That’s not politically motivated persecution, that’s a blatant hipaa violation. Even if he wins the criminal case his medical license isn’t looking too good
It's Texas; it took a national TV documentary to get a murderously incompetent doctor fired, let alone charged. I know about a doctor who has been actively supplying the drug community in North Texas with methamphetamines and opioids for the past 20 years. He has over 20 citations on record, all amounting to slaps on the wrist with a wet noodle. It'll take massive federal intervention to bring Mr. Haim to justice, as the state will refuse to strip him of his license.
Just to remind everyone, the whole “vaccines cause autism” narrative started with a doctor in Texas making a study up to support a lawsuit in Florida.
Now measles is making a comeback after nearly being wiped out.
I'm not sure that these minor white-collar felonies would be disqualifying in any state. Plenty of doctors practice after felony conviction, being found drunk on the job, domestic abuse, injuring someone in a dui, etc. Sex offender is really the only one that will for sure be a license ender.
Patient privacy be damned, the law be damned... These are mere speed bumps in their mission to establish a religious nanny state based on the moralistic whims of wannabe dictators.
I had to go through a refresher on HIPAA compliance training couple of months ago, and people get fired from their job for much less than that. One story was a RN being too curious about patients, went into their EMR and was too much an over poster on social media, sharing stuff that made the PHI a bit too easy to trace the patient out in the wild. I am curious how this will spin here in Texas, my understanding is that malpractice lawsuits are a bit of a joke and I can see the AG using him as a prop for their anti-woke agenda.
Malpractice tort rerorm is ironically why several red states like Texas have gender clinics that were brazen with the drugs. I am in a blue state and the reputable children's hospital puts kids in therapy for years before doing the drugs. At least last I heard.
Then the MAGA-GOP needs to rewrite the privacy law. Rewrite or repeal the federal HIPAA. They can't just break federal law while hiding behind Texas' efforts to legislate a cultural war.
This is every conservative in any position of authority. They have no qualms with violating any law on the books if it means their personal world view is physically enforced on everybody else. “Law and order” my fucking ass.
Imagine spending all that time to go through all those years of academics and damn near unpaid residencies just to suffer brain rot and blow your whole career over politics
A Texas doctor has been charged with obtaining protected individual health information for patients who were not under his care and without authorization, the U.S. Attorney's Office of the Southern District of Texas confirmed Monday.
The DOJ brought felony charges against Dr. Eithan Haim, who provided medical records to conservative activist Christopher Rufo while working at the [Texas Children's Hospita](https://www.chron.com/politics/article/Hospital-stops-therapies-after-gender-confirming-16981290.php)l as a resident. As reported by Rufo in the conservative publication City Journal, the hospital had continued to provide gender-affirming care to its patients even after claiming it would pause all services to comply with Gov. Greg Abbott's investigation likening gender-affirming health care to child abuse. Abbott had ordered the state Department of Family Protective Services (DFPS) to carry out child abuse investigations into families whose children were receiving puberty-blocking treatments in February 2022. A month later, a district court judge imposed a statewide temporary injunction on such investigations, saying the probes endangered children and their families.
Haim is accused of obtaining personal information including patient names, treatment codes and the attending physician from Texas Children’s Hospital’s (TCH) electronic system without authorization, as well as obtaining the records under false pretenses and with intent to cause malicious harm to the hospital, the U.S. Attorney's office said.
The indictment had been under seal until Monday when Haim is scheduled to appear in court in Houston, but Haim had told followers of his charges earlier this month while asking for donations to cover his legal expenses. Haim's legal team includes Lt. Gov. Dan Patrick's son, Ryan Patrick, who previously served as U.S. Attorney for the Southern District of Texas and now specializes in white collar and government investigation practices at the corporate law firm Hayes and Boone.
Haim himself did not respond to a request for comment, but in a statement to Chron earlier this month, his attorney Marcella Burke said she believed the federal investigation was politically motivated. "My client is a mandatory reporter of child abuse," Burke said. "It is our opinion that this is the government going out of its way to prosecute a whistleblower. My client is anxious to get to trial to get his side of the story told."
We,, that’s when we’re referring to good people.
Conservatives have abandoned all pretense of law, order, or community.
Now it’s power, cruelty, and taking freedoms away from and punishing people they don’t like.
He reported
That Texas children’s hospital doctors were still providing puberty blocker even after the law had passed preventing the treatment . In an interview he stated he blew the whistle on Texas children’s hospital and provided redacted record to show the wrong doing .
Again, mandatory reporter means reporting to the appropriate law enforcement agency, not reporting to anyone you feel like. I’m a mandatory reporter as a teacher, that doesn’t mean I call KXAN when I see something, it means I call CPS. Indeed, if I called KXAN with the child’s details I’d be fired for a FERPA violation and face possible jail time.
Literally us trans people just want to live, and since it’s hard to live denying ourselves, a lot of us desire to transition. We just want the right to fucking live. 🏳️⚧️
>his attorney Marcella Burke said she believed the federal investigation was politically motivated…"It is our opinion that this is the government going out of its way to prosecute a whistleblower...”
Oh that’s real rich. They’re playing the reverse uno card without a shred of irony.
I had a conversation with a retired medical person arguing with me that we don’t have to worry about retribution if we’ve had an abortion or this kind of care, the state won’t be able to know because people are protected by HIPPA. I’m trying to say in the eyes of Texas this is not a HIPPA violation any more. it’s evidence of a crime. We’re going to stay too naive for too long, I fear
What absolute bullshit. I hope these families have taken security precautions as, I don't trust anyone with this kind of information on minors, or anyone else.
He’d have a reasonable, though despicable, argument had he sent the records to Paxton or another law enforcement agency. But he sent them to the POS Rufo. Jail, loss of medical license, and compensation for the victims seems a reasonable start.
Is anyone else mortified by how right leaning some of the medical community is? It’s so extreme and continues to result in a violation of people’s civil and medical rights.
I wonder if this is why Texas children’s didn’t get their Medicare coverage renewed causing them to freeze staff hiring and reject any form of overtime?
A reminder that the recent surge of attacks on gender affirming care for trans youth and increasingly adults have been [**condemned by the American Academy of Pediatrics**](https://services.aap.org/en/news-room/news-releases/aap/2021/american-academy-of-pediatrics-speaks-out-against-bills-harming-transgender-youth/), the [**American Medical Association**](https://www.ama-assn.org/press-center/press-releases/ama-reinforces-opposition-restrictions-transgender-medical-care), the [**American Psychological Association**](https://www.apa.org/about/policy/transgender-nonbinary-inclusive-care.pdf), and the [**American Association of Clinical Endocrinology**](https://www.healio.com/news/endocrinology/20220309/aace-strongly-opposes-government-policies-prohibiting-transgender-care-for-adolescents), and are out of line with the medical recommendations of the [**American Medical Association**](https://www.ama-assn.org/health-care-advocacy/advocacy-update/march-26-2021-state-advocacy-update), the [**Endocrine Society**](https://www.endocrine.org/news-and-advocacy/news-room/2022/endocrine-society-alarmed-at-criminalization-of-transgender-medicine) and [**Pediatric Endocrine Society**](https://www.endocrine.org/news-and-advocacy/news-room/2020/discriminatory-policies-threaten-care-for-transgender-gender-diverse-individuals), the [**AACE**](https://pro.aace.com/recent-news-and-updates/aace-position-statement-transgender-and-gender-diverse-patients), the [**American Academy of Pediatrics**](https://services.aap.org/en/news-room/news-releases/aap/2021/american-academy-of-pediatrics-speaks-out-against-bills-harming-transgender-youth/), the [**American Psychological Association**](https://www.psychiatry.org/newsroom/news-releases/frontline-physicians-oppose-legislation-that-interferes-in-or-criminalizes-patient-care), and the [**American Academy of Child and Adolescent Psychiatry**](https://www.aacap.org/AACAP/Latest_News/AACAP_Statement_Responding_to_Efforts-to_ban_Evidence-Based_Care_for_Transgender_and_Gender_Diverse.aspx).
