2/33 Why? Due to its many flaws, & as Dr Wolfram Hartmann of German Pediatric Society has noted, @AmerAcadPeds 2012 #circumcision policy has been found “by almost all other pediatric societies and associations worldwide as being scientifically untenable.”https://www.researchgate.net/publication/316527603_Cultural_bias_in_American_medicine_the_case_of_infant_male_circumcision …
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4/33 Why does the AAP promote non therapeutic infant foreskin amputation when the Danish Medical Association says - w/out conditions or qualifications - that it’s “ethically unacceptable”?
#i2#AAP18#tweetiatrician#putkids1st#VoteKids#tweetiatricianshttps://www.huffpost.com/entry/denmarks-29000-doctors-declare-circumcision-of-healthy_b_58753ec1e4b08052400ee6b3 …Show this thread -
6/33 How can
#AAP circumcision policy ignore that#circumcision is an amputation of innervated, healthy & functional tissue from a child’s body, in violation of every cardinal principle of medical#ethics?#i2#AAP18#bioethics#meded#tweetiatrician#PutKids1st#VoteKidsShow this thread -
7/33 How can amputating an innervated & motile anatomical structure possibly fail to impair the sensory function of the organ from which it’s amputated?
#i2#AAP18#tweetiatrician#tweetiatricians#ethics#meded#medtwitter#PutKids1st#VoteKidsShow this thread -
8/33 In 1984,
#AAP said: “The foreskin protects the glans throughout life.” That’s an admission that the#foreskin has lifelong function. What changed? AAP#circumcision policy was hijacked, corrupted & politicized.#AAP84#AAP18#i2#tweetiatrician#tweetiatricians#VoteKidsShow this thread -
9/33 How could
#AAP#circumcision policy have objectively addressed the risk/benefit of amputating a child’s healthy body part w/out accurately assessing that body part’s nature & functions?#AAP18#i2#tweetiatrician#tweetiatricians#VoteKids#PutKids1st#meded#medtwitterShow this thread -
10/33 Why does the
#AAP act as if there’s one bioethical standard for the amputation of a child’s healthy#foreskin & another bioethical standard for the amputation of every other part of a child’s body, including all female genitalia?#i2#AAP18#VoteKidshttps://quillette.com/2017/08/15/female-genital-mutilation-health-benefits-problem-medicalizing-morality/ …Show this thread -
12/33 Why should
#foreskin be the only body part whose worth needs to be proven? Why is amputation of foreskin the only preventative amputation considered to be “medical”? Why should foreskin be excepted from the bioethical rules that apply to every other body part & procedure?Show this thread -
13/33 How is it ethical to strap down a healthy boy & tear his penis apart w/out medical need, when all forms of
#FGM are rightly condemned, even a pinprick? Consider that what’s said in the#AAP#circumcision policy under “ethical issues” applies equally to FGM.#i2#AAP18Show this thread -
16/33 Even the
#AAP#Bioethics Committee says parents can’t give proxy consent (i.e., “informed permission”) to have a child’s healthy body part amputated if it’s not for diagnosis or treatment.#i2#ethics#AAP18#tweetiatrician#tweetiatricians#meded http://pediatrics.aappublications.org/content/pediatrics/95/2/314.full.pdf …Show this thread -
18/33 Are cut men to believe that the penis part that’s removed is so bad, when what’s not cut is so good? Not just any part is cut, but the part intact men almost universally call most sensitive. How is amputating unique, healthy, & sensitive genital tissue from a child ethical?
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19/33 A recent study found 64% of men circumcised as neonates had a negative view of it. But given that it’s irreversible, that there are valid, meritorious reasons why any man would object to it, & that the overwhelming majority of intact men will NEVER need nor want one…
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20/33 Why isn’t the testimony of even one man who resents having
#circumcision forced on him as a child enough to end it? What argument can be made to support the nontherapeutic cutting of infants’ genitals in the face of that testimony?#i2#AAP18#tweetiatrician#meded#ethicsShow this thread -
22/33 AAP’s frustration at its inability to address these & similar questions has never been greater, & increases all the time. Some
#tweetiatricians block/mute them & it’s clearly b/c there’s no way to defend the amputation of healthy#foreskin from a child’s body as ethical.Show this thread -
23/33 But that frustration is not equivalent to the frustration & moral outrage
#circumcision opponents have at the AAP’s failure to acknowledge basic truths about circumcision, especially its psychological harms. Mr. Arel tells us “My psychologist told me to get over it.”#i2Show this thread -
24/33 He’s far from the only man to say that. Too many men who’ve been psychologically harmed by
#circumcision are harmed again by psychologists who are themselves too afraid to confront the truth about circumcision. That’s psychological malpractice.#i2#AAP18#tweetiatricianShow this thread -
25/33 Those attending this
#AAP session should consider 2 real-life examples. First, what not to do.@DrLovlie begins by implying that a man’s opinion about what was done to his own body w/out his consent matters only if it’s supported by “data” showing his view to be popular.pic.twitter.com/eLMcqfsjSt
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26/33 If you can’t understand why that’s wrong & offensive, just imagine doing it to a woman who says she would have preferred to have kept a healthy body part taken from her body w/out her consent.
#i2#AAP18@DrLovlie#tweetiatrician#tweetiatricians#PutKids1st#VoteKidspic.twitter.com/iSez5i8Io8
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27/33 A better example is set by @DrChen4kids, although she got off to a bad start by making a common
#FAAP error: blaming parents for a doctor’s ethical failure.#i2#AAP18#tweetiatrician#tweetiatricians#PutKids1st#VoteKids#meded#medtwitter#ethics#bioethicspic.twitter.com/hE7eMY75X9
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28/33 In the end however, after listening carefully,
@DrJenChen4kids acknowledged what every honest person must: that genital-cutting MDs DO bear responsibility, & should apologize for, the nontherapeutic#circumcisions they perform on non-consenting minors.#i2#AAP18#VoteKidspic.twitter.com/yEHTLE6OeP
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29/33
#Tweetiatricians, if you’re struggling to find credible answers to the questions on this thread that will still allow for a defense of nontherapeutic child#circumcision, then maybe you should follow Dr Chen’s example & stop trying to defend the indefensible.#i2#AAP18Show this thread -
30/33 Those of you at
#AAP18 might want to take it a step further: go outside & actually listen to all of the people who have come out to demonstrate against#AAP#circumcision policy.@bdmarotta@TrishCausey @Intact_Nation Listen to the regret parents who were lied to by MDs.Show this thread -
31/33 Listen to the circumcised men who object to what was done to them. And then come back inside & tell everyone else at
#AAP18 that the “scientifically untenable”#AAP#circumcision policy needs to be retired immediately.#i2#AAP18#tweetiatrician#tweetiatricians#mededShow this thread - 2 more replies
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