Few people understand the pressure we were under, back in 2019, if you had a trans-identified child in California and had Kaiser Permanente health insurance. We were expected to start our kid on puberty blockers and cross-sex hormones almost immediately after their 🏳️⚧️ declaration. I saved my records from Dr. Hoe, a Kaiser pediatric endocrinologist, who suggested I contact Gender Spectrum (an Oakland-based trans activist group) to get help in overcoming my fears. My daughter was 13 at the time. 🧵
I asked Dr. Hoe what would be the next steps for a 14-year old, such as Ian, if they met with him. He said he would recommend that they speak with one of Kaiser’s Gender Specialists before proceeding. I told him that Ian already meets with a psychiatrist that is familiar with his mental/physical health. He said that Kaiser has found it is “easier for the (Kaiser) doctors to work directly with Kaisers own Gender Specialists” rather than with the teen’s psychiatrist outside of Kaiser system.
[ALWAYS THE SUICIDE RISK]
I voiced my concerns about medical risks. Dr Hoe said over and over again, that this is “an emerging field” and that “they don’t know the long term medical effects”, “but with any medical treatment there are benefits and risks”. When I asked him what would be the benefits he said, “it’s been shown that youths have a lower risk of suicide and less suicide ideation” if they are offered medical treatment, including hormone blockers and hormones.
When I asked him what are the studies that show the medical risks for 35 year olds that started hormone therapy at 14 or 15 years of age, he said there are "no studies of long term effects", and again said this is an “emerging field”. He said that what he does know is that “youths feel better" when they can take hormones that can "stop their periods or give them physical traits of the other sex”.
He said Kaiser has no handbook or set procedures in place for treating children or teens with hormones. I asked him to share with me his medical resources for treating teens in an email response. Below is his email. I have deleted the response from Ian’s Inbox, but it is still in Ian’s Kaiser records if you need access.
All of this was insane to me. I thought I was losing my mind. My daughter had never shown any signs of being unhappy as a girl (and what adolescent girl isn't terrified to go through puberty and enter womanhood??) How could I possibly follow the doctors' recommendation to block her puberty and put her on testosterone? Fortunately I followed my gut and pushed back and my daughter was never medicalized.
I saved records of every call and email around my daughter's trans-identification because my ex-husband was affirming and I wasn't so there was always this fear that I would lose custody if I didn't walk a fine line. (This is why I gave in to my daughter's request to use a male name - and avoided pronouns when speaking about her.)
Here are the links to the "guidelines" that Dr Hue sent me:
"I appreciate the conversation we had recently about Elisa.
As you requested, here's the online links for some guidelines from different professional medical organizations for providing transgender care:
I remember feeling a pit in my stomach when I read this section by the Endo Society:
"1.5. We recommend that clinicians inform and counsel all individuals seeking gender-affirming medical treatment regarding options for fertility preservation prior to initiating puberty suppression in adolescents and prior to treating with hormonal therapy of the affirmed gender in both adolescents and adults. (1 |⊕⊕⊕○)
2.0 Treatment of adolescents
2.2. We suggest that clinicians begin pubertal hormone suppression after girls and boys first exhibit physical changes of puberty. (2 |⊕⊕○○)
2.3. We recommend that, where indicated, GnRH analogues are used to suppress pubertal hormones. (1 |⊕⊕○○)
2.4. In adolescents who request sex hormone treatment (given this is a partly irreversible treatment), we recommend initiating treatment using a gradually increasing dose schedule after a multidisciplinary team of medical and MHPs has confirmed the persistence of GD/gender incongruence and sufficient mental capacity to give informed consent, which most adolescents have by age 16 years. (1 |⊕⊕○○).
And this about genital surgery:
5.4. We recommend that clinicians refer hormone-treated transgender individuals for genital surgery when: (1) the individual has had a satisfactory social role change, (2) the individual is satisfied about the hormonal effects, and (3) the individual desires definitive surgical changes. (1 |⊕○○○)"
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People often ask me "where is gender identity ideology in the public schools?"
For almost 2 years now, @libsoftiktok has been sharing receipts from my daughter's captured schools @DJUSD in Davis, California. To record them all in one place, I've made this thread 🧵
Sac State DEI administrators are upset that detransitioner Chloe Cole will be speaking on campus tonight about the 🏳️⚧️ tran$ gender industry.