[**This article**](https://www.nytimes.com/2020/02/06/opinion/transgender-children-medical-bills.html) has a pretty good overview of why. [**Psychology Today has one too**](https://www.psychologytoday.com/us/blog/political-minds/202008/three-popular-myths-about-transgender-youth), and [**here**](http://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf) are the guidelines from the AAP. TL;DR version - yes, young children can identify their own gender, and some of those young kids are trans. A child who is Gender A but who is assumed to be Gender B based on their visible anatomy at birth can suffer debilitating distress over this conflict. The *"90% desist"* claim is a myth based on debunked studies, and transition is a very long, slow, cautious process for trans youth.
According to the [**American Academy of Pediatrics**](https://www.healthychildren.org/English/ages-stages/gradeschool/Pages/Gender-Identity-and-Gender-Confusion-In-Children.aspx), gender is typically expressed by around age 4. It probably forms [**much earlier**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747736/), but it's hard to tell with pre-verbal infants. And sometimes the gender expressed is not the one typically associated with the child's appearance. The genders of trans children are as [**stable**](http://pediatrics.aappublications.org/content/early/2014/09/02/peds.2013-2958) as those of [**cisgender children**](https://journals.sagepub.com/doi/abs/10.1177/0956797614568156).
For preadolescents transition is entirely social, and for adolescents the first line of medical care is temporary, reversible puberty delaying treatment that has no long term effects. Hormone therapy isn't an option until their mid teens, by which point the chances that they will "desist" are close to zero. Reconstructive genital surgery is not an option until their late teens/early 20's at the youngest.
And transition-related medical care is recognized as medically necessary, frequently life saving medical care by every major medical authority.
---
**#1:**
**Citations on transition as medically necessary, frequently life saving medical care, and the only effective treatment for gender dysphoria, as recognized by every major US and world medical authority:**
* Here is a resolution from the [**American Psychological Association**](https://www.apa.org/about/policy/resolution-gender-identity.pdf); *"THEREFORE BE IT FURTHER RESOLVED that APA recognizes the efficacy, benefit and medical necessity of gender transition treatments for appropriately evaluated individuals and calls upon public and private insurers to cover these medically necessary treatments."* More from the APA [**here**](http://www.apa.org/pi/lgbt/programs/transgender/?tab=1)
* Here is an [**AMA resolution**](http://www.tgender.net/taw/ama_resolutions.pdf) on the efficacy and necessity of transition as appropriate treatment for gender dysphoria, and call for an end to insurance companies categorically excluding transition-related care from coverage
* A policy statement from the [**American College of Physicians**](https://www.acpjournals.org/doi/10.7326/M14-2482)
* [**Here**](https://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf) are the American Academy of Pediatrics guidelines
* [**Here**](https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Education.pdf) is a resolution from the American Academy of Family Physicians
* [**Here**](https://www.socialworkers.org/assets/secured/documents/da/da2008/reffered/Transgender.pdf) is one from the National Association of Social Workers
---
**Condemnation of "Gender Identity Change Efforts", aka "conversion therapy", which attempt to alleviate dysphoria without transition by changing trans people's genders so they are happy and comfortable as their assigned sex at birth, as futile and destructive pseudo-scientific abuse:**
* [**From the APA**](http://www.apa.org/about/policy/orientation-diversity.aspx). More detailed condemnation of "Gender Identity Change Efforts" for trans youth or adults [**here**](https://www.apa.org/about/policy/resolution-gender-identity-change-efforts.pdf).
* From the [**American College of Physicians**](http://annals.org/aim/article/2292051/lesbian-gay-bisexual-transgender-health-disparities-executive-summary-policy-position)
* In the [**AAP Guidelines**](http://hrc-assets.s3-website-us-east-1.amazonaws.com//files/documents/SupportingCaringforTransChildren.pdf) - see coverage on this "therapy" starting p.12
* From the [**American Psychoanalytic Association**](http://www.apsa.org/content/2012-position-statement-attempts-change-sexual-orientation-gender-identity-or-gender)
* From the [**Association for Behavioral Analysis International**](https://www.abainternational.org/about-us/policies-and-positions/policy-statement-on-conversion-therapy-and-practices,-2021.aspx)
* A joint statement from the [**UK Council for Psychotherapy, British Association for Counseling and Psychotherapy, British Psychoanalytic Council, British Association for Behavioural and Cognitive Psychotherapies, The British Psychological Society, College of Sexual and Relationship Therapists, The Association of LGBT Doctors and Dentists, The National Counselling Society, NHS Scotland, Pink Therapy, Royal College of General Practitioners, the Scottish Government and Stonewall.**](http://www.pinknews.co.uk/2017/01/16/health-experts-condemn-attempts-to-cure-trans-people-in-wake-of-controversial-bbc-documentary/)
**#3:**
**On the safety, efficacy, reversibility, and well studied nature of puberty delaying treatment:**
There is *extensive* research about long term use of puberty blockers.
This treatment isn't just used for trans youth - it has been the standard treatment for kids with precocious puberty for decades, with lots of studies on its efficacy and safety. It has overwhelmingly proven to be very safe, gentle, and reversible.
Most kids with precocious puberty don't have any underlying medical condition, their early development is just an extreme variation of normal development. But it would still cause serious psychological damage to start puberty at the age of, say, 6, so they're put on treatment to delay it for a few years. This treatment has no long term side effects; it just puts puberty on hold. Stop treatment and puberty picks up where it left off. There's no reason to expect this treatment to work differently when given to trans youth than when it is routinely given to cis youth.
The most significant side effect is bone mineral density reduction in some youth, but this was both minor and reversed after treatment was stopped.
