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#Isabelle Ayala
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"I'm going to lose people. It is social suicide to be doing this. But I feel like I'm going to meet better people along the way."
Remember how we were told this was "life-saving care"? They were building the plane while flying it.
Another lawsuit for the thing that never happens.
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eternal-echoes · 6 months
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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
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palaceoftears · 9 months
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Isabel and Juana of Castile + quote
Happy birthday @latristereina !
Isabel had good cause for being upset. Such was “the disposition of the Princess” as the physicians described it, “that not only should it pain those who see her often and love her greatly, but also anyone at all, even strangers, because she sleeps badly, eats little and at times nothing, and she is very sad and thin. Sometimes she does not wish to talk and appears as though in a trance; her infirmity progresses greatly.” It was customary, they explained, to treat Juana’s infirmity through love, entreaty, or fear; but the princess had proven unreceptive to entreaty, and even “a little force” affected her so adversely that it was a great pity to attempt it and no one wanted to try, so that, beyond the queen’s customary immense labors and concerns, this weight of caring for her daughter fell upon her. It has been conjectured that Isabel’s illness could have been cancer, endocarditis—infection of the heart valve—chronic dropsy, or several of them combined. By the following June she had a visible tumor, although it is not known where or of what sort. In August she took Juana to Segovia, which she had seemingly avoided for years, telling her it was a step toward the north coast and her departure for Flanders. There Isabel continued to try with little success to get her to turn her mind to affairs of state. Juana showed little interest in government and in her child, and a good deal of disregard for religious matters of any sort, and for public opinion as well. The princess appeared to disdain much of what Isabel valued, and even to represent the antithesis of the very qualities her mother valued most highly. Even so, Juana was her designated successor, and Isabel was determined to keep her in Spain and do her best to train her to be its queen. So the arguments against Juana’s departure were patiently repeated: the season, the sea, the French, that Philip should be safe in Ghent before she traveled, and did she not want to see her father before she left? The hope remained that Juana would stay and Charles join her, so that Isabel might have him educated in Spain’s customs and come to prefer its people. And with Juana and Charles there and Philip not, should Isabel die, Fernando, still king of Aragón, could surely manage to guide their daughter in governing Castile. It was November. A treaty with France—arranged by the queen of France, Anne of Brittany, and Margaret of Austria—had been signed, and an envoy arrived from Philip requesting that Juana return to Flanders. Isabel, playing for time, responded that the princess, although better, was not well, that relations with France were still such that it was not safe for her to travel by land or, now that it was winter, by sea, that she had better wait until spring, and that “following her frame of mind and la pasión she has” that Juana should not be where there was no one who could quiet and restrain her for it might be dangerous for her. The implication was that Juana was emotionally out of control. Exactly what was meant by “restrain” we do not know.
-Peggy K. Liss, Isabel the Queen
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coochiequeens · 6 months
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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 [email protected].
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𝒟𝒶𝓊𝑔𝒽𝓉𝑒𝓇𝓈 𝑜𝒻: 𝒫𝒽𝒾𝓁𝒾𝓅 𝐼𝐼 𝑜𝒻 𝒮����𝒶𝒾𝓃:
-𝐼𝓈𝒶𝒷𝑒𝓁 𝒞𝓁𝒶𝓇𝒶 𝐸𝓊𝑔𝑒𝓃𝒾𝒶 (𝟣𝟧𝟨𝟨-𝟣𝟨𝟥𝟥)
-𝒞𝒶𝓉𝒶𝓁𝒾𝓃𝒶 𝑀𝒾𝒸𝒶𝑒𝓁𝒶 (𝟣𝟧𝟨𝟩-𝟣𝟧𝟫𝟩)
-𝑀𝒶𝓇í𝒶 (𝟣𝟧𝟪𝟢-𝟣𝟧𝟪𝟥)
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larsisfrommars · 2 years
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El Hotel De Los Secretos Ep. 8 Reaction
@seismologically-silly
Attempted stabbing interrupted by Pascual calling Julio to attention! A physical struggle ensues, Julio interrogates Pascual about the bauble that belonged to his sister. Pascual continues to deny involvement O Crap Julio Has A Knife. More stabbings being interrupted! This time by the head butler, Julio postponed his interrogation for now.
Pascual is absolutely terrified of someone/something the following morning and I’m not entirely convinced it’s Julio.
Teresa confronts her son about his Objectively Worst Choice in which servant to frame for the murder he may or may not have committed. Teresa has chosen to protect Sofia over Felipe. YAY! Andrés is back!! Everybody is about as happy to see him as me! Of course he’s well loved by the staff.
Andrés brings his mom tea (with a little alcohol, thanks Chef Lupe 😂). He checks in on his mother and asks her what she did, he gets worried when she gets super cryptic about it. She doesn’t allow him to press further and puts everybody back to work. Andrés is a little peeved “aren’t we gonna celebrate a little?” “my way of celebrating is honest work.” Oh dear…
More “where the fuck is money/evidence” between Diego and the bowler hat guy, he wants him to find not just the money but the ring I think (or the button or something else Julio/Andrés found) I can’t think of why else he would’ve been searching their room.
Pascual took the money!! No wonder he was so terrified early, he wasn’t afraid of Julio, he’s afraid of bowler hat guy!! Pascual runs into Victoria on his way (now officially on the run methinks). I’m sure she’s gonna investigate that further.
Ohhhhh no my HEART 😍 Andrés has decided to surprise Julio at work! The platter Julio was carrying drops, they’re chirping each others names and hugging I am going SO RABID over these two AHHHHHH!!! 💕
Teresa and Ángela just had an incredibly tense interaction. Ángela seems apologetic to have to have done what she did to protect her son. Teresa seems to want Ángela to swear she’ll hold up her end of the deal, she does.
