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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
      Show this thread
    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
      Show this thread
    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
      Show this thread
    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
      Show this thread
    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
    10. 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.

      8 replies 24 retweets 221 likes
      Show this thread
      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

      9:27 PM - 29 Oct 2019
      • 55 Retweets
      • 146 Likes
      • Faith Kuzma Penelope Greenhough AStrange1 - I'm still pissed off! It's me skogskant proWindgas Vegan Plus Rocío Constantatious Mazula CDM, PDQ, TTFN Anniex
      5 replies 55 retweets 146 likes
        1. New conversation
        2. Dark Empress of Pronouns Lady of Chaos Haberja‏ @HaberjaGaming 1 Nov 2019
          Replying to @JuliaMasonMD1

          I love how you show a graph but not the source of said graph

          2 replies 0 retweets 1 like
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        2. Lani Kai #BLM #GoDucks #BAONPDX #RCTID‏ @LaniKaiDuck 1 Nov 2019
          Replying to @JuliaMasonMD1

          *for mastectomy* Breasts are not essential.

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

          My babies considered my breasts to be essential. An 18 yr old can’t get a surgical sterilization, even if they are sure they never want kids, because young people are known to change their minds. Fair? Maybe not. Wise? I think so.

          1 reply 2 retweets 55 likes
        4. Show replies
        1. This Tweet is unavailable.
        2. Julia Mason MS MD‏ @JuliaMasonMD1 1 Nov 2019

          Fake breasts don’t make human milk. Fake penises don’t have erections. These organs are FAR more complicated than a cardiac valve.

          0 replies 0 retweets 30 likes
        3. End of conversation
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        2. tropical depression kate‏ @katieferg 2 Nov 2019
          Replying to @JuliaMasonMD1

          And almost everyone in this study said they do not regret their surgery. You cropped this *just right* to leave out that information

          3 replies 0 retweets 1 like
        3. HH‏ @givethemseeds 2 Nov 2019
          Replying to @katieferg @JuliaMasonMD1

          Yeah, asking them two weeks to three years later is really going to be accurate.

          0 replies 0 retweets 2 likes
        4. End of conversation

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