Finally had some time to read the PATHWAYS- U.K. Puberty Blocker Study Protocol. It is 113 pages.

So I was trained to read and then carry out clinical research protocols, my Masters of Science is literally in Clinical Research Management. In each study the protocol is essential the Bible for the study. I know people are up in arms that they are asking about two spirit identities- but a much bigger problem- the inclusion of Tanner Stage 4 and 5.

What pray tell are you blocking at Tanner Stage 5??? Puberty is over, done, complete.

They are including HCG as a baseline and follow up test- cause why- cause they will have participants able to get pregnant.

This makes no sense!

Research paper documents harms to 3 year old child exposed to parents 'trans' hormones. 🧵3 year old girl experiences peripheral precocious puberty because her dad was rubbing estradiol gel onto his body and then physically touching his child.

Does this surprise me having worked in a gender center? Not at all.
Should this be happening?
Not at all.

Advocate @TheAdvocateMag publishes response piece to Andrew Sullivan- my medically accurate responses ⬇️

advocate.com/voices/andrew-… 🧵First on surgeries for minors, the lesbian female author refuses to acknowledge the biological differences in boys and girls.

The @thetimes publishes a factually inaccurate and dangerous story about a young person’s tragic suicide but thinks its ok because the person was trans identified. 🧵The Arts and Entertainment Editor @LFPullman authors the piece, which tried to be a book review while blaming the lack of a puberty blocker and dangerously discussing suicide.

Reminder: it is never ok to suggest that a person's suicide has a singular cause, even if that cause is incorrectly attributed to wanting a puberty blocker in the UK in 2025.

The @nytimes throws everything it has to prop up trans. Starting with the editorial board. Digging in that this is still a civil rights movement. The paper is at odds internally over language. The editorial board is still using, “gender affirming medical care”

I adore Helen Lewis and I believe she is 1000x the writer that I will ever be. Every episode with @jessesingal and @kittypurrzog she is ever on is amazing. That said, I have a number of serious concerns with The Atlantic piece she wrote this week.

https://twitter.com/helenlewis/status/1868745504806592918

I adamantly support state level restrictions of puberty blockers, cross sex hormones, and surgery. She wrote this:

"Having opposed the red-state bans on gender medicine for minors, I was surprised to find myself welcoming Streeting’s announcement of an indefinite pause."

Language matters. I do not believe that what we have in the US is "red-state bans" this is reductive and adds to the polarization rather than enriching the conversation.

Using the word "ban" itself ignores what the laws actually are, they regulate practices of medicine within a state for minors.

🧵1/7 CRAZY STORY: Today the @nytimes published a story covering the ban in the UK. 🧵2/7 In the story they make this claim- that according to a report from the Council of Europe- that there were, “ethical implications to only offering treatment to a small group of patients”

Sounds like an important report right?

Let’s follow the link.

Skip the coffee, if you would like to be awakened with your blood boiling, you can just read this piece. nytimes.com/2024/11/22/opi…

Last night surgeons Blair Peters and Steven Williams had a public discussion regarding adolescent surgical care for gender distress. Peters does operate on adolescents for gender related distress. Williams is the President of the American Society of Plastic Surgeons (ASPS). Williams will not operate on this patient population and stressed over and over that the evidence does not support these surgeries in adolescents.

Tim Walz approved a bill in Minnesota (HF 146) in April of 2024. This bill relates to minor children in Minnesota and makes a number of provisions:

1. Subpoenas from other states are prevented from being enforced in Minnesota if they relate to pediatric gender medicine. 2. Minnesota will not enforce other states child custody or child welfare laws if the custody agreement “interferes with” pediatric gender medicine.

Thought exercise for today.

1. Most people who are straight and gender conforming have some gut level ‘eww/yuck” factor towards those of us gay gay gay and gender non conforming.

2. Rainbow everything was pushed into wider culture and the normative institutional messaging was to embrace our gay asses. 3. Pediatric gender medicine is spread into institutional medical care. The straight gender conforming institutional safe guarding mechanisms felt the “eww/yuck” factor but the message was embrace.

4. So all of the traditional safeguarding mechanisms for medical practices: risk management, administrative oversight, even fiscal oversight FROZE and stepped back.

🧵Just had a question posed from a colleague in @LGBT_Courage

How do we fight @ErinInTheMorn misinformation?

My answer might not be that popular:

But here goes.

I worked in a pediatric transgender center for 4 1/2 years. I was not on social media but most of my team was. 🧵the reality: her name was NEVER mentioned at all. Nothing she ever wrote was discussed. Nothing @assignedmedia wrote ever mattered.

What did matter- the only things that broke through to the conversations.