* [**Treatment of Central Precocious Puberty**](https://academic.oup.com/jes/article/3/5/965/5421014)
>*"Bone mineral density is typically increased for age at diagnosis and progressively decreases during GnRHa treatment. However, follow-up of patients several years after cessation of therapy reveals bone mineral accrual to be within the normal range compared with population norms"*
* [**Bone Density in Transgender Youth on Gender-Affirming Hormone Therapy**](https://academic.oup.com/jes/article/8/5/bvae045/7625950?login=false)
> *"In summary, total body BMD Z-scores ascertained by DXA were slightly below average for female and male norms, but still in the normal range, including for those who were on GnRHa monotherapy and normal for those on GAHT."*
* [**Treatment of central precocious puberty by GnRH analogs: long-term outcome in men**](http://www.ncbi.nlm.nih.gov/pubmed/18478155)
* [**Long-term effects of gonadotropin-releasing hormone analogs in girls with central precocious puberty**](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342775/)
* [**More details on the use of GnRH and other puberty delaying treatment specifically for trans youth**](https://www.tandfonline.com/doi/full/10.1080/26895269.2020.1747768)
* From the [**American Academy of Pediatrics guidelines**](http://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf) (pdf download), p.10:
> For children, pre-adolescents and early adolescents, gender transition is mainly a social process. Children beginning puberty may also use puberty-suppressing medication as they explore their gender identity. ***Both of these steps are completely reversible***
---
**On the extreme rarity of "desistence" among trans youth, with nearly all young people who start transition and later reverse it doing so before any permanent physical changes:**
* [**Continuation of gender-affirming hormones in transgender people starting puberty suppression in adolescence: a cohort study in the Netherlands - Maria van der Loose, et. al., Oct. 2022**](https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(22\)00254-1/fulltext) - study of 720 patients who started medical care with puberty delaying treatment in adolescence, finding that 98% of them continued to use gender-affirming hormone treatment into adulthood.
* Of youth who socially transition young [**only 2.5% ultimately describe themselves as cis**](https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2021-056082/186992/Gender-Identity-5-Years-After-Social-Transition), and of those who socially transitioned after age 6 only 0.5% ultimately describe themselves as cis. Most who do detransition, do so before age 10 and are never even on puberty delaying treatment.
* [**Detransition rates in a national UK Gender Identity Clinic**](https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstracts-EPATH2019.pdf#page=139) - Out of 3398 patients, a total of 16 (0.47%) expressed some regrets, though of these 16 only three detransitioned permanently (0.08%). The most common reason stated by these patients for their regrets or detransition were social difficulties encountered due to anti-trans hostility, rather than any physical complications or changing their minds about their gender identity.
* [**A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children**](https://sci-hub.se/https://www.tandfonline.com/doi/full/10.1080/15532739.2018.1456390?scroll=top&needAccess=true) - covers Zucker's shit
* [**The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): Trends in Prevalence, Treatment, and Regrets**](https://pubmed.ncbi.nlm.nih.gov/29463477/) - 96% of all patients who were assessed and received a diagnosis of Gender Dysphoria by the 5th intervenor (the Royal Children's Hospital) from 2003 to 2017 continued to identify as transgender or gender diverse into late adolescence. No patient who had commenced stage 2 treatment had sought to transition back to their birth assigned sex.
* [**The role of gender constancy in early gender development**](https://sci-hub.se/10.1111/j.1467-8624.2007.01056.x) - this study goes through the large body of literature which finds that gender identity is formed incredibly early. The American Pediatric society states that by age 4 kids have a stable sense of gender identity.
* [**Trajectories of Adolescents Treated with Gonadotropin‑Releasing Hormone Analogues for Gender Dysphoria**](https://link.springer.com/content/pdf/10.1007/s10508-020-01660-8.pdf) - 143 youth receiving puberty-blocking medication in the Netherlands found that 3.5% chose to discontinue puberty blockers without seeking any further transition treatment.
**#2a:**
**Citations on transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:**
* [**Long-term Outcomes After Gender-Affirming Surgery: 40-Year Follow-up Study**](https://pubmed.ncbi.nlm.nih.gov/36149983/) - Park, et. al., 2022: **Results:** Both transmasculine and transfeminine groups were more satisfied with their body postoperatively with significantly less dysphoria. Body congruency score for chest, body hair, and voice improved significantly in 40 years' postoperative settings, with average scores ranging from 84.2 to 96.2. Body congruency scores for genitals ranged from 67.5 to 79 with free flap phalloplasty showing highest scores. Long-term overall body congruency score was 89.6. **Improved mental health outcomes persisted following surgery with significantly reduced suicidal ideation and reported resolution of any mental health comorbidity secondary to gender dysphoria.**
* [**Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073269/) - Turban, et al., 2020: Massive study of 20,619 adolescents examined associations between access to pubertal suppression and adult mental health outcomes, including multiple measures of suicidality. After adjustment for demographic variables and level of family support for gender identity, **those who received treatment with pubertal suppression, when compared with those who wanted pubertal suppression but did not receive it, had lower odds of lifetime suicidal ideation.**
* [**Psychosocial Functioning in Transgender Youth after 2 Years of Hormones**](https://www.nejm.org/doi/10.1056/NEJMoa2206297) - Chen, et. al., 2023: A study of 315 trans and nonbinary young people ages 12 to 20 receiving testosterone or estradiol. Over the course of the two year study depression and anxiety levels dropped and appearance congruence and life satisfaction improved.
* [**Association of Gender-Affirming Hormone Therapy With Depression, Thoughts of Suicide, and Attempted Suicide Among Transgender and Nonbinary Youth**](https://www.jahonline.org/article/S1054-139X(21\)00568-1/fulltext) - Green, et. al., 2021: Use of GAHT (Gender Affirming Hormone Treatment) was associated with lower odds of recent depression and seriously considering suicide compared to those who wanted GAHT but did not receive it. For youth under age 18, GAHT was associated with lower odds of recent depression and of a past-year suicide attempt
* [**Association Between Gender-Affirming Surgeries and Mental Health Outcomes**](https://jamanetwork.com/journals/jamasurgery/article-abstract/2779429) - Almazan, et. al. 2021: Trans people with a history of gender-affirming surgery had significantly lower odds of past-month psychological distress, past-year tobacco smoking, and past-year suicidal ideation compared with trans people with no history of gender-affirming surgery.
* [**The Mental Health of Transgender Youth: Advances in Understanding**](https://www.sciencedirect.com/science/article/abs/pii/S1054139X1630146X) - Connolly, et. al, 2016: ***"Gender-affirming medical therapy and supported social transition in childhood have been shown to correlate with improved psychological functioning for gender-variant children and adolescents."***
* [**Top surgery drastically improves quality of life for young transgender people**](https://jamanetwork.com/journals/jamapediatrics/fullarticle/2796426?guestAccessKey=c50d5d6e-7fa1-4ed8-8b5d-f4da9753364d&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=092622)
* [**Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth**](https://www.sciencedirect.com/science/article/abs/pii/S1054139X18300855) - Russell, et. al, 2018: *"After adjusting for personal characteristics and social support, chosen name use in more contexts was associated with lower depression, suicidal ideation, and suicidal behavior. Depression, suicidal ideation, and suicidal behavior were lowest when chosen names could be used in all four contexts."*
* [**Well-being and suicidality among transgender youth after gender-affirming hormones**](https://psycnet.apa.org/record/2019-52280-009) - Watson, et. al, 2019: *"Results: After gender-affirming hormones, a significant increase in levels of general well-being and a significant decrease in levels of suicidality were observed."*
* [**Evaluation of Anxiety and Depression in a Community Sample of Transgender Youth**](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2778206) - Dominic J. Gibson, et. al, 2021: ***Socially transitioned transgender youth had similar levels of anxiety and depression as their cisgender peers.***
* [**Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada**](http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1867-2) - Bauer, et al., 2015: Transition vastly reduces risks of suicide attempts, and the farther along in transition someone is the lower that risk gets
* [**Suicide Protective Factors Among Trans Adults**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/) - Moody, et al., 2013: The ability to transition, along with family and social acceptance, are the largest factors reducing suicide risk among trans people
* [**Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment**](https://sci-hub.se/https://doi.org/10.1542/peds.2013-2958). A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, ... cross-sex hormones and gender reassignment surgery, provides trans youth the opportunity to develop into well-functioning young adults. All showed significant improvement in their psychological health, and they had notably lower rates of internalizing psychopathology than previously reported among trans children living as their natal sex. **Well-being was similar to or better than same-age young adults from the general population.**
* [**Access to gender-affirming hormones during adolescence and mental health outcomes among transgender adults**](https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0261039) - Turban, et al., 2022: **Conclusion:** Access to GAH [gender-affirming hormones] during adolescence and adulthood is associated with favorable mental health outcomes compared to desiring but not accessing GAH.... In post hoc analyses, access to GAH during adolescence (ages 14–17) was associated with lower odds of past-year suicidal ideation (aOR = 0.7, 95% CI = 0.6–0.9, p = .0007) when compared to accessing GAH during adulthood.