Isabel comes to see Andrés and congratulate him on his freedom. They discuss what happened and I believe Isabel lies to Andrés that Felipe is the one who did it (but not telling him what Felipe had been the one to plant the knife OR that she isn’t sure Felipe guilty), she hopes justice will eventually be served (this seems to take Julio aback a little).
Julio has an aside with Isabel and thanks her for protecting Andrés’s happiness by not telling him everything, they both care for him very much and are happy he’s back, even if they both seem upset by the fact they’re hiding things from him.
Andrés continues to be ridiculously excited about being a dad and has come to check on Belén like he always does at the laundry area. This time his mom be snooping! He goes on and on about wanting to give her and the baby whatever they need.
I wonder what Ángela was hoping to find out, because what she found is Belén manipulating the heck out of him. Every time I think I’ve judged Belén too quickly she says/does some manipulative shit and I’m like “oh never mind!” 😂😅
Ayala chastises his sidekick for fraternizing with the prisoners, “you’re a policeman, our job is important, act like it!” going on about how they still need to figure out what exactly happened to Ximena. They don’t seem to be getting much from Felipe, shit isn’t connecting right.
Hooray for Ayala chastising his deputy again and telling him prostitutes are people! I’m legit really starting to like this guy, his motivation is finding the truth in a show about secrets. Even if he really REALLY missed the mark on Andrés. I think mostly because he didn’t realize Salinas’s nervous, friendly energy is completely genuine. (Autism mood right there)
Pascual trying to gtfo with his briefcase full of cash and of COURSE he runs into Diego and has to pretend everything is chill and get back to work. Oooooooh Victoria just found out what’s in the briefcase and fuckin STOLE it! She just took it to Luisa ohhhhh MAN. Ngl I think if someone else is gonna die, it’s gonna be Pascual for trying to cut and run.
Ángela is cozying up to Natalia, “thanks for your discretion, you’re doing well at the grand hotel, you’ve got friends right? Are you friends with Belén? 👀” and she has asked her if Belén has been with any man other than Andrés and Natalia is squirming like she knows something!
Now that I think about it I think the amount of time Belén has been pregnant (or something else that was said) might’ve tipped Ángela off is that the baby isn’t Andrés’s. Though what SHE doesn’t know is that Andrés knows that! Juicy!!
Jacinto (the gardener) has brought clothes for Felipe to the police station but is refused entry. Detective Ayala is currently questioning Felipe and the cop tells Jacinto it’s none of his business. Jacinto overhears two cops talking about problems having to do with Ayala and the cantina.
Luisa is very politely interrogating Diego over coffee. She’s concerned about her son and his role in the hotel (possibly because she’s worried about his safety in this web of lies). She’s giving the briefcase full of cash Victoria stole as means to gain power and influence over the hotel for herself and for her son! Daaaaaamn.
Ayala and sidekick are attending the open casket funeral of a prostitute (I think it might be Violeta’s older sister) who is very obviously alive since they go out of the way so we can see and hear her breathing 😂. I have a feeling they’re somehow using this “death” as a scam or cover up of something. Unless those shots were just bad lol. More of Violeta’s gorgeous singing voice which we found out she has last episode!
Meanwhile Andrés and Julio are ironing newspapers. They’re talking about Isabel and I think Julio just admitted to feeling affection for her (which makes Andrés nervous for him, then again what doesn’t?). Julio goes on about like, it’s not gonna happen but she is pretty great (romantic cross fade to her in the next scene).
Isabel has written to her friend Matilde (the girl she was chatting with in the very first episode!) she’s telling her about all the non-drama (which y’know, isn’t really much all things considered) and is like “I wish you were here, you’d know what to do.” Looks like Matilde may be joining our ever growing cast of characters some point soon!
Jacinto enters the scene, and in doing so, sees the abuse poor Violeta is going through first hand. She storms off and Jacinto follows suit. Diego confronts Pascual about the briefcase, Pascual throws Julio under the bus immediately.
Pascual takes the briefcase again and goes directly to Isabel’s room! Crap!! 🔪🔪🔪 he’s taken her hostage! Julio has seen them as Pascual takes Isabel into the woods! Julio tries to negotiate with Pascual to let Isabel go and asks about Cristina, revealing to him that he’s her brother!
Pascual gets very upset regarding Cristina, I think Julio is negotiating that he’ll get Pascual a ticket out of town if he tells him what happened to her. Pascual clears Felipe’s name I THINK DIEGO JUST SHOT PASCUAL before Pascual could tell Julio who’s responsible for Cristina! Damnit!! WHY AM I ALWAYS RIGHT?! 😂
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ichayalovesyou · 1 year
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Infinito Carlos Rivera: Como Andrés Salinas en El Hotel De Los Secretos (2016)- Ep.5, part 4/5, The Interrogation
Anterior <- -> Próximo (El Hotel De Los Secretos)
Anterior <- -> Próximo (Infinito Carlos Rivera)
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judebautista · 2 years
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Isabelle Huppert Graces 25th French Film Fest
Isabelle Huppert Graces 25th French Film Fest
Isabelle Huppert at Greenbelt 3, Ayala Center, Makati City – during the opening of 25th French Film Festival October 21, 2022. Photo by Jude Bautista Written and photographed By Jude Bautista French Actress Isabelle Huppert, graced the opening of the 25th edition of the French Film Festival at Greenbelt 3, Ayala Center Makati City last October 21, 2022. Considered as one of the best actresses in…
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eliaswoodt · 6 months
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The Name List
Organized from A-Z (yes I will add more names whenever I find more I like, probably in reblogs)
I currently have 1035 names (and that’s only including the first names. I have a list of last names, too.)
