Finland & the United Kingdom have realized. We’re concretizing gender ideation.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Yesterday I attended an excellent seminar on suicide prevention by @drlisamhorowitz She was shocked to hear that professionals are telling parents, in front of their kids, that their child is likely to kill themselves if not affirmed in their gender ideation.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Our last speaker @moladinsky runs the gender clinic at the University of Alabama. She just described a suicide as “boldly stepping in front of a truck.” She repeated the word boldly. I, I can’t even. . . Glorifying suicide is unprofessional and dangerous.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@sciam There are no long term follow up studies of kids treated with GnRH agonists. There is *one* case study, published by the Dutch. You got nothin’. Stop making stuff up.
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@JuliaMasonMD1
Julia Mason MS MD
3 years
@NEJM I'm a pediatrician. The growth curves for male and female babies are notably different. Am I to just give up on tracking normal growth and development?
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@detransguy Thanks for sharing your story. I’m sorry the doctors let you down. You deserved better care,
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@JuliaMasonMD1
Julia Mason MS MD
2 years
My personal marker for whether WPATH was completely captured by the activists was whether the "eunuch" chapter survived the editing process. I couldn't believe it in December, it actually *references* the Eunuch Archives, I was dumb enough to click the link and poke around...
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Some thoughts on pediatric transition. Gender dysphoric children have been studied, and in the past, a super-majority desisted with puberty. Most turned out to be gay.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Parents of trans-identified kids: please take this as an opportunity to look inward. A therapist is not going to fix this. Even if you could arrange a heart-to-heart convo with a detransitioner, that's not going to fix this. You have to think "how did we get here?"
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Alternative take: social transition of young children concretizes what was most likely a transient cross-sex identity and all but guarantees medicalization, with the attendant complications, morbidity and mortality.
@AAPNews
AAP News
2 years
Few transgender children retransition to cisgender, according to a new study in @aap_peds :
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@JuliaMasonMD1
Julia Mason MS MD
3 years
I think there are more doctors/psychologists worried about current gender medicine, as it applies to children and young people, than are currently speaking out about it. Speaking out on this is difficult and uncomfortable. I'm not doing this out of hate, but from concern. (4/4)
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@JuliaMasonMD1
Julia Mason MS MD
2 years
#AAP2022 had nothing about gatekeeping access to powerful controlled substances with irreversible effects, it was all affirmation and celebration. #Tweetiatricians please read:
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@JuliaMasonMD1
Julia Mason MS MD
7 months
@sfchronicle Michael Shellenberger is not "against trans people." He is against WPATH, which is promoting irresponsible care for kids with gender issues. Nobody has a eunuch identity, and no child ever has wanted to be a eunuch, but they have a whole chapter on that in their "SOC 8."
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@JuliaMasonMD1
Julia Mason MS MD
3 years
I recently had a conversation with a pediatric psychiatrist about a troubled 12 yr old who has been self harming via cutting for more than a year. As we were discussing the case, the psychiatrist tells me that the girl has expressed discomfort with her gender. (1/4)
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@JuliaMasonMD1
Julia Mason MS MD
9 months
@ClementLeeMD When I was a newborn hospitalist, it seemed like the longer the birth plan was, the more likely there was going to be trouble (like an emergency cesarean). When I was pregnant, they wanted me to make a birth plan and I refused. I said the plan is, we're having a baby.
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@JuliaMasonMD1
Julia Mason MS MD
8 months
How many of my fellow pediatricians understand this is what our patients tell each other?
@eyeskewer
marina 🦎
8 months
average tumblr post
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@JuliaMasonMD1
Julia Mason MS MD
6 months
A doctor friend of mine shared an idea that I think has great merit: detransitioners can file complaints against their gender doctors not in court (they can do that as well, but that's a hard road) but with that doctor's medical board. You can be anonymous
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@JuliaMasonMD1
Julia Mason MS MD
3 years
Instead of turning me in to the woke police, the psychiatrist seemed very relieved to hear me say that, and she agreed that medical transition can be seen as a new form of self-harm for stressed kids. (3/4)
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@JuliaMasonMD1
Julia Mason MS MD
3 years
"But the child is a being under construction, his or her future is in constant evolution before reaching a stage of maturity. Neuroscientists, developmentalists, psychoanalysts, child psychiatrists, paediatricians & all specialists in early childhood are unanimous on this subject
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@UpperhandMars We're running a live experiment on the bodies of young people, with no control group and no long term data collection.
