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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. 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
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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
    7. 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
    8. Evan Urquhart‏ @e_urq 17 Dec 2020
      Replying to @AbsMcFabs @JuliaMasonMD1 @jessesingal

      But Gillick competence doesnt come in?

      1 reply 0 retweets 0 likes
    9. 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
    10. 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
      Evan Urquhart‏ @e_urq 17 Dec 2020
      Replying to @e_urq @AbsMcFabs and

      Do children need to demonstrate Gillick competence to be treated with the same drugs at the same ages for early onset of puberty?

      12:12 PM - 17 Dec 2020
      2 replies 0 retweets 0 likes
        1. New conversation
        1. Abigail McGyn‏ @AbsMcFabs 17 Dec 2020
          Replying to @e_urq @JuliaMasonMD1 @jessesingal

          Your last two tweets demonstrate that you haven't read the judgment.

          1 reply 0 retweets 2 likes
        2. Abigail McGyn‏ @AbsMcFabs 17 Dec 2020
          Replying to @AbsMcFabs @e_urq and

          Abigail McGyn Retweeted Judicial Office

          Here's a link. https://twitter.com/JudiciaryUK/status/1333732359804489729?s=19 … Do have a read, it answers all your questions and it lays it out very clearly.

          Abigail McGyn added,

          Judicial OfficeVerified account @JudiciaryUK
          The judgment in R (on the application of) Quincy Bell and A -v- Tavistock and Portman NHS Trust can now be found online https://bit.ly/36oS8kV 
          1 reply 0 retweets 1 like
        3. Show replies
        2. New conversation
        1. WomanNotPerson-WomensRightsAreHumanRights‏ @Imagine123 19 Dec 2020
          Replying to @e_urq @AbsMcFabs and

          Early onset puberty is totally different to gd. Children younger than 8 are prescribed pb's but they are stopped in time to allow natural puberty to proceed. Blockers are used in gd to stop puberty happening at all, therein lies the problem as its an important time for a child/1

          1 reply 0 retweets 2 likes
        2. Show replies

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