EZ Profile picture
17 Jul, 13 tweets, 4 min read
I had a dream. A dream that our children are no longer treated differently because of the length of their hair or the clothes they wear; but get the same quality of medical care demanded of other areas of medicine: the benefits must outweigh the harms.
My dream was really more of a nightmare.
Me (in the dream):"My kid is generally happy, has friends, doing well in school. But does not like (his/her) body. Pls help"
The doctor responds: "I can chemically, then surgically castrate your child. Later we'll cut off their bits". /1
The doctor goes on:
"Your child's bones will get frail. We DK about brain development. Heart attach /stroke risk will go up by 300-500%. He/she will be sterile, may never experience desire. Will be a patient for life. But I can get you a 3-9% improvement in "functioning" now". /2
I gulp hard, in disbelief, and ask: "Will they be happy in the future"?
The doctor answers: "We DK. There are no long-term studies of adolescents who transitioned. We only know what happens by age 21. We DO know that transition regret takes about 10 yrs to show up in adults./3
My eyelid starts to twitch. I ask: "Doc, so u think the 5-point improvement in "psychological function" is worth it? My kid's doing pretty well..."
The doc replies: "@AmerAcadPed says it's the ONLY acceptable way to help your child. I blindly follow. Don't shoot the messenger."/4
I am listening with renewed interest. American Acad of Pediatrics ARE the "real deal". So I ask: what evidence did they use to make this recommendation?
The doctor answers: "Well, there is just one small Dutch study, really. 55 kids. The UK tried replicate it, but it failed."/5
I think I heard wrong, so I ask again: "How can this be true? Only 1 study?? Of 55 kids? Followed for less than 2 years? In the Netherlands (the same culture where euthanasia for depression is legit??)? Failed upon an attempt to replicate? THAT's the 𝒆𝒏𝒕𝒊𝒓𝒆 𝒃𝒂𝒔𝒊𝒔?!" /6
So I ask:
"Doc, so if this were your kid. Would you do this to them? Knowing that they may outgrow their distress by adulthood (majority used to, before the trans train started selling pricey tickets). Would you put them on a 60+ yr long drug regimen based on a single study?" /7
"Would you put 𝙮𝙤𝙪𝙧 newly-dysphoric kid through treatments that commit them to patienthood for life even though the protocol was tested "end to end" only once, failed second time? The protocol that specifically DISQUALIFIED youth whose dysphoria only set in after puberty?"/8
And then the doctor has a crisis of conscience and says:
"It's wrong to experiment on youth based on one study that showed only mild functional improvements; failed 2nd time; caused 1 death, 3 cases obesity/diabetes, & may have hurt several others who "dropped out" (9/70=13%.)"/9
"I won't experiment on a kid to get a 3, 5, or even 9% improvement in "global function", at the cost of a 13%+ rate of severe complications. I can't rely on a single small uncontrolled study that failed replication; which actually excluded the very kids I am trying to help."/10
I don't understand why American medical societies continue to listen to shameless activists like Turban, who are building lucrative careers while hiding behind Ivy League degrees, when anyone can see the truth by simply critically reading the studies behind "affirmative care"./11
1996 (Genesis): doi.org/10.1300/J056v0…
2006 (Dutch approach outline):
eje.bioscientifica.com/view/journals/…
2008 (Selection criteria):
onlinelibrary.wiley.com/doi/full/10.11…
2011 (first "Dutch study"): linkinghub.elsevier.com/retrieve/pii/S…
2014 (second "Dutch study"- small improvements + 1 death) pediatrics.aappublications.org/cgi/doi/10.154…

