American pediatric gender medicine has its first major whistle blower. This was inevitable. There will be more. Jamie is courageous beyond words. The things she has seen shock the conscience.
These are kids. Enough.
Enough.
BREAKING:
21 leading experts on pediatric gender medicine from 8 countries have written a Letter to the Editor of
@WSJopinion
expressing disagreement with the
@TheEndoSociety
and its new president
@StephenHammes
over the treatment of youth gender dysphoria.
This is huge. 🧵
Me: “What’s a ‘lunk alarm’?”
Planet Fitness: “Oh, that’s when a gym bro grunts too loudly and makes women uncomfortable.”
Woman: “There’s a dude in the women’s locker room and it’s making us uncomfortable.”
Planet fitness: “Give me your membership card, you whiny bigot woman.”
The myth that trans-identified kids will kill themselves if not given drugs and surgeries is pernicious disinformation.
Here are 10 things you need to know to combat it: 🧵
BREAKING: 8th Circuit reverses lower court decision, rules 3-0 in PDE v Linn Mar Community School District (Iowa) that a school may not compel its students to use gender identity-based language as doing so likely violates the 1st and 14th Amendments.
This decision to grant a…
BREAKING: Dr. Riittakerttu Kaltiala, Finland's leading expert on pediatric gender medicine and chief psychiatrist at its largest gender clinic (Tampere University), just gave an interview to the country's leading newspaper, Helsingin Sanomat.
Transphobiaphobia: the irrational fear of being called transphobic for stating simple truths about human biology and asking obvious questions about medical ethics.
INCREDIBLE: The Texas Senate is holding a hearing on its proposed ban on pediatric gender medicine. Dr. Megan Mooney, a psychologist, testified against the bill.
Asked by Senator Campbell, the bill's sponsor, whether she believes that a child who says "I'm trans" really is…
IMPORTANT: 🚨🚨🚨
A detransitioner has just filed a lawsuit against Dr. Jason Rafferty, Dr. Michelle Forcier, Thundermist Health Clinic, and others.
This is a major development, as Rafferty is the author of the
@AmerAcadPeds
policy statement on "gender-affirming care." 🧵
“Yes, they are conducting medical experiments on those men in Tuskegee, leading to physical impairments and death. But the true scandal here is that a whistleblower is sharing (highly redacted and unidentifiable) information with a journalist!”
I speak to many doctors in my line of work. They come from across the political spectrum and from a range of specialties.
One of the most sobering things I've learned from them is the extent to which medical schools do not always teach students about the principles of…
This is getting ridiculous.
“Some arguments in favor of laws that restrict gender-affirming care claim that patients may some day regret any irreversible or semi-irreversible part of their transition, but a small new study found that satisfaction with one such surgery is…
Chris Rufo, Chris Brunet, Aaron Sibarium, and Bruce Ackman didn’t topple Claudine Gay by lying to the American public. They did it by forcing leaders of American elite institutions to grapple with the practical consequences of an ideology they have come, not always consciously,…
This is the beginning of the end for DEI in America's institutions. We will expose you. We will outmaneuver you. And we will not stop fighting until we have restored colorblind equality in our great nation. 🇺🇸
The reason Ana Kasparian and The Young Turks are taking so much heat from progressive activists over Kasparian’s acknowledgment that puberty blockers can cause “irreparable harm” is that it disrupts the activist narrative that only right-wing anti-science bigots would oppose…
LEAKED 🚨🚨: The American Academy of Pediatrics (
@AmerAcadPeds
) is instructing its members to avoid using work emails when communicating about “AAP matters,” especially “sensitive topics,” due to concerns about “subpoenas” and “FOIA requests.”
Do you know why Dr. Meredithe McNamara can't name a single study that a) shows mental health benefits associated with GnRHa and b) is methodologically strong enough to produce "high" or even "moderate" certainty of evidence using the GRADE system?
Because there isn't one.
And…
There is no suicide epidemic among trans kids. There is an epidemic of body self-hatred among suicidal kids.
If you believe the “affirm them or they’ll kill themselves” mantra, you’ve fallen for the classic correlation/causation fallacy.
Wise up. Kids need your help.
A talk with a liberal voter yesterday further confirmed something for me.