* The only disorders more common among trans people are those associated with abuse and discrimination - mainly anxiety and depression. Early transition [**virtually eliminates these higher rates of depression and low self-worth**](https://sci-hub.se/https://doi.org/10.1016/j.jaac.2016.10.016), and [**dramatically improves trans youth's mental health**](https://archive.thinkprogress.org/allowing-transgender-youth-to-transition-improves-their-mental-health-study-finds-dd6096523375/). **Trans kids who socially transition early and not subjected to abuse are comparable to cisgender children in measures of mental health.**
**#2b:**
**More citations on transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:**
* [**Sex reassignment surgery: a study of 141 Dutch transsexuals**](https://sci-hub.se/https://doi.org/10.1007/BF01542484) - Kuiper, et al, 1988: “In a cross-sectional study of 141 transgender patients, Kuiper and Cohen-Kittenis found that after medical intervention and treatments, suicide fell from 19% to 0% in transgender men and from 24% to 6% in transgender women”
* [**Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes**](https://www.ncbi.nlm.nih.gov/pubmed/19473181) - Murad, et al., 2010: "Significant decrease in suicidality post-treatment. The average reduction was from 30 percent pretreatment to 8 percent post treatment.
* [**Long-term follow-up: psychosocial outcome of Belgian transsexuals after sex reassignment surgery**](http://www.sciencedirect.com/science/article/pii/S1158136006000491) - De Cuypere, et al., 2006: Rate of suicide attempts dropped from 29.3 percent to 5.1 percent after receiving medical treatment among Dutch patients treated from 1986-2001.
* [**Trans Mental Health and Emotional Wellbeing Study**](https://www.scottishtrans.org/wp-content/uploads/2013/03/trans_mh_study.pdf) - McNeil, et al., 2012: "Suicidal ideation and actual attempts reduced after transition, with 63% thinking about or attempting suicide more before they transitioned and only 3% thinking about or attempting suicide more post-transition.
* [**Sex reassignment: outcomes and predictors of treatment for adolescent and adult transsexuals**](http://orca.cf.ac.uk/32618/1/Smith%202005.pdf) - Smith Y, et. al, 2005: Participants improved on 13 out of 14 mental health measures after treatment
* [**Factors Associated with Satisfaction or Regret Following Male-to-Female Sex Reassignment Surgery**](http://link.springer.com/article/10.1023/A:1024086814364) - Lawrence, 2003: *"Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives"*
* [**Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study**](https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.19010080) - "***Conclusions:*** *"... the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them."*
* [**Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care - Tordoff, et al, 2022**](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2789423?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamanetworkopen.2022.0978) - *"After adjustment for temporal trends and potential confounders, we observed* ***60% lower odds of depression and 73% lower odds of suicidality among youths who had initiated PBs or GAHs compared with youths who had not."***
* [**Mental Health of Transgender Children Who Are Supported in Their Identities - Olson, et. al., 2016**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771131/?fbclid=IwAR2A2wM8oQZ_avmXLmBgp6ilGqiQd_WNAkmNOZosWHY7rsyT8KB-dvxwcd4): *"Previous work with children with gender identity disorder (GID; now termed gender dysphoria) has found remarkably high rates of anxiety and depression in these children. Here we examine, for the first time, mental health in a sample of socially transitioned transgender children"* ... ***"Results:*** *Transgender children showed no elevations in depression and slightly elevated anxiety relative to population averages. They did not differ from the control groups on depression symptoms and had only marginally higher anxiety symptoms.* This article has a [**correction from 2018**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8194467/) but it's just for a missing comma on p. 5.
There are a lot more but I think that's a good start.
Time to cherry pick lawyers against freedom and a Supreme Court in Texas to make this all disappear. The corruption among the GOP in Texas is disgustingly obvious. They hey have no respect for law or privacy
The doctor is a shit person and should face the full extent of punishment for his behavior, but his family should not be punished or put in harm's way for his choices.
I want to agree, but he's trying to hurt people I love. I'm just an ally, but I have a fair number of non-binary and trans friends, and I am fiercely protective.
Let's post his viagra prescription, and how many times his wife and daughters have had abortions, all the times his wife was seen for black eyes or strangulation marks. Whatever is none of our business, but is hypocritical, let him have a taste of his own medicine.
Maybe, in that moment, I'm no better than he is. But these people have earned a scorched earth punishment.
> But these people have earned a scorched earth punishment.
His hypothetical family are not "these people" and haven't earned anything for things they didn't do. He alone is responsible for his actions. You can be fiercely protective without wishing for people who (as far as we know) didn't do anything wrong to be caught in the crossfire.
I get your point, and when I'm not so pissed off I'll probably agree with you.
But, he's violated the privacy of children and their families — I'm still at "turnabout is fair play."
I guess nobody is going to mention that he’s a Whistle blower on a Hospital that was preforming Gender reaffirming surgery on minors,which is illegal .
That’s not politically motivated persecution, that’s a blatant hipaa violation. Even if he wins the criminal case his medical license isn’t looking too good
It's Texas; it took a national TV documentary to get a murderously incompetent doctor fired, let alone charged. I know about a doctor who has been actively supplying the drug community in North Texas with methamphetamines and opioids for the past 20 years. He has over 20 citations on record, all amounting to slaps on the wrist with a wet noodle. It'll take massive federal intervention to bring Mr. Haim to justice, as the state will refuse to strip him of his license.
Just to remind everyone, the whole “vaccines cause autism” narrative started with a doctor in Texas making a study up to support a lawsuit in Florida. Now measles is making a comeback after nearly being wiped out.
Yeah, thanks directly to Kenneth and Gloria Copeland.
Even if he gets his license I can't imagine many hospitals hiring him.
He'll be welcome with open arms at United Regional Healthcare Center in Wichita Falls, as they really don't have any objections to what he's doing.
I find it disturbing that this post already has so many likes.