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@JuliaMasonMD1
Julia Mason MS MD
3 years
@lacroicsz Exactly right. I’ve had 12-year-old girls tell me they are asexual, and it turns out they were frightened by the porn that they saw. I recently had a 15-year-old boy who said he was having problems getting erections! (I told him: no porn for six months.)
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@JuliaMasonMD1
Julia Mason MS MD
4 years
@synaptic_simone @AbigailShrier @jack_turban Actual doctor here. The existence of increasing numbers of detransitioners can no longer be ignored. We are not doing right by these girls and boys. We must do better.
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@JuliaMasonMD1
Julia Mason MS MD
3 years
I responded “Of course - she's a stressed out 12 yr old girl in Portland in 2021, it's not surprising she would want a get out of girl card, but that makes me wonder if there's a history of sexual abuse."  (2/4)
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@JuliaMasonMD1
Julia Mason MS MD
2 years
. . . they removed the chapter on Ethics (it was a pretty terrible chapter, but still) but the creepy Eunuch chapter is still there (!). I don't see how any doctor can take WPATH seriously when they publish dreck like this. A child can not take on a "eunuch identity."
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@MichaelZiffraMD I’m glad to see you saying that. I was feeling like a crazy person because the #Tweetiatricians in the audience were just nodding along and applauding. We should know better.
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@JuliaMasonMD1
Julia Mason MS MD
9 months
@benappel In the 2015 USTS (the one Jack Turban data-mines for "medical" papers) I think more than half the respondents who claimed to have taken puberty blockers reported that they took them after age 18. This topic is awash in bullsh**.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@benryanwriter There are many paths into gender dysphoria, and many paths out. I think it makes sense to start with the least invasive treatments. I'm sorry that kids have been told that there's a singular reason for all their woes, and a particular difficult medical path that will fix them.
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@JuliaMasonMD1
Julia Mason MS MD
4 years
Wow. Apparently I’m harming newborns when I observe their sex at birth.
@Nellethiell
🏳️‍🌈😷Nell✊🌊
4 years
@JuliaMasonMD1 @anto86 @TwisterFilm @artymortyarty @KevinLGerhardt @jk_rowling You're the one who said you can tell a child's gender at birth. Genetics and gender are not related, genetic information isn't known without a blood test. You assign sex to children which causes psychological harm. Physical and mental health are connected.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Children don't have the vocabulary to explain why they feel different from other children so it's not surprising some use a simple formulation (I *am* a boy/girl) to express how they feel. It doesn't mean you have to sacrifice their fertility and sexual function.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@will_malone @LisaSelinDavis Sweden just joined Finland in backing away from medicalizing gender dysphoric youth. England is also taking a second look at the evidence. It's time for doctors in the United States to slow down and consider how weak the evidentiary base for pediatric medical transition remains.
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@JuliaMasonMD1
Julia Mason MS MD
3 years
"They would have us believe that, in the name of the well-being and freedom of each individual, a child, freed from the agreement of its "reactionary" parents, would be able to "choose" its so-called gendered identity."
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@JuliaMasonMD1
Julia Mason MS MD
2 years
There is no way this can happen. A feminine boy may think his life would be better if he were a girl, but no child thinks "oh, my life would be better without all these pesky sexual urges!" That is not a thing. At long last, can my fellow #tweetiatricians see the crazy here?
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@Anthrofuentes @SwipeWright If we say there are two gametes, and in humans you need one of each to make a new human, is that acceptable? Most of these arguments are made by people *without* DSDs to argue for processes that sterilize gender nonconforming children. It’s dust thrown in the air to confuse.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@D0GYUCK Welcome to Twitter, I'm glad you're here! I'm sorry your doctors let you down. You deserved better care. You were a child and should have been protected from harm.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@LeorSapir @MaggieAstor I would say we are conducting a massive, uncontrolled experiment on children, but the word experiment implies that someone is collecting follow up data. Nobody is doing that.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@heterodorx Boys are dipped in testosterone three times, the first in the womb, the second in the crib, and the third in puberty.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
I’m outside the Anaheim Convention Center at #AAP2022 with information about my resolution and pediatric gender medicine generally. #Tweetiatricians come say hello!
