20 Comments
Apr 7Liked by Pairodocs

Thank you Drs. Julie and Chris, for once again daring to stick your heads above the parapet by simply speaking truth, and daring to question the current narrative being shoved down our throats. It’s shocking that we have reached a point where it is deemed necessary for taxpayers to pick up the tab for a biological man who wants to surgically create a vagina whilst also maintaining his penis, and yet another citizen must pay for remediation for varicose veins. It seems we’ve lost our minds if collectively we’re too afraid to take a stand against this. #TruthOverTribe

Expand full comment
Apr 7Liked by Pairodocs

Back at the turn of the century I did a medicolegal report on a man in wheelchair after an accident, with severe chronic pain and immobility....he had been through all the usual over a few years and had persuaded a surgeon to try amputation of the leg as a last resort....indeed was scheduled for the surgery. Then the lawyers sent me the surveillance video of him trotting round on an extensive shopping trip with his wife and his case collapsed. He was essentially willing to sell his leg for 6 figure compensation......with his wife's connivance. The boundaries between personality disorder, Munchausen's, social contagion, hysteria and fraud are murky indeed! As we used to say in Yorkshire: "There's nowt so queer as folk", a comment that will get you 20 years without the option as a hate criminal in multiple jurisdictions these days. (love the Dalrymple quote....spot on as usual!)

Expand full comment

Great article!

I read about the guy with the fingers (now without the fingers) the other day, and honestly didn’t know what to think.

There’s the aspect of “following the line of least resistance”, meaning that the health care system supported the quick and dirty route of taking off the fingers rather than the long and complicated path of “fixing” his psychiatric disorder, although maybe it was unfixable. The reports suggest that he’s now “cured”, although you have to hope that he doesn’t develop a phantom limb syndrome or transfer his aversion to some other body part. He could end up having his limbs (or body) removed, piece by piece! Probably a short story in that idea…

There’s the obvious parallel to people with gender dysphoria wanting their body parts removed and/or rearranged. As you’ve pointed out, it’s a “thin edge of the wedge” scenario. Once you’ve agreed that some form of surgery is “reasonable”, then where do you draw the line? And in agreeing to these surgeries because they supposedly have benefits, what’s the thinking about the harms? It’s a pretty complex conversation about the benefits of losing the vagina and uterus that you hate and having them replaced, through horribly complicated surgery, with a penis that isn’t really a penis, knowing that every conversation you’ll ever have with a potential sexual partner is going to require an explanation of what you have, what you don’t have, and how your parts work (or don’t). Does the surgery make you whole, or does it make you flawed in a different way? Is informed consent, in these cases, truly informed?

It also ties in with a longer trend re plastic surgery, which used to be divided into the stuff that was “medically necessary” (like correcting disfiguring scars) and the other stuff that was “cosmetic” (breast reductions, tummy tucks, etc.). The cosmetic stuff was supposedly paid for by the patient and given lower priority in the hospital, but over time there’s been a drift to approving some cosmetic surgeries under certain circumstances (ie breast reductions when the breasts are so massive as to cause neck pain). Nonetheless, once we went down the path of “it’s theoretically possible, so we’ll start doing it, and we’ll let the patients decide what they want done”, then you’ve definitely gone over to a consumer-driven model of health care.

I wasn’t a plastic surgeon. I was a family doctor. One of my many concerns with consumer driven medicine was the phase when cannabis was approved for medical use. All of a sudden, I found myself filling out forms for people who used cannabis, unbeknownst to me, in doses I knew nothing about, for problems I never knew they had, which could have been treated by other clinically proven methods. And I was supposed to affirm that their cannabis use was medically necessary!

In any case, as we travel further down this path of giving the patients what they think they want, regardless of the actual need or the potential harms, there is a huge impact on the healthcare system, which is already struggling. The bigger cases are obviously a factor, but I can quote dozens of examples of things that come up in family practice, each individually cheap but collectively quite expensive. There’s the patients who want certain tests that they don’t really need. Or certain drugs. Or massage therapy because their insurance pays for it. Or a note for time off work because they have unused sick days. Etc.

I was talking to a fellow yesterday who came here from Eastern Europe ten years ago. He was wondering why the health care system here is so dysfunctional. The answer, increasingly, is that “you can’t always get what you need, but if you try sometimes, you’ll get what you want” (with apologies to the Rolling Stones).

Expand full comment
Apr 6Liked by Pairodocs

Why on earth would any average person trust a medical system that removes healthy appendages?

We are so far past "health care."

Expand full comment

B.C. Premier David Eby decriminalized drug use.

Because of that, a smoke alarm is being installed in the new baby ward at Victoria General Hospital due to drug use by parents and families, and the need for staff to don respirators and move vulnerable babies. New mothers are smoking fentanyl in the maternity wards.

The emergency departments are now dangerous places. Please read this news report: https://bit.ly/3VNg77w

VANDU has a say in deciding drug policy because "people with lived experiences" are considered experts just because they say they're experts.

I am pleased that you have shown me the medical terms on why all of this is happening.

So how do we get out of this mess? Two ways.

1.) Let it rip until it gets so extreme that much of society collapses. Or:

2.) Elect an extreme right-wing, or left-wing, political party that will shutdown this circus, scrap these laws and bring back the mental hospitals and prisons.

We may lose our democracy either way.

No matter what, we'll have a huge hangover.

Expand full comment
Apr 7Liked by Pairodocs

There is so much in this post of yours that forces me to ask, "where does one begin to unravel the craziness that awaits us at every turn"? Why in the world do doctors go ahead with the cutting off of perfect fingers, legs, breasts, penises, etc? Where is the First Do No Harm oath? Where does conscience play a role? Maid is ramping up where all that ends. Every day we awaken to more "unbelievable things happening". All by design, I think. Society is breaking down. The people and institutions we used to look up to, somewhat anyway, have gone down the drain. It feels to me, that this is a big free for all, and we are freefalling into the biggest black hole we can imagine. Hang on everyone - the ride is going to be rough.

Expand full comment
Apr 7Liked by Pairodocs

How did medicine get here? By a 1000 post-modern breadcrumbs left that were too small to see or question but that are now psychopathic in sum. We have Edward Scissorhands as doctors and doctors as heretics/witches being burned at the metaphorical stake.

May the reconning for this and gender “medicine” be swift and severe. Across the board.

Expand full comment
Apr 6Liked by Pairodocs

Hey, I came across this, as a response to how far this can go. This is a guy I follow and like. https://substack.com/inbox/post/143338971

Expand full comment
Apr 6Liked by Pairodocs

How far this might go? Is the right question to ask. I cant say, who can? The amount of 'responsible' people out there, with real authority, who have bad judgment, is really quite scary.

Expand full comment
Apr 8Liked by Pairodocs

I identify as Mary, Queen of Scots. Will you please remove my head?

Expand full comment
Apr 7Liked by Pairodocs

Thank you for tackling these stories. Interesting this activist group - WPATH - World Professional Association of Transgender Health seems guilty of copywright and misleads the troubled. They really mean WRATH. Leaders name starts with S.

Expand full comment

My "lived experience", currently, is that we've gone completely mad.

"Anyone who can make you believe absurdities can make you commit atrocities." — Voltaire

Expand full comment