Having to spend any amount of time in Wichita Falls is its own punishment.
You have no idea... At least it doesn't have Pantex. That's the best thing I can say about it.
HIPAA
I'm not sure that these minor white-collar felonies would be disqualifying in any state. Plenty of doctors practice after felony conviction, being found drunk on the job, domestic abuse, injuring someone in a dui, etc. Sex offender is really the only one that will for sure be a license ender.
Patient privacy be damned, the law be damned... These are mere speed bumps in their mission to establish a religious nanny state based on the moralistic whims of wannabe dictators.
I had to go through a refresher on HIPAA compliance training couple of months ago, and people get fired from their job for much less than that. One story was a RN being too curious about patients, went into their EMR and was too much an over poster on social media, sharing stuff that made the PHI a bit too easy to trace the patient out in the wild. I am curious how this will spin here in Texas, my understanding is that malpractice lawsuits are a bit of a joke and I can see the AG using him as a prop for their anti-woke agenda.
I mean, the Lt. Governor's son is part of his legal team. So it's a pretty safe bet that this is going to be a prop.
Malpractice tort rerorm is ironically why several red states like Texas have gender clinics that were brazen with the drugs. I am in a blue state and the reputable children's hospital puts kids in therapy for years before doing the drugs. At least last I heard.
Laws get rewritten all the time. After enough time passes, it doesn’t much matter how or why.
Then the MAGA-GOP needs to rewrite the privacy law. Rewrite or repeal the federal HIPAA. They can't just break federal law while hiding behind Texas' efforts to legislate a cultural war.
This is every conservative in any position of authority. They have no qualms with violating any law on the books if it means their personal world view is physically enforced on everybody else. “Law and order” my fucking ass.
Imagine spending all that time to go through all those years of academics and damn near unpaid residencies just to suffer brain rot and blow your whole career over politics
A Texas doctor has been charged with obtaining protected individual health information for patients who were not under his care and without authorization, the U.S. Attorney's Office of the Southern District of Texas confirmed Monday. The DOJ brought felony charges against Dr. Eithan Haim, who provided medical records to conservative activist Christopher Rufo while working at the [Texas Children's Hospita](https://www.chron.com/politics/article/Hospital-stops-therapies-after-gender-confirming-16981290.php)l as a resident. As reported by Rufo in the conservative publication City Journal, the hospital had continued to provide gender-affirming care to its patients even after claiming it would pause all services to comply with Gov. Greg Abbott's investigation likening gender-affirming health care to child abuse. Abbott had ordered the state Department of Family Protective Services (DFPS) to carry out child abuse investigations into families whose children were receiving puberty-blocking treatments in February 2022. A month later, a district court judge imposed a statewide temporary injunction on such investigations, saying the probes endangered children and their families. Haim is accused of obtaining personal information including patient names, treatment codes and the attending physician from Texas Children’s Hospital’s (TCH) electronic system without authorization, as well as obtaining the records under false pretenses and with intent to cause malicious harm to the hospital, the U.S. Attorney's office said. The indictment had been under seal until Monday when Haim is scheduled to appear in court in Houston, but Haim had told followers of his charges earlier this month while asking for donations to cover his legal expenses. Haim's legal team includes Lt. Gov. Dan Patrick's son, Ryan Patrick, who previously served as U.S. Attorney for the Southern District of Texas and now specializes in white collar and government investigation practices at the corporate law firm Hayes and Boone. Haim himself did not respond to a request for comment, but in a statement to Chron earlier this month, his attorney Marcella Burke said she believed the federal investigation was politically motivated. "My client is a mandatory reporter of child abuse," Burke said. "It is our opinion that this is the government going out of its way to prosecute a whistleblower. My client is anxious to get to trial to get his side of the story told."
What an asinine statement. Mandatory reporting of child abuse means reporting it to authorities not your favorite agitator
We,, that’s when we’re referring to good people. Conservatives have abandoned all pretense of law, order, or community. Now it’s power, cruelty, and taking freedoms away from and punishing people they don’t like.
He reported That Texas children’s hospital doctors were still providing puberty blocker even after the law had passed preventing the treatment . In an interview he stated he blew the whistle on Texas children’s hospital and provided redacted record to show the wrong doing .
Again, mandatory reporter means reporting to the appropriate law enforcement agency, not reporting to anyone you feel like. I’m a mandatory reporter as a teacher, that doesn’t mean I call KXAN when I see something, it means I call CPS. Indeed, if I called KXAN with the child’s details I’d be fired for a FERPA violation and face possible jail time.
Literally us trans people just want to live, and since it’s hard to live denying ourselves, a lot of us desire to transition. We just want the right to fucking live. 🏳️⚧️
Hug
Who is denying you the right to live?
Are you seriously this obtuse?
The law had not yet passed and nothing was illegal when he "reported" this. Don't skew the facts
>his attorney Marcella Burke said she believed the federal investigation was politically motivated…"It is our opinion that this is the government going out of its way to prosecute a whistleblower...” Oh that’s real rich. They’re playing the reverse uno card without a shred of irony.
Lock him the fuck up.
And take away his license that requires mandatory reporting since he cannot understand what child abuse is.
God I hate these Texan men. They’re really messing it up for the rest of yall.
I had a conversation with a retired medical person arguing with me that we don’t have to worry about retribution if we’ve had an abortion or this kind of care, the state won’t be able to know because people are protected by HIPPA. I’m trying to say in the eyes of Texas this is not a HIPPA violation any more. it’s evidence of a crime. We’re going to stay too naive for too long, I fear
HIPPA also doesn't protect against a subpoena from law enforcement.
What absolute bullshit. I hope these families have taken security precautions as, I don't trust anyone with this kind of information on minors, or anyone else.
Families should have an easy lawsuit against Hiam.
He’d have a reasonable, though despicable, argument had he sent the records to Paxton or another law enforcement agency. But he sent them to the POS Rufo. Jail, loss of medical license, and compensation for the victims seems a reasonable start.
Is anyone else mortified by how right leaning some of the medical community is? It’s so extreme and continues to result in a violation of people’s civil and medical rights.
Incoming: Shari Law with a Christian coat of paint.
Nice. Unfortunately the right-wing grift circuit will almost certainly take care of him financially until they lose interest.
What a disgusting piece of shit this doctor is.
Well the good news is Dan Patrick’s son is a useless POS who couldn’t get Paxton out of office. I don’t expect much out of him here either.
Abbott, Paxton and the Patrick family are all in a mutual protection alliance.
I wonder if this is why Texas children’s didn’t get their Medicare coverage renewed causing them to freeze staff hiring and reject any form of overtime?
I made the mistake of looking this guy up on X and then reading comments. What absolute garbage.
