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Gender dysphoria…a good look at what is actually known Login/Join 
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quote:
The rationale for early puberty suppression remains unclear, with weak evidence regarding the impact on gender dysphoria, mental or psychosocial health. The effect on cognitive and psychosexual development remains unknown.

• The use of masculinising / feminising hormones in those under the age of 18 also presents many unknowns, despite their longstanding use in the adult transgender population. The lack of long-term follow-up data on those commencing treatment at an earlier age means we have inadequate information about the range of outcomes for this group.

Clinicians are unable to determine with any certainty which children and young people will go on to have an enduring trans identity.

For most young people, a medical pathway will not be the best way to manage their gender-related distress. For those young people for whom a medical pathway is clinically indicated, it is not enough to provide this without also addressing wider mental health and/or psychosocially challenging problems.

• The option to provide masculinising/feminising hormones from age 16 is available, but the Review recommends extreme caution. There should be a clear clinical rationale for providing hormones at this stage rather than waiting until an individual reaches 18. Every case considered for medical treatment should be discussed at a national Multi- Disciplinary Team (MDT).


https://cass.independent-revie...ations/final-report/

The author of this review now faces threats of harm!


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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Why should I care what medical choices other people make in their homes?

Sure does not seem like something that concerns me.
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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Originally posted by Steve Bertram:
Why should I care what medical choices other people make in their homes?

Sure does not seem like something that concerns me.


Nobody’s twisting your arm.

Kid’s are important to me.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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Seems like these are choices best made by the parents of those kids, not you or legislators.

Kids are important, I just don't think it is my place to interject myself in someone else's family life.
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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Believe it or not, all doctors are governed by law. Wink

But more importantly, all doctors should be governed by ‘good’ science. Smiler


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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The science is unsettled, what is plain as day is that this is a culture war issue that has been blown out of proportion for political reasons Smiler
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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Originally posted by ledvm:
Believe it or not, all doctors are governed by law. Wink

But more importantly, all doctors should be governed by ‘good’ science. Smiler


Just so long as it's "good science" you agree with.


-Every damn thing is your own fault if you are any good.

 
Posts: 15122 | Registered: 20 September 2012Reply With Quote
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quote:
Originally posted by Mike Mitchell:
quote:
Originally posted by ledvm:
Believe it or not, all doctors are governed by law. Wink

But more importantly, all doctors should be governed by ‘good’ science. Smiler


Just so long as it's "good science" you agree with.


That is where you got me wrong. I follow the science.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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quote:
Originally posted by Steve Bertram:
The science is unsettled, what is plain as day is that this is a culture war issue that has been blown out of proportion for political reasons Smiler


quote:
Above all else…do no harm.


Those words should ring load and clear in every doctor’s ears before rendering a treatment.

In this regard…I let the report speak for itself.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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quote:
Originally posted by Steve Bertram:
Seems like these are choices best made by the parents of those kids, not you or legislators.

Kids are important, I just don't think it is my place to interject myself in someone else's family life.


Actually that is not true in many cases.

Children are encouraged to take these drugs WITHOUT THEUR PARENTS KNOWLEDGE!


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Posts: 67008 | Location: Dubai, UAE | Registered: 08 January 1998Reply With Quote
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I'm still not convinced that a Horse Doctor is in a better position to decide treatment for those experiencing gender dysphoria than an actual Doctor or the teens parent.
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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quote:
Originally posted by Saeed:
quote:
Originally posted by Steve Bertram:
Seems like these are choices best made by the parents of those kids, not you or legislators.

Kids are important, I just don't think it is my place to interject myself in someone else's family life.



Actually that is not true in many cases.

Children are encouraged to take these drugs WITHOUT THEUR PARENTS KNOWLEDGE!


That is certainly the story right wing media wants you to believe.
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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quote:
Originally posted by Steve Bertram:
quote:
Originally posted by Saeed:
quote:
Originally posted by Steve Bertram:
Seems like these are choices best made by the parents of those kids, not you or legislators.

Kids are important, I just don't think it is my place to interject myself in someone else's family life.



Actually that is not true in many cases.

Children are encouraged to take these drugs WITHOUT THEUR PARENTS KNOWLEDGE!


That is certainly the story right wing media wants you to believe.


