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Dec 6, 2024 • 24 tweets • 15 min read • Read on X
BREAKING: Detransitioner Sues Johanna Olson-Kennedy, a Top Pediatric Gender Medicine Doctor, For Medical Negligence

🧵⬇️⬇️I report: Dr. Olson-Kennedy is the most prominent doctor yet to be sued by a detransitioner—for medical negligence after overseeing a mentally ill girl's gender-transition starting at 12 and mastectomy at 14. She recommended a hysterectomy at 17.Image
LINK: Detransitioner Sues Johanna Olson-Kennedy, a Top Pediatric Gender Medicine Doctor, For Medical Negligence

Dr. Olson-Kennedy, a leading @WPATH member is the most prominent doctor yet to be sued by a detransitioner.benryan.substack.com/p/detransition…Image
🧵 The plaintiff suing Johanna Olson-Kennedy reports having suffered from severe, worsening mental illness while Dr. Olson-Kennedy oversaw her gender-transition treatment, including a double mastectomy at age 14. Now a college student, she recently detransitioned. benryan.substack.com/publish/posts/…
đź§µ The detransitioner lawsuit accuses Dr. Olson-Kennedy of:
▶️Prescribing the plaintiff, then a newly-gender-questioning 12 year old, puberty blockers following a single cursory appointment and no assessment with a mental health professional;
▶️Coercing the girl’s wary parents into consenting to testosterone therapy by insisting their child, who had no history of suicidality, would kill herself without such irreversible treatment
▶️Failing to provide the family with proper informed consent.
benryan.substack.com/p/detransition…
đź§µ It was only after the girl started taking testosterone at age 13 and had her breasts surgically removed the following year that she actually became suicidal and tried to take her own life, according to the suit.
benryan.substack.com/p/detransition…
🧵 The girl reportedly suffered increasingly severe psychosis, including auditory and visual hallucinations. Dr. Olson-Kennedy ultimately recommended a hysterectomy when the girl was 17. benryan.substack.com/p/detransition…
🧵 An outspoken advocate for minors’ access to gender-transition treatment and surgery, Dr. Olson-Kennedy has a history of downplaying potential or certain fertility loss due to such interventions on minors and of minimizing the impact of any regret following top surgery. benryan.substack.com/p/detransition…Image
🧵 Dr. Olson Kennedy is on record exaggerating the risk of suicide death among adolescents with gender dysphoria and making definitive claims—absent definitive supporting research—that these gender treatments and surgeries save children’s lives. benryan.substack.com/p/detransition…
🧵 Kaya Breen, 20, who goes by her middle name, Clementine, filed suit on Thursday in Superior Court of the State of California in Los Angeles against Dr. Olson-Kennedy and two of her colleagues, including a surgeon and psychotherapist. benryan.substack.com/p/detransition…
🧵 Ms. Breen, who was sexually abused around age 6 or 7, a history that her lawsuit asserts “was never explored, addressed, or discussed” by the defendants, has accused the team of medical negligence. Her suit, which was first reported by @JesseSingal in @TheEconomist on Friday, seeks damages and a jury trial.
economist.com/united-states/…
jessesingal.substack.com/p/read-my-stor…Image
🧵 Amid declining mental health, Ms. Breen received gender-transition-treatment from Dr. Olson-Kennedy throughout her adolescence—and at times, was under the care of the two other defendants as well. Having identified as male during this period and gone by the name Finn, Ms. Breen ultimately reverted to identifying and presenting as female by the end of her teens. She reports profoundly regretting the treatment—known as gender-affirming care—that she received. benryan.substack.com/p/detransition…
🧵 Dr. Olson-Kennedy is the medical director at The Center for Transyouth Health and Development at Children’s Hospital Los Angeles, the nation’s largest pediatric gender clinic, and a professor of clinical pediatrics at the University of Southern California Keck School of Medicine. She is an executive board member of the World Professional Association for Transgender-Health (WPATH) and president-elect of its U.S. branch, USPATH. @WPATH is a controversial quasi-activist-medical organization that is largely based in the United States and publishes widely referenced trans-care guidelines. She has reported prescribing cross-sex hormones to over 1,000 adolescents and young adults since 2006.
benryan.substack.com/p/detransition…
Dr. Olson-Kennedy is married to a transgender man, Aydin Olson-Kennedy, who is a licensed clinical social worker, a WPATH member and also works in pediatric gender medicine.
benryan.substack.com/p/the-wpath-fi…
benryan.substack.com/p/leaked-wpath…Image
🧵 The public has actually already received a preview of Ms. Breen’s story. The Canadian anti-gender-transition-treatment activist known as @BillboardChris posted a video on X on Oct. 22 documenting a candid recent exchange between the two of them on the UCLA campus.
benryan.substack.com/p/detransition…
“It totally messed my life up,” Ms. Breen told Billboard Chris of the gender-transition treatment she received.