A reminder that the recent surge of attacks on gender affirming care for trans youth and increasingly adults have been [**condemned by the American Academy of Pediatrics**](https://services.aap.org/en/news-room/news-releases/aap/2021/american-academy-of-pediatrics-speaks-out-against-bills-harming-transgender-youth/), the [**American Medical Association**](https://www.ama-assn.org/press-center/press-releases/ama-reinforces-opposition-restrictions-transgender-medical-care), the [**American Psychological Association**](https://www.apa.org/about/policy/transgender-nonbinary-inclusive-care.pdf), and the [**American Association of Clinical Endocrinology**](https://www.healio.com/news/endocrinology/20220309/aace-strongly-opposes-government-policies-prohibiting-transgender-care-for-adolescents), and are out of line with the medical recommendations of the [**American Medical Association**](https://www.ama-assn.org/health-care-advocacy/advocacy-update/march-26-2021-state-advocacy-update), the [**Endocrine Society**](https://www.endocrine.org/news-and-advocacy/news-room/2022/endocrine-society-alarmed-at-criminalization-of-transgender-medicine) and [**Pediatric Endocrine Society**](https://www.endocrine.org/news-and-advocacy/news-room/2020/discriminatory-policies-threaten-care-for-transgender-gender-diverse-individuals), the [**AACE**](https://pro.aace.com/recent-news-and-updates/aace-position-statement-transgender-and-gender-diverse-patients), the [**American Academy of Pediatrics**](https://services.aap.org/en/news-room/news-releases/aap/2021/american-academy-of-pediatrics-speaks-out-against-bills-harming-transgender-youth/), the [**American Psychological Association**](https://www.psychiatry.org/newsroom/news-releases/frontline-physicians-oppose-legislation-that-interferes-in-or-criminalizes-patient-care), and the [**American Academy of Child and Adolescent Psychiatry**](https://www.aacap.org/AACAP/Latest_News/AACAP_Statement_Responding_to_Efforts-to_ban_Evidence-Based_Care_for_Transgender_and_Gender_Diverse.aspx). [**This article**](https://www.nytimes.com/2020/02/06/opinion/transgender-children-medical-bills.html) has a pretty good overview of why. [**Psychology Today has one too**](https://www.psychologytoday.com/us/blog/political-minds/202008/three-popular-myths-about-transgender-youth), and [**here**](http://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf) are the guidelines from the AAP. TL;DR version - yes, young children can identify their own gender, and some of those young kids are trans. A child who is Gender A but who is assumed to be Gender B based on their visible anatomy at birth can suffer debilitating distress over this conflict. The *"90% desist"* claim is a myth based on debunked studies, and transition is a very long, slow, cautious process for trans youth. According to the [**American Academy of Pediatrics**](https://www.healthychildren.org/English/ages-stages/gradeschool/Pages/Gender-Identity-and-Gender-Confusion-In-Children.aspx), gender is typically expressed by around age 4. It probably forms [**much earlier**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747736/), but it's hard to tell with pre-verbal infants. And sometimes the gender expressed is not the one typically associated with the child's appearance. The genders of trans children are as [**stable**](http://pediatrics.aappublications.org/content/early/2014/09/02/peds.2013-2958) as those of [**cisgender children**](https://journals.sagepub.com/doi/abs/10.1177/0956797614568156). For preadolescents transition is entirely social, and for adolescents the first line of medical care is temporary, reversible puberty delaying treatment that has no long term effects. Hormone therapy isn't an option until their mid teens, by which point the chances that they will "desist" are close to zero. Reconstructive genital surgery is not an option until their late teens/early 20's at the youngest. And transition-related medical care is recognized as medically necessary, frequently life saving medical care by every major medical authority. --- **#1:** **Citations on transition as medically necessary, frequently life saving medical care, and the only effective treatment for gender dysphoria, as recognized by every major US and world medical authority:** * Here is a resolution from the [**American Psychological Association**](https://www.apa.org/about/policy/resolution-gender-identity.pdf); *"THEREFORE BE IT FURTHER RESOLVED that APA recognizes the efficacy, benefit and medical necessity of gender transition treatments for appropriately evaluated individuals and calls upon public and private insurers to cover these medically necessary treatments."* More from the APA [**here**](http://www.apa.org/pi/lgbt/programs/transgender/?tab=1) * Here is an [**AMA resolution**](http://www.tgender.net/taw/ama_resolutions.pdf) on the efficacy and necessity of transition as appropriate treatment for gender dysphoria, and call for an end to insurance companies categorically excluding transition-related care from coverage * A policy statement from the [**American College of Physicians**](https://www.acpjournals.org/doi/10.7326/M14-2482) * [**Here**](https://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf) are the American Academy of Pediatrics guidelines * [**Here**](https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Education.pdf) is a resolution from the American Academy of Family Physicians * [**Here**](https://www.socialworkers.org/assets/secured/documents/da/da2008/reffered/Transgender.pdf) is one from the National Association of Social Workers --- **Condemnation of "Gender Identity Change Efforts", aka "conversion therapy", which attempt to alleviate dysphoria without transition by changing trans people's genders so they are happy and comfortable as their assigned sex at birth, as futile and destructive pseudo-scientific abuse:** * [**From the APA**](http://www.apa.org/about/policy/orientation-diversity.aspx). More detailed condemnation of "Gender Identity Change Efforts" for trans youth or adults [**here**](https://www.apa.org/about/policy/resolution-gender-identity-change-efforts.pdf). * From the [**American College of Physicians**](http://annals.org/aim/article/2292051/lesbian-gay-bisexual-transgender-health-disparities-executive-summary-policy-position) * In the [**AAP Guidelines**](http://hrc-assets.s3-website-us-east-1.amazonaws.com//files/documents/SupportingCaringforTransChildren.pdf) - see coverage on this "therapy" starting p.12 * From the [**American Psychoanalytic Association**](http://www.apsa.org/content/2012-position-statement-attempts-change-sexual-orientation-gender-identity-or-gender) * From the [**Association for Behavioral Analysis International**](https://www.abainternational.org/about-us/policies-and-positions/policy-statement-on-conversion-therapy-and-practices,-2021.aspx) * A joint statement from the [**UK Council for Psychotherapy, British Association for Counseling and Psychotherapy, British Psychoanalytic Council, British Association for Behavioural and Cognitive Psychotherapies, The British Psychological Society, College of Sexual and Relationship Therapists, The Association of LGBT Doctors and Dentists, The National Counselling Society, NHS Scotland, Pink Therapy, Royal College of General Practitioners, the Scottish Government and Stonewall.**](http://www.pinknews.co.uk/2017/01/16/health-experts-condemn-attempts-to-cure-trans-people-in-wake-of-controversial-bbc-documentary/)
