Emails Reveal How a Hospital Bowed to Political Pressure to Stop Treating Trans Teens

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Emails Reveal How a Hospital Bowed to Political Pressure to Stop Treating Trans Teens
propublica.org

The Medical University of South Carolina initially said it wouldn’t be affected by a law banning use of state funds for treatment “furthering the gender transition” of children under 16. Months later, it cut off that care to all trans minors.

One Saturday morning in September 2022, Terrence Steyer, the dean of the College of Medicine at the Medical University of South Carolina, placed an urgent call to a student. Just a year prior, the medical student, Thomas Agostini, had won first place at a university-sponsored event for his graduate research on transgender pediatric patients. He also had been featured in a video on MUSC’s website highlighting resources that support the LGBTQ+ community.

Now, Agostini and his once-lauded study had set off a political firestorm. Conservative activists seized on one line in particular in the study’s summary — a parenthetical noting the youngest transgender patient to visit MUSC’s pediatric endocrinology clinic was 4 years old — and inaccurately claimed that children that young were prescribed hormones as part of a gender transition. Elon Musk amplified the false claim, tweeting, “Is it really true that four-year-olds are receiving hormone treatment?” That led federal and state lawmakers to frantically ask top MUSC leaders whether the public hospital was in fact helping young children medically transition. The hospital was not; its pediatric transgender patients did not receive hormone therapy before puberty, nor does it offer surgical options to minors.

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Why does every major medical organization and over a million doctors disagree with you?

Why does every major medical organization and over a million doctors disagree with you?

No, not really and I don't know what you base that on.

KI, the largest medical research center in Sweden and one of the largest in the world did a systemic study on the research basis of hormone treatment and concluded that treating gender dysphoria in children should only be considered experimental.

https://news.ki.se/systematic-review-on-outcomes-of-hormonal-treatment-in-youths-with-gender-dysphori

Ah yes, you have one 'health board' that was conspicuously taken over by TERF ideologues, which then started spouting junk science and ignoring the actual medical professionals. That totally trumps all the reputable medical orgs.

Complete tinfoil hat but you tell yourself whatever you need to get trough the day.

I point to research, you point to whatever the fuck that is. I expected more from this community tbh but shit...

Yes really. Your study suggests doing more studies, not that the effects were negative (because if they were, the conclusion would be no further studies.) At the end of the paper, it also pointed out newer studies not included in the 196 studies out of the 10,000 it pretends to have looked it that found the benefits did exist (nd even then, it really only looked at a couple dozen studies exhaustively).

The biases that your study shows are known, and fucking obvious to anyone that has talked to a trans person once in their lifetime: There aren't many long-term studies. This is due to obvious reasons, like discrimination, lack of support, and higher chance of being murdered, which most people don't want. The study also seemed to show that the bone density issue wasn't as pronounced as some nay-sayers seem to think, but they bury that in the data analysis and hide behind a more hardline in the synopsis. Additionally, you can't really do a randomized approach in this case because of fucking ethical concerns! Obviously!!! Randomly giving out hormones seems like a bad idea, both to people that want it and people that don't!

But, you don't really give a shit because you didn't read the study, and also you hate trans people, and that's what you actually care about.

Data on the effects on psychosocial health are lacking but there is some evidence that hormonal treatment may impact on bone maturation. The researchers conclude that hormonal treatment of gender dysphoria in this age group should be regarded as experimental treatment rather than standard procedure.

It's the second paragraph, read the damn thing.

How long did it take you to spell out this nonsense anyway? Probably longer than reading the article...

Also I don't hate trans people, that's just your small-minded assumption you ignorant fuck. I linked an article, that's it.

I did read the thing, and explained how they pointed out the bone density in the data, but obviously, you only read the second paragraph.

But, you're right, I didn't read the entire thing, so could you quote section 3.5 under Results for me, since I'm obviously unable to read? It's the one that might be labeled "Bone health outcomes" if I could read. Assuming that I can't read, and looking at the studies examined, it appears that the loss of bone density is pretty inconclusive, especially when hormones are taken earlier, but there were two studies that showed a minor decrease in bone density in transwomen when using puberty blockers, by a smaller margin than I had previously thought (you can read studies 21 and 22 so my illiteracy doesn't affect you.)

Or would you like to quote the portion about Psychosocial and mental health under section 3.3? What the study shows seems to be that 4 of the 6 studies had some improvement (14, 15, 16, 17), though it should be noted that study 19 was about testing fucking brain activations (no decline in that!) and not about mental health, and study 18 was about initial reduction in symptoms from their first appointment, so really, 4 out of 4 studies showed an improvement.