I don’t believe ANY media.

I got this from doctors working in the UK.

No parental approval required!


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Posts: 67008 | Location: Dubai, UAE | Registered: 08 January 1998Reply With Quote
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Could be....I still think the whole issue is blown far out of proportion for political reasons.

I agree with you though, if what you say about the parents not being involved is true, that should never happen.
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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quote:
Originally posted by ledvm:
Believe it or not, all doctors are governed by law. Wink

But more importantly, all doctors should be governed by ‘good’ science. Smiler


Assuming that one has the ability to distinguish between good science and not so good science.


Give me a home where the buffalo roam and I'll show you a house full of buffalo shit.
 
Posts: 1209 | Location: IOWA | Registered: 27 October 2018Reply With Quote
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Originally posted by ANTELOPEDUNDEE:
quote:
Originally posted by ledvm:
Believe it or not, all doctors are governed by law. Wink

But more importantly, all doctors should be governed by ‘good’ science. Smiler


Assuming that one has the ability to distinguish between good science and not so good science.


Doctors are taught how to analyze research in college, professional school, and in residency.

Board Certified specialists even get tested on this ability.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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Picture of ledvm
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quote:
Originally posted by Steve Bertram:
I'm still not convinced that a Horse Doctor is in a better position to decide treatment for those experiencing gender dysphoria than an actual Doctor or the teens parent.


Please show me where I injected my opinion in anything about the science? I am a board certified specialist that does know how interpret research however. Wink


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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Was the bold type in your first post your interjection? I also noticed that you did not post a full list of the key findings, just the ones that you felt were important.

Try harder next time, you make this too easy Big Grin
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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I posted actual text and a link. Is clicking hard for you? Or, is it the reading? Cool


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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I clicked, and I read it. That is how I noticed that you had interjected your opinion by adding the bold text and only selectively posting the key findings. Big Grin

Try harder.....
 
Posts: 239 | Location: Boulder mountains | Registered: 09 February 2024Reply With Quote
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Lane, the report appears to me to be vastly inconclusive, urging caution -- of course! -- multidisciplinary/holistic evaluation of the patient and calls for much greater research and followup care.
I confess I only read the context and overviews and not the entire report.
I am most uncomfortable leaving the fate of these complicated kids in the hands of a bunch of white male Republican legislators with zero medical training and who insist a child raped by her father must carry the baby to term.

I looked into this troubling topic earlier and found that the issue has been present at least since the time of ancient Greece and Rome.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286744/


There is hope, even when your brain tells you there isn’t.
– John Green, author
 
Posts: 16415 | Location: Sweetwater, TX | Registered: 03 June 2000Reply With Quote
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quote:
Originally posted by Steve Bertram:
Seems like these are choices best made by the parents of those kids, not you or legislators.

Kids are important, I just don't think it is my place to interject myself in someone else's family life.


Im not disagreeing with you at all and we agree that is the ideal. Isn't it unfortunate that in practice modern parents seem to need so much government intervention. Nation wide it seems state child protective services are busy. We read about sex trafficking rings and pedophiles. Juvenile crime is an issue and really vanilla topics like literacy and truancy come up regularly.

If parents were making good choices the above would make headlines less. How about we shift responsibilities away from Bills white republican senior citizen legislators and let the parents take on the blame for their kids?
 
Posts: 9121 | Location: Dillingham Alaska | Registered: 10 April 2006Reply With Quote
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If someone had posted the same regarding Covid, Dr Easter would post about how he knows the “research” is not real research and flawed.

I trust the AMA, the parents, the child, and the parents doctor. I do not trust Dr. Easter or legislatures w this issue.

We want parents to control concerns mint their child right? That is what the right says anyway.
 
Posts: 10930 | Location: Somewhere above Tennessee and below Kentucky  | Registered: 31 July 2016Reply With Quote
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I do not trust the “child” because under the law they are not able to be bound by contract here. These 14 year olds getting puberty blockers can change their mind and have a great medical malpractice case when they turn 18 and can sue their doctor, gender shrink, and parents.
I think we will see malpractice carriers put a stop to all this pre-18 genital mutilation whether by knife or drugs because of this liability issue unless legislation is passed to correct this.
 