Angel, Atticus, Atlas, Apollo, Ares, Athena, Achilles, Artemis, Adonis, Avery, Aubrey, Aubry, Aceline, Ashlynn, Aislinn, Anjanette, Arthur, Archer, Addison, Arrietty, Amity, Autumn, Alastor, Alastair, Alasdair, Alistair, Alison, Arren, Arin, Astra, Aoife, Adalyn, Adeleine, Astoria, Agnes, Angus, Abigail, Ann, Anne, Ambrose, Adeline, Avarsel, Agatha, Ari, Azariah, Aniyah, Armani, Anastasia, Annabelle, Adah, Adelaide, Avis, Amelia, August, Axel, Adelina, Amir, Amin, Ayala, Arne, Averett, Adil, Astro, Ava, Anti, Ailun, Akemi, Asahi, Akari, Asako, Atsuko, Azumi, Aka, Aren, Akko
Blossom, Bambi, Babs, Bo, Bella, Blair, Bea, Bonnabel, Badeea, Betty, Bailey, Boris, Bee, Bugs, Blaise, Benjamin, Bog, Buford, Beatrice, Bryce, Bryan, Bazil, Brutus, Bellamy, Brigitte, Bailee, Bailey, Bao, Belladona, Belladonna, Bell, Bill, Bishop, Bones, Boneothy, Benno, Behemoth, Barry, Bellynn, Bowie, Bunki
Clover, Canyon, Cleo, Cameron, Celestial, Celestino, Ciro, Camilo, Cain, Charlotte, Clara, Corey, Cin, Charlie, Cassidy, Chiara, Callista, Cisco, Cynthia, Casper Clinton, Celestina, Clement, Christopher, Cornelius, Clifford, Claudius, Carey, Carrie, Coatl, Cyrus, Cyril, Cecil, Caisus, Castiel, Calla, Cosmos, Cherry, Cheryl, Crowley, Crow, Cassius, Cliodna, Clíodhna, Cliona, Conan, Cordelia, Calypso, Cas, Cillian, Chiyo, Chiaki, Chihiro, Calcifer
Danny, Darlene, Dex, Dot, Diana, Daphne, Demeter, Daedalus, Daeddel, Darphel, Dawn, Derrick, Derek, Dravan, Dravid, Drae, Dallas, Dimas, Dominic, Damien, Drew, Delilah, Dakota, Darian, Darius, Darwin, Devan, Darla, Dagmar, Daelyn, Dale, Dae, Dacey, Desmond, Dabria, Daniel, Daniela, Danialla, David, Davis, Donnel, Dennis, Demitrius, Delaney, Daiki, Daiyu
Everest, Emery, Ember, Elliott, Elliot, Earlana, Eliseo, Ezequiel, Emie, Evan, Eloise, Eric, Emmet, Elizabeth, Eugene, Ethan, Eret, Ester, Elias, Eos, Ellis, Edwin, Ebony, Elijah, Eliza, Enzo, Elissa, Edward, Eddalyn, Esther, Eda, Edalyn, Edalynn, Edison, Eddison, Estervan, Emma, Eden, Erfan, Eun-hae, Erytheia, Egan, Errol, Eiichi, Eiji, Eriko, Etsu, Etsuko, Eiichiro, Ezume
Flint, Finn, Fae, Fred, Fritz, Fang, Frankie, Frank, Fermin, Freddie, Freddy, Finley, Freya, Fai, Felix, Freda, Faolan, Frey, Feylynn, Faelynn, Failynn, Felipa, Febby, Febbie, Febie, Feby, Flynn, Fuji, Feiyu, Fukiko, Fumitaka, Fumito, Fuyuko
Griffin, Garnet, Gothi, Gertrude, Gabe, Grant, Giovanni, George, Gage, Gregory, Gabriel, Gabrielle, Guy, Gilbert, Guadalupe, Gerry, Grey, Gray, Gia, Grace, Gracian, Gracis, Gracie, Gretel, Gideon, Griffilow, Ghost, Ghazaleh, Gavin, Gryphon, Griffith, Goliath, Grayson, Greyson
Harmony, Hannah, Harlei, Harlie, Haritha, Haris, Harry, Harlan, Harvey, Hadrian, Harley, Hari, Harlow, Howl, Hank, Harper, Herbert, Humphrey, Hestia, Helios, Hephaestus, Hollis, Hunter, Hero, Henry, Helda, Hajar, Hasta, Hadis, Howard, Howie, Hannan, Haoyu, Hisako, Hachi, Hiroto, Hoshiko, Honoka, Hiroshi, Hiro, Haitao, Hamako, Haruhi, Harue, Hayate, Hide, Hideyo, Hidetaka, Hisaye, Hisayo, Heiji, Higari
Ivy, Ivey, Ivo, Ida, Iris, Ilyssa, Illy, Irene, Iren, Isaiah, Ira, Idelle, Ivan, Illaoi, Isabel, Isabell, Isabelle, Isobell, Isabella, Ismelda, Io, Ismael, Isolt, Icarus, izuru, Isamu, Itona, Ichiro, Ichiko, Ichigo, Isoko, Ishiko, Isaye, Inari, Ikuko, Itsuki, Itsuko, Inosuke
Juniper, Jupiter, Jinx, Jamie, Javier, Josiah, Joan, Jake, Julia, Jamil, Jamila, Jesse, Jessie, Jess, Jasper, Janus, Jordan, Joshua, Julian, Juilliard, Julius, Juliana, Jeremiah, Jace, June, Junebug, Jazzy, Jackson, Jackie, Jackalynn, Jodie, Johnnie, Jan, Jaime, Jason, Jorge, Justin, Justice, John, Jay, Janelle, James, Jennifer, Jillion, Jill, Jana, Jonah, Jaycee, Jaxen, Junpei, Jona, Jun, Jin
Kenneth, Kat, Kas, Kris, Keith, Kingston, Kaeton, Kingsley, Kent, Katherine, Kyle, Knox, Kristen, Kristin, Kristeen, Kylie, Kaylee, Kamila, Kehlani, Kendall, Kerry, Kry, Kenny, Kath, Kathleen, Krow, Kix, Kedrick, Kennon, Klaus, Killian, Korallia, Krank, Kaz, Kaede, Kirara, Katsuhiko, Keisuke, Kanako, Kenji, Kaemon, Kamin, Katsu, Kaki, Kazane, Kazuyuki, Kazushige, Kenta, Kei, Kimi, Kin, Kohako, Koichi, Kota, Koji, Koharu, Kosuke, Kuma, Kumi, Kuniko, Kuniyuki, Kideko, Kazuko
