#Dr. Jason Rafferty

[coochiequeens]

Its chief executive officer instructed those members who have leadership roles within the organization — but who are employed by medical practices or universities — only to use personal email accounts for AAP (American Academy of Pediatrics) -related correspondence. This could protect such emails from freedom-of-information requests and employers’ document-retention policies." 

Well that sounds like they have nothing to hide

By BENJAMIN RYAN Thursday, December 21, 202322:44:51 pm

The American Academy of Pediatrics, under fire for its policies on gender-transition treatment for minors, is taking steps that might limit its legal exposure — or at least minimize public scrutiny — in the face of a lawsuit by a woman who at 14 underwent a medical gender transition that she later regretted. 

This month, the highly influential medical association, which has about 68,000 pediatrician members, shelved a pending book on the care and treatment of children who identify as transgender. Its chief executive officer instructed those members who have leadership roles within the organization — but who are employed by medical practices or universities — only to use personal email accounts for AAP-related correspondence. This could protect such emails from freedom-of-information requests and employers’ document-retention policies.  

An AAP representative told the Sun that neither move was related to the litigation it faces and that the board’s decision to enact the new email policy predated the filing of the lawsuit in question.

“The AAP has been under scrutiny for a couple of years now because of its gender policies,” said a fellow at the Manhattan Institute, Leor Sapir. He speculated that the organization’s new email policy could have been motivated by such ongoing external pressures, which also predated the lawsuit. 

Dr. Jason Rafferty, a leading specialist in pediatric gender transitions, is named in the detransitioners’ lawsuit. He also contributed commentary to a forthcoming book that’s been pulled by the American Academy of Pediatrics. Brown University

Mr. Sapir argues that the AAP and the American medical establishment more broadly have failed to establish “in a thoughtful and scientific way” its guidelines for pediatric gender-transition treatments. Consequently, he said, he supports controversial state laws that ban the prescription of puberty blockers and cross-sex hormones to children to treat gender dysphoria — a psychiatric diagnosis that involves significant distress over a conflict between an individual’s gender identity and their biological sex. 

A number of states with Republican-controlled legislatures have passed these laws since 2021 as part of a concerted pushback against medical care practices, first imported to the United States from the Netherlands in 2007, for children who identify as the opposite gender. The Republican-dominated Ohio legislature last week passed a bill that would make the state the 22nd to ban such medical treatment. The governor of Ohio, Mike Dewine, a Republican, has yet to decide if he will sign the contentious bill. If he does not sign or veto it by December 29, it will become law.

The AAP has maintained full-throated support for the availability – and legality – of medical gender-transition treatments for children. Its influential journal Pediatrics on Wednesday published an essay by a pediatrician at Seattle Children’s Hospital, Dr. Emily Georges, and two colleagues arguing that banning such medicine is “a form of child maltreatment.” 

“These legislative efforts operate under the guise of protecting children,” Dr. Georges and her coauthors wrote. “In reality, they punish caregivers and physicians when they choose to support children.”

The AAP Faces a Lawsuit

In October, a Dallas law firm filed a lawsuit against the AAP on behalf of a biological woman, Isabelle Ayala, who beginning at age 14 was treated for gender dysphoria with testosterone by a group of Rhode Island health care providers; they are also named as defendants. On this team was a child psychiatrist and pediatrician trained by and affiliated with Brown University, Dr. Jason Rafferty, who is the sole author of the broadly influential policy statement on pediatric gender-transition treatment that the AAP published in October 2018, a few months after Ms. Ayala left his care. 

“In hindsight, that makes me feel like a guinea pig,” Ms. Ayala, 20, said in a YouTube video posted last week by the Independent Women’s Forum, a conservative nonprofit. 

Jordan Campbell, Ron Miller, Josh Payne, and Daniel Sepulveda of newly founded law firm Campbell Miller Payne, PLLC. They say they established their firm to represent ‘individuals who were misled and abused – many as children – into psychological and physical harm through a false promise of “gender-affirming care.”’ Campbell Miller Payne, PLLC.

A retired pediatrician, AAP member and volunteer professor of pediatrics at the University of Cincinnati College of Medicine, Dr. Christopher Bolling, defended the AAP’s integrity from what he said was a “talking point from transgender care ban advocates” that Dr. Rafferty “somehow wrote the whole thing and forced everyone else to just sign it.” Dr. Bolling was not himself involved with developing the policy statement in question, but said, “Writing those statements are some of the most collaborative labor-intensive, careful processes I’ve ever been involved with.” 

Ms. Ayala ultimately “detransitioned,” reverting from considering herself a trans male to identifying as her birth sex. The law firm representing her, Campbell Miller Payne, was recently established by four white-shoe attorneys solely to represent such regretful so-called detransitioners. The firm is behind five of the nine known medical-malpractice detransitioner lawsuits.  

Time Magazine reported Thursday that the threat of such litigation is already driving up malpractice insurance premiums for providers of pediatric gender-transition treatment, shutting out some smaller gender clinics.

The lawsuit takes on the powerful American Academy of Pediatrics, which has enormous influence over pediatric care in the U.S. Campbell Miller Payne, PLLC

Ms. Ayala’s suit accuses Dr. Rafferty and his colleagues of malpractice for prioritizing treating her gender dysphoria over her myriad other psychiatric diagnoses and for allegedly causing her lasting physical harm. 

“I don’t even like to think about my fertility,” Ms. Ayala said in a voice over in the YouTube video as she looked at a baby crib, addressing concerns about the long-term impacts of testosterone treatment. “It is my greatest fear to go to the gynecologist and have them tell me I can’t have children over some decisions that were made when I was fourteen.”

The suit further alleges that Dr. Rafferty and others engaged in a conspiracy with the AAP to develop methods for treating gender dysphoric children while Ms. Ayala was the physicians’ patient that are not evidence based and are grounded in what a scathing peer-reviewed critique published in 2019 argued was a misrepresentation of the relevant scientific literature.

In their new Pediatrics essay, Dr. Georges and her coauthors countered such a premise. Referring  to what supporters of such treatment call gender-affirming care, they wrote: “Although some individuals make it seem that GAC is a new, experimental area of medicine, GAC is evidence-based.”  

They continued: “The benefits of GAC, most notably on mental health, self-esteem, and development, outweigh the risks in the majority of circumstances. GAC is, for many, lifesaving.” 

Isabelle Ayala appears with her attorney in a new YouTube video in which she discusses her gender transition treatment. Independent Women’s Forum

This a reference to suicide prevention. Advocates of medical gender transitions for children argue that gender dysphoric youth are at high risk for death by suicide if they are not able to medically transition if they so choose.

The AAP Pulls a Book on the Gender-Affirming Care Model

During the fall, the AAP began taking pre-orders for a 320-page book on pediatric gender-transition care and treatment that was set to be published on January 30. Dr. Rafferty was listed first among the authors of the book’s commentaries. 

On December 6, the day after the Sun published an article about Ms. Ayala’s suit and another malpractice suit filed against Dr. Rafferty and his colleagues by a detransitioned adult patient, the AAP emailed those who had pre-ordered the book, alerting them: “Due to an upcoming policy review on this topic, the publication of this book has been placed on hold.” 

A representative for the organization confirmed to the Sun that the email referenced the AAP leadership’s announcement in August that it would commission an independent systematic literature review — the gold standard for assessing scientific evidence — of the research regarding pediatric gender-transition treatment. The AAP said at the time that it was prompted to take this step out of “concerns about restrictions to access to health care with bans on gender-affirming care.”

An AAP member and a pediatrician at Carmel, Indiana, Dr. Sarah Palmer, criticized the academy’s expressed motivation, which she said centered the pending review “in the political realm instead of in the clinical and scientific realm where doctors should apply their expertise.” 

The AAP representative said that the book contains research previously published in the academy’s journals and no new guidance. It does, however, contain the new commentaries. The representative said the AAP decided to delay publication “to avoid confusion” during the “ongoing” work on the review, the findings of which the academy plans to share publicly. However, the book went on sale for pre-order well after the literature review was announced. The representative declined to respond to detailed questions about the review’s progress, including whether the AAP would observe typical scientific protocol for a systematic literature review and publish its criteria in advance.

In reference to the AAP’s publication of Dr. Georges’ unsparing and politically charged new Pediatrics essay, Mr. Sapir said, “It’s weird that they would pull the book on the grounds that there is an ongoing systematic review, but in their own peer-reviewed journal they would publish this document.”

The AAP’s move to conduct the systematic review came after three years of efforts led by an AAP member and Gresham, Oregon-based pediatrician, Dr. Julia Mason, to compel the organization to do so. ​​She, Dr. Palmer, and Mr. Sapir all expressed concern about what they characterized as the AAP’s lack of transparency during the four months since announcing it would commission the systematic review. 

