THREAD- US 1/Florida’s Agency for Health Care Administration (AHCA) subpoenaed the @AmerAcadPeds, @wpath, @TheEndoSociety
& others to turn over docs that spell out their standards of care, what studies they used to support “gender-affirming care,” any considerations they cited of… twitter.com/i/web/status/1…
@AmerAcadPeds@wpath@TheEndoSociety "AHCA argued, 'Casting themselves in the underlying case as the standard bearers of the prevailing scientific view regarding gender dysphoria treatment … the non-parties now seek to shield their perspective from any scrutiny.'”
"The non-parties refuse to answer whether their perspective is the result of careful study and debate among their memberships or the result of a handful of people dictating a result.”
"Meanwhile, those same groups argue that the state should not be allowed to introduce testimony… twitter.com/i/web/status/1…
"In its reply, AHCA argued that obtaining those records is the 'only way'” it can determine whether those groups 'represent the established medical consensus regarding gender dysphoria treatment,' and defend its own rule."
'There is simply no reasonable basis for them to complain… twitter.com/i/web/status/1…
🧵 1/5
A summary of the peer-reviewed, published literature on
the effect of estrogen and the risks that males who medically transition need to
be aware of.
2/5 Research in the last few years on the effects of estrogen on trans women
has been coming in thick and fast, and it is all alarming.
High levels of estrogen cause depression among younger men - several
studies show that. But more alarmingly,
oestrogen changes the brain..
3/5 ...from reducing its hippocampal volume to
lowering its serum BDNF levels (which leads to MDD or major depressive
disorder), reducing grey matter, reducing cortical white matter
integrity, and decreasing brain cortical volume, leading to
neuropathologies
THREAD- 1/ In his clinical work w/ gender-distressed youth, our Vice Director @jburgo55 has observed a "disconnect between language and emotion"- a sort of "social media-induced kind of dissociation"- and no relationship with the body. realityslaststand.com/p/living-in-an…
2/ "Like many young people who survived the lockdown years by going online, these clients have spent so much time inhabiting virtual worlds that they’ve lost connection with what’s visceral, immediate, and real."
3/ "They live in a realm of imagination where anything is possible, where infinite malleability has taken the place of a physical world with reality-based limitations."
UK-THREAD- Re: Interim gender services training for clinicians- Dr. Cass: "The training programme should be flexible & iterative, w/the option to draw in experience from a wide range of experts in relevant related areas, in order to ensure that a holistic approach is maintained,… twitter.com/i/web/status/1…
2/ Dr. Cass: "However, even though it will take a while for the broader system to change, the aim is to have more holistic services which can cater for a wider range of needs than was possible within a single highly specialist service."
We're pleased to see emphasis on HOLISTIC
3/ Dr. Cass mentions ongoing systematic reviews by a research team at the U. of York. It's great that social transition, psychological therapies & outcomes of medical intervention are being examined as well as the safety & efficacy of "gender affirming" medical interventions.
THREAD- US: 1/ The prestigious New England Journal of Medicine's peer-reviewed journal Catalyst, which features "in-depth articles to accelerate the transformartion of health care delivery" published this peculiar commentary today: catalyst.nejm.org/doi/full/10.10…
2/"Gender Expression Care: The Next Horizon in Transgender Health. An innovative transgender health care program at Kaiser Permanente Northern CA augments traditional medical care with the addition of holistic support for social transition."
3/ "The authors report the results of a Kaiser Permanente Northern California innovative Gender Expression Care program to augment traditional medical care with professional guidance and practical support, centered around specific components of social transition."
🧵 @elizamondegreen reports on #EPATH2023: 1/ "They admit that patients seeking transition today don’t look or sound much like patients seeking transition 20 yrs ago, but warn against overfocusing on the explosion of adolescent girls identifying as trans.” genspect.org/dont-stop-beli…
@elizamondegreen 2/ "Rather than explore what may be going on with adolescent girls, EPATH presenters urged that clinicians pay attention to 'more important stigmatization of AMAB [male] than AFAB [female] LGBT youth.'"
3/ "Just 1 of EPATH’s 235 abstracts featured detransition. Not 1 even mentioned desistance. (By way of comparison, a single surgical procedure-vaginoplasty-got 59 mentions.) Affirmation is still the order of the day, even if today’s patients don’t look much like the patients that… twitter.com/i/web/status/1…
The fabulous Alasdair Gunn (aka "Angus") welcomes the crowd & introduces his best friend- our brilliant Director, @stellaomalley3
. @stellaomalley3 describes the critical need to lift the voices of families & individuals being harmed by "gender-affirming care" & gender ideology---& the poor evidence behind @wpath's "standards of care". We're here to promote civil, honest discussion, disagreement & debate in… twitter.com/i/web/status/1…