Lullaby, Lotte, Lapin, Lorelei, Loralai, Lorelai, Luna, Lily, Lucy, Lee, Liana, Lola, Lethe, Lance, Laurence, Luther, Luca, Lennon, Logan, Lennox, Ilias, Liu, Lui, Luis, Lefu, Liam, Lyall, Lowell, Luella, Leona, Leonie, Leon, Lev, Lincoln, Lin, Link, Laverna, Lazarus, Lewis, Louis, Louise, Levi, Leslie, Lesley, Leilana
Marley, Marlai, Mei, May, Mae, Marceline, Marshall, Marshalee, Millie, Mallorie, Marcela, Melanie, Maddison, Mary, Mirabel, Marsh, Murphy, Montgomery, Mildred, Memphis, Molly, Maverick, Maurice, Muiris, Morgen, Max, Moses, Marion, Merrill, Monroe, Melanthios, Maxwell, Matias, Melissa, Maëlle, Marlene, Meredith, Maybelle, Margaret, Maeve, Moss, Mara, Maria, Myrtle, Mona, Mark, Markus, Michael, Micheal, Michelle, Mahsa, Minoo, Mehdi, Mohammad, Matin, Morpheus, Marlowe, Monica, Marilia, Magnus, Malachi, Malachy, Maggie, Makoto, Megumi, Mio, Maemo, Maemi, Masa, Masaaki, Masashi, Michi, Midori, Michinori, Momo, Motoko
Natasha, Noelle, Noni, Neville, Nixon, Neda, Natalio, Ned, Nausicaä, Noxis, Nova, Nathen, Newt, Noah, Nash, Nox, Nathara, Nathaira, Nathair, Nyoka, Nagisa, Nathan, Nate, Nik, Nick, Naohiro, Naoko, Nara, Natsu, Naoya, Nishi, Nobuko, Nori
Olindo, Ollie, Oliver, Ophelia, Odysseus, Orion, Osono, Oxen, Onyx, Otto, Ottoline, Otitile, Ottavia, Octavio, Olivia-Marie, Oakley, Omar, Olivia, Oscar, Octavian, Octavia, Oz, Octavius, Otta, Oisin, Orson, Orlos, Osiris, Owen, Odalis, Odell, Ozuru
Penelope, Patton, Paddy, Percy, Paulie, Page, Pazu, Phoebe, Phebe, Prairie, Porter, Parlay, Pally, Piper, Parker, Payton, Phil, Paul, Philip, Pyre, Piers, Phylis, Patricia, Payne, Payneton, Pip
Quinn, Quincy, Quil, Quinley, Quinstin, Quinlan, Quillen, Quavon, Quaylon, Quensley, Qing, Qrow, Quilla, Quianna, Quita, Qiao, Quinella, Queenie, Qaylah, Qailah, Qitarah, Quenby, Qadira, Qudsiyah, Quan, Qian, Quinby, Quella
Roseline, Raul, Rahul, Rafael, Roque, Rogelio, Remmy, Rei, Rey, Ray, Robin, Ro, Reika, Rowen, Rowan, Rose, Rosie, Ralsei, Riley, Remus, Rosalyn, Rosalin, Rosaline, Renata, Ron, Rat, Ratt, Reef, Roxy, River, Reed, Rufus, Robbie, Renee, Rivia, Ross, Rex, Ruth, Rosemary, Rosabe, Rosabee, Rosabell, Rosabelle, Rosabel, Rai, Rain, Rosella, Rosalie, Rhody, Robert, Raelinn, Rebane, Ren, Rollin, Ralph, Roxanne, Rox, Roderick, Reginald, Reggie, Rio, Ryu, Ryo, Ryoji, Rinmaru
Sage, Sam, Syd, Selkie, Storig, Sal, Sirius, Summer, Susie, Scott, Sunni, Sosuke, Sophie, Satsuki, Sheeta, San, Sulley, Sully, Savannah, Sappho, Selene, Shaw, Sean, Seán, Shaun, Sawyer, Sabrina, Sebastian, Shane, Stan, Socks, Snom, Stolas, Spencer, Sammie, Stevie, Samus, Sarff, Sullivan, Seth, Susiebell, Susiebelle, Sadreddin, Shellaine, Sverre, Saoirse, Sylvania, Sanae, Silas, Sumi, Shiori, Shinzu, Sile
Toby, Tobias, Teddy, Ted, Tomas, Thomas, Tomothy, Tyche, Taiga, Tundra, Tracy, Timothy, Troy, Tatum, Tommie, Tommy, Theia, Tae, Trix, Trixy, Thanathos, Tod, Todd, Toddy, Tora, Torie, Theodore, Theo, Theophania, Talos, Thanatos, Teddy, Tomohito, Tazu, Tanjirou, Touya
Ulysses, Urijah, Uriyah, Urina, Ukiah, Ulnar, Ursula, Ulric
Virgil, Vanessa, Vito, Venacio, Vylad, Veronica, Valentina, Violet, Velma, Venus, Verna, Veld, Victoria, Victorie, Vinyl, Vincent, Vasuki, Vex, Valor, Valentine, Valerie, Valeria, Valerius, Vitoria, Vic, Victor, Vik, Vikktor, Viktor, Vick, Vicky, Vicke, Vickie, Vidya
Wynn, Willow, Warren, Wilbur, Wylie, Will, Walle, Whisp, Wade, Wendell, Wendy, Willard, Wes, Wallace, Wilber, Wyatt, Wybie, Wynnie, Wennie, Winnie, Wynnston, Wynston, Wynsten, Wiles
Xenophon, Xuan, Xio, Xori, Xanthos, Xander, Xavier
Yen, Yukio, Yae, Yoko, Yume, Yaeko, Yui, Yuzuki
Zane, Zana, Zion, Zachary, Zach, Zachariah, Zander, Ziana, Zoe, Zula, Zenix, Zenith, Zaharia, Zaria, Zack, Zakaeia, Zara, Zakaria, Zev, Zaira, Zanata
99 notes · View notes
cloudberry-sims · 2 years
Text
1600-1700 names list
I been collecting names for my decades challenged and I decided to share it. It has a bunch of different names in alphabetical order. 