“I think the pressure of the lawsuit led to their pulling the book. Because they suddenly realized that they might be held responsible for what that book said in a court of law,” said Dr. Mason, who is a board member of the Society for Evidence Based Gender Medicine. Founded in 2020, the society is a collective of clinicians and researchers who share concern that, as multiple systematic reviews of the relevant evidence have found, pediatric gender-transition treatment is based on a low or very low quality of scientific evidence while it comes with considerable risks, including infertility and sexual dysfunction.

In conflict with the Pediatrics essay, such reviews have also not found evidence that withholding puberty blockers and cross-sex hormones from gender dysphoric youth is associated with a higher suicide death rate. Additionally, Dr. Mason and numerous other critics have called into question the validity of the findings of a 2022 University of Washington and Seattle Children’s study often cited by supporters of such treatment, including in the new Pedatrics article’s authors, as evidence that medical gender-transition treatment reduces suicidal thoughts and behaviors in gender-dysphoric adolescents.

The American Academy of Pediatrics headquarters outside Chicago. The AAP is the target of a lawsuit about its policies regarding transgender care for minors. AAP

Transgender activists have called the Society for Evidence Based Gender Medicine an anti-trans group and highlight how commonly other medical treatments are backed only by low quality evidence. The type of randomized, placebo-controlled trials that would produce the highest quality of evidence, trans advocates argue, would not be ethical for pediatric gender-transition treatment.

A sprawling Southern Poverty Law Center report published December 12, “Combatting LGBTQ+ Pseudoscience,” places the Society for Evidence Based Gender Medicine at the nexus of what it portrays as an interconnected conspiracy by various organizations to undermine support for pediatric gender-transition treatment and harm trans youth. The Southern Poverty Law Center has come under criticism from social conservatives in recent years for, they argue, unfairly and egregiously classifying some conservative groups as “hate groups.” The Society for Evidence Based Gender Medicine, however, bills itself as an apolitical science organization. 

Maintaining Ownership of Internal Emails

Earlier this month, the AAP’s chief executive officer, Mark Del Monte, and chief medical officer, Dr. Anne R. Edwards, sent a letter to what the AAP representative reported was all of the academy’s staff and hundreds of non-staff members in leadership roles, alerting them to a new correspondence policy, effective January 1. It ordered the members only to use personal email accounts, such as Gmail, for leadership level AAP-related business. 

The AAP representative told the Sun that the decision to enact this new policy was unrelated to Ms. Ayala’s lawsuit and predates its filing, having been made at an AAP board meeting in May; minutes from the meeting indicate as much. 

Mr. Del Monte and Dr. Edwards differentiate in the letter between the public nature of the AAP’s “policy, advocacy positions, and educational resources” and the “confidential, internal discussions” pertaining to these documents’ development. 

“To protect the internal deliberations of our member experts,” the letter states, “the AAP Board of Directors has approved new prudent steps to keep internal communications under the control of the AAP and its member leaders.” 

The letter continues: “While we regret that this action is necessary, members do not ‘own’ their work email and so do not necessarily have the decision-making authority about whether or not to release it publicly.” 

The use of institutional or workplace email accounts, the letter further states, creates “multiple vulnerabilities for AAP and our members.” This includes the fact that “employer-sponsored email platforms are subject to the document retention and release policies of external institutions, including in response to subpoenas or Freedom Of Information Act (FOIA) requests.” 

The board’s decision to enact this policy, the AAP representative said, “followed a lengthy deliberation by board members to ensure the AAP manages records in compliance with applicable federal and state laws, while meeting operational needs.” 

A medical doctor and tort law expert at the University of Baltimore School of Law, Dr. Gregory Dolin, said he anticipated that a shift from workplace to personal email accounts for such correspondence would not frustrate any attempts by Campbell Miller Payne to obtain internal AAP emails through discovery in its suit against the academy. However, Dr. Dolin said that by forbidding communicating via email accounts subject to FOIA requests, the AAP “may reduce non-litigation related, but nevertheless embarrassing disclosures” by, for example, journalists.

Protecting Children

A professor of epidemiology and biostatistics at the University of California, San Francisco, Dr. Vinay Prasad is an outspoken critic of what he has characterized as unscientifically sound Covid-19-mitigation public-health policies. On Monday, he published an essay on the Sensible Medicine Substack criticizing the AAP for asserting that for obese patients, pediatricians “should offer” adolescents and “may offer” children ages 8 to 11 weight-loss drugs such as Ozempic.

Meanwhile, the United States Preventive Services Task Force asserted in a draft guidance released December 12 that evidence was insufficient, in particular concerning the long-term impacts of such medications, to make such a recommendation. The task force called for more research. 

In an email, Dr. Prasad argued that the AAP’s policies regarding gender-transition treatment represent a pervasive lack of adherence to evidence-based standards. 

“I am deeply concerned that, across all their recommendations, the American Academy of Pediatrics does not rely on the highest quality of evidence, and worse, they do not call for better studies,” said Dr. Prasad. “Instead, they’re very happy to make strong recommendations based on their own biases in the absence of evidence. And that harms children.” 

Dr. Georges, by contrast, wrote in Pediatrics that any state law denying children gender-transition treatment “not only represents medical neglect, but it is also state-sanctioned emotional abuse.”

BENJAMIN RYAN

Benjamin Ryan is an independent health and science reporter who also contributes to The New York Times, The Guardian and NBC News and has also written for The Atlantic and the Washington Post.

[eternal-echoes]

A Florida woman who medically transitioned from female to male as a 14-year-old is suing the American Academy of Pediatrics — alleging she was whisked through the process as a minor by “a collection of actors who prioritized politics and ideology over children’s safety, health, and well-being.” Isabelle Ayala, now 20, is also suing her doctors in Rhode Island in a first of its kind case, filed in Providence/Bristol County Superior Court. “I just really don’t want this to happen to other vulnerable young girls,” Ayala, who lives in Wellington, Florida, told The Post. “I don’t want puberty to be the enemy. I don’t want our natural biology to be the enemy.” ... Ayala says she was sexually assaulted as a child and began precocious puberty at age 8 — both experiences she says made her resent her femininity and believe she was better off male. “I decided to transition because of just a series of unfortunate things that I had tied to being female. And those things made me hate being female,” Ayala said. At 11, she found solace in the transgender activist community on Tumblr, and thought, “This is going to fix me.” She learned from trans activists that fabricating suicidal ideation is a surefire way to get a testosterone prescription quickly. So, at age 14 she did just that: “I learned that from the internet that… I had to convince [my doctors and family] that if they don’t affirm me, I’m gonna kill myself.” Ayala said she was referred to a gender clinic and diagnosed with gender dysphoria by transgender health expert Dr. Jason Rafferty. According to the lawsuit, he determined she “would benefit from being put on cross-sex hormones” in a single visit that lasted less than an hour. ... Ayala alleges that her previous diagnoses of autism, ADHD and PTSD were largely overlooked by her healthcare providers. The lawsuit claims her doctors “falsely represented that cross-sex hormone therapy was the only treatment option available to Isabelle to effectively treat her gender dysphoria, as well as her anxiety, depression, PTSD and suicidality.” Less than a year into treatment, Ayala said, she actually did attempt suicide. “She was a guinea pig under one of the top experts in this field of so-called gender medicine,” Bolar said. “She was hitting rock bottom, and he continued to put her down this experimental path of medicine.” By age 17, in 2020, Ayala felt the urge to begin presenting femininely again. A YouTuber who had detransitioned inspired her to identify as a woman again — and she soon realized her transition had been a massive mistake. Three years on, according to the lawsuit, she still struggles with unwanted body hair, vaginal atrophy and an altered bone structure from the testosterone. “She has since contracted Hashimotos’s disease, an autoimmune disease that only the males in her family have a history of, from taking testosterone,” the suit claims.

The emphasis is mine.

[religion-is-a-mental-illness]

By: Eliza Mondegreen

Published: Nov 23, 2023

For years, the American Academy of Pediatrics (AAP) has attempted to suppress internal dissent on the issue of child gender transition by any means necessary, bending and breaking its own rules in the process.  

This summer, the Academy board voted to reaffirm its controversial 2018 policy statement endorsing puberty blockers, cross-sex hormones and surgeries for gender-distressed kids. It also promised to conduct a systematic review of the evidence — something the AAP had evidently not found necessary before endorsing gender-affirming care in the first place. At the time, I observed that this is how organisations start to walk back from a medical scandal: “Quietly, slowly — ideally so quietly and so slowly that no one notices they’ve retreated from shaky to solid ground at all.”

