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people who are still vigilant about masking and making their friends test before hanging out….. lol why

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So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

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just saw a furry go "ugh pup masks are the worst thing to happen to the furry community" and it's like what are you talking about those are your cousins, at the end of the day you're both pretending to be gay dog men, i think it's just an aesthetic choice at that point

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This is the right approach to the “queer and trans kids” virus plaguing society. Gently but firmly reminding your child that they are in fact a child, and not to concern themselves with labels and decisions like this.

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"We need more unapologetically weird folks!" you guys can't even handle furries

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doctor pepper actually transitioned a few years back but everyone knows her as doctor so no one realized

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Stop using the word degenerate to mean horny challenge

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sorry did my degenerate ex boyfriend write this

the end of brat summer means the beginning of faggot fall

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yknow maybe its good that these people have a fetish for sterilizing themselves

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I swear today's teens are so mentally fucked up it isn't funny. They legit think that fashion styles are genders and that posting your nudes on Onlyfans is a legit career choice and that it's normal to be surrounded by "friends" who will cancel you and ruin your life the moment you say one thing they disagree with and that getting choked out while having sex is normal and that being constantly afraid of social ostracization is just the way friendship works and that businesses using your personal info to control the media and products you are advertized isn't something to worry about.

The Kids are Not Alright and someday we are going to pay the price for letting this happen.

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The pride flag design debuted about 3 years ago and has nothing to do with Palestine. Many flags of the world have triangles on their hoist side:

So it’s a coincidence. But I think it would be easier for everyone to just stick with the rainbow.

The fuck am I looking at?? This can’t be a coincidence. LGB movement officially hijacked by Pro Pali Neonazi Islamists and pedos 🤦‍♂️

On that note: here a Saudi on Fakeistine

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A post shared by ISRAEL DIGITAL FORCE 🎗️ 🇮🇱 (@israeldigitalforce)

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YIKESSSSSSSSSSSSSS

GOTTMIK RuPaul’s Drag Race All Stars 9x03

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how boutcha get over it lol

"How come disabled people are always complaining about their disabilities even if their blog isn't about being disabled" I dunno it's almost like. It's something that effects us every day and some of us just need to vent to feel better about the mass amounts of pain we're in because not everyone can just grin and bear it

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reductress too real these days

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god I hate this trans cult

for whoever needs to hear this:

starting HRT doesn't have to be a huge momentous all-or-nothing decision. you can just try it like you would an antidepressant you've been informed of the risks of.

there won't be any immediate irreversible changes overnight. you can always stop, change your dose, change your delivery system, decide it's not the right time. you can even microdose if you want to.

you don't have to tell anyone. you don't have to announce it if you don't want to.

stop waiting for a perfect time in your life because it won't come.

stop waiting to reach a mythical level of certainty that never comes to anyone, for anything.

you've been thinking about it long enough. if you have the opportunity, just give it a shot. you're worth the courage it takes to make a change in your life.