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Howard Winet's avatar

Wolfy Jack,

Thank you for your thoughtful comments. As a scientist I must ask two questions before evaluating each individual case. 1. Is there any physiological indication that the child is not developing normally? and 2. What is the scientific basis for any proposed intervention? The answers to these questions should not depend on differences of opinion between pediatricians. After almost three decades of disabusing orthopaedic residents of the notion that correlation equals causation, my eyes roll when a physician claims his degree makes him a scientist. I like your idea of a committee evaluating each surgical intervention. It should be based in a hospital licensed to house the committee, and include a relevant scientist (from the local medical school). You will note that I did not include a psychologist/psychiatrist on the committee. In the best of all worlds it should. But I am so frustrated by the politicalization of their professional organizations that I can't think straight about how to pick one. I'd be thankful for any constructive suggestions.

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Howard Winet's avatar

O.K. I've read the article. I agree with its sense, although I am not comfortable with leaving the transgender problem up to the parents. I have met leftist parents who are more interested in making their children political statements than in allowing the child time and resources to develop until they understand what gender is about, with guidance from their pediatrician. Pediatricians need to be trained in understanding the science behind gender determination in mammals. Given the current political activism in pediatric professional societies I'm not confident this need will be fulfilled soon.

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