But it turns out I was too hasty. Rather than waiting for the systematic review of the evidence, the Academy has announced it will be issuing “practical guidance” on gender-affirming care for kids early next year. 

The new guidance is a rare bright spot for co-author Jason Rafferty, a paediatrician and child psychiatrist who has weathered a stormy autumn that saw him sued by two former patients. Rafferty was also featured in an unflattering piece in the Boston Globe, in which he described his approach to gender-affirming care as “affirming and validating the child’s sense of identity from day one through to the end”. Reporter Jennifer Block spells out what that means in practice: 

Rafferty told me patients who live with harms or regrets do not signal a failure of the affirmative care model. If a child or patient doesn’t like the effects of an intervention, or begins to feel different in their identity, then the provider continues to affirm by discontinuing treatment. ‘They’re not treatment failures if that’s what’s affirming,’ he said.   - JENNIFER BLOCK

In other words, the solution to gender-affirming care gone wrong is more affirmation, more hormones, more surgeries.

Critics and young people who’ve come to see being affirmed in their transgender identity as a form of medical harm beg to differ. Just last month, FAIR in Medicine smuggled dissent into the heart of the Academy’s annual conference, renting a booth in the exhibition hall to bring paediatricians face-to-face with detransitioners. While some paediatricians were eager to learn more, others were furious to be confronted with the underside of gender-affirming care, “refus[ing] to look at any materials, responding with ‘I already know all that, I already know.’ They were sure they knew what we had to say, sure they’d been fully informed, sure that anyone who wanted to talk was a bigot and a transphobe and nothing more.” 

Rafferty and the American Academy of Pediatrics have fallen into what Megan McCardle termed “the Oedipus trap”. This holds that “there are some mistakes no one can live with, no matter how innocently they were made […] If you have made such a mistake, it is obviously better not to know you have done so.” 

Confronted with evidence of medical harm, regret, and detransition, organisations such the American Academy of Pediatrics and clinicians such as Dr. Rafferty have two options: plug their ears, cover their eyes, and charge straight ahead — or look at the evidence and consider changing course. In other words: fall into the trap, or dare to climb out.

==

the solution to gender-affirming care gone wrong is more affirmation, more hormones, more surgeries.

Anything that is unfalsifiable is, by definition, logically incoherent, and can be dismissed, as it's not just not-wrong, it's also not-right. This also designates it as a tenet of religious faith.

[voguingtodanzig]

THE CELESTIAL JUKEBOX, PRESENT TENSE - 250 SONGS

Again, some of this is personal and sentimental, linked to time and place and experience.

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Throwing Muses, “Not Too Soon”

TLC, “Baby-Baby-Baby”

Tortoise, “Djed”

The Toys, “A Lover’s Concerto”

John Travolta and Olivia Newton-John, “Summer Nights”

A Tribe Called Quest, “Can I Kick It?”

UB40, “Red Red Wine”

Joe Walsh, “Life’s Been Good”

Scott Weiland, “Paralysis”

Steely Dan, “Do It Again”

Stiff Little Fingers, “Suspect Device”

Stylophonic, “RU Experienced?”

T.I., “What You Know”

Mary Timony, “Blood Tree”

that dog., “I’m Gonna See You”

The Tymes, “So Much In Love”

Ultimate Painting, “Out in the Cold”

The Unicorns, “Child Star”

The Velvet Underground, “The Gift”

Waka Flocka Flame, “Hard in da Paint”

Ween, “Even If You Don’t”

Weezer, “Endless Bummer”

Kanye West, “Devil in a New Dress (G.O.O.D. Fridays version)”

WHAM!, “Wake Me Up (Before You Go-Go)”

White Hassle, “Oh, What a Feeling”

Matthew Wilder, “Break My Stride”

Bill Withers, “Lean on Me”

Wolf Eyes, “Human Animal”

Stevie Wonder, “My Cherie Amour”

Wye Oak, “Siamese”

The Yeah Yeah Yeahs, “Maps”

Yo La Tengo, “My Heart’s Reflection”

Zaimph, “Removing Bits of History”

The Zombies, “Time of the Season”

[bandstolookup]

the academic

tom odell

seryn

calla

the howls

st. ange

the great book of john

atlas genius

the boxer rebellion

the careful ones

oh sees

lcd soundsystem

babe youth

the honey trees

family of the year

electric light orchestra

mouchette

piers faccini

champion

victor!

jagged edge

ryan adams

sarah jaffe

french for rabbits

8mm

the jumpers

the gulps

bare traps

bugeye

10 gauge

edgar road

arcane militia

shea rafferty

dr schwamp

wicked splinters

leontas

panic island

two year break

hvmm

ryuketsu blizzard

death remains

better than never

healthy junkies

reigning days

autopilot

desperate measures

tim muddiman and the strange

iamwarface

kris barras

reverted

the kut

rival karma

sophie & the giants

riverchild

dame jean

the bongo club

loom

scattered trees

imaginary war

foe

gin blossoms

joshua michael robinson

my gold mask

the skinny boys

belasco

mirror travel

the tralf

apes

the autumns

lynn ready

fictionist

field report

escondido

gossling

dark dark dark

the sugarplastic

paul thomas saunders

the crashtones

frank sinatra

crocodiles

satellite sky

generationals

the muddiman and the strange

iamwarface

kris barras

valley

reverted

man the lifeboats

death valley knights

talia dean

the muffin heads

at the sun

toffees

single by sunday

lupus-dei

brightlightcity

berries

sisteray

the luka state

jeremy zucker

on an on

DEAN

reigning sound

o terno

blaenavon

guards

the rising souls

damn dice

longy

the black roses

witchingseason

hollowstar

naked six

charlie manning

kid kapachi

heavy lungs

L sicario

flavour nurse

this year's ghost

mitzi

weekend recovery

cavalcade

black sixteen

bexatron

the ha'pennies

beware of darkness

my jerusalem

jason russo

jenn grant

phox

the nucc

zz ward

cherry pools

nina

the growl

dz deathrays

blackchords

victory

electric valentine

the mary onettes

stumbleine

alice boman

milesmore

gold & youth

natalie taylor

jenn cristy

andy shauf

anders & kendall

big deal

starcrawler

trollech

in the am

detsörgsekälf

immortal

2 pac

Robert Johnson

barcelona

Taurus / spirit (idk which is band n which is album)

king push

ice age

carpenter brut

snail mail

asap ferg

goldlink

what so not

flight facilities

sabrina claudio

soffi tukker

3lau

dvbbs

sam feldt

weshly arms

fletcher

morgan saint

graves

brasstracks

o wildly

n.e.r.d.

justice

galantis

frances forever

santigold

blood orange

wolfmother

cashmere cat

gramatik

lizzo

ravyn lenae

hinds

mt. joy

amy shark

chet porter

knox fortune

harry hudson

young bombs

the dirty hooks

mike xavier

the presets

lane 8

bazzi

tribal seeds

neil frances

joe satriani

creaky boards

other garden

Huey Lewis and the news

Ray Parker jr

major lazer

grimes

ultracomputer

hong kong express

timecop1983

seawaves

le matos

tigers jaw

tool

busta rhymes

primus

lorde

wolf gang

flogging Molly

the ninjas

Mac demarco

the knife

björk

fckn bstrds

dan croll

bts

slime girls

baby metal

the strypes

alestorm

amon amarth

elohim

louis the child

whethan

tyr

village people

parliament-funkadelic

screamin jay Hawkins

Judas Priest

lifehouse

funeral suits

cartel

black kids

seahaven

the big moon

he is we

dio

avenged sevenfold

stolen babies

lordi

trollfest

sterbhaus

abbey ov thelema

green jelly

hyakkei------- okurimo

dodheimsgard

Arcturus

john fogerty

the prime movers

remy shand

the trolls

carnivore

ulver

hosannas

margot gordinier

absinthe father

arvid

habitants

the red pears

american poetry club

jen cloher

stomachine

shakey graves

she makes war

doran danoff

trevor something

camp cope

orangefarm

the black delta movement

iamtheshadow

sidney gish

sleepy

car seat headrest

phosphorescent

david j

say sue me

the flats

childish japes & dave vives

t.wi.g.