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More from @ZaneEmma

17 Jul
Jack Turban likes to make things up. He went to a good school. In theory he should have decent analytical skills. Why does he work so hard to create an illusion of certainty, when the only intellectually honest position is to acknowledge profound uncertainty? Let's #factCheckJack
𝙙𝙚𝙑𝙧𝙞𝙚𝙨 𝙚𝙩 𝙖𝙡 2011: Before puberty blockers (PBs) were given, the Dutch adolescents were mentally healthy: no depression (BDI=8); high global functioning (CGAS=70). After PBs there were minor changes, from healthy to healthy. But 100% proceeded to cross-sex hormones./1
𝙙𝙚𝙑𝙧𝙞𝙚𝙨 𝙚𝙩 𝙖𝙡 2011 was attempted to be replicated once, and failed upon replication (Carmichael 2021). They could not find any mental health benefits. Even worse, the interim results broken by sex showed girls’ suicidal ideation increased while on puberty blockers./2
Read 10 tweets
5 Jun
Parents of ROGD kids. When your kids were in still diapers, WPATH was called the Harry Benjamin Foundation. Harry was a quack who, besides his passion for transitions, used turtle fluids to "cure" TB, and performed vasectomies to increase "vim and vigor" in middle aged men. /1
Then, in 2006, came a major re-branding. Eli Coleman, who is still a WPATH leader, unveiled his "10 principles" at a board retreat, and a new name was created. Each word in the name was strategically chosen to signal credibility that wasn't there. It was an aspirational name. /2
The 10 principles are a worth a read. "Let old paradigms die and new ones emerge", proclaimed principle 3. Take over public and religious institutions, change laws and policies. 10 years later (and a few hundred million $ from transwomen billionaires) they achieved these goals./3
Read 10 tweets
15 Apr
@AnnelouDe @olsonista Annelou, for a long time many of us have looked to the Dutch team for your ethical approach to care for gender dysphoric youth (even if some disagreed). I understand you are feeling cornered by the UK judgement. But citing Turban's terrible research is discrediting your stance /1
@AnnelouDe @olsonista Do you know that the US researchers like Turban don't believe the basic fact (demonstrated by a dozen studies & acknowledged in the Dutch protocol) that most trans-identifying youth will NOT be trans-identifying adults; don't believe it's problematic to socially transition kids/2
@AnnelouDe @olsonista Do you realize that your careful protocol administered by experts in the Netherlands is being misused egregiously in the US; that kids with post-pubsecent onset of GD are not differentiated from childhood-onset; that "therapists" are required only to confirm a teen's self-dx /3
Read 12 tweets
11 Apr
You are the average of your 5 friends. In research, you are the average of the references you rely on. The Dutch team's choice to quote Turban and his debunked work speaks volumes. The UK ruling's put them in the survival mode. They r getting desparate. /1
doi.org/10.1080/268952…
This is the same team that rightly criticized Turban's earlier claim that autism is curable w/transition.
To use their own words, relying on Turban's laughable study "seems counterproductive and not contributing to better care for those who need it". /2
linkinghub.elsevier.com/retrieve/pii/S…
Turban has quite a reputation in the scientific community. A medical trainee with a huge ego and a God savior complex, he is known for his thirst for the limelight, ad hominem attacks on researchers who challenge him, and a proclivity for online samples/3
Read 10 tweets
10 Apr
WPATH is a curious nonprofit: no conflict of interest policy (highly unusual); managed by a for-profit company w/ a stake in pharma companies. And now WPATH's own journal has invented a new definition of financial conflict of interest: "𝙙𝙪𝙧𝙞𝙣𝙜 the writing of the article."/1
Every person on this list is fighting for their livelihood: they have staked their carriers on medically transing youth. They can't afford neutrality and integrity. How is this for a COI? Then, Veritas, which manages WPATH and has a stake in PB Pharma companies, gets to benefit/2
Perhaps it's no surprise that when groups of scientists with NO financial interest in perpetuating transitioning of minors examine the data, they come to vasty different conclusions../3
.segm.org/NICE_gender_me…
Read 4 tweets
10 Apr
Disappointed, but not surprised, by the Dutch team's recent capitulation. They had already let down the world by NOT alerting the medical community that their protocol was being wrongly applied worldwide (ROGD youth was disqualified from their studies)./1
eje.bioscientifica.com/view/journals/…
It must have been an amazing high, to watch your tiny but ambitious experiment--which used the power of hormones to turn feminine boys into nearly perfect replicas of girls, and vice versa --to go viral in the world. Did this "high" impair judgment? Why did they NOT speak out? /2
Then, Detrans voices got louder. The Dutch got concerned, rushed to reanalyze their data. There WAS a major sex ratio flip in their data too. Instead of digging further, they picked a few inconsequential similarities between past v current cases, and quickly buried the concern./3
Read 11 tweets

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