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troph

Certifiably Surly
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Everything posted by troph

  1. When deployed during national disasters it’s for their logistics expertise and expansive logistics capabilities when civilian resources are limited, constrained or insufficient. what expertise is needed for what Trump is calling a rebellion?
  2. troph

    LBGTQ

    I’m still editing btw - done now.
  3. troph

    LBGTQ

    It’s great. Doesn’t gloss over complaints. Episode 5 I think Marci Bowers basically says, “look, there aren’t two sides of the issue - trans identities exist and gender affirming health care is the answer. Now there is nuance on who (proper assessment not age cut offs or bans), when and how, but there are not two sides to this issue.” bowers also says this current surge in bans is a redo of the 1979 closure of the Johns Hopkins clinic and it set back trans health care 30 years. The opponents are arguing more research is needed yet Trump and conservatives in the US defund the research except research into regret and detransition. The opponents won’t fund research and ignore clinical practice where doctors treat the patient as they can and see positive outcomes in the face of needing better data which is not uncommon in medicine at all. It’s clear the needed data is in determining who is truly trans (yes hits historically gate keeping crap) in a world where trans identities have increased quite a bit and the detransition and regret rate which is historically very low has possibly doubled (see below for more). the psychiatrist in episode 6 is so good, gives a clear picture of the vast majority of what these gender clinics look like. They interview the author of the Cass report and allow her to defend her position and allowfor criticism of it. There is a significant debate over assessment versus patient led determination (I transitioned at the end of the gate keeper era and embraced the requirements but as a grown adult it wasn’t too much to bear it made me be sure). This is one of the underlying themes did patient led diagnosis lead to the backlash, spoiler alert it seems like it might have but the force for bans was a foregone conclusion. They interview the whistleblower and she comes across as a total piece of shit by her own doing. Her story doesn’t add up at all. And before anyone gets up in arms here that I’m biased, listening to the entire podcast it becomes clear there are trans kids that receive gender affirming care and are thriving and that the opponents like her used minuscule numbers to advance their cause to achieve bans and they have no defense for outlawing care that benefits most who come to these clinics. The whistleblower completely dismisses the severity of gender dysphoria too claiming she suffered from it as a teen so she knows what everyone is going through. That’s part of how the whistleblower sounds like a piece of shit by her own doing. a strangely high(er) percentage of kids identify as trans now and it does seem like it’s more than the left handed phenomenon all though that is a big part. HOWEVER, very few teens are transitioning, very few. And of those that do the historical percentage of regret and detransition was 2-3% max (some say as low as 1%), which the podcast doesn’t say but that’s a remarkable success rate for a treatment. They do postulate that the rate is now probably closer to 5% of those who transition, meaning 95% or 19 out of 20 benefit from the care. trans health care opponents have used this harm to the 5% to pursue bans and prohibit the good outcomes for the 95% and no one wants to come forward and share their stories because of the vitriol that’s coming if they stand up and say this care saved my or my kids life. There are a number of high profile detransitioners that are used to amplify the concerns while the success stories are less common as a percentage of patients because let’s face it, all we trans folk want is a life free from dysphoria and congruent with our gender identity, calling attention to ourselves isn’t really part of what we want, so few stand up and say “look at me.” Opponents have taken advantage of that discrepancy. The middle episodes are hard. I’ll admit. But the end makes it clear what we all know, gender affirming care saves lives and increases quality of life for many many kids and people and the bans were a foregone conclusion but are a grave mistake.
  4. troph

    LBGTQ

    absolutely fantastic listen, 4+ hours, details how youth trans health care started, what happened and how we got to outright bans. It’s a commitment but worth the listen. I may post it as its own thread for broader dissemination. I’ll add my comments later too. But if you comment on these issues and haven’t listened to this podcast then you need to stop commenting and listen - to the whole thing.
  5. If that would bullseye here instead of north Texas we’d get 15-20 feet of rise in the lakes.
  6. Shut your whorish mouth.
  7. If I work out in the morning especially if it’s tennis then I want to go for a swim and then relax and live a life of leisure. It’s a bad bad idea for me to work out in the morning.
  8. Btw my appetite has calmed down. I think my target weight has shifted up 6-7 lbs which is fine but I’m holding steady again (still need to drop 5 lbs of fat to be in that “damn you looking goood” zone but not in the “she’s gotta be psychotic” fit look). But I’m not eating like a ravenous hyena anymore. So it’s good. Alcohol down to 5 or less a week 2-3 nights max. so I’m through the lethargy, intense soreness, fatigue, appetite issues and now it seems just routine. Late Feb to June to transition back to it.
  9. I work from home so I get out and go work out early evening as my transition from work to home. When I get back unless I’ve got a deal that’s just kicking our ass I don’t spend one more second in my office. helps my kids are late high school teens and if we choose to have a family dinner it’s like 8pm (bad but good for the family schedule).
  10. Once a pirate always a pirate… savvy? #parrothead #pirateover40
  11. Our gym is a country club is crawling with olds.
  12. Over 50 balance exercises, functional movement, flexibility/stretching, cardio endurance and muscle retention/tone should be the focus. Men and women we are now focusing both on the quality of our physical lives now and the quality of our physical and cognitive lives later while working to mitigate the accident risks that occur over 70. reality is, with people living into their 80s with decent mobility the next phase is cognitive health and the good news is if you’re weight training you’re doing about a third of what matters anyway, even better if your weight training includes tempo to get the heart pumping (more blood to your brain).
  13. There are several C threads on here I think I can’t tell which one I posted on about our friend, and I know this is a first person mostly thread but Kisqali is working on our friends stage 4 breast cancer. It’s pretty bad ass. Lots of hope her life is going to keep going on. Only side effect is upset stomach when she takes it. But she’s figuring that part out with what to eat with the meds. Next check up is October. We are all relieved.
  14. I’m still in delete and report as junk mode myself
  15. Don’t worry, about the only one I have hope in is myself.
  16. A gal can dream… hope she knocks his ass out.
  17. If she campaigns better than Allred her first ad is gonna go down as all time …
  18. SIAP scott Galloway evicerating Trump and musk all over…
  19. Mia told holly she told the dug out in the first rise ball is flat or something like that. Ladies teed off and hunted for meatballs.
  20. We’ve been runner up that long huh, damn. Better figure it out, the ladies did.
  21. There was no ump at third the ump at third went to the OF for the fly and home called it with no view then the ump a reviewed because no ump on the scene
  22. Put it in the stupid shit my softball team infield says or does thread?
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