komrads

massage

pastel dream

bad bad hats

iogi

replicant

robots against children

ogre

fantom 87'

gregorio franco

dream fiend

stilz

arcis

gemmy

neon dreamer

vision

herrnia

airliner

trinity ward

dune rain

dallas campbell

vulta

shadows and mirrors

neon summers

forgotten chapters

SDH

alpha quadrant

straplocked

I tpame I tvrame

mitra mitra

retröxx

ZETA

ckk055

orestt

vantage

midnight circuitry

✝️black cat✝️

doomroar

sfx ^86

(JAPANESE)EX

steel assassin

blessed death

carbon killer

invisible city

v/a

chronoton

le matos

kerys

nightstop

rocket from the crypt

carrillion

cliche

trigger b

fayshalarts

ray diode

london toy machine

phil clarke

cheap booster rocket

mcm90

machines nodding in rhythm

saturnine

silent em

stylogirl

eric covington

sirena

pong

tribrix

zipoid p

the urban molluscs

parker tichko

carbon copy hippies

brecon beacon

alan cawthorne

gervex

Satan's host

nocturnus

spring king

Manilla road

igorrr

nekrogoblikon

travis

frightened rabbits

parade of lights

düreforsög

ved buens ende

naegleria fowleri

hatebeak

clutch

down

maudlin of the well

kayo dot

pan.thy.monium

naked city

in the woods...

sleepytime gorilla museum

crotchduster

unexpect

gire

!t.o.o.h.!

carnival in coal

lugubrum

peccatum

quest for blood with yukihiro isso

azure emote

pyrrhon

cloud tangle

[laura-the-mellifluous]

Here’s a playlist for you… Blue 🌙 Samhain 2020 by sinister-sweet

I may make a couple tweaks in the arrangement, but here's my Blue Moon Samhain 2020 Playlist on Spotify. 😃

Here's the songs for those of you who don't have a Spotify account or just want to explore songs you're interested in:

1. Sabbat -Damh the Bard (pagan rock)

2. Don't Fear the Reaper -Blue Oyster Cult (classic rock chiller)

3. Season of the Witch -Donovan (classic rock chiller)

4. Halloween -Cernnunos Rising (pagan accoustic)

5. Bella Luna -Jason Mraz (you know what you're in for)

6. Evil Night Together -Jill Tracey (dark concept music)

7. A Singular Perversion -Kevin Macleod (modern composition)

8. Supernatural Radio A -Kevin Macleod

9. Moonlight Sonata -Paul Lewis (classical cover)

10. Scent of Night -Myuu (modern composition)

10.5 (left out) Corpse Bride/ Victor's Piano Solo -Myuu (instrumental cover)

11. The Ancient Magus Bride Theme -Myuu (modern cover)

12. Samhain -Lisa Theil (pagan folk)

13. Hour of the Wytch -Spiral Dance (pagan rock)

14. Hecate -Wendy Rule (pagan rock)

15. Spellbound -Souixe and the Banshees (rock)

16. Mausoleum - Rafferty (modern ballad)

17. Claire de Lune - Michael Silverman (classical cover)

18. Cryptic Sorrow -Kevin Macleod (modern composition)

19. Darkest Child - Kevin Macleod

20. Blue Moon -Upchurch (modern country)

21. Cherokee Shuffle -Clay County (country/folk)

22. St. James Infirmary -Dr. Michael White (jazz)

23. The Witch Queen of New Orleans -Redbone (swamp rock)

24. Blue Moon -Magpie Jazz Trio

25. Comfortable Mystery P.3 - Kevin Macleod (modern composition)

26. Sally's Song - Vitamin String Quartet (instrumental cover)

27. Jack's Lament -Vitamin String Quartet

28. Ghost Processional - Kevin Macleod (modern composition)

29. Come Little Children/the Hanging Tree Mashup -Peter Hollens and Bailey Pelkman

30. Black Swamp Village -the Speakeasy Swing Band (modern jazz/swing)

31. Got the Jitters -Don Redman and his Orchestra (jazz)

32. Doctor Jazz - Jelly Roll Morton (jazz)

33. When the Sun Sets Down South -Sydney Betchet (jazz)

34. Shine On Harvest Moon - Boswell Sisters (jazz)

35. Silhouetted in the Moonlight -Glenn Miller Swing Band (jazz)

36. Moonlight Bay -Leon Redbone (modern ballad)

37. The Moon and Me - Kevin Chamberlain (from the Addams Family musical)

38. Film Noir - Scott Hallgreen (modern composition)

39. Danse Macabre -the Oh Hellos (classical cover)

40. This is Halloween - Vitamin String Quartet (instrumental cover)

41. Ghostly Music Box - John Debney (from Disney's Phantom Manor and Haunted Mansion Holiday)

42. End Credits (Coraline) - Bruno Coulais and the Nice Children's Choir

43. Crossing the Threshold - Kevin Macleod (modern composition)

44. Vital Vibrations -Dean Evanson, Scott Huckabee (ambient)

45. Thirteen - Bing Satellites (ambient)

46. The Blue Moon Song/ Faeries' Moon -Elain Silver (pagan acoustic)

47. Monster's Lullaby -the Family Arts Theater (family music)

48. One with the Darkness -Reclaiming (family music)

49. Harvest Song -Spiral Dance (pagan rock)

50. Soul's Gateway -Spiral Dance

Happy Hallo-week, everybody!

[k-m-k]

SYNOPSIS #GreysAnatomy 1613 Save the Last Dance for Me / airdate 021320 / writer Tameson Duffy / director Jesse Williams . DeLuca can’t figure out what’s going on with his incurable patient Suzanne and he turns to a diagnostics genius, Dr. Riley from UCSF, for help. Bailey checks in on Joey, a foster kid that Ben brought into Grey Sloan. Meanwhile, Amelia is getting the results of her paternity test and Jo confronts her about how she is treating Link. . Guest starring Jason George as Ben Warren, Alex Landi as Nico Kim, Richard Flood as Cormac Hayes, Sarah Rafferty as Suzanne, Lindy Booth as Hadley, Jaicy Elliot as Taryn, Shannon Wilcox as Irene, Shoshannah Stern as Lauren Riley, Ava DeVoe as Matty, Noah Gerry as Joey, Vivian Nixon as Hannah, Devin Way as Blake Simms, Payton Silver as Dr. Knox, Sylvia Kwan as Mabel Tseng and George Gerdes as Norman. . “Grey’s Anatomy” stars Ellen Pompeo as Meredith Grey, Chandra Wilson as Miranda Bailey, James Pickens Jr. as Richard Webber, Kevin McKidd as Owen Hunt, Jesse Williams as Jackson Avery, Caterina Scorsone as Amelia Shepherd, Camilla Luddington as Jo Wilson, Kelly McCreary as Maggie Pierce, Kim Raver as Teddy Altman, Giacomo Gianniotti as Andrew DeLuca, Greg Germann as Tom Koracick, Chris Carmack as Atticus “Link” Lincoln and Jake Borelli as Levi Schmitt. https://www.instagram.com/p/B8WB6OehCbU/?igshid=xjxgqu47yd4i

[lifeisacinemahall]

‘Mindhunter’ review: Into the Darkness, Empathetically

‘Mindhunter’ review: Into the Darkness, Empathetically

If someone asked you if you knew how to spell oeuvre, chances are you’d scoff or glance stealthily at your smartphone to crosscheck your o’s and e’s. But when serial killer Ed Kemper (Cameron Britton) asks this of FBI agent Holden Ford (Jonathan Groff), the only reaction you’ll emanate is a nervous chuckle. And Netflix’s triumphant Mindhunter shines resplendently with scenes that call for wintery…

[kuwaiti-kid]

Best TV Series For Law Enthusiasts

Looking for a new law series to binge that isn’t created by Dick Wolf? Have you already binged your way through Law & Order, SVU, and Criminal Intent? Good news, there are countless shows out there that are focused around legal roles. Maybe you’re a law student looking for something to watch while you study for the bar or maybe you’re a lawyer looking for a new show to mutter “That’s not how it’s done!” while you watch.

Whether you’re a fan or a professional, here are ten of the best shows for law enthusiasts that you can binge tonight. 

  Better Call Saul (2015 – )

5 Seasons, 51 Episodes on Amazon Prime [IMDb 8.7/10] Cast: Bob Odenkirk, Jonathan Banks, Rhea Seehorn, Patrick Fabian, Michael Mando 

If you loved Breaking Bad, then you’ll love this spin-off series. Six years before Saul Goodman (Bob Odenkirk) became the attorney of Walter White, he was a small-time attorney known as Jimmy McGill. He was a champion of low-income clients and an underdog among his peers. The series follows Jimmy as he works with the private eye Mike Ehrmantraut (Jonathan Banks) in Albuquerque, New Mexico. 