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@JuliaMasonMD1
Julia Mason MS MD
1 year
In case you missed it, because you don’t subscribe to the WSJ:
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@JuliaMasonMD1
Julia Mason MS MD
3 months
#IStandWithAmyHamm because of course I do.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@dyke_in_denial If you can remember his name, you should drop him a line. It would make his day, and maybe give him courage about speaking up. He obviously had some concerns about the long term effects, so he's somewhat open to reason. (I need allies!!)
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@kdrum @jessesingal @jonathanchait Less progressive, or more willing to look at a burgeoning medical scandal and see a problem? Is Sweden less progressive than the United States?
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@JuliaMasonMD1
Julia Mason MS MD
2 years
You can let them do all the things without telling them that wearing a dress makes you a girl, or having short hair and climbing trees makes you a boy. Transition is a difficult path, with many long term consequences and side effects. Taking that path is an adult decision.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
in the text based pedophilia there, it's porn without images, you might call it erotica but it's about castrating boys against their will. Well, the Eunuch chapter is still there. They removed the age limits for treatments & surgeries . . .
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@JuliaMasonMD1
Julia Mason MS MD
5 years
What has really struck me in conversations with and observations of doctors providing puberty blockers and cross-gender hormones to gender dysphoric youth is their utter conviction that they are saving lives. "Would you rather have a dead daughter, or a live son?"
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@JuliaMasonMD1
Julia Mason MS MD
10 months
I'm very glad to hear that the @AmerAcadPeds is planning to commission a systematic review of the evidence around sex trait modification of children and youth. We need more light and less heat on this topic.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
Soon the @AmerAcadPeds will have their Annual Leadership Forum. I wrote a simple resolution, requesting that the AAP take a serious look at the evidentiary basis for medicalizing gender dysphoric minors, given the walk-backs of Sweden, Finland, and now England. Here it is:
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@JuliaMasonMD1
Julia Mason MS MD
3 years
@ImWatson91 In the original Dutch protocol, they forbid social transition, and wanted to make sure the kids knew that you can’t actually change sex, and you don’t always get what you want. To prepare them for a successful transition. That’s gone now.
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@JuliaMasonMD1
Julia Mason MS MD
4 months
Case in point:
@RealityGirlZine
Reality Girl Zine
4 months
Liberals won’t listen to their own family members but the NY Times says it, so now they do.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
I'm a pediatrician. It's my job to look out for kids.
@JuliaMasonMD1
Julia Mason MS MD
1 year
@CarolCCarroll @benryanwriter It really bothers me that people are saying to kids with gender issues that there's something *wrong* with them but no worries, when they are older "the doctors will change your sex." A kid under 8 will believe it. We can't, and it's cruel to imply that we can.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Your strongest asset is your relationship to your child. Work on that. Take the money you were going to spend on a therapist and spend it on activities that both of you enjoy. Do things together. Talk about things other than gender.
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@JuliaMasonMD1
Julia Mason MS MD
4 years
11 days ago I submitted a Letter to the Editor of the New York Times, in response to an opinion piece by that prolific psychiatric resident who can not be @'d because he has blocked me. It was titled "What South Dakota Doesn't Get About Transgender Children." (thread: 1/8)
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Dr. Ken Zucker giving us the long view on persistence vs desistance of gender dysphoria in kids. Social transition radically changes the rate of persistence.
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@JuliaMasonMD1
Julia Mason MS MD
4 years
(8/8) In the past the majority of gender dysphoric children desisted during puberty. I worry that affirmative care is creating a cohort of lifelong medical/surgical patients. (that's it - that's my letter)
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@JuliaMasonMD1
Julia Mason MS MD
7 months
Michael Shellenberger at the Genspect conference "Many of you (here) are liberals, or leftugees." That's it, I'm a leftugee. #GenspectBiggerPicture
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@JuliaMasonMD1
Julia Mason MS MD
1 year
I've spent hours on the phone or in Zoom meetings with various journalists for major publications, but somehow, this lifelong liberal is too toxic to be named in the @nytimes or @TheAtlantic . All because I'm concerned about what we're doing to kids. That's the big frustration.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@heterodorx Case in point: “boldly ended her life” AAP NCE, October 2022
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@helenlewis came out with a good but frustrating article in The Atlantic all of 3 days ago, here's a link to an archived version:
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Wow. I've been a Democrat my entire adult life, but I'm feeling pretty politically homeless right now. Deliberately excluding detransition care from coverage? Is this true?