But the lawsuit Ms. Breen was by that time preparing against Dr. Olson-Kennedy and her colleagues only became public on Friday.
🧵 Dr. Olson-Kennedy is perhaps most well known to pediatric gender medicine outsiders because of an undercover video taken in 2018 of a lecture she gave to mental health providers instructing them on how to write letters to help minors obtain insurance coverage for gender-transition interventions. During the lecture, she expressed evident exasperation with prevailing concerns that gender dysphoric minors who have a double mastectomy might later regret the operation.
benryan.substack.com/p/detransition…
“What we do know is that adolescents actually have the capacity to make a reasoned, logical decision,” she said. “And here’s the other thing about chest surgery: If you want breasts at a later point in your life, you can go and get them.”

Ms. Breen, Dr. Olson-Kennedy’s former patient who is suing her, has tried to go out and get breast reconstruction. But she told @BillboardChris that she has had a much harder time securing the surgery for that than she did when it came to her original mastectomy.
🧵 Dr. Olson-Kennedy is the leading investigator on a multifaceted, long-running $10 million National Institutes of Health study of the care and treatment of youth who identify as transgender.
benryan.substack.com/p/detransition…
As @JesseSingal reported in The Atlantic in 2018, a 2017 paper indicated that the youngest patients receiving cross-sex hormones at Dr. Olson-Kennedy’s clinic during the years prior were 12 years old.

Also in 2017, Dr. Olson-Kennedy sought and received approval for her NIH-funded research to reduce the minimum age for prescribing cross-sex hormones to children from 13 to eight years old.Image
đź§µ In a video of a 2015 lecture Dr. Olson-Kennedy gave, she said:
youtube.com/watch?v=pO8v--…
“Surgery, chest surgery for trans guys as minors, is critical. And it’s available! It’s not nearly as difficult as genital reconstruction, because it doesn’t have anything to do with sterilization. The difficulty of genital surgery is that it is surgical sterilization and people get super worked up about that. And that is the barrier that we have to overcome. And I think we’re going to. But chest surgery is not that.”
benryan.substack.com/p/detransition…Image
🧵 Dr. Olson-Kennedy has a long history of insisting that the treatments she provides are life saving and that providing them should be prioritized over preserving fertility. Natal males in particular are at substantial apparent risk of infertility if, as WPATH recommends, they receive puberty blockers soon after puberty’s onset followed by long-term estrogen treatment.

In this 2012 video, @NBC’s @HodaKotb said to Dr. Olson-Kennedy: “To me it seems ridiculous to have a kid at age 12, 13, 14 deciding whether they want to have biological children when they’re 20, 30 or 40.”

Dr. Olson-Kennedy immediately replied: “Well, they make the decision to kill themselves at 12 and 13. That’s a pretty powerful decision.”

“We take an oath: first do no harm,” Dr. Olson-Kennedy continued. “If doing nothing is doing harm, you have to do something.”

Ms. Breen’s lawsuit alleges that what Dr. Olson-Kennedy should have done in her case was nothing where gender treatments were concerned. Instead, the suit asserts, the doctor should have treated her underlying mental health problems.

“I don’t know how a child can consent to the loss of their fertility,” Ms. Breen told @BillboardChris in October. “Children can’t conceptualize that.”
🧵 Dr. Olson-Kennedy told ABC in 2011 of children with gender dysphoria: “These kids have a suicide rate that is astronomical compared to any other group.”
benryan.substack.com/p/detransition…
Two recent studies, one in England and the other in Finland, recently found that the suicide rate among gender-distressed minors is elevated compared with their age-matched peers; and yet suicide deaths among them are nevertheless rare.

In Wednesday’s oral arguments at the U.S. Supreme Court over Tennessee’s ban on pediatric gender-transition treatment, ACLU litigator Chase Strangio, a trans man, said that “completed suicide is thankfully and admittedly rare” among children who identify as transgender.