“Gender ideology” isn’t the big story here. Political tribalism is. There are many liberals/Democrats who sense something is profoundly wrong with “gender ideology” but can’t stomach the idea that they…
LGBT-friendly Sweden cuts ties with WPATH, reiterates psychotherapy as the default treatment for gender dysphoria. Hormones reserved only for the most extreme cases.
This is “conversion therapy,” per Biden administration and
@AmerAcadPeds
While it is "important to accept the child as they are," Kaltiala said, it's also necessary to recognize that "four out of five" children with cross-gender ID grow out of it during puberty and come to terms with their body/sex.
Until medical sex changes for children became widely available, no one was talking about trans issues.
Until gender pseudoscience was pushed in schools, sometimes as early as first grade, no one was talking about trans issues.
Until teachers started performing secret gender…
It is not about protecting women’s sports.
It is not about protecting children.
It is not about preventing detransitioners.
It is not about low-quality studies.
It is about eradicating my entire community.
And it always has been.
Blockers are a near certain path to CSH (iatrogenesis), as research and data from other countries show. And the ability of a 12 year old to understand what it means to trade off future fertility for (supposed) mental health benefits is nil. Stop sterilizing gay kids,
@jack_turban
As Americans begin to grapple with the calamity of what happened at Wash U's pediatric transgender clinic, a key question that arises is whether what Jamie Reed saw there is the exception or the rule.
We have good reason to suspect it is, in fact, the rule. Here's why. 🧵
1. "I predict we will look back on this period with the same disgust we feel about the overprescription of amphetamines like Adderall to every 8-year-old boy who couldn't sit still for an entire day. The most damage is often done by doctors and parents who are so well-meaning…
Dr. Hammes' claim that "gender-affirming care" is a suicide prevention measure, the intl' experts say in their WSJ letter, "is contradicted by every systematic review."
This is just astonishing. He goes from absolute certainty that it’s not happening, to acknowledging that it is happening but it’s fine because teen girls are being properly vetted, to insisting there should be little or no vetting, all in the space of 2 minutes.
A request from those following the gender medicine debate:
The backtracking has begun. Please screenshot, download, or otherwise archive any information you come across with regard to sex trait modification in youth. This can include hospital info sheets, gender clinician…
2023 will be the year of:
* Detrans lawsuits
* Exposing gender docs as frauds, incompetent, or confirmation biased
* States successfully restricting medical "affirmation"
* Getting gender pseudoscience out of schools
* Schools not transitioning students behind parents' backs
The claim that "gender affirming" puberty blockers, cross-sex hormones, and surgeries are "medically necessary" and (or rather because) "life-saving" doesn't stand up to minimal scrutiny.
A 🧵
This is a remarkable exchange.
“American pediatric gender docs are right and European docs are wrong because American docs have been doing this for longer.”
Cites article showing that’s not true.
“OK, but that article is not from an American publication.”
Shows the article’s…
IMPORTANT 🚨🚨🚨: Finland's leading gender clinician and researcher, Dr. Riittakerttu Kaltiala of Tampere University Hospital, warns of a medical scandal in the U.S. and urges our medical societies to recommit themselves to science and safeguarding.
"Kids will kill themselves" is not one of the arguments made in support of "gender affirming" care, it's often the *only* argument that's made, or at least the only one that counts.
🧵
Dr. Kaltiala had previously called the affirm-or-suicide narrative "purposeful disinformation" and its promotion (given the contagious nature of suicide) "irresponsible."
I say this with confidence: the panic spread by people like AC and outlets like Vice is far more likely to cause psychological harm to vulnerable, sex-distressed teens than any law being proposed in any state right now. This is unhinged narcissism. 1929 Berlin?!?
Let me rephrase in plain language: “Having a goal of a child growing up to accept her sex and feel comfortable enough in her body so as not to feel she needs lifelong, risky medicalization is unethical.”
That’s what “to be cisgender” means.
The interview highlights just how out of step the U.S. medical establishment is with its European counterparts on pediatric gender medicine. Doctors and medical groups in Finland have been willing and able to stand up to activists, including within their own ranks.
Although they have commented on the problems of the American "affirming" model in the past (e.g., Cass Report), this is the first time international experts have publicly weighed in on the American debate over "gender-affirming care."