Dipshit.

lmao, dude, you're just rambling, wtf are you talking about You said:

Why does every major medical organization and over a million doctors disagree with you?

I pointed to a comprehensive study that shows that it is clearly not the case.

I pointed out the studies flaws because you didn't read it, can't interpret it yourself, and are not a doctor. Here is a list of actual major medical organizations that suggest gender-affirming care for trans youth:

American Academy of Child and Adolescent Psychiatry

American Academy of Dermatology

American Academy of Family Physicians

American Academy of Nursing

American Academy of Pediatrics

American Academy of Physician Assistants

American College Health Association

American College of Nurse-Midwives

American College of Obstetricians and Gynecologists

American College of Physicians

American Counseling Association

American Heart Association

American Medical Association

American Medical Student Association

American Nurses Association

American Osteopathic Association

American Psychiatric Association

American Psychological Association

American Public Health Association

American Society of Plastic Surgeons

Endocrine Society

Federation of Pediatric Organizations

GLMA: Health Professionals Advancing LGBTQ Equality

National Association of Nurse Practitioners in Women's Health

National Association of Social Workers

National Commission on Correctional Health Care

Pediatric Endocrine Society

Society for Adolescent Health and Medicine

World Medical Association

World Professional Association for Transgender Health

And if the WPATH didn't find actual health benefits that outweighed the actual downsides for puberty blockers and hormonal treatments, then they fucking wouldn't recommend them. This would be obvious to anyone that knew anything.

I didn't write the study. If you think it's flawed take that up with the researches who did write it.

Typical transphobic coward. You refuse to defend the study, but you won't admit it's a bad study.

Will you argue you're not transphobic? Because that would involve admitting that gender-affirming care and all it entails should be administered to any trans person that wants it. Otherwise, you do not care about the outcomes and health of trans people, at best, or want them to suffer, at worst.

You obviously have some personal issues related to this subject-matter. All I did was refute the bullshit claim you made in the original comment by linking this study.

But if you feel so threatened by scientific research that doesn't align with your world view then you need to get help somehow.

I'm not a transphobe.

But again all of this seems to me a way for you to manage what amounts to a threat to your world view.

I do. I have many trans friends whose lives depend on their care. They have to listen to this shit way more than I do, to justify their existence as if being trans is something they chose to be. They didn't.

People use the same words you're using now to defend why trans people should not be allowed gender-affirming care that they and their doctors suggest they should have. It must only be coincidental that the words you say are the words spoken by transphobes.

Say that trans people should get the gender-affirming care they desire, that gender-affirming care is scientifically backed, and that trans rights are human rights, and I'll take back that you're a cowardly transphobe.

I have only discussed this article. I've made no personal statement on the subject matter. And you are losing your mind, you cannot accept this data for what it is. To you, it's a personal insult, but there is nothing personal about it.

I'll say this to anyone who reacts to scientific research with hostility, would that be Flat earthers, Q-anons, Religious fanatics or anyone else; seek help!

It's the only advice I can give.

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Where does it say “Medicalization of trans children is a bad idea”? Because I only read that it’s not researched enough and might have reversible side effects.

The researchers conclude that hormonal treatment of gender dysphoria in this age group should be regarded as experimental treatment rather than standard procedure.

They conclude that it shouldn't be standard practice and only considered experimental. Isn't that enough?

It still doesn’t say it’s “a bad idea” like that commenter said, just that we don’t have sufficient proof to conclude that it’s 100% harmless.

There’s plenty of treatments we do that are not 100% safe, but we still employ them because the alternative is worse. The article is just encouraging more research, not for the practice to stop (It being considered “experimental” or “standard” barely matters as far as I know, since there’s a lot of assessments and tests to do before allowing someone to undergo hormonal therapy anyway).

No, it's rare for a treatment to go from standard practice to experimental, like they suggest. That means a serious misassesment has been made at some point.

The researches conclude that the hormone treatment makes irreversible changes to the bone structure but that the positive aspects as a treatment to gender dysphoria have not been sufficiently observed.

The thing is even if it does go experimental, I don’t think it would change much. Even now, they aren’t administering it like candy.

And about bones, doesn’t the study say this?

GnRHa treatment delays bone maturation and bone mineral density gain that, however, seem to partially recover during cross-sex hormone therapy when studied at age 22 years.

If it’s only a “delay”, which doesn’t even need the hormone treatment to stop for it to partially recover, doesn’t that mean it’s reversible?

Partially recovered doesn't sound reveserible, does it? And the severity ranges from case to case, safe to assume.

Obviously, we only experience puberty once in life. Anything that alters that process will have consequences.

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