@Real_EdDiehl
Rep. Real Diehl
1 year
🧵 If detransition is real, the whole "gender identity" house of cards collapses. I received confirmation this week from Legislative Legal Council that House Bill 2002-A specifically EXCLUDES DETRANSITION TREATMENTS from insurance coverage.
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@JuliaMasonMD1
Julia Mason MS MD
10 months
Insistent, consistent and persistent: that's me!
@SashaLPC
Sasha Ayad, LPC
10 months
Major US news: The AAP, thanks to insistent, consistent & persistent urging by @segm_ebm ‘s @JuliaMasonMD1 & others, has finally agreed to perform a systematic review of the evidence for medical interventions related to pediatric gender transition. #rt
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@genderperfect @mothergender This table is from research at CHLA in Los Angeles - no idea how many teens have had “top surgery” since this was published.
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@JuliaMasonMD1
Julia Mason MS MD
2 months
It's just really satisfying to read things like this out of England. I wonder if we'll ever read anything close to this in an American publication? (I'm not holding my breath, but I am going to keep pushing.)
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@JuliaMasonMD1
Julia Mason MS MD
29 days
We can't wait for the folks in the gender clinics to do it. They are all in, they are too involved to look at the evidence dispassionately. The kids are too young to look at the evidence dispassionately. It's up to experienced pediatricians to hold our leadership to account.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@nytimes @genspect Social transition is a powerful change in a child’s life & sets them up for a cascade of interventions they have no capability to evaluate. It is not a thing to do lightly. Parents must be involved in these sorts of interventions. This is teachers practicing without a license.
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@AAPNews @aap_peds Alternative take: social transition of young children concretizes what was most likely a transient cross-sex identity and all but guarantees medicalization, with the attendant complications, morbidity and mortality.
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@JuliaMasonMD1
Julia Mason MS MD
3 months
WPATH files making a splash in England, when will American journalists take note? @maddow @CNN Pediatric gender medicine is changing, my colleagues need to acknowledge this. @AmerAcadPeds More cautious & less medical sounds good to me!
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@JuliaMasonMD1
Julia Mason MS MD
1 month
Wow! Big change in Germany: "These are irreversible interventions in the human body in physiologically primarily healthy minors, who cannot give informed consent in the absence of evidence for such measures."
@segm_ebm
SEGM
1 month
The 128th German Medical Assembly 2024 just passed 2 resolutions: to restrict puberty blockers, cross-sex hormones, and surgeries for gender-dysphoric youth under 18 to controlled clinical trials; and to restrict the self-id laws to those over 18. This is a major development. /1
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@JuliaMasonMD1
Julia Mason MS MD
1 year
I'm not saying that this is your fault! Yes, many aspects of "trans" seem like a cult. Still, nobody has ever gotten a cult member to leave their cult by telling them they are in a cult. Humans don't work like that. For teens and young adults, that goes double.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@justconsooom @MrsSylarGray @LeorSapir I’ve been a pediatrician over 25 years. 99% of kids can’t maintain what they’re going to be for Halloween over a period of months. Puberty blockers concretize what could have been a temporary cross sex identification. This is why the statistics are changing. We are changing them
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@JuliaMasonMD1
Julia Mason MS MD
2 years
@HormoneHangover Enabling your self harm is a good way to phrase it. I am sorry the doctors let you down. You deserved better care.
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@JuliaMasonMD1
Julia Mason MS MD
4 years
Why am I speaking up? Partly because I can, and as @amandapalmer says "If you can, you must." Most pediatricians see gender as a difficult and fraught topic, and it just feels safe to just refer any kids with gender dysphoria to the gender clinic. They're the experts, right?
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Another early influencer has detransitioned:
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Can confirm. At this point with the AAP, I think the coverup is worse than the crime. They stumbled into supporting affirmation on demand, and now they refuse to take it back, even in the face of growing evidence against it as a strategy.
