Wednesday, June 14, 2023

Trans surgery for adolescents

I have four children. Several of them qualify as "athletic".

One of them approached us as a high school sophomore and informed us that they needed surgery due to back-pain.

That child was angry with us as we followed the proper route to investigate such things. They had already told us what the answer and the problem was. The fact that a non-doctor cannot simply demand a surgery (for very good reasons) didn't make a dent in their demands.

Curmudgeon, our family doctor, referred us/our-child to a sports medicine specialist.

That doctor examined our child and prescribed "stretching" as the first step in the hierarchy of interventions. My child dismissed "stretching" as a solution. Said "I stretched. It doesn' work". Said they needed surgery.

The doctor, who was easily 6'-4" tall, bent over at the waist with his knees locked and with no effort placed the palms of both hands on the carpet. "Until you can do this, "stretching" is the only treatment I am going to offer."

Of course, my muscular, athletic kid could not even come close to doing that.

Multiple trips to pain specialists. "Surgury" my kid demanded. 

"We try other things first" the people who had attended, and graduated from medical school insisted.

The demands for surgery abated somewhat after my child's birth-mother had back surgery and...it did not fully resolve her issues and there were complications.

When that child left our house we stopped providing as much "help" with regard to medical care. At one point our child scheduled a trip to the pain-specialist and got "the shots" and handed us the bill. We had not been informed ahead of time regarding the visit.

We didn't hand it back, although that is what my inclination was. Mrs ERJ informed our child that the bill was the last one we would be paying out of OUR pocket. If our child determined that they absolutely needed the shots, they could find a way to fund it.

Relations were a little bit frosty after that, but we healed up.

As our child got older, more informed and more sophisticated, the talk about surgery died away. There may be some smoldering resentment about our not automatically accepting the argument "It is my body. I know what I need".

Scar tissue is eternal. The scar tissue from relationships. The scar tissue from surgeries. It is part of what forms the immutable parts of our personalities.

"Gender affirming surgery"

Put me down as "Against it". Children under the age of 18 have no business making those kinds of decisions.

---Added later: The motivation for this post is the legislation that is percolating through the California Legislature that will remove children from the parent's home if the parents refuse to provide "gender affirming care" for their children.

That is, Child Protective Services will remove the children and initiate court proceedings to label the parents as child-abusers. The children will be given the "gender affirming care" against the parent's will. The parents will undoubtedly be given the bill by the State and if they don't pay it their wages will be garnished.

13 comments:

  1. The whole debate is a red herring. I will not enter into it with most people because they cannot handle it intellectually, and are disingenuous to the topic.
    If you're all for supporting a childs identity, you should be willing to surgically attach a tail to all those who think they are a cat. South Park really did a good job on this one with the dolphin.
    Its very telling about the person your are discussing the topic. Most people will demonstrate within 30 seconds if they have disassociated with reality (see cat example above). After that, I'm done wasting time on people who willingly indulge mental illness.

    ReplyDelete
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    1. Q: What has 16 legs, 16 arms and half-a-brain?
      A: A table in the Middle-School lunchroom.

      Developmentally, adolescents push away from their family and adopt a new tribe. They are totally uncritical of the tribe and maintaining membership is all-important.

      If the "tribe" agrees that surgery is the path to righteousness, then it cannot be argued with.

      That is just how kids grow up.

      Some people never grow past that extreme need to be a member of a tribe.

      Delete
  2. Happily, for those people in the UK at least, one of the formerly most progressive medical systems has swung on this in the last few weeks to something within spitting distance of sanity. In 2 years they went from providing puberty blocking drugs against parental wishes to "maybe we should provide counseling and otherwise let the body develop naturally".

    This is just one more sign why I'm inclined to think the topic is fairly played out. Even the more progressive people I know that are actually old enough to have kids have moved on this issue to "you know, kids are really stupid, maybe we should employ a wait and see strat?"

    A lot of the people that seem to deeply believe in more drastic interventions don't have kids and have sworn of ever having kids, so while it's scary and depressing how far they've spread some of the crazier ideas, ultimately it seems level(er) heads are starting to prevail.

    Doesn't fix the already maimed kids (sadly), and it feels like maybe foresight coulda caught this and not hindsight, but still better than keeping on the crazy-road.

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  3. Anyone wanting "gender reassignment" is mentally ill. It should be illegal for any aged whack job.

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  4. And given our judicial system is making noises about diminished legal capacity for young 20-somethings because of incomplete brain development, I'd say no gender reassignment for anyone under the age of 25.

    After that, I don't care if you want to mutilate yourself or not. Mental illness is not illegal unless you are a threat to others, as far as I'm concerned. Kill yourself, mutilate yourself ... I don't care.

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    Replies
    1. After the age of 25 it is "Stop it or Chop it!"

      Delete
  5. Not sure if this is a true story or an analogy......

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    1. The story about the back surgery is true. The kid is smart and level-headed and well-adjusted socially AND... somehow got the idea in their head that surgery would solve all of their problems.

      Delete
  6. Back surgery is, at best, a 50/50 proposition as to whether it helps or hurts more.

    ReplyDelete
    Replies
    1. My back surgery was 100% successful. Being successful meaning after the disc had ruptured, my right leg went numb and surgery was the only option.
      Also "back surgery" includes a lot of different procedures. Mine was a "simple" L5 microdiscectomy.

      Delete
  7. I’ve known eight people personally who have had back surgery. Old NFO is correct.

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  8. I had a two level fusion in 2011. The main pain issue was sciatica which it solved. The reason I went along with the surgery was that the workman’s comp second opinion doctor said I needed it. Side effects include nerve pain in both feet many nights and domino effect on the next level down. Steroid shots helped some but when I had a surgical wound on my foot that healed slowly the wound specialists insisted that it was because of the shots. I agree with Old NFO,

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  9. In the future, what happens when the permanently misfigured attempt to hold their parents liable in court?

    ReplyDelete

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