#Patrick Lappert

[justinspoliticalcorner]

Annelise Hanshaw at Missouri Independent:

Missouri’s restrictions on puberty blockers and hormone treatment for transgender minors are constitutional and may remain in place, Wright County Circuit Court Judge Craig Carter wrote in a 74-page ruling Monday. Soon after the ruling became public, the ACLU of Missouri and Lambda Legal promised to appeal. The state’s restrictions on gender-affirming care, passed by state lawmakers in 2023, not only bar minors from beginning cross-sex hormones and puberty blockers and undergoing gender transition surgeries. It also blocks the state from paying for gender-affirming care for adults through Missouri Medicaid and care in state prisons. Many providers in Missouri have ceased offering gender-affirming care for minors, including patients that had begun prescriptions prior to the law’s effective date.

Plaintiffs in the case — which include gender-affirming health care providers, transgender minors and their families — had the burden to prove the statute “clearly and undoubtedly violates a constitutional provision,” the judge wrote. And because plaintiffs challenged the law in its entirety, they had to prove that there is “no set of circumstances under which the provisions would be valid.” Carter determined the challenge did not clear the high bar on multiple arguments, but the overarching debate looked at medical consensus on gender-affirming care. His ruling focuses on a U.S. Supreme Court precedent that allows lawmakers broad discretion in areas “fraught with medical and scientific uncertainty.” Carter concluded that there is “an almost total lack of consensus as to the medical ethics of adolescent gender dysphoria treatment,” granting the state legislature authority to ban the care.

[...] Apart from these concerns, Carter said three witnesses were particularly compelling: Chloe Cole, a young woman who transitioned as a minor in California and since stopped treatment and has spoken publicly about her regrets, along with bioethicist Farr Curlin and plastic surgeon Patrick Lappert, both who emphasized potential side effects of gender-affirming care. Because the risks were high for gender-affirming care, the treatment couldn’t be compared to experimental treatments with few known side effects, Carter wrote, and allowing teenagers to opt into an experimental treatment is dubious. “If we don’t let a 16-year-old buy a six pack of beer and a pack of smokes, or let an adult buy those items for them, should we allow the same kid/parent team to decide to change a teenager’s sex forever?” Carter wrote in his ruling.

Right-wing activist judge Craig Carter from Wright County issued a ruling in Noe v. Parson upholding Missouri’s hateful and discriminatory ban on gender-affirming care on minors and Medicare covering such procedures for adults.

Carter’s justifications for the ruling upholding SB49 was based on anti-trans pseudoscience.

See Also:

LGBTQ Nation: Wright County Judge Carter compares gender-affirming care to cigarettes & beer while upholding Missouri's youth ban

[radseul]

“There is no other cosmetic operation where it is considered morally acceptable to destroy a human function. None. There is no cosmetic operation that I could propose in front of a room full of my colleagues where I could say, ‘Hey, listen, I’m going to improve this guy’s nose but take away his ability to smell.’ Or, ‘I’m going to improve the appearance of this boy’s ears but he’s going to be deaf’

- Dr. Patrick Lappert on top surgery, from ‘Irreversible Damage’

[recreationaldivorce]

this file ("Deutsch emails") contains the complete source of email threads for the 2023-03-08 Mother Jones story “Inside the Secret Working Group That Helped Push Anti-Trans Laws Across the Country”. the emails are comprised of communications spanning 2019-2021 principally regarding an attempt to pass a trans youth transition treatment ban in south dakota in 2019, spearheaded by republican rep. fred deutsch and sen. lee schoenbeck.

there are extensive discussions between deutsch and notorious anti-gay and anti-trans “experts” associated with known hate groups targeting transgender healthcare in the united states, including dr. quentin l. van meter and dr. michelle cretella of the catholic medical association, dr. andre van mol of the christian medical & dental associations and american college of pediatricians, dr. michael k. laidlaw of the kelsey coalition, dr. william j. malone of the society for evidence-based gender medicine, dr. paul w. hruz of the national catholic bioethics center, laura haynes of narth, and deacon dr. patrick w. lappert of catholic reparative therapy group courage international. participants discuss crafting their language to avoid acknowledging that transgender people exist, constructing new ways to define doctors as criminals for providing gender-affirming care, and targeting a federal agency publication that correctly points out the dangers of anti-gay conversion therapy. their emails frequently digress into personal vendettas and ambitions of destroying established professional groups such as the endocrine society, and they typically celebrate their anti-trans legal and political achievements as a victory of the christian god.

the emails describe a wider national effort against transition treatment for minors, which included discussions with idaho rep. julianne young and sen. steve vick, georgia rep. ginny earhart, and florida rep. anthony sabatini. several anti-lgbt conservative legal groups are intimately involved in the discussion, including alliance defending freedom, adf-affiliated detransitioners hacsi horvath and walt heyer, eunie smith of eagle forum, adf-linked attorney vernadette r. broyles of the child & parental rights campaign, jane robbins of the american principles project, kara dansky and natasha chart of women’s liberation front, richard mast of liberty counsel, and emily zinos of minnesota family council and hands across the aisle. more recently, the transphobia-captured state of alabama harassed the endocrine society and wpath with subpoenas for their internal communications regarding hate groups and individuals participating in the deutsch emails, including segm, the american college of pediatricians, michael laidlaw, william malone, andre van mol, michelle cretella, and quentin van meter. the release of the deutsch emails is in the public interest and brings an equivalent level of transparency to the internal work of these major anti-trans advocacy and lobbying groups.