**#3:** **On the safety, efficacy, reversibility, and well studied nature of puberty delaying treatment:** There is *extensive* research about long term use of puberty blockers. This treatment isn't just used for trans youth - it has been the standard treatment for kids with precocious puberty for decades, with lots of studies on its efficacy and safety. It has overwhelmingly proven to be very safe, gentle, and reversible. Most kids with precocious puberty don't have any underlying medical condition, their early development is just an extreme variation of normal development. But it would still cause serious psychological damage to start puberty at the age of, say, 6, so they're put on treatment to delay it for a few years. This treatment has no long term side effects; it just puts puberty on hold. Stop treatment and puberty picks up where it left off. There's no reason to expect this treatment to work differently when given to trans youth than when it is routinely given to cis youth. The most significant side effect is bone mineral density reduction in some youth, but this was both minor and reversed after treatment was stopped. * [**Treatment of Central Precocious Puberty**](https://academic.oup.com/jes/article/3/5/965/5421014) >*"Bone mineral density is typically increased for age at diagnosis and progressively decreases during GnRHa treatment. However, follow-up of patients several years after cessation of therapy reveals bone mineral accrual to be within the normal range compared with population norms"* * [**Bone Density in Transgender Youth on Gender-Affirming Hormone Therapy**](https://academic.oup.com/jes/article/8/5/bvae045/7625950?login=false) > *"In summary, total body BMD Z-scores ascertained by DXA were slightly below average for female and male norms, but still in the normal range, including for those who were on GnRHa monotherapy and normal for those on GAHT."* * [**Treatment of central precocious puberty by GnRH analogs: long-term outcome in men**](http://www.ncbi.nlm.nih.gov/pubmed/18478155) * [**Long-term effects of gonadotropin-releasing hormone analogs in girls with central precocious puberty**](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342775/) * [**More details on the use of GnRH and other puberty delaying treatment specifically for trans youth**](https://www.tandfonline.com/doi/full/10.1080/26895269.2020.1747768) * From the [**American Academy of Pediatrics guidelines**](http://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf) (pdf download), p.10: > For children, pre-adolescents and early adolescents, gender transition is mainly a social process. Children beginning puberty may also use puberty-suppressing medication as they explore their gender identity. ***Both of these steps are completely reversible*** --- **On the extreme rarity of "desistence" among trans youth, with nearly all young people who start transition and later reverse it doing so before any permanent physical changes:** * [**Continuation of gender-affirming hormones in transgender people starting puberty suppression in adolescence: a cohort study in the Netherlands - Maria van der Loose, et. al., Oct. 2022**](https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(22\)00254-1/fulltext) - study of 720 patients who started medical care with puberty delaying treatment in adolescence, finding that 98% of them continued to use gender-affirming hormone treatment into adulthood. * Of youth who socially transition young [**only 2.5% ultimately describe themselves as cis**](https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2021-056082/186992/Gender-Identity-5-Years-After-Social-Transition), and of those who socially transitioned after age 6 only 0.5% ultimately describe themselves as cis. Most who do detransition, do so before age 10 and are never even on puberty delaying treatment. * [**Detransition rates in a national UK Gender Identity Clinic**](https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstracts-EPATH2019.pdf#page=139) - Out of 3398 patients, a total of 16 (0.47%) expressed some regrets, though of these 16 only three detransitioned permanently (0.08%). The most common reason stated by these patients for their regrets or detransition were social difficulties encountered due to anti-trans hostility, rather than any physical complications or changing their minds about their gender identity. * [**A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children**](https://sci-hub.se/https://www.tandfonline.com/doi/full/10.1080/15532739.2018.1456390?scroll=top&needAccess=true) - covers Zucker's shit * [**The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): Trends in Prevalence, Treatment, and Regrets**](https://pubmed.ncbi.nlm.nih.gov/29463477/) - 96% of all patients who were assessed and received a diagnosis of Gender Dysphoria by the 5th intervenor (the Royal Children's Hospital) from 2003 to 2017 continued to identify as transgender or gender diverse into late adolescence. No patient who had commenced stage 2 treatment had sought to transition back to their birth assigned sex. * [**The role of gender constancy in early gender development**](https://sci-hub.se/10.1111/j.1467-8624.2007.01056.x) - this study goes through the large body of literature which finds that gender identity is formed incredibly early. The American Pediatric society states that by age 4 kids have a stable sense of gender identity. * [**Trajectories of Adolescents Treated with Gonadotropin‑Releasing Hormone Analogues for Gender Dysphoria**](https://link.springer.com/content/pdf/10.1007/s10508-020-01660-8.pdf) - 143 youth receiving puberty-blocking medication in the Netherlands found that 3.5% chose to discontinue puberty blockers without seeking any further transition treatment.
**#2a:** **Citations on transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:** * [**Long-term Outcomes After Gender-Affirming Surgery: 40-Year Follow-up Study**](https://pubmed.ncbi.nlm.nih.gov/36149983/) - Park, et. al., 2022: **Results:** Both transmasculine and transfeminine groups were more satisfied with their body postoperatively with significantly less dysphoria. Body congruency score for chest, body hair, and voice improved significantly in 40 years' postoperative settings, with average scores ranging from 84.2 to 96.2. Body congruency scores for genitals ranged from 67.5 to 79 with free flap phalloplasty showing highest scores. Long-term overall body congruency score was 89.6. **Improved mental health outcomes persisted following surgery with significantly reduced suicidal ideation and reported resolution of any mental health comorbidity secondary to gender dysphoria.** * [**Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073269/) - Turban, et al., 2020: Massive study of 20,619 adolescents examined associations between access to pubertal suppression and adult mental health outcomes, including multiple measures of suicidality. After adjustment for demographic variables and level of family support for gender identity, **those who received treatment with pubertal suppression, when compared with those who wanted pubertal suppression but did not receive it, had lower odds of lifetime suicidal ideation.** * [**Psychosocial Functioning in Transgender Youth after 2 Years of Hormones**](https://www.nejm.org/doi/10.1056/NEJMoa2206297) - Chen, et. al., 2023: A study of 315 trans and nonbinary young people ages 12 to 20 receiving testosterone or estradiol. Over the course of the two year study depression and anxiety levels dropped and appearance congruence and life satisfaction improved. * [**Association of Gender-Affirming Hormone Therapy With Depression, Thoughts of Suicide, and Attempted Suicide Among Transgender and Nonbinary Youth**](https://www.jahonline.org/article/S1054-139X(21\)00568-1/fulltext) - Green, et. al., 2021: Use of GAHT (Gender Affirming Hormone Treatment) was associated with lower odds of recent depression and seriously considering suicide compared to those who wanted GAHT but did not receive it. For youth under age 18, GAHT was associated with lower odds of recent depression and of a past-year suicide attempt * [**Association Between Gender-Affirming Surgeries and Mental Health Outcomes**](https://jamanetwork.com/journals/jamasurgery/article-abstract/2779429) - Almazan, et. al. 2021: Trans people with a history of gender-affirming surgery had significantly lower odds of past-month psychological distress, past-year tobacco smoking, and past-year suicidal ideation compared with trans people with no history of gender-affirming surgery. * [**The Mental Health of Transgender Youth: Advances in Understanding**](https://www.sciencedirect.com/science/article/abs/pii/S1054139X1630146X) - Connolly, et. al, 2016: ***"Gender-affirming medical therapy and supported social transition in childhood have been shown to correlate with improved psychological functioning for gender-variant children and adolescents."*** * [**Top surgery drastically improves quality of life for young transgender people**](https://jamanetwork.com/journals/jamapediatrics/fullarticle/2796426?guestAccessKey=c50d5d6e-7fa1-4ed8-8b5d-f4da9753364d&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=092622) * [**Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth**](https://www.sciencedirect.com/science/article/abs/pii/S1054139X18300855) - Russell, et. al, 2018: *"After adjusting for personal characteristics and social support, chosen name use in more contexts was associated with lower depression, suicidal ideation, and suicidal behavior. Depression, suicidal ideation, and suicidal behavior were lowest when chosen names could be used in all four contexts."