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@JuliaMasonMD1
Julia Mason MS MD
10 months
@FunkGodArtist I couldn’t watch the whole thing. 😔
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@JuliaMasonMD1
Julia Mason MS MD
1 year
The oppositional reflex is present in all of us, and is very strong in adolescents. You can't use facts, logic and reason to get someone out of something they didn't logic themselves into. You need to focus on the relationship.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@tanyalewis314 We have no long term studies on children treated with GnRHa’s for gender dysphoria. We have *one* case report from the Dutch (and it’s not awesome). Nobody knows how this is going. Sweden and Finland have stopped using these drugs for gender. I can’t even call it an experiment.
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@JuliaMasonMD1
Julia Mason MS MD
10 months
From ⁦ @LeorSapir ⁩ ‘s excellent piece in the Dallas News: extraordinary interventions require exceptionally strong evidence, and we don’t have it.
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@JuliaMasonMD1
Julia Mason MS MD
5 years
I've had to share Dr. Olson-Kennedy's study of chest dysphoria and top surgery in minors (ages 13-24) over 20 times, to angry Tweeters saying I'm lying about minors getting surgery. Nobody is doing surgery on kids! They are. Here's an example from the East Coast of the U.S.A.:
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@JuliaMasonMD1
Julia Mason MS MD
7 months
@buttonslives gets a standing ovation for this clear declaration;
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@JuliaMasonMD1
Julia Mason MS MD
2 years
I’ve learned today that the resolution that I and four other AAP members submitted to the ALF has been completely memory-holed: removed from the AAP website, and comments on #28 referring to it have also been removed. Here’s the resolution:
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@JuliaMasonMD1
Julia Mason MS MD
6 months
More shenanigans! You may have noticed that the World Health Organization (WHO) is planning to release guidance on "the health of trans and gender diverse people," but have you noticed the dodgy timing?
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@JuliaMasonMD1
Julia Mason MS MD
1 year
If you do a systematic review of the evidence you will see that there's no solid support for medicalizing minors with gender issues. Finland, Sweden and England are all backing away, Norway and France are concerned and looking into it.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
@EllePalmer1 What a story. I can't even comprehend how we got into this mess. You are a smart woman, to listen to your gut and realize that your doctor had no clue what was going on. I'm so glad you didn't have the surgery (surgeries)!
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@JuliaMasonMD1
Julia Mason MS MD
4 years
@chaseburnsy You seem kind.
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@JuliaMasonMD1
Julia Mason MS MD
5 years
We need solid data on suicide, not scare-mongering. We need to make decisions based on evidence, not feelings. Sometimes, we don't let kids get what they want, and that's the right thing to do. We need to be the adult.
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@JuliaMasonMD1
Julia Mason MS MD
5 years
In other words, yes, these children are stressed and unhappy, and they need care. I'm just not convinced that puberty blockers, cross gender hormones, and significant surgeries are the best response, at least not in childhood. Suicide is super scary, which shuts down discourse.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
You can't be the bad guy. The trans movement tells kids that their families are hateful if they aren't 100% supportive. Prove them wrong. Find a middle ground. You can't support medicalization but it doesn't help to fight it. You can't be in direct opposition with a kid in this.
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@JuliaMasonMD1
Julia Mason MS MD
9 months
The amazement of the talk show hosts: "Fifteen!?! You were only 15 years old. . . "
@TalkTV
Talk
9 months
'Former trans kid' Chloe Cole says transitioning ruined her life. "They removed my breasts when I was 15. There is no such thing as being born in the wrong body." @andrejpwalker | @louddanielle | @AndrewEborn | @ChoooCole
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@JuliaMasonMD1
Julia Mason MS MD
1 year
Love is what wins, in the end.
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@JuliaMasonMD1
Julia Mason MS MD
8 months
We need to get this story out to primary care doctors who are referring to the gender clinic, thinking that they will do any kind of differential diagnosis. (Spoiler: they're not - every child is confirmed.) This is why I have a second, unpaid, full time job working with SEGM:
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@JuliaMasonMD1
Julia Mason MS MD
22 days
@DaisyIsNotHere Hearing voices telling you bad things is a sign of psychosis. Marijuana use seriously increases your risk of psychosis. You need to talk to a doctor about this. Please.
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@JuliaMasonMD1
Julia Mason MS MD
1 year
In the before times, kids who insisted they were the opposite sex but weren't socially transitioned (because PBs weren't an option and thus it would be crazy to do so) - a supermajority of these kids desisted as they went through puberty. Was puberty hard? Of course!
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