Not 100% sure how accurate these names are as I’m not a historian , but I like them. 
Some names are “nicknames” or a variation of the same name, like Faye is from Faith ,Orelia is from Aurelia and Sisely from Cecilia/Cecily. 
Some names are Shakespearean , Puritan/Virtue names , American Colonial and perhaps a Arthurian here and there. 
Female names: 
Abigail
Adilene/Adeline
Adrian/Adrianne/Adriana
Afra
Agatha
Agnes
Alice
Aliena
Althea
Amanda
Amelia
Amie
Amity
Amphilis
Anastasia
Andrea
Anis
Annabell/Annabella
Anne/Anna/Annie
Anthea
Aphra
Aquila
Arabella
Artemisia
Audrey
Augusta
Aurelia
Aurinda
Aveline
Avis
Ayala
Azaria
Azoah
Barbara
Barsheba
Basilia
Beatrice/ Beatrix/Bettrys
Berenice/Bernesia/Bernessa
Bethsaby
Betty
Bianca
Blanch/Blanche
Blisse
Blythe
Bridget
Candace
Caroline
Cassandra
Catherine
Causeanger
Cecilia/Cecily/Cicely
Chantal
Charis
Charissima
Charity
Charlotte
Chloe
Christabella
Christian/Christina/Christiana
Clary
Clemencie/ Clemence/Clemency
Clorinda
Constance
Cornelia
Cressida
Cynthia
Deborah
Deodate
Desdemona
Desire
Dessorell
Diana
Dido
Dinah
Dionise/Denise
Dionyza
Divinity
Dolabella
Dolora
Dorcas
Dorothy/Dorothea
Easter
Ebotte
Edith
Edna
Edonie
Effemia
Eleanor
Elise
Elizabeth
Ellen
Ellois
Ely
Emilia
Emma
Eppie
Esther
Etheldreda
Eunice
Euphanie
Evadne
Eve/Eva
Faith
Fanny
Fanstine
Faye/Fay
Felicity/Felice
Florence
Fortune
Frances
Francisca
Fronia
Gartheride
Georgette
Georgine
Gillian
Gilot
Gonerill
Good
Grace
Grisell
Gwenhoivar
Hannah
Harriet
Haven
Helen/Helena
Henrietta
Hermione
Hester
Hezekiah
Honesty
Honor
Honoria
Hope
Humility
Ida
Idonea
Imogen
Irelee
Irene
Iris
Isabella/Isabel
Isolde
Iva
Ivette
Jacobina/Jacobine
Jane
Janikin
Jemima
Jennette/Jennet/Janet
Jeronomie
Joan
Joanna
Jocatta
Jocosa
Jonee
Joy
Joyanne
Joyce
Judith
Juliana/Julia/Juliet
Karissa
Katherine/Kathleen
Kezia/Keziah
Kitty/ Kitlyn
Kloe/Khloe
Koreen/Korinne
Laura
Lavinia
Leah
Leticia
Lettice
Love
Luce
Luciana
Lucretia
Lucy
Lydia/Lidia
Mable
Magdalen
Maggy
Magnolia
Margaret
Margery
Marian/Marion
Mariella
Marina
Martha
Mary
Matilda
Maud
Mercy
Mildred
Millicent
Milly/Millie
Mirabel
Miranda
Modesty
Monica
Muriel
Myra/Myrah
Naomi
Nazareth
Nell
Nerissa
Nola
Octavia
Odelle
Olivia
Ophelia
Orelia
Orinda
Pain
Patience
Pauline
Penelope
Perdita
Petronella
Philippa
Phillis
Phoebe
Pleasance
Primrose
Priscilla
Prudence
Rachel
Rawsone
Rebekah/Rebecca
Remember
Rhoda
Robin
Rosalind
Rosaline
Rosamond
Rosanna
Rose
Ruth
Samantha
Sarah
Saskia
Sebeliah
Selah
Selina
Silence
Silvia
Sisely
Sitha
Skyler
Sophia
Susanna
Sustillian
Sybil/Sibilla
Syntha
Tabitha
Tace
Tamar
Tamora
Temperance
Theodora
Theodorien
Theodosia
Thomasin/Thomasina/Thomasea
Timandra
Titania
Trinity
Trothe
Tryphena
Ursula
Valentine/Valentina
Valeria
Vecula
Venetia
Verely / Verily/Verity
Veronica
Viola/Violenta
Virgilia
Virginia
Virtue
Winifred
Wulfhild
Wybetha
Zelda
Zipporah
Male names: 
Aaron
Abacuck
Abraham
Adam
Adlard
Adrian
Alan
Albert