Rake (2010 – 2018) 

5 Seasons, 45 Episodes on Amazon Prime [IMDb 8.6/10] Cast: Richard Roxburgh, Matt Day, Kate Box, Caroline Brazier

Set in Australia, this series revolves around the Sydney criminal-defense barrister Cleaver Greene (Richard Roxburgh). He works on cases that most barristers would never touch because his clients are typically guilty of the heinous crimes they are being tried for. The character is largely based on a real-life barrister and author, Charles Waterstreet. While the series focuses heavily on the legal cases he’s handling, it also focuses on his own self-destructive personality which includes addiction and a myriad of problems with the women in his life.

Suits (2011 – 2019) 

9 Seasons, 134 Episodes on Hulu [IMDb 8.5/10] Cast: Gabriel Macht, Rick Hoffman, Sarah Rafferty, Patrick J. Adams, Meghan Markle

Set at fictional New York City law firm the series follows Mike Ross (Patrick J. Adams), a talented college dropout, as he begins work as a law associate for Harvey Specter (Gabriel Macht) despite never attending law school. While the show focuses on the cases that Harvey and Mike work on together, the series became best known for the interpersonal relationships between the characters. The series finale was hailed as one of the most satisfying series finales in television history. Which is pretty steep praise. 

Billions (2016 – )

5 Seasons, 51 Episodes on Showtime [IMDb 8.4/10] Cast: Paul Giamatti, Damian Lewis, Maggie Siff, Malin Åkerman 

A “ripped from the headlines” series, Billions was inspired by the real-life investigations undertaken by Preet Bharara, the U.S. Attorney for the Southern District of New York from 2009 to 2017. The series focuses on hedge fund manager Bobby Axelrod (Damian Lewis) as he accumulates wealth and power in the financial world. His aggressive and illegal tactics lead the United States Attorney Chuck Rhoades (Paul Giamatti) to attempt to prosecute him. The series has a large ensemble cast, helping to interweave dynamic stories about law enforcement and private enterprise. 

The Good Wife (2009 – 2016) 

7 Seasons, 158 Episodes on Hulu [IMDb 8.3/10] Cast: Julianna Margulies, Matt Czuchry, Christine Baranski, Archie Panjabi

Alicia Florrick (Julianna Marguiles) has been a good wife to her husband (Chris Noth). When political corruption and a sex scandal lands her husband in jail, she returns to her career as a defense attorney, moving past the persona of a humiliated wife. The series has received critical acclaim for its storylines and was considered one of the best drama series on TV.

  Silk (2011 – 2014) 

3 Seasons, 18 Episodes on Amazon Prime and Hulu [IMDb 8/10] Cast: Maxine Peake, Rupert Penry-Jones, Neil Stuke, Theo Barklem-Biggs

The series is set around a group of barristers from a set of criminal law chambers in London. The story mostly follows the rivalry between Martha Costello (Maxine Peake) and Clive Reader (Rupert Penry-Jones). While it was mostly a courtroom drama, the creator wanted to also focus on the human drama behind the scenes, inspired by his own experiences as a former barrister. 

American Crime Story (2016 – ) 

2 Seasons, 19 Episodes on Netflix [IMDb 8/10] Cast: Varies 

Created by American Horror Story’s Ryan Murphy, the anthology series has so far covered two groundbreaking cases in American legal history. The first season covered the murder trial of O.J. Simpson, while the second covered the assassination of Gianni Versace. It’s a spectacular series filled with familiar faces. The upcoming season is set to cover the impeachment of President Bill Clinton. 

The Practice (1997– 2004) 

8 Seasons, 205 Episodes on Amazon Prime [IMDb 7.7/10] Cast: Steve Harris, Camryn Manheim, Michael Badalucco, Dylan McDermott

Bobby Donnell (Dylan McDermott) is a passionate lawyer and head of a struggling Boston law firm, whose instincts tell him that the most important cases aren’t about the money. The series revolves around Bobby, his receptionist Rebecca Washington (Lisa Gay Hamilton), and the junior attorneys with the law firm. This series led to the equally popular spin-off Boston Legal. 

Bull (2016 – )

4 Seasons, 87 Episodes on Hulu [IMDb 7/10] Cast: Michael Weatherly, Freddy Rodriguez, Geneva Carr

The series follows the employees at Trial Analysis Corporation, a jury consulting firm headed by Dr. Jason Bull (Michael Weatherly), who is a psychologist and trial science expert. Bull uses his skills and those of his team not only to select the right jurors for his clients, but also to help his clients' lawyers decide which type of argument will win over jurors best. The series is inspired by television personality Dr. Phil who worked for a trial consulting firm. 

Ally McBeal (1997 – 2002) 

5 Seasons, 112 Episodes on Amazon Prime [IMDb 6.8/10] Cast: Calista Flockhart, Greg Germann, Jane Krakowski, Vonda Shepard

The series begins with Ally McBeal (Calista Flockhart) joining the firm co-owned by her law school classmate Richard Fish (Greg Germann) after leaving her previous job due to sexual harassment. Although the series is largely focused on the weekly court cases, the main plot of the first three seasons is centered around Ally working alongside her ex-boyfriend Billy Thomas (Gil Bellows) and his wife, and fellow lawyer, Georgia (Courtney Thorne-Smith). The series started off strong, but the last season, unfortunately, earned it a cancellation from Fox. 

If this list didn't help you find something to binge tonight,  at least Annalise Keating and her students are there for us. Did you see that series finale? 

The post Best TV Series For Law Enthusiasts appeared first on Your Money Geek.

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[biofunmy]

Did I Need to Know What Gender My Nonbinary Interviewees Were Assigned at Birth? Maybe Not

Lisa Reff, a Maryland lawyer who had urged her state representative to sponsor the “Gender X” legislation, said she had struggled with her teenager’s request until another parent told her it was standard for the verb to match the pronoun.

“‘I was saying ‘they is,’” Ms. Reff explained. “Saying ‘they are’ is so much easier.”

Ms. Reff, who said she disliked wearing skirts and dresses as a child, also voiced a confusion I heard from several other women who grew up as 1970s- and 1980s-era feminism was vowing to smash gender-role stereotypes. “My question was, how is this different from being a tomboy?” she said.

One scientist with whom I spoke felt ambivalent about the new convention at professional conferences that attendees write their pronouns on name tags. After decades of fighting for women in the field to be seen as scientists first, she noted, they are now literally being labeled by gender.

But Jamie Grace Alexander, a nonbinary college student who helped to craft testimony on the Maryland bill, told me there was value in having “a name for what I am” rather than trying to expand deeply ingrained conceptions of “male” and “female.’’

“I could subvert their expectations when I come into the room,’’ they said, “but why can’t I subvert their expectations with my identity itself?”

The degree to which expectations of appearance, abilities and behavior are still attached to the binary genders, many informed me, tends to become more evident in light of identities that combine, reject, partially embrace or alternate between them. Parents became aware of how often they are asked the gender of their children as a kind of small talk. Students became aware of how frequently teachers address them as “ladies and gentlemen.” The Facebook group Ah Yes, the Two Genders specializes in documenting gender-reveal party cakes, bathroom signs and other reflections of this penchant for the binary-gender classification.

Dr. Jason Rafferty, the author of the American Association of Pediatrics’ first policy statement on the care of gender-nonconforming children, which was issued last fall, said most of the bullying in middle and high school is based on gender.

Sahred From Source link Fashion and Style

from WordPress http://bit.ly/2WIBdWs via IFTTT

[coochiequeens]

interesting to post two articles about the American Academy of Pediatrics in one day

A first-of-its-kind lawsuit, showcasing the growing movement to expose the painful, life-altering impacts of gender ideology.

Press Team | October 24, 2023

WASHINGTON, D.C. — Following in the footsteps of two female detransitioners featured in Independent Women’s Forum’s “Identity Crisis” series who have filed lawsuits against healthcare professionals for medical malpractice, two new bombshell lawsuits have now dropped from the same law firm against the American Academy of Pediatrics (AAP) and prominent healthcare providers. The lawsuits coincide with the AAP’s annual gathering in Washington, D.C., where pediatric providers discuss the latest best practices in pediatrics. Independent Women’s Forum, as part of its work to expose the harms of the gender ideology movement firsthand through “Identity Crisis”, calls the lawsuits groundbreaking and critical to the efforts to protect children.

Campbell Miller Payne, a law firm formed this year out of a heart for individuals who were misled and abused into psychological and physical harm through a false promise of “gender-affirming care,” filed the lawsuits on Friday and Monday for their clients, including a 14-year-old minor who was put on life-altering cross-sex hormones.

Isabelle Ayala, a female detransitioner from Florida is suing the American Academy of Pediatrics (AAP) and her healthcare providers alleging civil conspiracy, fraud, and medical malpractice. The first detransitioner lawsuit in the nation to name the AAP, Isabelle alleges the organization knowingly mislead the public in publishing and disseminating a fraudulent “policy statement” that has been perceived by many as an authoritative guide for the treatment of gender-confused children in the U.S.

