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#:') the tide is turning

vavandeveresfan · 15 days

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"Sex is biological fact, NHS declares."

Fuckin FINALLY.

The article's behind a paywall, so I had to grab a screenshot fast. It's not the clearest picture, and I may have cut some off.

Here's the article, if you can get around the paywall.

From BBC News via Yahoo News:

NHS England charter to stress biological sex when placing patients in wards

Transgender women should not be put on single-sex female NHS wards, the government is proposing.

The measure is part of a raft of changes to the NHS Constitution for England, the charter of rights for patients.

The proposals stress the importance of biological sex for the first time when it comes to same-sex accommodation and intimate care.

In both cases, the rights are available only where possible.

For example, same-sex accommodation rights, which have existed for years, can and are breached where there is a clinically urgent need to admit and treat a patient and do not extend to areas such as critical care or accident and emergency.

The guidance also means that trans men should not be housed on single-sex male wards.

Under the proposals:

transgender people, whose gender identity differs from their biological sex, may be provided single rooms, where appropriate

patients will have the right to request a person of the same biological sex delivers any intimate care

Health Secretary Victoria Atkins said it was about making it clear that "sex matters".

"We want to make it abundantly clear that if a patient wants same-sex care, they should have access to it wherever reasonably possible," she said.

"By putting this in the NHS Constitution, we're highlighting the importance of balancing the rights and needs of all patients, to make a healthcare system that is faster, simpler and fairer to all."

'Trampled over'

Maya Forstater, of the Sex Matters campaign group, said the changes were "excellent news".

"The confusion between 'sex' and 'gender' in official policies like the NHS Constitution is what has enabled women's rights to be trampled over in the name of transgender identities," she said.

But Cleo Madeleine, of Gendered Intelligence, said robust policies were already in place and the government had its priorities wrong.

"After 14 years of austerity, medical professionals are crying out for more funding, more resources, and better conditions for staff and patients," she said.

"The government seems hell-bent on pursuing its obsession with the transgender community instead of addressing these longstanding needs."

'Martha's rule'

The changes are part of a wider review of the NHS Constitution, which the government must complete every 10 years.

They also include a plan to embed patients and their loved ones' right to access a rapid review from outside the care team if the patient is deteriorating.

This is the right behind "Martha's rule", which is being introduced in the NHS, to ensure patients know they can ask for a second opinion, with the government providing funding to hospitals for posters and leaflets informing patients and their families.

Martha Mills died aged 13, after being admitted to King's College Hospital, south London, in 2021, having injured her pancreas slipping on to the handlebars of her bike while cycling.

She later developed sepsis - but with better care, could have survived, an inquest found.

All the changes will be consulted on over the next eight weeks, before the constitution is updated later this year.

Labour's shadow health secretary Wes Streeting said: "Rights on paper are worthless unless they are delivered in practice.

"The NHS constitution already pledges that no patient will have to share an overnight ward with patients of the opposite sex, but that is not the case for too many patients."

#sex is fact #sex not gender #Cass report #Cass review #WPATH #gender critical #NHS #the tide is turning #the telegraph #the daily telegraph #BBC news

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shitswiftiessay · 3 months

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A hilarious and brilliantly accurate portrayal of the “average swiftie” these days, via ACG Andy on youtube. Go give them a thumbs up!!

Videos like this are a great indicator of how much the public mood is shifting against Taylor and her toxic cult of swifties.

see also: meat canyon’s swiftie parody video

#anti taylor swift #the tide is turning #toxic swifties #parodies of swifties #parasocial relationships #shit swifties say

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holyfigtree · 7 months

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— Excerpt from the resignation letter of the UN Director

#palestine #the tide is turning

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cancmbyn · 1 year

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Today, I was driving home in a ❄️ ⛈️ and thinking about Next Goal Wins, Taika Waititi’s upcoming sports ⚽️ comedy film.

it is scheduled to be released on September 22, 2023.

Despite him being 🇨🇦, I have so many mixed emotions about Will Arnett replacing Armie in the film and being handed a bigger role to boot. Frankly, I’ve always thought Will is a better voice and voiceover actor than any of his in-person roles.

