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Politics Foreign Affairs Culture Fellows Program

Trans Kids Medical Malpractice Shocker

Blockbuster report by clinic whistleblower details apparent medical malpractice and moral horror at St. Louis facility
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If you haven't read this blockbuster piece by Jamie Reed, a queer woman who used to work at a clinic for transgender youth, stop whatever you're doing and do. And when you are done, send it to your state and national lawmakers, demanding that they act NOW to stop these atrocities. Here are some excerpts from Reed's account of her time at the Washington University Transgender Center at the St. Louis Children's Hospital:

During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility. 

I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.” Instead, we are permanently harming the vulnerable patients in our care.

Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.

Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.

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Brave woman! May God protect her! More:

One of my jobs was to do intake for new patients and their families. When I started there were probably 10 such calls a month. When I left there were 50, and about 70 percent of the new patients were girls. Sometimes clusters of girls arrived from the same high school. 

This concerned me, but I didn’t feel I was in the position to sound the alarm back then. There was a team of about eight of us, and only one other person brought up the kinds of questions I had. Anyone who raised doubts ran the risk of being called a transphobe. 

The girls who came to us had many comorbidities: depression, anxiety, ADHD, eating disorders, obesity. Many were diagnosed with autism, or had autism-like symptoms. A report last year on a British pediatric transgender center found that about one-third of the patients referred there were on the autism spectrum.

Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t). 

The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion. But when I said the clusters of girls streaming into our service looked as if their gender issues might be a manifestation of social contagion, the doctors said gender identity reflected something innate.

To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. 

That’s all it took. 

When a female takes testosterone, the profound and permanent effects of the hormone can be seen in a matter of months. Voices drop, beards sprout, body fat is redistributed. Sexual interest explodes, aggression increases, and mood can be unpredictable. Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor. 

Look at this, and imagine that you are the father in this case:

Another disturbing aspect of the center was its lack of regard for the rights of parents—and the extent to which doctors saw themselves as more informed decision-makers over the fate of these children.

In Missouri, only one parent’s consent is required for treatment of their child. But when there was a dispute between the parents, it seemed the center always took the side of the affirming parent.

My concerns about this approach to dissenting parents grew in 2019 when one of our doctors actually testified in a custody hearing against a father who opposed a mother’s wish to start their 11-year-old daughter on puberty blockers. 

I had done the original intake call, and I found the mother quite disturbing. She and the father were getting divorced, and the mother described the daughter as “kind of a tomboy.” So now the mother was convinced her child was trans. But when I asked if her daughter had adopted a boy’s name, if she was distressed about her body, if she was saying she felt like a boy, the mother said no. I explained the girl just didn’t meet the criteria for an evaluation. 

Then a month later, the mother called back and said her daughter now used a boy’s name, was in distress over her body, and wanted to transition. This time the mom and daughter were given an appointment. Our providers decided the girl was trans and prescribed a puberty blocker to prevent her normal development. 

The father adamantly disagreed, said this was all coming from the mother, and a custody battle ensued. After the hearing where our doctor testified in favor of transition, the judge sided with the mother. 

I raised my concerns about parental rights and consent in emails like this one:

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I beg you, read the whole thing. There's so much there. So much! Reed says that right after she quit, she saw Rachel Levine, the transwoman who is the nation's chief health officer, blathering on about "gender-affirming care," and she then knew she had to act. She says now:

So I started writing down everything I could about my experience at the Transgender Center. Two weeks ago, I brought my concerns and documents to the attention of Missouri’s attorney general. He is a Republican. I am a progressive. But the safety of children should not be a matter for our culture wars. 

True. Here's a link to the letter she wrote. And here is an excerpt detailing what to me looks like gross malpractice:

Lawmakers have to act now to stop these abusive doctors and medical staff. Physicians need to go to jail over this stuff. And clinics like this need to be sued into the ground, and the rubble made to bounce.

I am confident that Sen. Josh Hawley, Republican of Missouri, will know what to do at the national level.

Will the mainstream media pay attention, at long last? Or will it Pravda its way through to uphold the Narrative at all costs? We'll see. Meantime, give thanks to Bari Weiss and her team at The Free Press for bringing this all to light. Subscribe! We need them!