Among the providers Isabelle is suing are Dr. Jason Rafferty and Dr. Michelle Forcier. Dr. Forcier is among the country’s most prominent figures on “gender affirming hormones and care plans.” She attained broader national recognition after being featured in Matt Walsh’s “What is a Woman” documentary. 

Dr. Rafferty is the author of the 2018 AAP policy statement that essentially created the “affirmative care” model, as it has become known and implemented throughout the country. That document, the lawsuit alleges, underplayed the known risks of the medical interventions it advocated for and used misleading and fraudulent citations to support its conclusions and recommendations.

At the time of her purported “treatment,” Isabelle was a vulnerable 14-year-old girl suffering from numerous mental health comorbidities, including autism, ADHD, and PTSD from a sexual assault at a young age. Her parents had recently separated, and she moved from Florida to Rhode Island with her father and his girlfriend. Her story, like so many others, involved social isolation and finding trans ideology online, where she discovered community and celebration and was told—and eventually convinced—that she was “trans.” 

After a single, brief meeting with Dr. Rafferty, Isabelle was recommended for testosterone injections, but her mother refused to give consent. In a follow-up meeting, Dr. Rafferty and his team convinced her mother to drop her objection by misrepresenting testosterone as the only available treatment and suggesting that if she did not receive the hormones, Isabelle would commit suicide. Shortly thereafter, Isabelle was put on life-altering cross-sex hormones. She now suffers from a slew of debilitating conditions from the effects of years of testosterone injection, including vaginal atrophy, physical pain, and the triggering of an auto-immune disease only present in males in her family, among others.

Jordan Campbell, Campell Miller Payne counsel for Isabelle, said:

“Isabelle, like too many other vulnerable young adolescents, was an unknowing victim of a fraudulent medical regime that stems from the ideologies of a radical minority. Sadly, the AAP has thrown its support behind them. Isabelle is seeking to hold them and her health care providers accountable for the role they collectively played in causing life-changing damage to her physical and mental health.” 

Campbell Miller Payne filed another lawsuit last Friday against Drs. Rafferty and Forcier, among others, for medical malpractice on behalf of female detransitioner Layton Ulery.

The firm also represents Soren Aldaco and Prisha Mosley, two women featured in Independent Women’s Forum’s “Identity Crisis” series, in their lawsuits against their healthcare providers. Kelsey Bolar, executive producer of the IWF’s “Identity Crisis” series, responds to the new lawsuits:

“Isabelle’s lawsuit represents a historic step in the fight to obtain justice for detransitioners. For too long, health care ‘experts’ have used the AAP as a shield to harm children by encouraging social ‘transition,’ prescribing wrong-sex hormones, and puberty blockers, and performing irreversible surgeries. These guidelines have had serious consequences for individuals, like Isabelle, who now suffer from permanent conditions caused by the proposed treatments. It’s long past time that those responsible for publishing these guidelines face consequences, too.”

Prisha Mosley has been central to exposing gender ideology and the betrayal of health professionals. Her story told through Independent Women’s Forum’s “Identity Crisis” series can be viewed here. Following her attendance at the AAP conference and in response to these groundbreaking lawsuits, Mosley stated:

“I’m grateful to be standing alongside other detransitioners who are not only victims of medical practice with the bravery to speak out, but are also my friends.

“Filing a lawsuit is an incredibly stressful event. It takes courage, patience, and willpower. I am not only proud of my friends, but also hopeful that we all might be able to see justice and stop this preventable tragedy from destroying other families and the healthy bodies of the distressed.

“I attended the AAP conference this October to spread messages of truth and love and share the valuable stories of detransitioners lives. The reactions of many of the pediatricians made the importance of lawsuits clear to me: we aren’t collateral damage, we were failed by people who swore to Do No Harm, and those very same people refuse to acknowledge our existence and would prefer to call security on us rather than hear about the harms we live with.”

TO SPEAK WITH AN ATTORNEY FROM CAMPBELL MILLER PAYNE, ISABELLE AYALA, SOREN ALDACO, PRISHA MOSLEY, OR KELSEY BOLAR, PLEASE CONTACT PRESS@IWF.ORG.

[eternal-echoes]

A woman who was pumped with testosterone and underwent hormone therapy when she was a young teenager is suing both her doctors and the American Academy of Pediatrics, which her lawyers say has knowingly lied about the impact of the radical sex-change treatments it recommends, according to a copy of the lawsuit obtained exclusively by The Daily Wire. Isabelle Ayala, now a twenty-year-old woman, had just turned fourteen when she was committed to the hospital for suicidal thoughts, according to the lawsuit. It was during this hospital stay that she met with Dr. Jason Rafferty, who during his first brief meeting with Ayala determined that she “meets criteria to consider hormonal transition,” with the only stated obstacle being parental consent. The lawsuit states that Rafferty and other doctors sent Ayala down the “path of ‘gender-affirming’ medicalization” rather than addressing the true roots of her mental health problems — six months into her testosterone treatments, Ayala tried to commit suicide. The treatments, however, continued, until Ayala moved away from Rhode Island and decided to quit them “cold-turkey.” Now comfortable with her gender, she regrets what the doctors did to her, the lawsuit says. “Isabelle is now twenty years old and longs for what could have been and to have her healthy, female body back,” it says. “The changes the testosterone have had on her body are a constant reminder that she needed an unbiased medical expert willing to evaluate her mental health and provide her the care she needed, rather than a group of ideologues set on promoting their own agenda and furthering a broader conspiracy at her expense.” The lawsuit not only goes after the doctors who treated Ayala, but also the American Academy of Pediatrics, where Rafferty and his colleagues worked to publish a now-infamous policy statement advocating for aggressive gender treatments for children. Lawyers for Ayala say the policy statement laid the groundwork for an “entirely new model of treatment” based on “outright fraudulent representations” of scientific proof. ... Ayala is “an unfortunate victim of a collection of actors who prioritized politics and ideology over children’s safety, health, and well-being,” the lawsuit filed on her behalf states. She had suffered with her mental health ever since being a victim of sexual abuse, long before she began entertaining the idea of gender transition as a solution to her depression. The lawsuit says that Rafferty, Forcier, and other doctors failed to even consider other options to address her mental health before putting her on an aggressive hormone and testosterone regimen. Ayala told her doctors that she was concerned about losing the ability to give birth, but they put her on the treatments anyway, without disclosing the potential harm the drugs administered could have on the reproductive system. The lawsuit says that Ayala is worse off now than before she was treated by the doctors, and asks that they be held “accountable for their wrongful acts.” “Isabelle has suffered from vaginal atrophy from the extensive use of testosterone; she deals with excess facial and body hair; she struggles with compromised bone structure; she is unsure whether her fertility has been irreversibly compromised; she still has mental health issues and deals with episodes of anxiety and depression, further compounded by a sense of regret; and she has since contracted an autoimmune disease that only the males in her family have a history of,” the lawsuit explains.

Emphasis are mine

[religion-is-a-mental-illness]

By: Benjamin Ryan

Published: Dec 5, 2023

A new front in the struggle over transgender issues has opened up. Two medical malpractice lawsuits, each levied by a plaintiff who regrets having undergone medication-based gender-transition treatment — one at age 14 — have taken aim at the American medical establishment’s support for prescribing such drugs to minors.

This litigation targets two of the most prominent and influential physicians to champion the use of puberty blockers and cross-sex hormones to treat gender-related distress in children: Dr. Jason Rafferty and Dr. Michelle Forcier. 

Isabelle Ayala, now 20 and back to identifying as her female birth sex, was 14 while in the care of these physicians and their Rhode Island colleagues. Her suit against them describes an adolescent in crisis. A sexual assault survivor, Ms. Ayala had been diagnosed with ADHD, depression, and anxiety; was apparently chronically suicidal, for which she was hospitalized; and had a long history of self-harm.

Ms. Ayala had learned about gender transition on social media and, despite her mother’s objections that she had never shown signs of a transgender identity prior to adolescence, was determined to become a boy. 

The suit alleges that the care team prioritized addressing this expressed desire of Ms. Ayala’s over treating her other mental health conditions. At one pivotal meeting, one of them suggested to Ms. Ayala’s mother that absent testosterone treatment, her child faced a high chance of death by suicide.

Crucially, this suit also names as a defendant the American Academy of Pediatrics, the influential industry group that shapes best practices for medical treatment of children. The suit accuses the organization of engaging in a civil conspiracy with Dr. Rafferty and Dr. Forcier to develop, promote, and ultimately profit off what has become the prevailing American medical treatment model for pediatric gender care — a model that the suit alleges is based on a fraudulent and misleading representation of scientific research.