Posts: 1948 | Registered: 16 January 2007Reply With Quote
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Lane, what is your purpose in posting this thread, if not to fan the flames of a culture-war issue?

What do you propose be done about the issue? Do you actually want government to intrude on yet another private, personal choice?
 
Posts: 6136 | Location: Coeur d' Alene, Idaho, USA | Registered: 08 March 2013Reply With Quote
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You cant buy a beer until 21, or a handgun, or a pack of smokes. A dude can decide to become a girl at 14 though? Seems a bit off. If A guy wants a vagina, I really dont care. Thats said, I think you need to be an adult to make that sort of decision. Much more drastic example of why you have to be an adult to get a tattoo, kids are fickle.
 
Posts: 473 | Registered: 07 May 2018Reply With Quote
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The gender issue HAS been blown out of proportion!

Supported by stupid politicians.

Where in the world would you allow failed men to compete in women's sports?

Where in the world would you allow men to go to ladies changing rooms.

Where in the world would you have stupid idiots having to choose between Trump or Biden to rule them? clap


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Posts: 67008 | Location: Dubai, UAE | Registered: 08 January 1998Reply With Quote
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You win on that last point, Saeed! rotflmo rotflmo Frowner


There is hope, even when your brain tells you there isn’t.
– John Green, author
 
Posts: 16415 | Location: Sweetwater, TX | Registered: 03 June 2000Reply With Quote
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quote:
Originally posted by Bill/Oregon:
You win on that last point, Saeed! rotflmo rotflmo Frowner


Bill my friend,

You cannot imagine how sad we feel for America in its current state.

I have been accused of being anti American.

Nothing if the sort.

You all claim to have a CHOICE???

Prove it!


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Posts: 67008 | Location: Dubai, UAE | Registered: 08 January 1998Reply With Quote
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quote:
Originally posted by zebrazapper:
You cant buy a beer until 21, or a handgun, or a pack of smokes. A dude can decide to become a girl at 14 though? Seems a bit off. If A guy wants a vagina, I really dont care. Thats said, I think you need to be an adult to make that sort of decision. Much more drastic example of why you have to be an adult to get a tattoo, kids are fickle.


I think this pretty much sums it up.

What do I say? Support the kids psychologically without hormones or scalpels until they are adults. When they turn 18 (should be 21)…they can do as they choose.

The data urges this^^^strategy.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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If you read the adult gender dysphoria research it is all pretty vague and based on subjective scores and findings.

If you read enough of it, you can find studies that support whatever conclusion you wish to find.

Fundamentally it ends up being an issue of individual choice.

These people have real distress… but I’m not convinced that hormones and surgery resolve that problem. Ideally you need to be happy in your own skin.

My biggest issue with the various more invasive gender dysphoria treatments is that they all have significant and permanent side effects. You are addressing psychic pain with an indirect treatment to make them feel better, instead of addressing what makes them feel this pain.

Part of why the AMA came out so strongly for it is that the group of folks currently treating GD feel that they can address the pain more effectively by changing the outward manifestations of gender easier than the “why” these folks feel that way.

Unfortunately, most physicians who are not involved in this look at it as violating the Hippocratic oath in that you are inducing a permanent harm while not really treating the actual pathophysiogy.
 
Posts: 10645 | Location: Minnesota USA | Registered: 15 June 2007Reply With Quote
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Above all else...do no harm.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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I normally do not say anything about stuff like this because I believe if someone wants to do something do their body as long as it does not hurt anyone else who am i to say anything about it. With that said i am going to make some comments on this issue because I have personally know someone who went through this.

My nephew is transgender. He was born a male and grew up as a typical boy. Around 25 years old he told the family he was transgender and wanted to transition to a female. Needless to say we were all shocked. He told us for years he was depressed and suicidal because he felt like a female trapped in a male body. Not everyone in the family supported him. The more religious members were the ones who did not support him.

Hsi doctor was fantastic in the fact that he told him that in order to have surgery he would have to start the hormone therapy and actually live as a female for 5 years and be 100% comfortable as a female before he would consider surgery. He started therapy and did live as a female for about 2 years. Somewhere around then he decided that maybe being a female was not what he wanted to he quit therapy and went back to living as a male. A couple year as a male and back to a female. This back and forth happened several times. He is currently in his mid 30's and still struggles with this issue.

