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Old July 20th, 2017, 06:58 PM   #121
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this thread has drifted off topic, but that happens. an observation, as a doctor and prescriber i often find myself in the position of wanting to prescribe something that will help this patient, but its off label, so i am "not allowed to do it".

but thats not the case. its not that its not allowed, its just that its not subsidised. i am entirely allowed to, and the patient is entirely allowed to have it. the issue is who will pay. that gets forgotten. sometimes i write off label scripts and advise the patient that its going to cost them more than the usual subsidised scripts, and often people are happy with that. sometimes i lie and make a diagnosis that i know is false, so that the patient gets subsidised medication they are "not entitled to". before you judge me as corrupt remember there is nothing in it for me, it doesnt earn me a cent, or cost me a cent, and every doctor does this from time to time, because the list of legal indications is stupid.

we forget. we merge the ideas. we think that being subsidised is the same thing as being legal, and the same thing as being right. but whether it is subsidised, legal, or the right thing to do are three entirely different and often unrelated issues.


I still stand by my belief that giving puberty blockers to a child because they may or may not have some sort of gender dysphoria is child abuse.
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Old July 20th, 2017, 07:11 PM   #122
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I still stand by my belief that giving puberty blockers to a child because they may or may not have some sort of gender dysphoria is child abuse.
i think you take it case by case. some children have clearly stated that they have the wrong body, that they are a girl and their boy body is the wrong one for them, or vice versa. and have said that clearly and consistently since the age of 3. for that child, intervening early, including stopping puberty does make sense. but thats rare, and rare situations should not define policy for everyone. for the 15 year old who says "i dont know, i am confused about sexuality and gender identity" then yeah, your fucking 15, its called puberty, you will get your head around it in the end. medications dont have a role.
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Old July 20th, 2017, 07:19 PM   #123
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i think you take it case by case. some children have clearly stated that they have the wrong body, that they are a girl and their boy body is the wrong one for them, or vice versa. and have said that clearly and consistently since the age of 3. for that child, intervening early, including stopping puberty does make sense. but thats rare, and rare situations should not define policy for everyone. for the 15 year old who says "i dont know, i am confused about sexuality and gender identity" then yeah, your fucking 15, its called puberty, you will get your head around it in the end. medications dont have a role.
Yeah, I agree w/ that wholeheartedly. Unfortunately that is not where we are being led.
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Old July 20th, 2017, 07:31 PM   #124
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Yeah, I agree w/ that wholeheartedly. Unfortunately that is not where we are being led.
i have teenage children who have a couple of trans friends. none of them are on hormones. none of them are planning surgery. for now its just different names and clothes. i suspect they will go back to their biological gender in time. i quietly refer to them with the term you coined - trans trender. i think it applies.

but thats australia. we tend to be socially conservative, and in particular the medical profession tends to be very conservative, and we watch the rest of the world experiment with medical fads and see which ones stick and which ones die before we adopt them. there is a saying in medicine 'never be the first doctor to try a new treatment, and never be the last doctor to abandon an old treatment'. australia is often the last doctor to abandon the old ways. thats probably not good, but when you are dealing with such important issues its better than jumping on board with every new trend.
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Old July 20th, 2017, 07:40 PM   #125
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i have teenage children who have a couple of trans friends. none of them are on hormones. none of them are planning surgery. for now its just different names and clothes. i suspect they will go back to their biological gender in time. i quietly refer to them with the term you coined - trans trender. i think it applies.

but thats australia. we tend to be socially conservative, and in particular the medical profession tends to be very conservative, and we watch the rest of the world experiment with medical fads and see which ones stick and which ones die before we adopt them. there is a saying in medicine 'never be the first doctor to try a new treatment, and never be the last doctor to abandon an old treatment'. australia is often the last doctor to abandon the old ways. thats probably not good, but when you are dealing with such important issues its better than jumping on board with every new trend.

I got the term from my teenage kids as that is apparently the term and I live in the progressive Mecca of the Midwest.

It is like the goth kids of the past, a fad for uncomfortable teens. I have no issue w/ it untill we have to start redesigning buildings or until we start putting them under the knife.

Once they become adults I could give a shit less what they do but I don't even think we should be giving children elective plastic surgery much less gender reassignment.
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