2. "Thank you for presenting a non-polarized view of this complex issue. Having been a 13 year old, I have a dim view of the enduring wisdom of decisions made at that age."
New study: 15 seconds after waking up from a gender affirming double mastectomy, 2 teenage girls exhibited high rates of satisfaction and low rates of regret. The other 60 girls were lost to follow-up.
Conclusion: gender affirming double mastectomies improve quality of life.
7. "I am a seasoned clinical psychologist. 20 years ago, if someone expressed discomfort with their gender and sought what was called medical "reassignment", standard treatment involved two years of psychotherapy with a gender dysphoria psychologist, including 6 months of…
"The politicization of transgender healthcare in the US is unfortunate," write the intl' experts. "The way to combat it is for medical societies to align their recommendations with the best available evidence—rather than exaggerating the benefits and minimizing the risks."
When critics of the Equal Rights Amendment said that it would lead to unisex bathrooms, then-ACLU lawyer Ruth Bader Ginsburg countered that this was fear-mongering. "Emphatically not so," she wrote in a 1975 Washington Post op-ed. "Separate places to disrobe, sleep, perform…
This tweet epitomizes gender medicine today in its arrogance, demonization of critics, contempt for scientific method, and appeal to authority in place of evidence-based arguments. Just embarrassing.
Accepting a child as they are, Kaltiala explained, means neither pressuring them to conform to sex-typical behaviors nor "negating the body" by confirming the gender self-ID. "In either case, the child gets a message that there is something wrong with him or her."
3. "Thank you for publishing this. The conversation across liberal media has been too one-sided and has caused real harm for some. This is a very very complex issue. We can't ignore how lucrative this has been for the medical complex."
We're told that "gender affirming care" is life-saving, as kids who identify as trans are at high risk of suicide if not given their desired drugs and surgeries.
Another thread about the gender industry's most politically potent assertion. 🧵
The pediatric gender medicine debate in a nutshell:
A: the science of gender-affirming care is clear and settled.
B: but the studies you cite don't show what you think they show, and many medical experts and institutions (esp. in other countries) have read the same studies and…
Jamie Reed (
@JamieWhistle
), who self-identifies as queer, is married to a trans man, and worked at a transgender clinic for 4 years and at Planned Parenthood before that, is an "anti-trans extremist" according to
@glaad
.
Why? Because she saw examples of severe medical…
🧵The
@nytimes
is at it again, with yet another biased, anti-trans piece. This morning’s story about trans healthcare pushes debunked lies from an anti-trans extremist, lacks context, and ignores the science of healthcare for transgender people.
Prove it. Invite someone who is critical of “gender-affirming care” to make the scientific and ethical case against it.
You’ve already had numerous talks supporting it, and as far as I can tell not a single talk criticizing it.
Prove TED is about the robust exchange of ideas.
Turns out there are a few more things I need to say about the storm that’s blown up over Coleman Hughes’ TED Talk. It would mean a lot if you would read this through to the end! 🙏
The first is how unfair it is that Adam Grant got dragged into this. After Coleman gave his talk…
It mentions that (unlike U.S. medical associations) health authorities abroad have relied on systematic reviews of evidence for the benefits of hormonal interventions and found these benefits to be without reliable evidence.
@AriDrennen
But adults don't remove their own testicles. They ask doctors to do it for them. And doctors have obligations apart from satisfying patient desires/demand (e.g., "first, do no harm"). Sometimes these obligations conflict with patient desires/demands, and that raises hard ethical…
The letter states that while Endocrine Society president and "gender-affirming care" practitioner Dr. Hammes’ may think his own clinical experience and existing research support his position, his belief "is not supported by the best available evidence."
Helsingin: Suicide was a very rare occurrence in about ten years among young people seeking gender identity diagnoses. On the other hand, in a large Swedish study, suicide mortality had clearly increased among adults who had received gender reassignment treatments.
4. "Isn’t being 'uncomfortable' part of being a teenager? There are transgender people, but I’m skeptical that the massive upswing in those that think they are transgender is the reality."
🚨 The American Academy of Child and Adolescent Psychiatry (
@AACAP
) is refusing to inform its members about the publication of the Cass Review, the biggest news in the field of pediatrics since COVID, and arguably in the 21st century.