The AAP’s support for what is known by its advocates as the gender-affirming care model has served as a beacon to which many of the more than two dozen other major medical societies that support pediatric gender-transition practices have looked when crafting their own endorsements.

LGBTQ advocacy groups routinely point to this unified front when characterizing such medicine as uncontroversial standard practice and asserting, as the LGBTQ press monitoring organization GLAAD has, that “the science is settled” on the question.

Ms. Ayala’s suit against the AAP could shed light on the opaque process by which the organization first came to endorse this care model. And it could show how AAP leadership has remained steadfast in this support even in the face of scathing criticism and after health authorities in multiple European nations concluded that pediatric gender medicine is based on uncertain evidence. Sweden, for one, has gone so far as to conclude that for minors the risks outweigh the benefits.

“To the extent that one of these pillars starts to crumble, that makes it more likely that the roof will collapse,” a fellow at the Manhattan Institute, Leor Sapir, said referring to the potential repercussions should the AAP sustain serious damage to its reputation on this issue.

The Legal Landscape

These lawsuits arrive at a time when Americans have become divided over the question of medical gender transitions for minors, often split along red-blue lines. Amid this raging culture war, Republican-controlled legislatures in more than 20 states have passed bans on such treatment for minors. 

In a marked contrast to the rancorous political divide, the U.S. medical establishment has stood unified in asserting that gender-transition treatments are beneficial, even life-saving, to transgender youth — a vulnerable population with a high rate of suicidal thoughts and behaviors. Yet the core of that unity now faces a major challenge. 

The two lawsuits that pose the biggest threat to the AAP in particular were filed in October by a Dallas law firm that promotes itself as fighting for “justice for the detransitioner community,” Campbell Miller Payne. These “detransitioners” are people who regret medically transitioning and have reverted to identifying and presenting as their biological sex.

These two cases are part of a burgeoning litigation movement that to date includes at least nine other detransitioner suits against care providers, all filed since August 2022. Campbell Miller Payne has filed five such suits all told, has one additional case close to filing and more in development, according to firm partner Jordan Campbell.

Five of the suits have been brought by plaintiffs who were first treated with medication and in some cases surgery starting when they were minors, as young as 12 years old. The six other suits concern such treatment that commenced during young adulthood, when the plaintiffs were as old as 29. So this wave of litigation, while apparently inspired by the backlash against pediatric gender-transition treatment, may pose a threat to the medical care of transgender adults as well.

Supporters of pediatric gender medicine accuse the firms behind these suits of egregious fear-mongering and of misrepresenting the typical experience of transgender adolescents in particular by broadcasting what they say are exceptional cases. The Human Rights Campaign, which is the nation’s largest LGBTQ advocacy organization, claims on its website that pediatric gender-transition treatment is “life-saving” and “medically necessary, safe health care” that is based on “clear, well-established, evidence-based standards.”

Yet with respect to this article, the major LGBTQ advocacy organizations have remained uncharacteristically silent. GLAAD and Lambda Legal did not respond to requests for comment; an HRC representative said no one was available to comment. The ACLU also did not respond to requests to comment. A slew of other smaller LGBTQ nonprofits were similarly unresponsive.

The likelihood that those who medically transition as minors will ultimately detransition, which for some means adopting a nonbinary identity, remains unclear due to limited, hazy research. Detransitioning has become a matter of fierce contention amid debates over what factors motivate it — regret, stigma, health concerns, finances, or otherwise. Many trans advocates point to studies suggesting detransition rates are as low as 1 to 2 percent; some skeptics, however, claim figures as high as 30 percent.

Legal scholars have said that the growing threat of detransitioner lawsuits could, at a minimum, steer the nation’s pediatric gender clinics toward more cautious practices. “The whole point of tort law is to encourage people to adjust their behavior,” a medical doctor who teaches tort law at the University of Baltimore School of Law, Dr. Gregory Dolin, said.

Dr. Julia Mason, who is a pediatrician at Gresham, Oregon, said she believes many pediatric gender clinics treat vulnerable children recklessly. She pointed to a 2022 Reuters investigation that found many pediatric gender specialists will often prescribe puberty blockers and hormones without, as the transgender-medicine organization WPATH recommends, first conducting a comprehensive, long-term psychological assessment of a child identifying as transgender. 

When asked what motivated her to serve as an expert witness on behalf of Campbell Miller Payne, Dr. Mason said, “I’d like to inspire a bit of concern on the part of practitioners. They need the fear of lawsuits.”

Kathleen Dooley is a South Carolina attorney and board member of the newly formed ad hoc legal advocacy group, Themis, which is raising money to back detransitioner suits. She anticipates that should the recently filed suits reap considerable settlements or damages awards, a snowball effect would likely spur a surge in further litigation while driving up malpractice insurance premiums for pediatric gender clinics and possibly also for the related treatment of adults. 

The Suits

Mr. Campbell’s firm filed in October two suits against a child psychiatrist and pediatrician, Dr. Rafferty, and Dr. Forcier, who is also a pediatrician. They accuse the Rhode Island doctors of medical malpractice and a lack of informed consent through their work at the Thundermist Health Center and the Lifespan Physician Group at the Hasbro Children’s Hospital. Dr. Rafferty is also accused of fraud in the pediatric case, and the clinics are accused of negligence and what’s called vicarious liability, which holds clinics responsible for the actions of their employees and agents.

Both the plaintiffs are biological women who while in Dr. Rafferty and Dr. Forcier’s care were prescribed testosterone — one at age 14, the other at age 25 — for gender dysphoria, which is a psychiatric diagnosis involving marked distress over a conflict between an individual’s sex and gender identity. The suits accuse the physicians, plus other colleagues, of failing to adhere to the applicable standard of care.

The team allegedly ignored “red flags,” suggesting that the young people’s gender-related distress was driven by their poor mental health, not vice versa. Each plaintiff had multiple serious psychiatric conditions. Both presented as suicidal and were sexual assault survivors. The young adult was diagnosed with dissociative identity disorder and had survived a cult and gay conversion therapy.

Each of the plaintiffs ultimately detransitioned and, according to the suits, now grapples with various harmful effects of their time on testosterone, including: in the pediatric case, vaginal atrophy and excess facial and body hair; and in the adult case, genital pain and “body disfigurement,” including, according to her attorney, Ron Miller, a deep voice, broad shoulders, “bone density and other osteo disorders and issues, and other issues related to her female anatomy and body hair growth.”

Mr. Campbell said that all his firm’s clients are primarily motivated to sue “so what happened to them doesn’t happen to another individual.” He continued: “That’s really what motivated our firm as well.”

Dr. Forcier has been a leader in the movement to promote a U.S. version of pediatric-gender-medicine practices that were developed by Dutch researchers starting in the mid-1990s and first imported to the United States in 2007. A professor at the Warren Alpert Medical School of Brown University, Dr. Forcier mentored Dr. Rafferty during his medical residency at Brown, where he is now a clinical assistant professor.

Almost immediately after finishing his residency in 2017, Dr. Rafferty, who has three Harvard degrees, became a leading figure in the by-then fast-growing field of pediatric gender medicine. His early-career status notwithstanding, he was the sole author of a broadly influential policy statement the AAP published in October 2018 that endorses the affirming care model for treating gender dysphoria in children.

The pediatric suit against Dr. Rafferty and Dr. Forcier alleges that the pair, along with other providers, engaged in a civil conspiracy with the AAP to develop the policy statement, which the suit alleges “fraudulently and misleadingly misrepresents” the relevant scientific evidence. It further alleges that the two doctors “implemented and tested the new, experimental” treatment model in private practice during a period overlapping the time — early 2017 to the middle of 2018 — when the plaintiff, Isabelle Ayala, was in their clinic’s care.

The AAP policy statement takes a more liberal approach to treating gender dysphoric children than what’s known as the traditional “Dutch protocol.” The crux of the statement is Dr. Rafferty’s assertion that children reliably know their gender identity. Pediatric providers, he states, should follow children’s lead by affirming that identity, which includes the option of facilitating a medical transition with puberty blockers and hormones and in some cases surgery.

Along with pediatric-gender-medicine guidelines issued by the Endocrine Society and WPATH, the AAP policy statement is part of a crucial trifecta to which many other medical associations have looked when establishing their own public support for treating gender dysphoric minors.