He is dead set against letting kids or kids parents make the decision to have surgery at anything less than 21. His doctor gave the best advice in that he said the hormone therapy is one thing because it is reversable, if you change your mind you just have to stop and you go back, but the surgery is forever. That is why he requires 5 years of successful therapy before he even thinks about surgery.

He testified on a bill here that he is 30 years old and has a hard time figuring out what he wants to do so how in the hell can a teenager or a parent make that kind of decision. I agree with him. I think the doctor had it right, wait until you are at least 21 and then live for 5 years before you do anything drastic.
 
Posts: 508 | Location: SW Montana | Registered: 28 December 2000Reply With Quote
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quote:
Originally posted by MtElkHunter:
I normally do not say anything about stuff like this because I believe if someone wants to do something do their body as long as it does not hurt anyone else who am i to say anything about it. With that said i am going to make some comments on this issue because I have personally know someone who went through this.

My nephew is transgender. He was born a male and grew up as a typical boy. Around 25 years old he told the family he was transgender and wanted to transition to a female. Needless to say we were all shocked. He told us for years he was depressed and suicidal because he felt like a female trapped in a male body. Not everyone in the family supported him. The more religious members were the ones who did not support him.

Hsi doctor was fantastic in the fact that he told him that in order to have surgery he would have to start the hormone therapy and actually live as a female for 5 years and be 100% comfortable as a female before he would consider surgery. He started therapy and did live as a female for about 2 years. Somewhere around then he decided that maybe being a female was not what he wanted to he quit therapy and went back to living as a male. A couple year as a male and back to a female. This back and forth happened several times. He is currently in his mid 30's and still struggles with this issue.

He is dead set against letting kids or kids parents make the decision to have surgery at anything less than 21. His doctor gave the best advice in that he said the hormone therapy is one thing because it is reversable, if you change your mind you just have to stop and you go back, but the surgery is forever. That is why he requires 5 years of successful therapy before he even thinks about surgery.

He testified on a bill here that he is 30 years old and has a hard time figuring out what he wants to do so how in the hell can a teenager or a parent make that kind of decision. I agree with him. I think the doctor had it right, wait until you are at least 21 and then live for 5 years before you do anything drastic.

We can all debate this all day long but your boots on the ground perspective really shines a great light on this. I think your nephew is brave, it takes more in my experience to admit what you dont know than tout what you do.
 
Posts: 473 | Registered: 07 May 2018Reply With Quote
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On this issue, I'll trust the veterinarians and the archaeologists. They don't seem to have any gender confusion or seem to want to change anyone's gender.

Lane, I'm with you on this issue. Seems pretty simple actually until all the clueless woke folks start trying to ruin kids' lives.

P.S. My Pronouns: I don't do pronouns; Mine or yours.
 
Posts: 10035 | Location: Houston, Texas | Registered: 26 December 2005Reply With Quote
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You'd trust the vets and archaeologists? Their opinions are probably just as uninformed as yours.

Or do you think vets and archaeologist majors study gender dysphoria in school? Maybe people go to them for treatment. I'm curious: do you also ask a plumber for medical advice?

And who gives a shit what you do with pronouns?
 
Posts: 6136 | Location: Coeur d' Alene, Idaho, USA | Registered: 08 March 2013Reply With Quote
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The Pediatrician who did this study is an expert. She now fears for her safety for publishing the truth.

How do you feel about that Roland?


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 36638 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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How does the amount that's known compare with the unknown, in this body of knowledge?


TomP

Our country, right or wrong. When right, to be kept right, when wrong to be put right.

Carl Schurz (1829 - 1906)
 
Posts: 14386 | Location: Moreno Valley CA USA | Registered: 20 November 2000Reply With Quote
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Roland,

Yes, I trust the vets and the archaeologists. And I think people should stop studying gender dysphoria in school, because that's the problem.
 
Posts: 10035 | Location: Houston, Texas | Registered: 26 December 2005Reply With Quote
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Archeologists were responsible for Piltdown Man.
 
Posts: 6136 | Location: Coeur d' Alene, Idaho, USA | Registered: 08 March 2013Reply With Quote
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