Alexander
Alveredus
Ambrose
Anchor
Andrew
Annanias
Anthony
Archibald/Archbad
Archilai
Aristoteles
Arnold
Artemas
Arthur
Asa
Ashley
Atkinson
Augustine
Augustus
Austin
Bainbridge
Baldwin
Barnabas
Barnard
Bartell
Bartholomew
Bardolph
Basil
Bellingham
Benedict
Benjamin
Bennett
Bertram
Bevil
Blaise/Blais
Bradford
Brian
Cadwallader
Cesar
Charles/Charlys
Chadrick
Christian
Christopher
Chroferus/Chroseus
Ciriacus
Clement
Clifford
Conrad
Constant
Cornelius
Cosmo
Court
Cotton
Cromwell
Cuthbert
Cutlake
Cyrano
Daniel
Dary
David/Davide
Demes
Denton
Denys/Dionise
Didimus
Digory
Don
Drugo
Dudley
Ebenezer
Ebulus
Edric
Edi
Edmund
Edward
Edwin
Egedius
Eli
Elias
Ellis
Eloy
Emanuell/Emmanuel
Emericke
Emery
Emmett
Enoch
Erasmus
Ethan
Eustace
Evan
Everard
Everard
Ezrah
Fabian
Fairfax
Faustinus
Felix
Francis
Frank
Frederick
Fleance
Fulk
Gabraell/Gabrell/Gabriel
Galileo
Gamalie
Garmayne
Garnett
Gavan/Gawen
Gentile
Geoffrey
George
Gerlick
Gerrard
Gideon/Hedeon
Gilbert
Giles
Gillam
Gobind/Govind
Goodwell
Godfrey
Gottlieb
Goughe
Gregory
Grenville/Grevill
Griffin/Griffith
Guy
Hamond
Hannibal
Hansse
Harman
Harry
Harvard
Hector
Helegor
Henry
Hercules
Herrick
Hieronimus
Hiram
Hobbes
Holland
Howell
Hugh
Humphrey
Ilia
Ingram
Isaac
James
Jarret
Jasper
Jenkin
Jeremiah
Jeremy
Jerome
Jesse
John
Jonathan
Joos
Jordan
Joseph
Joshua
Josias
Justinian
Kaherdin
Karl/Karel
Kenelm/Kenhelm
Kip
Kolby
Lambert
Lancelot
Lawrence
Leonard
Lewis
Lucas
Lynoell/Lionel
Machutus
Manasses
Mark
Marmaduke
Martin/Marton
Matthew
Maurice/Morrice
Melchior
Meredith
Michael
Miles
Morgan
Moses
Nathaniel/Nathaniell/Nathan
Newton
Nicholas
Ninion
Nivinius
Noah/Noe
Noble
Octavius
Odnell
Oliver
Osmund
Ostyn
Oswin
Oswold
Ottewell
Owen
Paschall
Patreas
Paul
Pawll
Percivell/Pesevwell
Peter
Phillip
Pierce/Piers
Phineas
Prospero
Quince
Quinton
Quivier
Ralph
Randall
Randolph
Raphael
Rees
Reginald
Renold
Reyvell
Richard
Robert
Roger
Roland
Roman
Royal
Rymon
Salamon
Sampson
Samuel
Sander
Schuyler
Sebastian
Seraphim/Seraphimus
Septimus
Seth
Shadrick
Silvester
Simon
Simond
Stephen
Taz
Ted
Tedde
Thadeus
Theodosius
Thomas
Timothy
Titus/Tito
Tobias
Trenton/Trentin
Tristram
Tunstall
Turner
Ucentius
Umfray
Uswald
Valor
Valentine
Vandyke
Vaugn
Vernon
Victor
Vincent
Walter
Warham
Watkin
Wiggett
Wilfred
Willing
William
Wine
Wombell
Wymond
Zachary
Zephaniah
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dneurin · 2 years
Video
vimeo
El desayuno (Film, short version) - Miguel Casco from Miguel Ángel Casco on Vimeo.
Largometraje / Performance / Videoarte Miguel Casco en colaboración con Hekatombe Producción Artística
Catorce personas habitan su propia piel para atestiguar el amanecer y compartir sus cuerpxs mientras el sol naciente ilumina el espacio. La interacción se suscita entre ellxs y la premisa principal es celebrar la vida, honrar la libertad y el disfrute. El Desayuno invita a abrazar la desnudez y entrar en sintonía con la naturaleza.
