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JuliaMasonMD1's profile
Julia Mason MS MD
Julia Mason MS MD
Julia Mason MS MD
@JuliaMasonMD1

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Julia Mason MS MD

@JuliaMasonMD1

Pediatrician c1995, pulled into the pediatric transgender dilemma c2018. Clinical advisor for the Society for Evidence-based Gender Medicine http://www.segm.org 

Gresham Oregon
segm.org
Joined October 2019

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    1. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      What has really struck me in conversations with and observations of doctors providing puberty blockers and cross-gender hormones to gender dysphoric youth is their utter conviction that they are saving lives. "Would you rather have a dead daughter, or a live son?"

      29 replies 84 retweets 297 likes
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    2. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      At a talk at #AAP19, Katherine Greenberg MD, who's on the speaker's bureau for Merck, said that trans youth denied treatment have "8 times" the risk of suicide. Sounds terrible! In this article: https://www.medpagetoday.com/meetingcoverage/aafp/82347 … Kevin Wang MD says suicide attempts are 9 to 10x higher.

      2 replies 6 retweets 58 likes
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    3. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      But when you look at the data, the rates of suicide and self harm are "more similar than different" to the rates of youth referred for other mental health concerns. I'm quoting from @ZUCKERKJ's excellent article from earlier this year: https://rdcu.be/bVvtQ 

      4 replies 21 retweets 165 likes
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    4. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      In other words, yes, these children are stressed and unhappy, and they need care. I'm just not convinced that puberty blockers, cross gender hormones, and significant surgeries are the best response, at least not in childhood. Suicide is super scary, which shuts down discourse.

      7 replies 28 retweets 222 likes
      Show this thread
    5. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      If a doctor tells a parent that their child has a "very high" risk of suicide if we don't go along with their demands to embark on a sex change, what is the parent to do? A child, even a young teenager, is likely to have incredibly unrealistic ideas about how transition goes.

      5 replies 10 retweets 157 likes
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    6. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      Who is the adult in this conversation? Who is looking at the risks over the long term? Not the kid!! The parent might, but now we've told them that the choices are medical transition, or death. There are deaths from medical transition as well, and risks of stroke, heart Dz.

      2 replies 12 retweets 148 likes
      Show this thread
    7. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      I don't want to shut down medical transition. I do believe that it's helpful and improves the lives of some people. It's just that as a pediatrician, I see a frightening lack of caution with regards to very significant body changes and creation of lifelong medical patients.

      5 replies 27 retweets 179 likes
      Show this thread
    8. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      I don't think that children are able to give truly informed consent to puberty blockers followed by cross gender hormones. Children don't know if they will want to have kids when they are adults. They can't understand that they are unlikely to have orgasms. How could they?

      5 replies 21 retweets 196 likes
      Show this thread
    9. Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      Teens are also developmentally unready to make decisions about removing breasts, penises, uteruses, testicles, ovaries. We limit access to driving, to alcohol, to tattoos. We limit access to surgical sterilization by age, unless you are gender dysphoric.

      2 replies 21 retweets 184 likes
      Show this thread
      Julia Mason MS MD‏ @JuliaMasonMD1 28 Oct 2019

      We need solid data on suicide, not scare-mongering. We need to make decisions based on evidence, not feelings. Sometimes, we don't let kids get what they want, and that's the right thing to do. We need to be the adult.

      2:06 PM - 28 Oct 2019
      • 24 Retweets
      • 221 Likes
      • Penelope Greenhough AStrange1 - I'm still pissed off! Majsan Fiona Innes Mango8Melon💚🤍💜 Arghhh Goody Anne Roberts Goody Zoe Dr Alan McManus 🌸🍒🎗🧡#IStandWithMarionMillar
      8 replies 24 retweets 221 likes
        1. Julia Mason MS MD‏ @JuliaMasonMD1 29 Oct 2019

          Addendum: for those who say "but kids aren't getting irreversible surgeries! Yes. Yes they are. (Age at surgery is at the bottom.)pic.twitter.com/8AtzAfUlo4

          5 replies 55 retweets 146 likes
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        1. S brook‏ @spbrook1 28 Oct 2019
          Replying to @JuliaMasonMD1

          Excellent thread Dr. I have been following @will_malone (endocrinologist) to find info about this. I really feel more real data about the serious side effects of blockers/surgery/hormones needs to be presented to the public. Unfortunately, it seems as if the whole thing has ...1

          0 replies 0 retweets 2 likes
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        1. S brook‏ @spbrook1 28 Oct 2019
          Replying to @JuliaMasonMD1

          become, for lack of a better term, a social issue. I mean those who speak out against youths transitioning because of medical concerns are often labeled as transphobic and dismissed. I just hope more data can make it through this filter.

          0 replies 0 retweets 1 like
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        2. Julia Mason MS MD‏ @JuliaMasonMD1 29 Oct 2019
          Replying to @MalachiteTiger

          ? Are they ex-gay? Or ex-gay conversion therapists? anyway, the protests against medical treatment of GNC children include people on the left and the right.

          1 reply 0 retweets 2 likes
        3. Show replies
        1. AmberF‏ @AmberFaire1 29 Oct 2019
          Replying to @JuliaMasonMD1

          ‘We need to be the adult’ seems to be of upmost importance in this. It pains me to think of how many children & adolescents have been let down by a lack of mature and responsible adults. I feel like many of these kids will have significant trust issues in the future.

          0 replies 0 retweets 5 likes
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        1. Lisa Marchiano‏ @LisaMarchiano 31 Oct 2019
          Replying to @JuliaMasonMD1

          As a mental health professional, I will add that we don’t usually deal w suicidality by giving the person whatever they want! We help them develop distress tolerance and resilience.

          0 replies 1 retweet 10 likes
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        2. Julia Mason MS MD‏ @JuliaMasonMD1 2 Nov 2019
          Replying to @Griffin9c

          I recommend reading the Results here: https://www.ncbi.nlm.nih.gov/pubmed/31581798/ …

          0 replies 0 retweets 0 likes
        3. End of conversation
        1. New conversation
        2. HelenB‏ @scrumpyh3 4 Nov 2019
          Replying to @JuliaMasonMD1

          I have begun to think, that with the lack of real knowledge about sex and life, a lot of these kids might benefit from spending a week or two on a farm during lambing season! A dose of real life. And no internet!

          1 reply 0 retweets 1 like
        3. Julia Mason MS MD‏ @JuliaMasonMD1 4 Nov 2019
          Replying to @scrumpyh3

          Getting your child away from the internet can be very helpful. Anything that uses and strengthens the body is also helpful. These kids are often much more into virtual reality than physical reality.

          0 replies 0 retweets 1 like
        4. End of conversation

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