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[mariocki]

A young Christopher Lee guest stars as dastardly Larry Spence - a rising star in the world of journalism, turned blackmailer and then murderer - in The Vise: The Final Column (1.16, ABC, 1955); the episode wasn't seen in the UK until 1963, as part of ITV drama anthology Tension

[mypeggableromance]

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[mostofthingsmostofthetime]

The rescent riots in the UK are despicable (but sadly not surprising).

Yes, what happened to those little girls is a tradgey, but the person who was responsible wasn't an asylum seeker, and even if he was, that would NOT excuse the racism displayed these past few weeks.

The people taking part clearly don't care about the safety of children as they're, scaring other people's & indoctrinationating their own into perpetuating racist acts.

Seven years is a lot, though! Then don't fucking join a hate group.

But the non white people are being violent too! Yeah, well, that tends to happen when you attack people. I'm not going to hate on people for standing up for themselves.

They're taking our jobs! Why do you believe that those jobs are YOURS? Are you actually qualified & able to make a good impression on bosses, or do you think just being white should be enough.

They don't work! Well Asylum seekers litrually aren't allowed to until their case gose through but plenty of other POC have jobs (I know you've seen them though it must be hard to make them out through that fog of hatred) & I've met plenty of white people who don't want to (no hate to those who can't because of disability or mental health issues) or loose jobs because they're just overall terrible employees (some of the shit I've seen middle aged white people do at their jobs is crazy).

They're all criminals! Well, that's just not true now is it plus it's been proven multiple times that the biggest factor in crime is poverty, NOT race & again I've encountered plenty of white people who've broken the law yet most didn't seem to get more than a slap on the wrist (if that). Strange, that isn't it?

Well, "those kinds" of men hate women! Ahh, yes, because there's never been white rapists, woman killers, stalkers or harrasers. Its been proven that hating women is a problem in all races & and sadly, the biggest threat to us is usually our own partners or family, not some random aylsum seeker (who if they do hurt women tend to go after the ones from their own community).

They're not from here! Ok, so I don't know if anyone told you, but you can actually be born here without being white and you can't ban people from a country just because of the colour of their skin. Also, neither was half my family, yet we never get told to go back to our own country. Hmm, I wonder if our white skin could possibly have anything to do with that.

They can't speak English! A lot of them are multilingual, actually (& you make fun of their accents) & for the ones who can't well you seem to hate them getting anything (such as English lessons) for free. Also, how many Brits go abroad despite refusing to learn absolutely anything about other countries (there's a reason we're known as disrespectful, violent, sex obsessed, drunks by most of the world).

Also sooner or later we are going to have to accept that a lot of the issues that make immigrants flee their home countries are caused (or at least made worse) by ours & other Western governments.

This country definitely has problems, but we should be taking them up with politicians & their rich mates. Who are the ones actually hording wealth made from the exploitation of the poor, not random people of colour who are just trying to live their lives.

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[gingersnapwolves]

So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

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