Benjamin Ryan Profile picture
May 17 8 tweets 3 min read Read on X
For the first time, a detransitioner medical-malpractice lawsuit will proceed in court, deemed by a judge to be legally viable. Prisha Mosley @detransaqua has sued in North Carolina “multiple doctors and health facilities on seven counts of fraud, facilitating fraud, breach of fiduciary duty rising to the level of constructive fraud, civil conspiracy, medical malpractice, negligent infliction of emotional distress and unfair and deceptive trade practices,” @foxnews reports.

foxnews.com/media/judge-gr…Image
There are approximately 17 known detransitioner lawsuits filed against medical providers in the U.S. Legal sources have suggested to me that there are a few additional cases that remain under the radar. This includes a suit that names @AmerAcadPeds as a defendant. nysun.com/article/lawsui…Image
Recently, detransitioner Chloe Cole’s medical-malpractice case against Kaiser Permanente moved to its discovery phase. It had faced the apparent likelihood of going into arbitration, but no longer. @ChoooCole
@ChoooCole The recent publication of the WPATH Files could impact detransitioner medical-malpractice cases in the U.S.

nysun.com/article/leaked…
@ChoooCole The publication in the UK of the landmark Cass Review, which found that pediatric gender-transition treatment is based on “remarkably weak evidence,” could aid the plaintiffs in detransitioner lawsuits in the U.S.

nysun.com/article/major-…
@ChoooCole My own reporting suggests that if even a single detransitioner lawsuit succeeds in securing a significant financial award, this will attract a flood of new litigation by law firms and plaintiffs that no longer see this as a risky venture, both financially and reputation-wise.
@ChoooCole One successful detransitioner lawsuit could cause a snowball effect that would drive up malpractice premiums for pediatric gender clinics and cause many to shutter. Additionally, health care providers might leave a space—or never entire it—that they see too litigious.
Sued Over Policies on Transgender Children, American Academy of Pediatrics Pulls Forthcoming Book, Takes Steps To Protect Emails From Prying Eyes
The AAP is facing a lawsuit from a woman who underwent a female-to-male medical transition at age fourteen, which she later ceased and regretted.
nysun.com/article/sued-o…Image

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More from @benryanwriter

May 18
Denounced by the Cass Review as promoting medical treatment that is supported by “remarkably weak evidence,” WPATH and USPATH respond with their own scathing rebuke of the British report that was published pushed on April 9.
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WPATH asserts that its Standards of Care 8, published in 2022, was based on “far more systematic literature reviews that [sic] the Cass Review.” This claim comes days after the exposure in a North Carolina court case of emails from a Johns Hopkins researcher on the team commissioned by WPATH to conduct those reviews, who said that WPATH sought to suppress them. “Dozens” were conducted. It is unclear how many such reviews went into what was ultimately published in 2021. But it apparent that much of what Hopkins produced never saw the light of day. The Cass Review, meanwhile, was based in part on 7 lit reviews.

The emails:


The 2021 paper:
donoharmmedicine.org/wp-content/upl…
academic.oup.com/jes/article/5/…Image
WPATH insists that gender transition treatment is “often life-saving” for young people. The only study in history to directly assess the veracity of this claim, conducted in Finland and published in February, found no evidence to support it. The head of USPATH has disputed those findings, however. Cass seconded the Finns and said there was no evidence to back the claim that such treatment mitigates the elevated rate of suicide death among gender-distressed youths. nypost.com/2024/02/24/opi…Image
Read 6 tweets
May 9
A must-read by @katrosenfield:
A 1920s doctor with a phony insanity cure was hailed as a hero. It’s a cautionary tale for today.
A combination of self-delusion and self-righteousness is a sure-fire way for experts to lose our trust.

"And just last month, a comprehensive review by British pediatrician Hilary Cass said that when it comes to gender-affirming medical care for children — whose efficacy countless people have been smeared as transphobic bigots for questioning — 'we have no good evidence on the long-term outcomes.'”Image
A 1920s doctor with a phony insanity cure was hailed as a hero. It’s a cautionary tale for today, by @KatRosefeld for @GlobeOpinion:
bostonglobe.com/2024/05/09/opi…
A 1920s doctor with a phony insanity cure was hailed as a hero. It’s a cautionary tale for today, by @KatRosefeld for @GlobeOpinion:
Archived version: archive.is/20240509182240…
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Read 9 tweets
May 9
Evan makes a false, absolutist claim that "there is no sterilization in any aspect of treatment for youth gender dysphoria."

Below is research indicating that he is incorrect. 🧵⬇️ Image
Again, Evan claims that "no procedure for youth is known to be sterilizing."🧵⬇️ Image
Here is a systematic review paper on fertility among people who began gender-transition treatment in both in childhood and adulthood. It found that the majority "expressed a desire for children. Fertility preservation utilization rates were low as there are many barriers to pursue fertility preservation."
pubmed.ncbi.nlm.nih.gov/36806443/Image
Read 9 tweets
May 8
The American Academy of Pediatrics and the Endocrine Society, the two most influential US medical societies in pediatric gender medicine, have issued their first known statements on England's Cass Review on the subject, to @WBUR's @OnPointRadio:

STATEMENT FROM AMERICAN ACADEMY OF PEDIATRICS: Statement from American Academy of Pediatrics President, Dr. Ben Hoffman:

“The AAP’s gender -affirming care policy, like all our standing guidance, is grounded in evidence and science. Pediatricians understand the complexities of gender-affirming care and they know how to counsel families. The goal is not a certain treatment or timeline, but instead to listen to the patient and create a safe environment to address their needs. “What we’re seeing more and more is that the politically infused public discourse is getting this wrong — and it’s impacting the way that doctors care for their patients.