miguelcasco.com
D I R E C C I Ó N Miguel Casco
D I R E C C I Ó N E S C É N I C A Andrea Garay
D I R E C C I Ó N C O R E O G R Á F I C A Sebastián Santamaría
D I R E C C I Ó N E J E C U T I V A Catalina Navarrete
R E P A R T O Mar Castañedo Mónica Colin Marlene Coronel Mariana Domenech Jimena González Aileen Kent Carlos Nunez José Francisco Ordóñez Luis Ortega José Ortiz Baruk Serna
V I D E O Alan Espinosa Erik Jonguitud Michel Trevilla F O T O G R A F Í A Alejandra Edwards David Flores Rubio
M Ú S I C A Sebastián Lechuga (Intro, Oscuridad, Ofrenda y Desayuno) Alejandro Preisser (Locura, Descenso, Claridad y Outro)
E D I C I Ó N D E V I D E O Miguel Casco Erik Jonguitud
D I S E Ñ O F L O R A L Alejandra Velasco
M U S I C A L I Z A C I Ó N E N V I V O Jail Less
E Q U I P O T É C N I C O Humberto C. Cáceres Heber Leonidez Elena Manero Ehécatl Moreno María Naidich Alfonso Pérez Yair Ramírez
P R O Y E C T O R E A L I Z A D O C O N E L A P O Y O D E Etna M. Arroyo, Jacobo M. Casco, Patricia Almada, Luis Antonio Garay, Elsa Hernández, Carlos Navarrete, Rocio Barajas, Carlos Santamaría, José María Macías, Andrés Castañeda, César Meza, Enrique Ajuria, Susana Tovar, Valeria Casco, Luis Antonio Casco, Heleni Castro, Óliver Victoria, Andrea Ayala, Andrea Anderson, Indira Zamora, Roberto González, Andrés Piña, Rafael Hernández, David C. Parra, Youtaek Hwang, Eduardo Palacio, Remi Cárdenas, Rogelio Toledo, Ross Romero, Isabella de la Mora, Tabaré Arroyo, Yair Ramírez, Luis Almada, Omar Cobos, Silvana Larrea, Raffaela Schiavon, Isabel Vieitez, Rebeca Zequera, Leonardo Galicia, Mark Feldmann, Francisco Saldívar, José Francisco Ordóñez, Neil Haidorfer, Bárbara Huerta, Adriana Degetau, Tere Sáenz, Chloe Estes, Fernando Almazán, Gina Guzmán, Mariano Nava, Rubén Ojeda, Diego Ortiz, Santi San Martin, Carlos Santamaría Barajas, José Funcia, Malimna Etnegorozka, Pablo P. Caro, Gabriela Chávez, Gabriel Picazo, Rubén Torres, Roberto Praxedis, Luis Pérez, Jeannette Betancourt, Elena Manero, Ma. Ceci Cuesta, Humberto Schiavon, Celeste Bejarano, Mario Montes & David Martínez.
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Text
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.
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eternal-echoes · 5 months
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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.
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jartitameteneis · 2 years
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La corona colocada sobre el féretro de Isabel II está presidida en su frontal por una joya legendaria que pasó de la corte nazarí a la castellana, hasta acabar en manos inglesas tras la batalla de Nájera en 1367. Se trata del rubí del Príncipe Negro, que para empezar no es un rubí sino una espinela. La paradoja no hay que tomarla como un engaño en un intento de agrandar el valor de la gema, sino que obedece a algo tan sencillo como que no fue hasta finales del siglo XVIII cuando se depuró el sistema para diferenciar ambos minerales.
Hay que señalar que hay voces que sitúan el origen de esta espinela en una cruz medieval custodiada en el monasterio de Santa María la Real de Nájera, aunque su procedencia granadina es la históricamente asentada, avalada por cronistas de la época como el canciller Pero López de Ayala y expertos contemporáneos como Richard W. Hughes, una eminencia mundial en rubíes y zafiros, por no hablar de que es la versión que también postula la propia casa real británica.
Con sus 170 quilates y sus 5,08 centímetros, el rubí del Príncipe Negro es una de las espinelas rojas sin tallar más grandes del mundo. De forma irregular, durante la Edad Media fue perforado en uno de sus extremos para usarlo como colgante, cubriéndose posteriormente la abertura con un pequeño rubí. ¿Cómo llegó al tesoro real nazarí? Sobre eso sí que no hay referencias, aunque el sentido común apunta a que llegó tras hacer la Ruta de la Seda
Pero, ¿qué hace una piedra del tesoro real nazarí en la corona imperial británica?
Encontramos esta joya en el tesoro real nazarí a mediados del siglo XIV, en un momento de inestabilidad política para los señores de la Alhambra. Muhammad V gobierna la ciudad de la Alhambra desde 1354, aunque cinco años después tiene que salir huyendo (dice la leyenda que disfrazado de esclava) tras la rebelión de su hermanastro Ismail II, que no dura mucho en el trono: diez meses después es asesinado por su cuñado, que se proclama como Muhammad VI y es conocido como El Bermejo por aquello de que era pelirrojo. Estamos ya en 1360 y desde la marcha de Muhammad V, refugiado en Fez, Granada hierve en guerras civiles, que el fugitivo monarca reaviva con una alianza con Pedro I de Castilla.
Ante esta alianza, Muhammad VI rompe lazos con Castilla y se acerca a Pedro IV de Aragón, pese a lo cual va perdiendo en el conflicto incluso después del aparente distanciamiento entre Muhammad V y Pedro. Tras el amotinamiento de algunas ciudades del reino nazarí, el 13 de abril de 1362, el rey Bermejo entiende que es mejor poner pies en polvorosa con sus fieles, no sin antes cargar con buena parte del tesoro real granadino. Y como la política y la guerra dan muchas vueltas, acaba por plantarse en Sevilla para ganarse el favor del monarca castellano que era su enemigo y que tenía instalada su corte en el Alcázar sevillano.
Sin embargo, la cosa no le salió bien, y pese a que Pedro I le agasajó con una comida de bienvenida, en plena sobremesa descubrieron que todo era una trampa y tanto Muhammad VI como 37 de sus principales caballeros acabaron alanceados en Tablada, la gran explanada a las puertas de Sevilla en la que Fernando III montó su campamento para tomar la ciudad en 1248. Para teñir más de rojo el relato, habría sido el propio monarca castellano el que remató al Bermejo, cuya cabeza envió a su aliado Muhammad V aposentado en la Alhambra solo tres días después de la marcha de su desdichado enemigo.
Cuenta Pero López de Ayala en su crónica de Pedro I que al registrar a Muhammad VI afloraron “tres piedras balajes”, una de las cuales sería nuestra gema. El nombre ya da una pista, porque la espinela es conocida como rubí balaje, que deriva de balaj, el gentilicio de Badajshán, una zona a caballo entre Afganistán y Tayikistán famosa por unos yacimientos de piedras preciosas (sobre todo rubíes) que abastecían a las casas reinantes europeas. La leyenda, eso sí, ubica el origen del rubí del Príncipe Negro en las mismísimas minas del rey Salomón, aunque varias fuentes apuntan a que en realidad se extrajo en Kuh-i-Lal, en lo que hoy es Tayikistán.
