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e_urq's profile
Evan Urquhart
Evan Urquhart
Evan Urquhart
@e_urq

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Evan Urquhart

@e_urq

He/Him. Trans Journo. Views expressed are representative of that Dunkin Donuts I worked in one summer.

Joined March 2009

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    1. Evan Urquhart‏ @e_urq 16 Dec 2020
      Replying to @jessesingal

      I guess I'm a bigot because slanted scare stories aimed at portraying trans health care in a negative light concern me a lot!

      2 replies 0 retweets 5 likes
    2. bebo‏ @bebobadebo 16 Dec 2020
      Replying to @e_urq @jessesingal

      translation: complexity doesn’t square with my ideology

      1 reply 0 retweets 23 likes
    3. Evan Urquhart‏ @e_urq 16 Dec 2020
      Replying to @bebobadebo @jessesingal

      I'd be very interested in an article that reckoned with complexities. The rate of ineffectiveness, regret, or excessive side effects is similar compared to other treatments. Should trans healthcare be held to a higher standard, and what is the rationale if so?

      6 replies 0 retweets 0 likes
    4. Julia Mason MS MD‏ @JuliaMasonMD1 16 Dec 2020
      Replying to @e_urq @jessesingal

      Yes, the care of children is complicated by the fact that they are children. The UK High Court did a really good job of looking into this.

      1 reply 0 retweets 5 likes
    5. Evan Urquhart‏ @e_urq 16 Dec 2020
      Replying to @JuliaMasonMD1 @jessesingal

      I don't know the system in the UK, are children barred from recieving most medical treatments? For instance, can they be prescribed anti-depressants even though there's a risk of permanent negative effects such as weight gain?

      2 replies 0 retweets 0 likes
    6. Julia Mason MS MD‏ @JuliaMasonMD1 16 Dec 2020
      Replying to @e_urq @jessesingal

      No, you can’t prescribe anti-depressants to children under 18. (I recently learned this!)

      1 reply 0 retweets 0 likes
    7. Evan Urquhart‏ @e_urq 16 Dec 2020
      Replying to @JuliaMasonMD1 @jessesingal

      Well then it sounds like the standards are consistent.

      1 reply 0 retweets 1 like
    8. Evan Urquhart‏ @e_urq 16 Dec 2020
      Replying to @e_urq @JuliaMasonMD1 @jessesingal

      Hmm, it looks like this is inaccurate?https://www.theguardian.com/society/2017/jun/18/number-of-under-18s-on-antidepressants-in-england-rises-by-12 …

      1 reply 0 retweets 0 likes
    9. Julia Mason MS MD‏ @JuliaMasonMD1 16 Dec 2020
      Replying to @e_urq @jessesingal

      Perhaps things have changed since 2017? I don’t practice in England, so I can’t say for sure, but this came up recently in the discussion about puberty blockers.

      1 reply 0 retweets 1 like
    10. Abigail McGyn‏ @AbsMcFabs 16 Dec 2020
      Replying to @JuliaMasonMD1 @e_urq @jessesingal

      Its was acknowledged (too late) that antidepressants work differently in adolescents than adults and a disproportionate number of teens on anti-Ds were experiencing much worse MH issues, including suicide. Teens aren't just small adults-we have to be more careful.

      1 reply 0 retweets 4 likes
      Evan Urquhart‏ @e_urq 17 Dec 2020
      Replying to @AbsMcFabs @JuliaMasonMD1 @jessesingal

      But Gillick competence doesnt come in?

      4:30 AM - 17 Dec 2020
      1 reply 0 retweets 0 likes
        1. New conversation
        1. Abigail McGyn‏ @AbsMcFabs 17 Dec 2020
          Replying to @e_urq @JuliaMasonMD1 @jessesingal

          Gillick is for when there is a clear treatment pathway that has well-understood benefits and potential downsides. Children were being given treatment when it wasn't understood what the effects were, which impacts whether informed consent can be given.

          1 reply 0 retweets 2 likes
        2. Evan Urquhart‏ @e_urq 17 Dec 2020
          Replying to @AbsMcFabs @JuliaMasonMD1 @jessesingal

          But, that doesn't describe PBs, which have been prescribed for decades and are well understood?

          3 replies 0 retweets 0 likes
        3. Show replies

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