What’s more, the Finnish study, which I covered for The New York Post and which no one during the Supreme Court’s oral arguments seemed to be aware of, is the only study to date to assess whether there is independent, statistically significant association between receiving gender-transition treatment and a difference in the suicide death rate among young people. The study authors found there was not.Image
đź§µ Dr. Olson-Kennedy also has a history of doubting the value of the biopsychosocial assessments that WPATH recommends for minors before they receive gender-transition treatment or surgeries. She shares this in common with @UCSF child psychiatrist Jack Turban, who suggested in his recent book that the assessments were worthless and should be done away with.

There is, for example, a 2019 podcast interview that Dr. Olson-Kennedy gave to members of the controversial gender clinic Gender GP, which has provided gender-transition treatment to British minors via telemedicine from abroad. Marianne Oakes, the organization’s lead counselor, said in reference to guardrails around gender-transition treatment: “I feel the system is geared up to protect c-s people from making a mistake rather than actually caring for the trans people.”
benryan.substack.com/p/detransition…
To which Dr. Olson-Kennedy replied: “A hundred percent, absolutely.” She continued: “I always say what is there in that concern?…What does it mean to make a mistake? What does that mean? So we’re gong to accidentally make someone trans?” She attributed such concern about the potential harms of pediatric gender-transition treatment to what she called “c-s fragility.” And she said that these worries are what “drives people to create huge and unmanageable and often inaccessible assessment periods” for minors seeking gender-transition treatment.

Dr. Olson-Kennedy continued: “It never takes into account autonomy of humans—that let’s talk about what it would mean if we just let people move forward and we affirm and believe what they were telling us, right? At the end of the day, who is responsible for that? The person that made that decision.”

In Ms. Breen’s case, her lawsuit against Dr. Olson-Kennedy and her colleagues disagrees. It asserts that those adults were responsible for what became of Ms. Breen’s childhood and seeks to hold them accountable.Image
One of the comments on my reporting on the lawsuit against Johanna Olson-Kennedy: benryan.substack.com/p/detransition…Image
Here is the legal complaint against Johanna Olson-Kennedy: drive.google.com/file/d/1gpg8qe…
I knew the Olson-Kennedy suit was coming down the pike when I wrote this. So it informed my reporting even though I was not allowed to speak publicly about the suit until today. nypost.com/2024/10/19/us-…
A response from a reader of my reporting on the lawsuit against Johanna Olson-Kennedy:
benryan.substack.com/p/detransition…Image
Clementine Breen tells her story directly:

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More from @benryanwriter

Jul 14
Clara Jeffery, editor in chief of Mother Jones, says that it is for the best that JD Vance’s children be subjected to boos at Disneyland, so that they “know now what their father is about.” Image
Debunking podcaster Michael Hobbes also endorses the jeers at @JDVance’s family at Disneyland. Image
Clara Jeffery, editor in chief of Mother Jones, adds the following to her post endorsing the jeering of @JDVance while he is with his children at Disneyland. She argues that he actually wants the optics of being booed while having family time in public.
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Read 5 tweets
Jul 13
Democrats Lost Voters on Transgender Rights. Winning Them Back Won’t Be Easy.

The party’s vanguard position got ahead of voters in 2024, and the internal debate now underway reveals an uncertainty on how to adapt, by @chashomans for @nytimes.

"Stuck in a widening gulf between the views of the party’s liberal voters and advocacy organizations on one side, and those of the broader American electorate on the other, many Democratic politicians had resolved to say as little as possible about the subject. In surveys, Ms. Erickson and other public-opinion researchers had found that this allowed Republicans, who spent hundreds of millions of dollars on ads attacking Democrats on transgender rights in 2024, to define voters’ perceptions of Democratic policy positions."Image
The dilemma is reflective of the Democratic Party’s broader struggles with identity politics as it dissects its losses in 2024. Recovering its standing with voters, many in the party believe, requires coming to terms with the party’s transformation during the Obama and first Trump presidencies, when American liberals broadly embraced what had previously been vanguard positions on a range of social and cultural issues, including gender and race, immigration and policing.Image
Read 8 tweets
Jul 10
Dr. Rachel Levine, a former Biden administration health official, tells @TheAdvocateMag that "the evidence base is strong for the safety and efficacy" of prescribing puberty blockers and cross-sex hormones to treat gender dysphoria in minors.

