Is This Harvard Medical School Associate Professor Practicing Medicine or Pressuring Vulnerable Patients?

A recent profile in the Harvard Crimson of an endocrinologist at the Harvard-Medical School teaching hospital Beth Israel Deaconess Medical Center who serves as the Director of Transgender Medicine is meant to portray the doctor as a forward thinking, compassionate medical provider. But there is much in the article that is disturbing and that suggests that medical ethics are being relegated to the sidelines in favor of a transgenderist bias.

Even the title of the June 28, 2022 article, Across Boston, Gender-Affirming Care is Just What the Doctor Ordered is a giveaway. Bear in mind that the term “gender-affirming” is an Orwellian term for not affirming one’s gender but engaging in highly invasive surgical and pharmaceutical methods aimed at attempting to alter it. (What is more, the idea that a man who undergoes these procedures and takes these drugs magically becomes a woman—the notion of there being such a thing as a “trans woman” is absurd and tragic for the person involved and insulting to biological women.)

There is much in the article that suggests that the patients (who are not actually physically ill—at least not in ways that “gender-affirming” care is designed to address, although they are clearly troubled and confused about matters of sexuality) are not so subtly pressured to go all in on this life-altering course of “treatment.”

“What about breast development?” “What features do you want from the testosterone?”

Note that these questions are not about illness but about massive changes to the body chemistry of otherwise healthy people.

patients come in for the management of their gender dysphoria… reviews their bloodwork and medications, conducts a physical exam, and asks questions about their identities to see if starting or changing their dose of testosterone or estrogen would be appropriate.

In other words, patients with the psychological condition of gender dysphoria are being pumped full of testosterone or estrogen by an endocrinologist. And this highly questionable practice is happening under the auspices of Harvard Medical School. And anyone who questions practices like this is likely to be attacked as “transphobic.” This is what the transgenderist movement has led to—unquestioning valorization of zealots in the exam room. We are assured that this doctor:

is also one of the leading experts on transgender healthcare and hormone replacement therapy as an experienced clinician and researcher

Really—pumping biological men full of estrogen in order to turn them into pseudo-women is expert care?

We are told:

Gender-affirming care combines a range of social, psychological, and medical specialties to help a patient live in a way that aligns with their gender identity.

Social? So we have social workers and activists weighing in on what should be strictly medical matters--and note that it all about "affirming" matters from the start. Think about the atmosphere created for patients who should be treated in a propaganda-free, values-neutral environment—this is from another Harvard Medical School physician quoted in the article:

“What we provide, and what I’m asked to do as the director, is much bigger than just a stand-alone clinic,” he says. “The program really does take the responsibility to make sure that the entire experience for a patient — from the moment they show up at the front door of the hospital to the moment they drive away or get on the subway to leave — is gender-affirming.”

To put these ideas into practice, MGH changed its signage on single-stall bathrooms into gender-neutral restrooms, he says. Many practitioners there started pinning rainbow and trans pride flags to their ID badge to signal awareness and understanding

Now, it is all very well to treat patients with respect and the whole point of these clinics is to advance the transgenderist agenda. But what about the confused young man or woman (or even child) who may be simply going through a phase, as many young people at one of the most vulnerable periods of their lives do, and who may not realize that having their body systems altered forever and their bodies mutilated may not be in their long-term interest? But here they are in a supposed medical setting surrounded by rainbow and trans pride flags—even on the ID badge of the practitioners treating them. That is not “affirming”—that is pressure and it is not professional nor ethical.

And this is not just a question of adults being pressured. A pediatric primary care physician is quoted in the article as saying:

I really felt like this was a patient population that needed to feel affirmed and supported in our environment — and that with my background in primary care and forming relationships and developing trust with patients, I felt like I could play a role.”

…believes the cultural shift in medicine begins with physicians like herself. “My goal for care for gender-diverse people, eventually, is for everyone to be competent in this and for centers to not need to exist. I truly believe that this work can be done by primary care doctors if they are given the time and support,” she says.

So, watch out parents. Pretty soon, your local primary care pediatrician (and not just an Harvard endocrinologist) may be aiming to “affirm” your tomboy daughter into the world of gender-obliterating surgery and hormone treatments. This is not alarmist—this is what is now increasingly regarded as the standard of care. As the main figure in the article says:

…more physicians will provide gender-affirming services so that his patients don’t have to drive far “to seek out the expert endocrinologist at an academic medical center,” he says. Instead, they can consult their primary care doctor where they live.

Think of the pressures being put on all physicians to get with the “gender-affirming” program given the prestige that Harvard Medical School enjoys. And the Harvard folks aren’t shy about pushing the transgenderist model into exam rooms across the country.

For example, another of the doctors quoted in the piece makes no bones about this national campaign to undermine the parent-child relationship, talking of:

a responsibility for research in Boston to be artillery in the political battle to preserve transgender care in states where it’s under attack

That is to say, red states where Harvard doctors don’t rule.

This same doctor even treats gender-obliterating surgery for children as a given, musing:

At what age should you be having surgery to make sure that that surgery has the lowest risk of complications?

That is scary stuff.

And this is downright sinister sounding, in that it wants to hand over a huge amount of control to the pro-transgenderist medical provider (you know, the kind that sports pride and trans flags on his or her ID badge) at the expense of input and assistance to patients from unbiased counselors and experts who might be able to determine what the actual wishes and level of understanding of the patient involved are:

Rather than gatekeeping procedures and therapies by requiring supplementary letters or psychotherapy, the revised guidelines advocate for patients to weigh the risks versus benefits of any option presented during their medical transition with the guidance of their provider.

How is the patient (who, again, is not physically ill in terms that gender-altering treatment has anything to do with) to weigh the risks if the provider involved has a vested ideological and financial interest in the matter? And given that these procedures encompass lopping off sexual organs and healthy breasts and pumping people full of hormones, isn't a little "gatekeeping" in order? We are assured at one point that psychological experts are involved in these programs--but apparently, they are barred if they are deemed to be "gatekeeping" (i.e. expressing qualms about the drastic measures being employed to align the "identity" of a possibly troubled patient).

Would you really want your son treated by the author of the eunuch (self-castration) chapter in the forthcoming revised “Standards of Care” guidelines for transgender medicine of the World Professional Association for Transgender Health?

These kinds of clinics should be scrutinized far more than they are.

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