Over the past five years in particular, the gender-affirmation principle has garnered support nationwide, both across the medical and mental health fields and within schools. And it has inspired a fierce cultural and political backlash. Opponents of medical gender transitions for minors often argue that children are not mature enough to make an informed decision about receiving irreversible medical treatments that pose a risk, most notably, of infertility and sexual dysfunction; and that amid an epidemic of poor mental health among young people, social media drives many adolescents to misattribute their psychological struggles to gender dysphoria. 

A Suicide Slogan

Ms. Ayala’s suit also alleges that Dr. Rafferty and his colleagues “coerced” her wary mother into consenting to the testosterone prescription by exaggerating her risk of suicide and presenting hormonal therapy as, the suit states, the “accepted and sole course of action in the medical community and backed by the current body of scientific research.” The suit states that during a March 2017 meeting with the care team, a team member asked Ms. Ayala’s parents whether they would, as the suit paraphrased, “prefer to have a dead daughter or a living son.” 

This is widely reported to be a common question that gender-clinic providers pose to parents facing such a decision, including those of Chloe Cole, who has become the most prominent and publicly outspoken of the detransitioners who have filed suit against their care providers.

The suit attests that every systematic review of the scientific evidence behind gender-transition treatment has “contradicted the claims that non-medical intervention for gender diverse youth leads to increased suicides.”

Eight months after beginning testosterone, Ms. Ayala attempted suicide and was once again hospitalized.

The only defendant of the two suits involving Dr. Rafferty to respond to multiple requests for comment was the AAP. A spokeswoman for the organization, Susan Martin, wrote in an email to the Sun that the AAP was “unable to comment on ongoing litigation.” 

Otherwise, Ms. Martin denied that Dr. Rafferty was the sole author of the 2018 policy statement. She pointed to a document outlining the apparent group-effort process by which such statements, which the AAP states are “evidence driven” and “nonpartisan,” are edited, revised, and “rigorously reviewed.”

However, in the PDF of the published policy statement, Dr. Rafferty’s is the sole name below the title.

Additionally, the document includes the following note: “Dr. Rafferty conceptualized the statement, drafted the initial manuscript, reviewed and revised the manuscript, approved the final manuscript as submitted, and agrees to be accountable for all aspects of the work.”

What Discovery Could Yield

The AAP policy statement dismisses as “outdated” a philosophy central to the Dutch protocol known as “watchful waiting.” This refers to providers effectively remaining neutral and hands off regarding a prepubescent gender-dysphoric child’s desire to transition. Only if this desire persists from early childhood through puberty’s onset should care providers consider advocating a social and medical transition, per the Dutch protocol. 

As the suit against the AAP notes, the policy statement was met with scathing criticism in a peer-reviewed paper published in 2019 by Canadian sex researcher and psychologist James Cantor. Dr. Cantor found that many of Dr. Rafferty’s citations either did not back his support for a more liberalized treatment approach or contradicted his claims. 

Neither Dr. Rafferty nor the AAP has ever responded to Dr. Cantor’s criticisms. 

“Not a word. It’s truly extraordinary,” said Dr. Cantor, who has served as an expert witness in support of U.S. state legislatures’ bans on pediatric gender-transition treatment.  

In recent years, investigators in England, Sweden, and Finland have conducted systematic literature reviews — the gold standard for assessing evidence — of the research behind pediatric gender medicine. Between them, these reviews have found that the scientific evidence informing gender-transition practices among minors is of low or very low certainty.

Accordingly, those nations, along with Denmark, France, and Norway, have each recently at least proposed — and in some cases implemented — policies that sharply dial back or otherwise restrict the prescription of pediatric gender-transition treatment. They typically establish psychotherapy as the first-line treatment for childhood gender dysphoria.

If the AAP’s attorneys don’t win a dismissal of the suit against the organization, the discovery phase could potentially divulge internal documentation detailing how its leadership cultivated and edited Dr. Rafferty’s policy statement. Discovery might shed further light on any internal response to challenges to the statement’s scientific validity.

However, a judge might limit access to any such documentation, at least initially shielding it from public view.

Who Are the Heroes of This Story?

Beginning in 2020, a small but vocal group of AAP members led by Dr. Mason began pressuring the organization to conduct its own systematic literature review and to revise Dr. Rafferty’s policy statement accordingly.

The AAP leadership resisted these calls. And in August, the organization reaffirmed its support of Dr. Rafferty’s position statement, making no changes to the document. However, the organization also announced it would commission an independent systematic literature review of the relevant evidence.

Dr. Mason said she expected that the review’s findings would be similar to those of the European reviews. Its release could dovetail with discovery from the suit against the AAP and damage the organization’s reputation, she said. 

Not that Dr. Mason ascribes ill intent to the AAP leadership. “Everyone assumes that they’re doing the right thing,” she said. “You’re generally the hero of your own story.”

In January, well before the systematic review will be completed, the AAP is slated to publish a 320-page book offering physicians “practical guidance and overview on access” to pediatric gender-transition treatment. Dr. Mason said she believed the book’s publication represents a new effort on the part of the AAP to expand such treatment out of specialized gender clinics and into everyday primary care practices.

The book includes commentaries from four physician authors. 

Dr. Rafferty is listed as the first author.

==

Note: The AAP has postponed publication of the book:

"Due to an upcoming policy review on this topic, the publication of this book has been placed on hold."

They know they're in trouble.

[k-m-k]

SNEAK PEEK #GreysAnatomy 1613 Save the Last Dance for Me / airdate 021320 / writer Tameson Duffy / director Jesse Williams . DeLuca can’t figure out what’s going on with his incurable patient Suzanne and he turns to a diagnostics genius, Dr. Riley from UCSF, for help. Bailey checks in on Joey, a foster kid that Ben brought into Grey Sloan. Meanwhile, Amelia is getting the results of her paternity test and Jo confronts her about how she is treating Link. . Guest starring Jason George as Ben Warren, Alex Landi as Nico Kim, Richard Flood as Cormac Hayes, Sarah Rafferty as Suzanne, Lindy Booth as Hadley, Jaicy Elliot as Taryn, Shannon Wilcox as Irene, Shoshannah Stern as Lauren Riley, Ava DeVoe as Matty, Noah Gerry as Joey, Vivian Nixon as Hannah, Devin Way as Blake Simms, Payton Silver as Dr. Knox, Sylvia Kwan as Mabel Tseng and George Gerdes as Norman. . “Grey’s Anatomy” stars Ellen Pompeo as Meredith Grey, Chandra Wilson as Miranda Bailey, James Pickens Jr. as Richard Webber, Kevin McKidd as Owen Hunt, Jesse Williams as Jackson Avery, Caterina Scorsone as Amelia Shepherd, Camilla Luddington as Jo Wilson, Kelly McCreary as Maggie Pierce, Kim Raver as Teddy Altman, Giacomo Gianniotti as Andrew DeLuca, Greg Germann as Tom Koracick, Chris Carmack as Atticus “Link” Lincoln and Jake Borelli as Levi Schmitt. https://www.instagram.com/p/B8gRnFkB98O/?igshid=gdnchpfi5k1u

[k-m-k]

PROMO #GreysAnatomy 1613 Save the Last Dance for Me / airdate 021320 / writer Tameson Duffy / director Jesse Williams . DeLuca can’t figure out what’s going on with his incurable patient Suzanne and he turns to a diagnostics genius, Dr. Riley from UCSF, for help. Bailey checks in on Joey, a foster kid that Ben brought into Grey Sloan. Meanwhile, Amelia is getting the results of her paternity test and Jo confronts her about how she is treating Link. . Guest starring Jason George as Ben Warren, Alex Landi as Nico Kim, Richard Flood as Cormac Hayes, Sarah Rafferty as Suzanne, Lindy Booth as Hadley, Jaicy Elliot as Taryn, Shannon Wilcox as Irene, Shoshannah Stern as Lauren Riley, Ava DeVoe as Matty, Noah Gerry as Joey, Vivian Nixon as Hannah, Devin Way as Blake Simms, Payton Silver as Dr. Knox, Sylvia Kwan as Mabel Tseng and George Gerdes as Norman. . “Grey’s Anatomy” stars Ellen Pompeo as Meredith Grey, Chandra Wilson as Miranda Bailey, James Pickens Jr. as Richard Webber, Kevin McKidd as Owen Hunt, Jesse Williams as Jackson Avery, Caterina Scorsone as Amelia Shepherd, Camilla Luddington as Jo Wilson, Kelly McCreary as Maggie Pierce, Kim Raver as Teddy Altman, Giacomo Gianniotti as Andrew DeLuca, Greg Germann as Tom Koracick, Chris Carmack as Atticus “Link” Lincoln and Jake Borelli as Levi Schmitt. https://www.instagram.com/p/B8WF1r1BpsN/?igshid=1en82yf8l2kuk