On Wednesday, AACAP member Dr. Kris Kaliebe…
It’s pretty wild when someone who uses the term “sex assigned at birth,” believes children possess gendersouls which they can know infallibly through some mysterious gnosis, makes up citations to support an argument he himself once admitted cannot be made, and works for an…
An ad hoc network of medical quacks, academic ideologues, corporations, and pathological altruists who, consciously or not, exploit the normal confusions/anxieties of children and teenagers for ideological, financial, social, or professional gain.
Clear enough,
@jack_turban
?
Pamela Paul's piece on detransitioners and "gender-affirming care" in the New York Times today is a welcome journalistic contribution to the ongoing debate on a thorny subject.
Paul gets many things right and one thing wrong.
Thread 🧵
I just received slides from the presentation on gender by Dr. Ilana Sherer at the
@AmerAcadPeds
conference this weekend.
Something is very broken in American medicine.
Video coming soon.
Among the intl' experts is Dr. Riita Kaltiala, chief psychiatrist at Tampere University gender clinic, author of numerous peer-reviewed articles on trans medicine, and Finland's top authority on pediatric gender care.
🚨 BREAKING: The U.S. has a new whistleblower 🚨
A gender program manager & risk management team at Tamara's hospital pressured her to authorize hormones for kids whose life details will shock you.
@MultiCareHealth
is complicit in a medical scandal.
7. Finland's top expert in pediatric gender medicine, the psychiatrist Dr. Riitta Kaltiala, recently told the country's liberal newspaper of record that the suicide narrative is "purposeful disinformation" and that using it is "irresponsible."
Dr. Riitta Kaltiala, chief psychiatrist at Finland's Tampere U gender clinic and top expert in the country, recently told Finland's liberal newspaper of note that the "transition or suicide" discourse is "purposeful disinformation" and that "spreading it is irresponsible."
The following sequence continues to appear:
A: all experts agree.
B: here are experts who disagree.
A: they don't count as experts.
B: why not?
A: because they're transphobic.
B: how do you know?
A: because they disagree.
"Childbearing, something no man can accomplish... is the result of a biological potential that... defines a person as a member of the female sex."
--Ruth Bader Ginsburg, 1975
"Physical differences between men and women... are enduring."
--Ruth Bader Ginsburg, 1996
We should not call them puberty blockers. We should call them pituitary gland disrupters. Because that's what they are. A child who exhibits gender nonconforming behavior is a candidate for having his pituitary gland chemically overstimulated to the point of shutting down.
"Dr. Hurly once diagnosed a biological male patient with prostate cancer, but the patient refused to accept Dr. Hurly's diagnosis because he identified as a woman and insisted that he could not have a prostate."
-- Neese v. Becerra, federal court for N.D. of Texas (11/11/2022)
NEW: The Society for Evidence Based Gender Medicine (
@segm
) has just published a critical analysis of the new study on regret following "gender-affirming" mastectomy surgery.
Here are the highlights 🧵
4. There IS evidence that teenagers who ID as trans and seek medical transition have very high rates of preexisting mental health problems that are themselves linked to suicidal ideation and behavior.
UPDATE:
@WHO
appears to have quietly removed Florence Ashley from its gender guideline development group.
Ashley, a Canadian trans activist lawyer who uses “they/them” and “that bitch” pronouns, endorses hormones and surgeries on demand (no safeguards) for adults and “older…
🚨🚨🚨 Denmark becomes the latest country to change course on pediatric sex trait modification ("gender-affirming care").
As reported first by
@Bernard_Lane
and now, with more details, by
@segm_ebm
, Denmark has completed the Scandinavian retrenchment. 🧵
Changing the legal sex marker in youth, Kaltiala told the newspaper, is not a formality which states a fact, but a strong psychological and social intervention that guides the development of a young person. "It's a message saying that this is the right path for you."
5. "This is an incredibly important story - THANK YOU for bringing this conversation to light. The lack of space for thoughtful, left leaning people to debate this issue is terribly harmful. We need to be able to talk about this and ask questions without being labeled as being…
Federal judge in Alabama gender med ban rules that WPATH has to disclose internal documents. WPATH tried to prevent disclosure. I can’t imagine why. Sunlight is not just the best disinfectant; it’s also medically necessary and life saving.