Una vez ubicada ya la joya en Sevilla y en manos castellanas; ahora solo falta continuar el hilo que lleve a la joya hasta Inglaterra, lo que nos sitúa en el contexto de un Pedro I de Castilla que libra su propia guerra civil contra su hermanastro, Enrique de Trastámara, el futuro Enrique II. Eduardo de Woodstock (llamado el Príncipe Negro por el color de la armadura que llevaba), príncipe de Gales que no llegó a reinar al morir un año antes que su padre, era señor de Aquitania y uno de los combatientes más renombrados de lo que se daría en llamar la Guerra de los Cien Años entre ingleses y franceses, lo que no impidió que bajase a la Península Ibérica a defender la causa de Pedro I... a cambio de una buena recompensa.
Todos estos personajes confluyen en la batalla de Nájera de 1367, en la que Pedro I se impone a su hermanastro, que contaba con ayuda gala como aliado que era de Carlos V de Francia. Parece que la victoria fue también el fin de la relación del rey castellano con el Príncipe Negro, al que no le abonó lo acordado y se tuvo que conformar con una exigua paga que incluía piedras preciosas, entre las que estaría el famoso rubí. Eduardo de Woodstock abandonó arruinado la Península Ibérica, y sin la ayuda inglesa, Pedro I solo pudo sostener su trono un par de años. Muy delicado de salud, el señor de Aquitania dejó la guerra también en Francia y embarcó rumbo a Inglaterra con su espinela granadina a cuestas, para morir en el palacio de Westminster en 1376.
En tierras británicas ha tenido una vida azarosa, acudiendo por ejemplo varias veces a la guerra en coronas que portaban los monarcas. Tras alguna que otra victoria casi milagrosa, la leyenda de que confería un poder poco menos que imbatible pasó a mejor vida junto a Ricardo III, que murió en la batalla de Bosworth (1485) pese a portar el rubí. Ha estado en manos de monarcas de las casas Plantagenet, Lancaster, York, Tudor y Estuardo, y también se las ingenió para sobrevivir a revueltas, incendios e intentos de robo. A buen recaudo en la Torre de Londres junto al resto de joyas reales, volvió a la primera línea en la pieza forjada para coronar en 1838 a la reina Victoria, la última monarca de la casa Hannover.
Es la misma que lució Isabel II en su entronización en 1953 y con la que en su momento saldrá Carlos III de la abadía de Westminster una vez haya sido coronado.
Fuente: artículo de Antonio Morente en  elDiario.es
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coochiequeens · 4 months
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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. 
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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. 
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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.
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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.” 
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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.” 
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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.
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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.
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richincolor · 2 years
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I'm really excited to spend some of my downtime this summer reading, so I've found three more books to add to my TBR list that came out earlier this year. Have you read them? What did you think?
Reclaim the Stars: 17 Tales Across Realms & Space Wednesday Books
Seventeen fantasy and science fiction short stories from leading voices in the Latin American diaspora!
Reclaim the Stars is a collection of bestselling and acclaimed YA authors that take the Latin American diaspora to places fantastical and out of this world. From princesses warring in space, to the all too-near devastation of climate change, to haunting ghost stories in Argentina, and mermaids off the coast of the Caribbean. This is science fiction and fantasy that breaks borders and realms, and proves that stories are truly universal.
Authors include Daniel José Older, Yamile Saied Méndez, Anna-Marie McLemore, Mark Oshiro, Romina Garber, David Bowles, Lilliam Rivera, Claribel Ortega, Isabel Ibañez, Sara Faring, Maya Motayne, Nina Moreno, Vita Ayala, J.C. Cervantes, Circe Moskowitz, Linda Nieves Pérez, and Zoraida Córdova.
You Truly Assumed by Laila Sabreen Inkyard Press
In this compelling and thought-provoking debut novel, after a terrorist attack rocks the country and anti-Islamic sentiment stirs, three Black Muslim girls create a space where they can shatter assumptions and share truths.
Sabriya has her whole summer planned out in color-coded glory, but those plans go out the window after a terrorist attack near her home. When the terrorist is assumed to be Muslim and Islamophobia grows, Sabriya turns to her online journal for comfort. You Truly Assumed was never meant to be anything more than an outlet, but the blog goes viral as fellow Muslim teens around the country flock to it and find solace and a sense of community.
Soon two more teens, Zakat and Farah, join Bri to run You Truly Assumed and the three quickly form a strong friendship. But as the blog’s popularity grows, so do the pushback and hateful comments. When one of them is threatened, the search to find out who is behind it all begins, and their friendship is put to the test when all three must decide whether to shut down the blog and lose what they’ve worked for…or take a stand and risk everything to make their voices heard.
My Sister's Big Fat Indian Wedding by Sajni Patel Amulet
Zurika Damani is a naturally gifted violinist with a particular love for hip hop beats. But when you’re part of a big Indian family, everyone has expectations, and those certainly don’t include hip hop violin. After being rejected by Juilliard, Zuri's last hope is a contest judged by a panel of top tier college scouts. The only problem? This coveted competition happens to take place during Zuri’s sister’s extravagant wedding week. And Zuri has already been warned, repeatedly, that she is not to miss a single moment.
In the midst of the chaos, Zuri’s mom is in matchmaking mode with the groom’s South African cousin Naveen—who just happens to be a cocky vocalist set on stealing Zuri’s spotlight at the scouting competition. Luckily Zuri has a crew of loud and loyal female cousins cheering her on. Now, all she has to do is to wow the judges for a top spot, evade getting caught by her parents, resist Naveen’s charms, and, oh yeah . . . not mess up her sister’s big fat Indian wedding. What could possibly go wrong? -- Cover image and summary via Goodreads
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