I know the reshoots are done and the film will likely come out with Will in what was Armie’s role. But gosh darn it all, do ever think that we should flood Fox Searchlight Pictures and it’s producers with messages to reinstate Armie’s cameo performance in the film.

Michael Fassbender, Elisabeth Moss and a host of NZ and Pacific Islanders are the REAL stars of the film. The presence and expanded role of Will is frankly just a distraction from the primary plot and that of main characters.

Boycotting the film is not the answer.

Of course, there are lots of reasons why an actor’s performance ends up on the cutting room floor. But imho, bullshit allegations of abuse and the pathetic maneuverings of a 🦎 ain’t legit reasons to cut out Armie Hammer’s performance from this film.

Any Charmies or Armie fans have any thoughts on this?

Too late? Never too late?

#next goal wins #taika waititi #armie hammer #fox searchlight pictures #the tide is turning #will arnett #are armie fans as passionate as football fans #i love taika so much #taika needs our help #sorry will arnett nothing personal

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oliwrightofficial · 1 year

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So, my aunt was working in that resto Louis was recently in and I asked about Oli (and Louis but its the usually the beer thing), to be honest, I never thought of Oli being a pudding kinda dude, cuz he ordered like ALOT of pudding, that's what caught my aunt's eye cuz why would a dude order more than 2 puddings for himself?? I actually thought Oli was Lactose Int. , was he??

ok first of all please tell us where and how you obtained Oli's allergy info anon??? but okay, lactose intolerant, ✔, adding that to the list of Trivial Oli Facts, excellent. Next, when you say pudding what do we mean? Like British where it just means any dessert or like, custard I guess since you mention milk. A lot of pudding. Huh. Yeah I do not know what to do with this info. But tell me, I assume you are referring to them being at the bakery early on, were they not also there later in the evening at the bar? Isn't that where all those pics were from? Anon COME BACK PLEASE

#the tide is turning #people are asking Oli questions #it's our time to SHINE #lbr we already know a lot about Louis we gotta branch out #I'll tell you what though I too would sit and eat like 4 puddings in a sitting so like Oli #if you wanna hang out next thurs I am free I am free next thurs to eat pudding. if you wanna eat pudding.

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yorkiepop · 1 year

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Go Carol!!

#rishi sunak #Moderna #insider trading #carol vorderman #the tide is turning

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sepulchritude · 2 years

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Another perk of libraries is that when I check out an audiobook and predictably fail to listen to it, it gets returned and I can rest easy knowing that checking it out at all has already benefited my local library. I can even do it again later and it will only bring further good things, for free, forever

VS buying an audiobook, failing to listen to it, and having to stare at it in my audible collection knowing I spent $10 on something I never used. And then imagine doing that again. Hellish. Get a library card and download the libby app

#literally the only downside is sometimes you have to wait your turn for the book #which: yeah life’s like that sometimes #and also: go find a different book that’s available immediately and use that to tide you over #sepulchritudinous #1k #10k

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vavandeveresfan · 1 month

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Breaking Down Cass Review Myths and Misconceptions: What You Need to Know.

An answer when some tranny or handmaiden disputes the review. (long post with lots of facts!)

Via The Quakometer:

It has now been just little under a week since the publication of the long anticipated NHS independent review of gender identity services for children and young people, the Cass Review.

The review recommends sweeping changes to child services in the NHS, not least the abandonment of what is known as the “affirmation model” and the associated use of puberty blockers and, later, cross-sex hormones. The evidence base could not support the use of such drastic treatments, and this approach was failing to address the complexities of health problems in such children.

Many trans advocacy groups appear to be cautiously welcoming these recommendations. However, there are many who are not and have quickly tried to condemn the review. Within almost hours, “press releases“, tweets and commentaries tried to rubbish the report and included statements that were simply not true. An angry letter from many “academics”, including Andrew Wakefield, has been published. These myths have been subsequently spreading like wildfire.

Here I wish to tackle some of those myths and misrepresentations.

Myth 1: 98% of all studies in this area were ignored.

