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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 Mar 14

      Evan Urquhart Retweeted  🦎saturn

      OK, I'm in, let's talk about improving healthcare for all dysphoric patients.https://twitter.com/saturnalea/status/1371257514558373888 …

      Evan Urquhart added,

       🦎saturn @saturnalea
      Replying to @EmilyL28886382 @JuliaMasonMD1 and 4 others
      Please try to understand that detrans people are trying to get better healthcare for all dysphoric patients and ignoring all of us as transphobic is not accurate. Trans and detrans concerns are very much in line, we want the next generation to have less issues w/this process
      2 replies 7 retweets 38 likes
      Show this thread
    2. Evan Urquhart‏ @e_urq Mar 14

      We have a condition with one known, effective treatment. We estimate that treatment is effective, conservatively, in 97-99% of patients. The condition is also highly stigmatized, so many patients who need it don't access it or stop treatment due to stigma.

      2 replies 4 retweets 29 likes
      Show this thread
    3. Evan Urquhart‏ @e_urq Mar 14

      In this situation, what would improve healthcare for these patients? A) Destigmatizing the condition and treatment so more patients who need it get it. B) Focus attention on 1-3% for whom the treatment is not effective, try to reduce the number to zero.

      4 replies 3 retweets 27 likes
      Show this thread
    4. Evan Urquhart‏ @e_urq Mar 14

      It's A, guys. It's A. I know how tough it must be for detransitioners to have hope for a medical treatment and be in the number of people for whom it didn't work. But, this is very normal, in medicine. It's disappointing. It's tough. These folks deserve support, and empathy.

      2 replies 2 retweets 24 likes
      Show this thread
    5. Evan Urquhart‏ @e_urq Mar 14

      However, they should not be allowed to harm patients who need this effective and highly stigmatized treatment. That's not evidence based medicine. That's transphobic stigma and moral panic.

      1 reply 2 retweets 25 likes
      Show this thread
    6. Evan Urquhart‏ @e_urq Mar 14

      When the evidence changes doctors opinions will change. So will mine. If a wave of AFAB detransitioners ever finally materializes IN THE DATA, we'll listen. But there is no current support for the belief that a main issue in trans medical care is too much ineffective treatment.

      4 replies 2 retweets 22 likes
      Show this thread
    7.  🦎saturn‏ @saturnalea Mar 14
      Replying to @e_urq

      Can you really not see that wave, it’s already clearly happening

      1 reply 0 retweets 0 likes
    8. Evan Urquhart‏ @e_urq Mar 14
      Replying to @saturnalea

      No support for it in the data. I'll believe in it when it's more than anecdotes, and not a moment before.

      5 replies 0 retweets 4 likes
    9.  🦎saturn‏ @saturnalea Mar 14
      Replying to @e_urq

      But is the fact that there’s noaccurate numbers on a tiny ill-defined group like this surprising? Who is asking questions? Who is following up?

      1 reply 0 retweets 0 likes
      Evan Urquhart‏ @e_urq Mar 14
      Replying to @saturnalea

      There have been studies, though. Imperfect methods, admittedly, but they largely agree with one another. To imagine they all undercounted detransitioners by orders of magnitude is unlikely.

      6:07 PM - 14 Mar 2021
      1 reply 0 retweets 0 likes
        1. New conversation
        1. Evan Urquhart‏ @e_urq Mar 14
          Replying to @e_urq @saturnalea

          When there's no evidence for something, the conservative approach is not to look for reasons the thing exists but has been hidden. That way lies conspiracy theories.

          1 reply 0 retweets 0 likes
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