Helsingin: Activists... calling for hormone treatments for minors & legal gender recognition often repeat that trans youth have an increased risk of suicide & therefore urgently need care & support. "It's purposeful disinformation, & spreading it is irresponsible," says Kaltiala.
To recall, the main value of systematic reviews is that they don't just summarize the available studies but assess their strengths and weaknesses. This is key, because proponents of child sex trait modification frequently just mention individual studies.
2. Kids who identify as trans DO seem to be at higher risk for both suicide & suicidality. Thankfully, however, suicide is extremely rare even among trans-ID youth. There is NO evidence of an epidemic of youth suicide before "gender-affirming care" became available 15 years ago.
Dr. Hilary Cass (
@Hilary_Cass
), one of the UK’s most respected physicians and author of a landmark report (
@thecassreview
) to
@NHSEngland
, has now called out (non-tenured)
@Harvard_Law
instructor Alejandra Caraballo (
@Esqueer_
) for spreading “disinformation” about the Report and…
I would like one nationally recognized Democratic politician to go on record and say that s/he supports the promotion of trans/queer pedagogies in K-12 education. No platitudes, no cliches, no abstractions, no empty talk about "mental health" or "inclusion" or "affirmation." 1/4
5. It is very likely, therefore, that kids with suicidal tendencies are gravitating towards a trans ID rather than the other way around. The use of "minority stress" to explain (away) suicidality is unscientific. Classic correlation/causation confusion.
1. "Suicide" is not the same thing as "suicidality." The one refers to death and serious efforts to die, the other to ideation about suicide and non-lethal self-harm (typically cries for help). Helping kids deal with "suicidality" does not necessarily mean "life-saving" care.
This is what clapping for Stalin looks like. All 5 respondents know exactly what a woman is. What they’re struggling with is how to reconcile that with what they know they’re *supposed* to say. Don’t stop clapping, girls!
With the release of the WPATH Files, it's important to keep in mind that WPATH has been using mainstream medical associations like the Endocrine Society (
@TheEndoSociety
) to launder its pseudoscientific claims and promote experimental and harmful practices.
A thread.
This is pure gaslighting. There are many journalists, athletes, doctors, parents, scholars, and teachers who are desperate to speak in liberal media to a liberal audience on trans issues, but who’ve been sidelined (with a few exceptions) for years.
The flocking of these people…
BREAKING: Mother of a minor treated at the St. Louis gender clinic shares details of medical abuse.
“When I read [Jamie Reed’s whistleblowing story], I’m like—this is what happened to me!” Caroline said. “I felt validated. I felt: I knew it, I knew it.”
Sorry John Oliver (
@iamjohnoliver
), but your claim that it’s the right, not the left, that has made “trans rights” (read: replacing sex with “gender identity” in those few areas of life where sex distinctions matter) into a national issue, is absurd.
🧵
9. "This is an excellent piece. I grew up in the 70s and 80s when very few people questioned their gender but there was a lot of freedom around expression - especially for women. Young people today seem to have lost that - if you don't fit the strictly feminine or masculine then…
BREAKING: Director of Belgium’s Center for Evidence-Based Medicine says he would “toss [WPATH’s guidelines] in the bin.”
The international awakening continues.
The Director of the Belgian Center for Evidence-Based Medicine (CEBAM) Dr. Patrik Vankrunkelsven has joined a growing list of experts who are criticizing the highly medicalized "gender-affirming" treatment approach for minors with gender dysphoria as not evidence-based. /1
3. There is NO evidence that the risk of suicide/suicidality is because of "gender" issues. Consequently, there is no evidence that it can be best managed through social or medical transition.
8. "'To the trans activist dictum that children know their gender best, it is important to add something all parents know from experience: Children change their minds all the time.'" The fact that children change their minds all the time is one of the oldest insights of…
Just as a reminder that 4 days after my analysis of Jack's Psychology Today article came out, showing that he completely misrepresented the studies he summarized there, Psych Today issued 4 corrections to Turban's article and did a few more stealth corrections, corresponding…
People who care about science focus on arguments and evidence,
@jack_turban
, not the identities of researchers or the type of institutions they inhabit. Your response here is very good evidence that you are not a scientist, despite your degrees and institutional home.