Fact

A comprehensive search was performed for all studies addressing the clinical questions under investigation, and over 100 were discovered. All these studies were evaluated for their quality and risk of bias. Only 2% of the studies met the criteria for the highest quality rating, but all high and medium quality (50%+) studies were further analysed to synthesise overall conclusions.

Explanation.

The Cass Review aimed to base its recommendations on the comprehensive body of evidence available. While individual studies may demonstrate positive outcomes for the use of puberty blockers and cross-sex hormones in children, the quality of these studies may vary. Therefore, the review sought to assess not only the findings of each study but also the reliability of those findings.

Studies exhibit variability in quality. Quality impacts the reliability of any conclusions that can be drawn. Some may have small sample sizes, while others may involve cohorts that differ from the target patient population. For instance, if a study primarily involves men in their 30s, their experiences may differ significantly from those of teenage girls, who constitute the a primary patient group of interest. Numerous factors can contribute to poor study quality.

Bias is also a big factor. Many people view claims of a biased study as meaning the researchers had ideological or predetermined goals and so might misrepresent their work. That may be true. But that is not what bias means when we evaluate medical trials.

In this case we are interested in statistical bias. This is where the numbers can mislead us in some way. For example, if your study started with lots of patients but many dropped out then statistical bias may creep in as your drop-outs might be the ones with the worst experiences. Your study patients are not on average like all the possible patients.

If then we want to look at a lot papers to find out if a treatment works, we want to be sure that we pay much more attention to those papers that look like they may have less risk of bias or quality issues. The poor quality papers may have positive results that are due to poor study design or execution and not because the treatment works.

The Cass Review team commissioned researchers at York University to search for all relevant papers on childhood use of puberty blockers and cross-sex hormones for treating “gender dysphoria”. The researchers then graded each paper by established methods to determine quality, and then disregarded all low quality papers to help ensure they did not mislead.

The Review states,

As can be seen, the conclusions that were based on the synthesis of studies only rejected 24 out of 50 studies – less than half. The myth has arisen that the synthesis only included the one high quality study. That is simply untrue.

There were two such literature reviews: the other was for cross-sex hormones. This study found 19 out of 53 studies were low quality and so were not used in synthesis. Only one study was classed as high quality – the rest medium quality and so were used in the analysis.

Again, it is myth that 98% of studies were discarded. The truth is that over a hundred studies were read and appraised. About half of them were graded to be of too poor quality to reliably include in a synthesis of all the evidence. if you include low quality evidence, your over-all conclusions can be at risk from results that are very unreliable. As they say – GIGO – Garbage In Garbage Out.

Nonetheless, despite analysing the higher quality studies, there was no clear evidence that emerged that puberty blockers and cross-sex hormones were safe and effective. The BMJ editorial summed this up perfectly,

Myth 2: Cass recommended no Trans Healthcare for Under 25s.

Fact

The Cass Review does not contain any recommendation or suggestion advocating for the withholding of transgender healthcare until the age of 25, nor does it propose a prohibition on individuals transitioning.

Explanation

This myth appears to be a misreading of one of the recommendations.

The Cass Review expressed concerns regarding the necessity for children to transition to adult service provision at the age of 18, a critical phase in their development and potential treatment. Children were deemed particularly vulnerable during this period, facing potential discontinuity of care as they transitioned to other clinics and care providers. Furthermore, the transition made follow-up of patients more challenging.

Cass then says,

Cass want to set up continuity of service provision by ensure they remain within the same clinical setting and with the same care providers until they are 25. This says nothing about withdrawing any form of treatment that may be appropriate in the adult care pathway. Cass is explicit in saying her report is making no recommendations as to what that care should look like for over 18s.

It looks the myth has arisen from a bizarre misreading of the phrase “remove the need for transition”. Activists appear to think this means that there should be no “gender transition” whereas it is obvious this is referring to “care transition”.

Myth 3: Cass is demanding only Double Blind Randomised Controlled Trials be used as evidence in “Trans Healthcare”.