Here is my exposé on how this public institution @sacstate is preying on vulnerable students (quirky, autistic, LGB, lonely, depressed, etc.) to believe they might be "born in the wrong body."
✅ Sac State Pride Center, a welcoming place for students questioning their “gender identity”
✅ If you voice concerns re. gender ideology, you are labeled transphobic, hateful, bigoted by the Chief Diversity Office
✅ Shocking number of trans-identified Sac State students with depression and eating disorders (May 2024 data from American College Health Association)
✅ “Gender affirming care” offered at the Sac State student health services center
✅ All Gender bathrooms and men-pretending-to-be-women should always be welcomed in women’s restrooms
✅ “Intersectionality” identity politics and student activism on Sac State campus
✅ Pronoun rituals and "preferred name" encouraged by the Sac State Queer Trans Faculty and Staff Association (QTFAS)
1/ The @sacstate Pride Center is a place "to support students through their gender identity exploration" with Peer-Queer 1:1 mentorship, safe space training, free gender affirming clothing closet, Lavender Library books on trans/queer topics, etc. 🏳️⚧️
2/ Two gender-critical Sac State professor friends of mine leaked this memo to me in response to tonight's @TPUSA event with Chloe Cole.
They are both afraid to speak out publicly, my friend said: "I think the problem of faculty not speaking out has more to do with fear of reprisals, disciplinary actions, investigations, and being condemned and cancelled by the students. The DEI staff and "Inclusion" people we are dealing can call lots of negative attention on conservative views, and we have a Bias Response Team that does intimidating and pseudo legal "investigations.""
I wanted proof to show the world there was almost no stopping a trans-identified child from being medically "transitioned" at Kaiser Permanente once your child announced their trans 🏳️⚧️ identity. I wanted written records from the pediatricians in my town (Davis, CA) exactly what would be their protocol for medicalizing a child, and if there were any guardrails in place for parents like me who were not affirming.
In order to do this, I pretended my younger child, my 15-year-old son, was interested in starting up on estrogen so he could present as female. Unlike his sister, my son had never experienced any distress over "gender" and wasn't likely to ever see this correspondence between his new pediatrician and me.
Within 2 days, I received all the proof I needed to show how every pediatrician was completely captured by radical gender ideology and no child was safe under Kaiser's care. The responses get more shocking as I ask harder questions 🧵
2/ Within 30 minutes, I hear back from my son's pediatrician. She says kids in Davis are often directly referred to the pediatric gender clinic, about an hour away in Oakland. I had already learned about the "Proud Clinic" with my daughter. This is a one-stop shop for transitioning kids with gender specialist counselors, fertility bank for storing sperm/eggs, and surgeons performing mastectomies "top surgery" on girls as young as 13.
3/ My next question is an easy one. "Could you tell me how you make the determination that a patient is 🏳️⚧️transgender?"
🧵 Why was there such a huge uptick in trans-identified teen boys and girls in Northern California during the covid lockdown?
In 2022, my daughter, along with every other trans-identified 12-17 years-old Kaiser NorCal patient, was invited to an online 'Gender Expression Workshop' led by trans-makeup artist Monica Prata.
After some digging, I discovered this is the same makeup artist that 'transformed' Dr. 'Grace' Firtch, a Kaiser Permanente NorCal physician-in-chief to be a "transgender woman" and along with Dr. Firtch determined to help vulnerable teens do the same. 🏳️⚧️
Here is Monica Prata, @aboutKP, Gender Expression Specialist.
In 2019, Dr Grace Firtch (a man pretending to be a woman) hired Monica Prata as Kaiser Permanente's first 'Gender Expression Specialist.'
Dr. 'Grace' Firtch, Kaiser Permanente NorCal physician-in-chief, transitioned at 58 (after fathering two children) to be a 'transgender woman.'
“Everyone deserves adequate and supportive health care to guide them through that journey. It’s life-affirming and a true gift to fully express yourself as you really are.” Dr. Firtch says.
@ucdavis provides free BREAST BINDERS and BRAS so students can affirm their transgender identity without their parents knowing.
Listen to this UC Davis (they/them) engineering student give a tour of the UC Davis LGBTQIA Resource Center 🏳️⚧️ 🏳️⚧️ This young woman is beautiful, articulate, and clearly kindhearted - but how does she not see that she is promoting the erasure of women, and the loss of women's rights?