A slew of systematic literature reviews have found this is not the case. Instead, they have found that the relevant evidence is weak and inconclusive. They have suggested that the World Professional Association for Transgender Health erred in making strong recommendations for these treatments. Evidence-based medicine guidelines discourage making a strong recommendation based on weak evidence.Image
Despite subpoenaed email records showing that Dr. Rachel Levine pushed WPATH to remove age limits on pediatric gender-transition treatments and surgeries for political reasons, Dr. Levine denied ever having done so in an interview with @TheAdvocate. Image
The New York Times reported last year:
nytimes.com/2024/06/25/hea…
One excerpt from an unnamed member of the WPATH guideline development group recalled a conversation with Sarah Boateng, then serving as Admiral Levine’s chief of staff: “She is confident, based on the rhetoric she is hearing in D.C., and from what we have already seen, that these specific listings of ages, under 18, will result in devastating legislation for trans care. She wonders if the specific ages can be taken out.”

Another email stated that Admiral Levine “was very concerned that having ages (mainly for surgery) will affect access to care for trans youth and maybe adults, too. Apparently the situation in the U.S.A. is terrible and she and the Biden administration worried that having ages in the document will make matters worse. She asked us to remove them.”Image
Read 7 tweets
Jun 30
Fact checking Michael Hobbes

Debunking podcaster Michael Hobbes has a new episode of his podcast If Books Could Kill, about the US v. Skrmetti Supreme Court decision upholding Tennessee's ban on pediatric gender-transition treatment.

In thisđź§µI will fact check Hobbes:
⬇️Image
Here is a link to the podcast: podcasts.apple.com/us/podcast/the…
Michael Hobbes, referring to a video, published in 2022 by @MattWalshBlog, of a Vanderbilt doctor talking about the money that gender-transition surgeries bring in, including bottom surgeries: “Bottom surgeries are essentially not performed on children," Hobbes says. "So the fact that she's talking about bottom surgeries here makes it very clear that she's talking about adults.”

This depends on your definition of "essentially." Phallopasties are not recommended by @WPATH for minors, but vaginoplasties are. Dr. Marci Bowers, a gender-affirming surgeon and a former WPATH president, recommends that trans girls get a vaginoplasty the summer before they leave for college, when they are 17 or 18.

A 2023 paper on a limited dataset of US minor patients did find evidence of one vaginoplasty in 2021. This suggests that if the study authors had access to all records in the nation, they would identify more such surgeries in minors.

Consequently, Hobbes is incorrect to presume that the Vanderbilt doctor was not referring to minors in the speech that Walsh published. It is entirely possible she was.

pmc.ncbi.nlm.nih.gov/articles/PMC10…Image
Read 26 tweets
Jun 30
If, for the sake of argument, no one can prove that pediatric gender-transition treatment prevents suicide death only because such deaths are so rare, then why has this treatment been sold, first and foremost, as “lifesaving”?

Why have people who have called that claim into question been savagely attacked and sidelined?

Marci Bowers, former head of WPATH, herself told me last year that suicide death has never been a good metric of the success of this treatment.Image
Image
Debunking podcaster Michael Hobbes is himself one of the prime sources of misinformation about pediatric gender-transition treatment. He has routinely falsely claimed that there is no evidence that children get these drugs after absent or cursory assessment periods. There is copious evidence that this happens routinely at some of the top gender clinics in the nation. Despite all this evidence, Hobbes has never acknowledged his fault.

But you can see here that he is combining his longstanding claim about assessments with a claim about what he characterizes as false claims that there are large numbers of kids getting these drugs. That question should not necessarily be conflated with the assessment question.

About 1 in 1,000 youth with private health insurance went on cross sex hormones by age 17 between 2018 and 2022. That number was higher for natal girls and was probably higher for all youth by the end of that period.

One thing that has concerned some people is not necessarily the number of kids getting these drugs, but the rate of increase of that number. They have been concerned over where that figure might end up.Image
If suicide deaths are so rare even in youth with gender dysphoria, then why have leading gender clinicians routinely told parents that absent blockers and hormones, their child was extremely likely to wind up dead? That’s what the mantra “Would you rather have a dead son or a live daughter?” implies. We now know from the leading litigator in this field that that threat was a false one, at the very least in the suggestion of how likely suicide death was in the first place.Image
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Read 4 tweets
Jun 29
The Liberal Misinformation Bubble About Youth Gender Medicine

How the left ended up disbelieving the science

By @HelenLewis for @TheAtlantic Image
Debunking podcaster Michael Hobbes, a prime source of misinformation about pediatric gender-transition treatment, slams @HelenLewis of @TheAtlantic for criticizing people such as him.
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