‘Morally And Medically Appalling’: Gender Clinic Case Manager Blows The Whistle On ‘Permanent Harm’ Done To Kids

The whistle blows on the former Missouri transgender case manager who was a part of the Missouri Pediatric Transgender Clinic’s case management. “morally and medically appalling” Treatment that results in “permanent harm” This is done to children. 

Jamie Reed, a self-described “queer” leftist woman married to a transgender man, worked as a case manager handling intake of patients at the Pediatric Transgender Center at Washington University School of Medicine at St. Louis Children’s Hospital for more than four years. An exposé Reed confirmed for The Free Press all fears expressed in the recent years over the fast-tracking medical treatments for children.

“I left the clinic in November of last year because I could no longer participate in what was happening there,” Reed. “By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to ‘do no harm.’ Instead, we are permanently harming the vulnerable patients in our care.”

Reed, a St. Louis native who describes her self as “politically to the Left of Bernie Sanders,” In the summer 2018, she took up a position at the Transgender Center, where she was a case manager and responsible for patient intake. 

“Soon after my arrival at the Transgender Center, I was struck by the lack of formal protocols for treatment,” Reed. “The center’s physician co-directors were essentially the sole authority.”

Reed stated that she saw a significant rise in teenage girls who wanted to become males with comorbidities like depression, anxiety and ADHD.

“Until 2015 or so, a very small number of these boys comprised the population of pediatric gender dysphoria cases,” Reed. “Then, across the Western world, there began to be a dramatic increase in a new population: Teenage girls, many with no previous history of gender distress, suddenly declared they were transgender and demanded immediate treatment with testosterone.” 

Reed and her colleagues recognized that the rapid increase in patients seeking transition could be a manifestation of social contagion — especially when clusters of girls arrived from the same high school — but their concerns were allegedly dismissed by the physicians. 

“Anyone who raised doubts ran the risk of being called a transphobe,” Reed.

After one to two visits, a letter from a therapist can be used to start medical transition. Reed stated that the Transgender Center made it easy by recommending gender-affirming therapists, and provided a template letter of support. It took only one visit to the endocrinologist to get a testosterone prescription. Reed discovered that infertility and the long-term effects that testosterone can have on minors is not well understood. The current treatment system was failing to protect them.

“Our patients were told about some side effects, including sterility,” Reed. “But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor.” 

Reed provided examples of adverse psychological and physical effects patients experienced, including liver toxicity, vaginal bleeding, and clitoral enhancement. She also warned of the danger of long-term health problems that hormonal treatments such as blood pressure, sleep apnea, or diabetes can cause.

“But clinics like the one where I worked are creating a whole cohort of kids with atypical genitals—and most of these teens haven’t even had sex yet,” Reed. “They had no idea who they were going to be as adults. Yet all it took for them to permanently transform themselves was one or two short conversations with a therapist.”

Reed became aware in 2019 of a growing number of minors regretting their medical transition, known as detransitioners. Reed and her colleague tried to raise the issue and track data, but doctors resisted their attempts. The author and her co-author created the report despite this. “Red Flag” To track these patients, please join our mailing list 

“We thought the doctors would want to collect and understand this data in order to figure out what they had missed,” Reed. “We were wrong.”

Reed spoke of the sad case of a teenage girl who was detransitioned from a family that had a history drug abuse and had undergone a double breastectomy to remove her breasts. She regretted her decision three months later. 

“Three months later she called the surgeon’s office to say she was going back to her birth name And that her pronouns were ‘she’ and ‘her,’” said Reed. “Heartbreakingly, she told the nurse, ‘I want my breasts back.’”

When Reed and her colleague checked on the young girl, they found out she was pregnant. “Of course, she’ll never be able to breastfeed her child,” Reed lamented.

Reed felt morally obliged to act by 2020’s spring.

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