Miguel Garza

[Miguel Garza @loopernow]

@WhitakerAlmanac @historyrespawn Hi! I don't have acct at other place--just found yr website, VERY cool. However, banner takes up 1/2 of screen real estate. Very hard to browse. Maybe fancy code could replace tall banner w/nice, thin, horizontally-oriented banner instead as soon as someone scrolls down the pg?

[Miguel Garza @loopernow]

@stayscathed @RottenInDenmark So there should be no laws about drinking. Or drug use. No laws about reporting desires to harm oneself. Do I understand you?

[Miguel Garza @loopernow]

@stayscathed @RottenInDenmark You mean you're not sure why anyone's choices should be regulated by larger society at all? Or...?

[Miguel Garza @loopernow]

@stayscathed @RottenInDenmark I don't think that's all this article does. What I do think it the comments in this tweet thread are full of emotional, extreme characterizations.

[Miguel Garza @loopernow]

@stayscathed @RottenInDenmark https://t.co/KYpph40VzG

[Miguel Garza @loopernow]

@RottenInDenmark Balanced.
https://t.co/KYpph40VzG

[Miguel Garza @loopernow]

@VGCatano @RottenInDenmark The problem is there is no tracking of results in general. So if Singal cannot say there are multitudes of kids who regret, neither can "the other side" say there are not. There is plenty of loss of followup. And no long term data for these young people.

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban Could you provide the title of the paper, and perhaps the authors? That would be helpful.

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban I've looked at a lot of peer-reviewed papers. Articles in Reuters. Washington Post. NY Times. Etc. I don't feel that I'm particularly unversed. I'm just not soaked in the stuff.

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban "The United Kingdom’s only dedicated gender identity clinic opened nearly 35 years ago."
https://t.co/U16RXZJioF

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban Its technically the GIDS service at the Tavistock Clinic. "The Gender Identity Development Service (GIDS) is for children and young people, and [is] a national specialised service...the only one of its kind in Great Britain." https://t.co/rGfL3QwKj4

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban Tavistock was the only public children's gender clinic in the UK.

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban See my previous reply also, but why is the 2022 survey best info, and what survey is it? Is trans a natural trait for those who ID as trans for a while and then don't?

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban If this were the cause, both sexes would be identifying in larger numbers, across all age ranges. When particular groups (adolescent females/females) are disproportionately affected, societal acceptance no longer makes sense as the root cause.

[Miguel Garza @loopernow]

@jack_turban The actual article in question:
https://t.co/aCupaVcJ8e

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban The age of identification actually varies and that's part of the controversy. A large number of female adolescents have been identifying in the past few years. I have female straight friends in their 30s and 40s who have recently identified, too.

[Miguel Garza @loopernow]

@jack_turban Good explanation of GRADE here: https://t.co/Ig019M6Wvf

[Leor Sapir @LeorSapir]

This is misleading.

1. GRADE has four rankings: high, moderate, low and very low. RCTs do generally produce high quality evidence but can be downgraded. Observational studies are not as reliable as RCTs, but they can still yield "low, "moderate" or even, in some cases, “high” quality evidence.

See explanation in this article by Prof. Gordon Guyatt, who helped develop GRADE.

https://t.co/PkIA0omBWe

2. In gender medicine, research is generally so poor that the quality has consistently been ranked “very low" by systematic reviews using GRADE.

3. Some studies--including Turban's 2020 suicide paper in @aap_peds—are so methodologically weak that European reviews have determined they do not even rise to a level that qualifies for inclusion in a systematic review. See for instance NICE puberty blocker review, p. 75.

4. I’m glad the debate has now shifted from “it’s settled science and anyone who doesn’t agree is a bigot” to “well, why shouldn’t we allow doctors to sterilize kids under a regime of very low quality evidence?”

[Miguel Garza @loopernow]

@VictoriaVanHor7 @jack_turban If I recall correctly, WPATH SOC8 says the term "gender-affirming care" is so broad as to be essentially meaningless.