Fact

While it is acknowledged that conducting double-blind randomized controlled trials (DBRCT) for puberty blockers in children would present significant ethical and practical challenges, the Cass Review does not advocate solely for the use of DBRCT trials in making treatment recommendations, nor does it mandate that future trials adhere strictly to such protocols. Rather, the review extensively discusses the necessity for appropriate trial designs that are both ethical and practical, emphasizing the importance of maintaining high methodological quality.

Explanation

Cass goes into great detail explaining the nature of clinical evidence and how that can vary in quality depending on the trial design and how it is implemented and analysed. She sets out why Double Blind Randomised Controlled Trials are the ‘gold standard’ as they minimise the risks of confounding factors misleading you and helping to understand cause and effect, for example. (See Explanatory Box 1 in the Report).

Doctors rely on evidence to guide treatment decisions, which can be discussed with patients to facilitate informed choices considering the known benefits and risks of proposed treatments.

Evidence can range from a doctor’s personal experience to more formal sources. For instance, a doctor may draw on their own extensive experience treating patients, known as ‘Expert Opinion.’ While valuable, this method isn’t foolproof, as historical inaccuracies in medical beliefs have shown.

Consulting other doctors’ experiences, especially if documented in published case reports, can offer additional insight. However, these reports have limitations, such as their inability to establish causality between treatment and outcome. For example, if a patient with a bad back improves after swimming, it’s uncertain whether swimming directly caused the improvement or if the back would have healed naturally.

Further up the hierarchy of clinical evidence are papers that examine cohorts of patients, typically involving multiple case studies with statistical analysis. While offering better evidence, they still have potential biases and limitations.

This illustrates the ‘pyramid of clinical evidence,’ which categorises different types of evidence based on their quality and reliability in informing treatment decisions

The above diagram is published in the Cass Review as part of Explanatory Box 1.

We can see from the report and papers that Cass did not insist that only randomised controlled trials were used to assess the evidence. The York team that conducted the analyses chose a method to asses the quality of studies called the Newcastle Ottawa Scale. This is a method best suited for non RCT trials. Cass has selected an assessment method best suited for the nature of the available evidence rather than taken a dogmatic approach on the need for DBRCTs. The results of this method were discussed about countering Myth 1. Explainer on the Newcastle Ottawa Scale

As for future studies, Cass makes no demand only DBRCTs are conducted. What is highlighted is at the very least that service providers build a research capacity to fill in the evidence gaps.

Myth 4: There were less than 10 detransitioners out of 3499 patients in the Cass study.

Fact

Cass was unable to determine the detransition rate. Although the GIDS audit study recorded fewer than 10 detransitioners, clinics declined to provide information to the review that would have enabled linking a child’s treatment to their adult outcome. The low recorded rates must be due in part to insufficient data availability.

Explanation

Cass says, “The percentage of people treated with hormones who subsequently detransition remains unknown due to the lack of long-term follow-up studies, although there is suggestion that numbers are increasing.”

The reported number are going to be low for a number of reasons, as Cass describes:

Damningly, Cass describes the attempt by the review to establish “data linkage’ between records at the childhood gender clinics and adult services to look at longer term detransition and the clinics refused to cooperate with the Independent Review. The report notes the “…attempts to improve the evidence base have been thwarted by a lack of cooperation from the adult gender services”.

We know from other analyses of the data on detransitioning that the quality of data is exceptionally poor and the actual rates of detransition and regret are unknown. This is especially worrying when older data, such as reported in WPATH 7, suggest natural rates of decrease in dysphoria without treatment are very high.

This suggests that active affirmative treatment may be locking in a trans identity into the majority of children who would otherwise desist with trans ideation and live unmedicated lives.

I shall add more myths as they become spread.

#Cass report #the cass report #cass review #the cass review #trans lies #gender critical #tras #medical malpractice #the tide is turning

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geezerwench · 2 years

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The “Fantastic Beasts” franchise appears to be dead because of JK Rowling & Ezra Miller

But Warner Bros. still isn't finished working with anti-trans author JK Rowling.

#JK Rowling #Fantastic Beasts #Ezra Miller #Warner Brothers #Harry Potter #the tide is turning

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