Physicians must be able to practice medicine that is informed by their medical education, training, experience, and the available evidence, freely and without the threat of punishment. Instead, state legislatures have passed bills to ban and restrict gender-affirming care, which means that right now, for far too many families, their zip code determines their ability to seek the health care they need. Politicians have inserted themselves into the exam room, and this is dangerous for both physicians and for families.”Image
Here is the Endocrine Society's statement on the Cass Review, given to @WBUR's @OnPointRadio. In short, "Medical evidence, not politics, should inform treatment decisions."

STATEMENT FROM ENDOCRINE SOCIETY: We stand firm in our support of gender-affirming care. Transgender and gender-diverse people deserve access to needed and often life-saving medical care.

NHS England’s recent report, the Cass Review, does not contain any new research that would contradict the recommendations made in our Clinical Practice Guideline on gender-affirming care.

The guideline, which cites more than 260 research studies, recommends a very conservative approach to care, with no medical intervention prior to puberty. Estimates indicate only a fraction of transgender and gender-diverse adolescents opt to take puberty-delaying medications, which have been used to treat early puberty in youth for four decades.
• The guideline recommends beginning treatment with puberty-delaying medications that are generally reversible.
• As adolescents grow older and can provide informed consent, then hormone therapy can be considered.
• Our guideline suggests waiting until an individual has turned 18 or reached the age of majority in their country to undergo gender-affirming genital surgery.

Medical evidence, not politics, should inform treatment decisions.

Our Clinical Practice Guidelines are developed using a robust and rigorous process that adheres to the highest standards of trustworthiness and transparency as defined by the Institute of Medicine (now the National Academy of Medicine).

Our guideline development panels spend years developing each guideline based on a thorough review of medical evidence, author expertise, rigorous scientific review, and a transparent process.

More than 18,000 Endocrine Society members worldwide have an opportunity to comment on guideline drafts prior to publication.

The Society is in the process of updating the 2017 Clinical Practice Guideline. It was one of six selected for a routine update.

The process will incorporate the latest research and conduct systematic reviews to provide guidance on the safe and effective treatment of gender incongruence and dysphoria from an endocrine perspective.

We agree that increased funding for youth and adult transgender health research programs is needed to close the gaps in knowledge regarding transgender medical care and should be made a priority.

Although the scientific landscape has not changed significantly, misinformation about gender-affirming care is being politicized.

In the United States, 24 states have enacted laws or policies barring adolescents’ access to gender-affirming care, according to the Kaiser Family Foundation. In seven states, the policies also include provisions that would prevent at least some adults over age 18 from accessing gender-affirming care.

Cisgender teenagers, together with their parents or guardians, are deemed competent to give consent to various medical treatments.

Teenagers who have gender incongruence and their parents and guardians should not be discriminated against.

Transgender and gender-diverse teenagers, their parents, and physicians should be able to determine the appropriate course of treatment.

Banning evidence-based medical care based on misinformation takes away the ability of parents and patients to make informed decisions.

Medical evidence, not politics, should inform treatment decisions.Image
Read 9 tweets
May 7
I worked the Met Gala as a waiter a few times. It’s your basic gala dinner. A lot of hobnobbing and table hopping. The placement of people’s tables is *very* political. The last year I worked the party Mary-Kate and Ashley were seated in Siberia and the were NOT HAPPY.
Also, Jimmy Fallon went around at the end of the night thanking all the waiters. Literally no one does that at gala banquets. He is a class act. Also, one time Kim Basinger made sustained eye contact with me and I nearly fainted from the glamor.
The only time I ever said yes to a guest asking if they could put their dirty wine glass on my tray of new, filled wine glasses (a MAJOR pet peeve of mine from my catering days) was to Claire Danes at the Met Gala. She was gorgeous and sweet.
Read 23 tweets
May 3
Trans-identified kids deserve an open debate on the science of care
The American Psychiatric Association learned the wrong lesson from the gay rights movement, I write for the @WashingtonPost.
See the 🧵⬇️for the editorial, including many citationsImage
Trans-identified kids deserve an open debate on the science of care
The American Psychiatric Association learned the wrong lesson from the gay rights movement, I write for the @WashingtonPost.
washingtonpost.com/opinions/2024/…
Five decades ago, the world’s most powerful psychiatric association, @APApsychiatric, changed the course of LGBTQ civil rights history when it removed homosexuality from its influential bible of mental health disorders.
@NBCNews:
I write for the @WashingtonPost: nbcnews.com/nbc-out/out-he…
washingtonpost.com/opinions/2024/…
Read 31 tweets

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