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Fran Macadam
Fran Macadam
She's clueless how her own embraced identity ideology is part and parcel of having enabled this. More Sullivanism writ large. But kudos for recognizing the exposed part of the iceberg.
schedule 1 year ago
    JON FRAZIER
    JON FRAZIER
    We don't have any details about this Jamie Reed bring a "queer" woman, but that's exactly the kind of person who needs to speak out on this issue, much as a feminist who opposes abortion has more cred on that issue than a single old man would.
    schedule 1 year ago
      Theodore Iacobuzio
      Theodore Iacobuzio
      The lives of these children are at stake. It's like asking for Baltimore Catechism answers from the sailor manning a lifeboat.
      schedule 1 year ago
        JON FRAZIER
        JON FRAZIER
        Huh? That makes no sense. If you want to build support for a political stance then getting buy-in from people outside the group of Usual Suspects is crucial.
        schedule 1 year ago
      Fran Macadam
      Fran Macadam
      It's pathetic when those part and parcel of the problem are seemingly the only ones with influence. I suppose there are arsonists who regretted their match play and pitched in to putting out the fires they started.

      I suppose they are our last, worst hope.
      schedule 1 year ago
        JON FRAZIER
        JON FRAZIER
        There's zero evidence from Rod's post at least that this particular woman is part of this problem, and in fact her actual words and actions here detailed show the exact opposite. She is opposed to the trans agenda for children. I will even go far as to say she can be an exemplar for oddball kids showing them that you don't have to get involved in the trans fad to live as an adult man or woman who does fit narrow sexual stereotypes.
        schedule 1 year ago
          Fran Macadam
          Fran Macadam
          On the contrary, I read her essay before Rod drew attention to it. She admitted right out that for the longest time she was part of the problem herself.
          schedule 1 year ago
          JON FRAZIER
          JON FRAZIER
          Then you should be glad that she came to New wisdom. Yesterday was the Sunday of the Prodigal Son, on my (and Rod’s) church, where that oracle is read and sermonized on (I actually heard a good new take on it from my priest). Don't be like the other brother in the parable. Rather rejoice that someone has seen the error of a past opinion.
          schedule 1 year ago
    Theodore Iacobuzio
    Theodore Iacobuzio
    But without the support of people like this nothing is going to happen. Do you want to save these children or not?
    schedule 1 year ago
JON FRAZIER
JON FRAZIER
Bring on the malpractice lawyers.
schedule 1 year ago
Michael Cole
Michael Cole
I notice that a lot of the debate centers around how much autonomy a child should have to make their own decisions about medical treatment. But it usually is not pointed out that it is simply impossible for a prepubescent child to give INFORMED consent. No child, however smart and precocious, can understand what sexual maturity feels like. A child who wants puberty blockers or hormones, or worse, surgery, cannot understand what he or she is consenting to.
schedule 1 year ago
    Theodore Iacobuzio
    Theodore Iacobuzio
    Stop making sense. These people are maniacs.
    schedule 1 year ago
    Daniel Hochberg
    Daniel Hochberg
    Yes. Those children cannot possibly weigh what they are choosing adequately. Nor can a teen. Maybe an adult could but no guarantee there either.
    schedule 1 year ago
rksyrus
rksyrus
Thanks everyone, Triggernometry, darling little Bari W., but Dr. Frankenstein's in charge now. So come, get your ginourmous neophallus Frankenpecker (two for one deal, this week only) and then there's this brilliant development coming soon to a male cervix near you: "Womb transplants for transgender women will soon be possible". Woot!

So, yeah, we tried.
schedule 1 year ago
Peter Kurilecz
Peter Kurilecz
"The father adamantly disagreed, said this was all coming from the mother, and a custody battle ensued. After the hearing where our doctor testified in favor of transition, the judge sided with the mother. "
reminds me of the case here in Dallas where the mother and father were going through a divorce. The mother said that one of sons was trans. The father disagreed and took her to court. the judge sided with the mother. The mother has now moved to California with the son so that he can undergo hormone therapy.
anytime I see a story about a trans child you never see the father, but the mother is always present. just saw a story on FNC's Brett Baier program about Missouri's AG is going to investigate this hospital. The segment included several families with trans gender. One mother asked if the AG had a trans child and he didn't then he had no right to investigate this
schedule 1 year ago