[self-loving-vampire]

"Judge Moody offered a biting critique of the credibility of the witnesses fielded by Arkansas, stating their opinions were "more rooted in ideology than in science." Backing this statement, Moody pointed out the significant lack of training that state experts possessed in providing gender-affirming care. For instance, Dr. Mark Regnerus, a sociologist specializing in sexual relationship behavior and religion, lacks any clinical or psychological experience with transgender individuals. Similarly, Dr. Patrick Lappert, a plastic surgeon, has no experience in mental healthcare, let alone in gender-affirming care. Furthermore, Dr. Paul Hruz, a pediatric endocrinologist put forward by the state, has never treated a patient for gender dysphoria.

Of particular note was the involvement of the Alliance Defending Freedom (ADF) in recruiting the state's experts. Judge Moody highlighted that Dr. Regnerus, Dr. Hruz, and Dr. Lappert were all connected through an ADF seminar in Arizona meant to recruit witnesses for court cases like this one. Given the nature of their testimony and how they were recruited, the judge observed that the state experts were "testifying more from a religious doctrinal standpoint than from the perspective expected of experts.""

Not a single fact was found in the state's favor, and several major talking points were debunked.

[befilter]

Patrick Lappert, MD

New doctor profile has been published on https://befilter.com/doctor/patrick-lappert-md/

Patrick Lappert, MD

#Doctor #PlasticSurgeon #Surgeon #Beauty #Body #BeFilter

[inkundu1]

This is What Truly Happens When You Expel a Tattoo with Lasers

Laser tattoo evacuation may look less difficult than getting inked, however it's really a truly muddled process that shouldn't be depended on as an easygoing answer for a changeless issue. Here's the manner by which it works. Tattoo inks have a tendency to be made of mixes from overwhelming metals. As per this Smarter Every Day video, tattoo inks frequently contain metals like lead, copper, and manganese. Some red inks even contain mercury. The metals in the ink is the thing that gives tattoos their permanency, yet a few inks have been known to bring about unfavorably susceptible responses like skin inflammation or considerable scarring. From the minute a needle stores ink somewhere down in the skin, the invulnerable framework perceives these particles as remote gatecrashers, dispatching multitudes of white platelets to inundate them. The white platelets then escort little ink particles to the liver, where they are handled and discharged. However, huge numbers of the ink particles are much bigger than white platelets, which is the reason new tattoos blur after some time, yet won't totally vanish actually. You can see the size contrast in the gif beneath. The dark splotches are ink particles, which overshadow the platelets swimming around them. Indeed, even after some time, as the white platelets consume the ink particles, most are still too vast for the white platelets to take hold of and expel from the skin. Patrick Lappert, a plastic specialist who likewise tattoo evacuation, tells Smarter Every Day that a white platelet attempting to overwhelm an ink molecule would resemble a human "really beginning to tackle an elephant." That is the reason they're lasting. To delete a tattoo, you require lasers to separate the ink particles. Tattoo evacuation lasers, additionally called Q-switch lasers or ultra-short heartbeat lasers, are to a great degree hot, work in an exceptionally limit recurrence, and are, quick. The tattoo evacuation laser in the video, called the PicoLaser, takes a shot at a size of picoseconds, or a trillionth of a moment. This speed and warmth is significant to breaking the ink particles separated. To separate an ink molecule, you have to warmth it to make it extend because of warm extension, yet the zap must be sufficiently speedy so that half of the molecule stays cool. The restricting cool and hot powers then tear the ink molecule separated. This procedure, called photothermolysis, is likewise utilized as a part of laser hair evacuation. Once the lasers break the ink particles separated into nibble measured lumps, the white platelets can ingest them for transportation to the liver. Presently this may sound moderately simple, however the costly procedure of tattoo evacuation frequently takes a few rounds of medicines and can leave scarring. Darker colors are disposed of all the more effortlessly while lighter and more intelligent inks are less receptive to the lasers. It's additionally very difficult, frequently more so than getting a tattoo in any case. The lasers warm the ink particles to a great many degrees, yet it happens so quickly and particularly coordinated toward the ink that the laser doesn't smolder the tissue - the vitality rather crumples into a shockwave. The shockwave vibrates through the skin and causes the upper layer of skin to lift up and seem white, or to "ice." Though excruciating, this impact normally keeps going only a few moments. For a few, the interest of tattoos may be difficult to deny. In any case, with regards to tattoo evacuation, it may be ideal to pick astutely and make sure about what you need before making a plunge front of the needle.