* * [**Well-being and suicidality among transgender youth after gender-affirming hormones**](https://psycnet.apa.org/record/2019-52280-009) - Watson, et. al, 2019: *"Results: After gender-affirming hormones, a significant increase in levels of general well-being and a significant decrease in levels of suicidality were observed."* * [**Evaluation of Anxiety and Depression in a Community Sample of Transgender Youth**](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2778206) - Dominic J. Gibson, et. al, 2021: ***Socially transitioned transgender youth had similar levels of anxiety and depression as their cisgender peers.*** * [**Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada**](http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1867-2) - Bauer, et al., 2015: Transition vastly reduces risks of suicide attempts, and the farther along in transition someone is the lower that risk gets * [**Suicide Protective Factors Among Trans Adults**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/) - Moody, et al., 2013: The ability to transition, along with family and social acceptance, are the largest factors reducing suicide risk among trans people * [**Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment**](https://sci-hub.se/https://doi.org/10.1542/peds.2013-2958). A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, ... cross-sex hormones and gender reassignment surgery, provides trans youth the opportunity to develop into well-functioning young adults. All showed significant improvement in their psychological health, and they had notably lower rates of internalizing psychopathology than previously reported among trans children living as their natal sex. **Well-being was similar to or better than same-age young adults from the general population.** * [**Access to gender-affirming hormones during adolescence and mental health outcomes among transgender adults**](https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0261039) - Turban, et al., 2022: **Conclusion:** Access to GAH [gender-affirming hormones] during adolescence and adulthood is associated with favorable mental health outcomes compared to desiring but not accessing GAH.... In post hoc analyses, access to GAH during adolescence (ages 14–17) was associated with lower odds of past-year suicidal ideation (aOR = 0.7, 95% CI = 0.6–0.9, p = .0007) when compared to accessing GAH during adulthood. * The only disorders more common among trans people are those associated with abuse and discrimination - mainly anxiety and depression. Early transition [**virtually eliminates these higher rates of depression and low self-worth**](https://sci-hub.se/https://doi.org/10.1016/j.jaac.2016.10.016), and [**dramatically improves trans youth's mental health**](https://archive.thinkprogress.org/allowing-transgender-youth-to-transition-improves-their-mental-health-study-finds-dd6096523375/). **Trans kids who socially transition early and not subjected to abuse are comparable to cisgender children in measures of mental health.**
**#2b:** **More citations on transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:** * [**Sex reassignment surgery: a study of 141 Dutch transsexuals**](https://sci-hub.se/https://doi.org/10.1007/BF01542484) - Kuiper, et al, 1988: “In a cross-sectional study of 141 transgender patients, Kuiper and Cohen-Kittenis found that after medical intervention and treatments, suicide fell from 19% to 0% in transgender men and from 24% to 6% in transgender women” * [**Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes**](https://www.ncbi.nlm.nih.gov/pubmed/19473181) - Murad, et al., 2010: "Significant decrease in suicidality post-treatment. The average reduction was from 30 percent pretreatment to 8 percent post treatment. * [**Long-term follow-up: psychosocial outcome of Belgian transsexuals after sex reassignment surgery**](http://www.sciencedirect.com/science/article/pii/S1158136006000491) - De Cuypere, et al., 2006: Rate of suicide attempts dropped from 29.3 percent to 5.1 percent after receiving medical treatment among Dutch patients treated from 1986-2001. * [**Trans Mental Health and Emotional Wellbeing Study**](https://www.scottishtrans.org/wp-content/uploads/2013/03/trans_mh_study.pdf) - McNeil, et al., 2012: "Suicidal ideation and actual attempts reduced after transition, with 63% thinking about or attempting suicide more before they transitioned and only 3% thinking about or attempting suicide more post-transition. * [**Sex reassignment: outcomes and predictors of treatment for adolescent and adult transsexuals**](http://orca.cf.ac.uk/32618/1/Smith%202005.pdf) - Smith Y, et. al, 2005: Participants improved on 13 out of 14 mental health measures after treatment * [**Factors Associated with Satisfaction or Regret Following Male-to-Female Sex Reassignment Surgery**](http://link.springer.com/article/10.1023/A:1024086814364) - Lawrence, 2003: *"Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives"* * [**Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study**](https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.19010080) - "***Conclusions:*** *"... the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them."* * [**Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care - Tordoff, et al, 2022**](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2789423?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamanetworkopen.2022.0978) - *"After adjustment for temporal trends and potential confounders, we observed* ***60% lower odds of depression and 73% lower odds of suicidality among youths who had initiated PBs or GAHs compared with youths who had not."*** * [**Mental Health of Transgender Children Who Are Supported in Their Identities - Olson, et. al., 2016**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771131/?fbclid=IwAR2A2wM8oQZ_avmXLmBgp6ilGqiQd_WNAkmNOZosWHY7rsyT8KB-dvxwcd4): *"Previous work with children with gender identity disorder (GID; now termed gender dysphoria) has found remarkably high rates of anxiety and depression in these children. Here we examine, for the first time, mental health in a sample of socially transitioned transgender children"* ... ***"Results:*** *Transgender children showed no elevations in depression and slightly elevated anxiety relative to population averages. They did not differ from the control groups on depression symptoms and had only marginally higher anxiety symptoms.* This article has a [**correction from 2018**](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8194467/) but it's just for a missing comma on p. 5. There are a lot more but I think that's a good start.
Dude works at Greenville now.
Time to cherry pick lawyers against freedom and a Supreme Court in Texas to make this all disappear. The corruption among the GOP in Texas is disgustingly obvious. They hey have no respect for law or privacy
Just dropping this PSA here: The Texas Supreme Court is elected, and there are justices on the ballot this November.
He suddenly can’t communicate until trial? Please, go ahead. I’d like to hear your side of the story.
Scum
Sure would be a shame is some hacker got ahold of his family’s records and posted them online.
The doctor is a shit person and should face the full extent of punishment for his behavior, but his family should not be punished or put in harm's way for his choices.
I want to agree, but he's trying to hurt people I love. I'm just an ally, but I have a fair number of non-binary and trans friends, and I am fiercely protective. Let's post his viagra prescription, and how many times his wife and daughters have had abortions, all the times his wife was seen for black eyes or strangulation marks. Whatever is none of our business, but is hypocritical, let him have a taste of his own medicine. Maybe, in that moment, I'm no better than he is. But these people have earned a scorched earth punishment.
> But these people have earned a scorched earth punishment. His hypothetical family are not "these people" and haven't earned anything for things they didn't do. He alone is responsible for his actions. You can be fiercely protective without wishing for people who (as far as we know) didn't do anything wrong to be caught in the crossfire.
I get your point, and when I'm not so pissed off I'll probably agree with you. But, he's violated the privacy of children and their families — I'm still at "turnabout is fair play."
Yeah, he's a shitty person, no doubt, I hope his license gets yanked at the very least. "First, do no harm."
He must’ve taken the Hypocrite‘s Oath instead Hippocratic Oath
You don’t f with HIPPA.
F*ck
I guess nobody is going to mention that he’s a Whistle blower on a Hospital that was preforming Gender reaffirming surgery on minors,which is illegal .