Stop mixing up sex and gender GPs told

[flyingbuttress43]

www.telegraph.co.uk/news/2021/04/02/doctors-must-stop-mixing-sex-gender-patients-undergoing-wrong/

Doctors have been told to stop mixing up sex and gender because it can end up with people getting the wrong treatment.

Senior medical researchers led by the University of St Andrews said there was clear evidence that biological sex and gender were both powerful risk factors for "virtually every disease and affect every organ."

The article is behind a pay wall, so here are some salient points...

Sex differences in drug metabolism were well recognised;
Gender significantly affected how a person engaged with treatment;
One GP, commenting on the article on the BMJ website said she spent hours a week ensuring the right people were called for cervical smears;
NHS systems do not allow for sex and gender to be recorded separately;
Sex and gender are not synonymous.

"Dr Margaret McCartney of the School of Medicine at St Andrews, said: "There are many instances of sex and gender being confused by the research community and society more broadly. Unless we identify and count categories correctly, we will end up with errors which serves all populations poorly."

All so obvious to us on Feminism Chat, but good to see push back
on this sex/gender mixup from the research community.

It’s ridiculous that it’s taken the medical profession so long to get their act together on this.

I think this is only the beginning of the medical profession getting their act together.

As the articles by Anne Wright demonstrate, politicians, likely influenced unduly by TRAs, had undue influence in affecting NHS systems and policies which have compromised patient Safeguarding.

Sex, Gender & the NHS part 2
Anne Harper-Wright

Nov 13, 2018
(extract)
"And here I’ll let you know what I’ve discovered about our own NHS Patient Medical Records, and whether they hold sex or gender, or both.
Q: How does the NHS make the distinction between sex and gender on our medical records?
A: They’re supposed to record BOTH.
The NHS is legally obligated to respect a person’s ‘gender identity’, should they declare one. Why? A person’s inner feminine or masculine feelings has no bearing on their medical treatment. It’s because with the advent of the GRA 2004 and the Equality Act of 2010, the law enshrined the concept of gender identity, then gender reassignment, alongside the biological reality of sex. If a hospital is at risk of a lawsuit for failing to acknowledge a person’s protected characteristic of gender reassignment, (which may be solely the declaration of feelings, nothing more) it will capture extra ‘gender’ data to sit alongside the sex data, for those circumstances where a patient feels they have both a sex, and a gender. But the ‘gender’ data should be incremental, added only for those patients who want it. It certainly isn’t and should never be a replacement for bodily sex, not where medical records are concerned. Obviously.
Woe betide a medical system that takes gender affirmation so far as to completely ignore and overwrite sex. Biological sex is immutable, and medical treatment of the sexes differs by necessity between males and females. Male and female anatomy, genetics, reproductive organs, diseases, blood test reference ranges, response to drugs are different.
There is evidence that male blood transfusion recipients face higher mortality rates if their blood donor is female and has ever been pregnant. Transplant donor/recipient sex matters. Sex matters. To overwrite a patient’s biological sex in a medical record with a gender identity would be dangerous, even life threatening.
If the NHS ignores gender, well yes, it may hurt a person’s feelings, and it may get sued. But if it ignores sex, people might actually die.
Following the legal recognition of gender mandated by the Gender Recognition Act the NHS made plans to keep a record of both.
So how does the NHS capture ‘gender’ when it still must keep a record of sex?
The NHS Sex and Gender Standards
After the GRA 2004 was made law, an NHS exercise was commenced, to standardise patient information and data within the various IT systems across the NHS. Within this exercise a suite of documentation was created, dedicated to designing a system architecture that could attempt to cope with the challenges specific to using BOTH sex AND gender as data." (continues)
medium.com/@anneharperwright/sex-gender-the-nhs-bb86b0c3ebb

EmbarrassingAdmissions Is this the thread you're thinking of?

You're uncanny, R0wantrees - that is the thread I AS'd but failed to locate.

@Alex2112

Crazy that in 2021 there is still confusion.

Human biological sex is binary and cannot be changed.

There is male and female. Intersex is not a 3rd biological sex, it is a term for various chromosomal abnormalities.

"gender" is a social construct, and in this age it appears we are told there are over 100 genders.
We all know the facts of life.

If a biological male states he is a "trans woman", he can only change the gender he IDs as. He cannot change his biological sex.

GPs like any medical professional MUST ensure their patients are told that they can have cross sex hormones to give them "secondary" sex characteristics of the opposite biological sex, THEY do not change biological sex.

ANY endocrinologist would make that clear. There is no debate, and as an intersex person it is crazy that I have to avoid upsetting people by giving them biological and medical facts they actually know, but prefer to deny.

Shocking that ANY one employed by the NHS can get this wrong.
Shocking that liberal lefties in social media ban people for stating simple biological reality that ALL society actually denies and is afraid to state.

Well said, thank you. I thought that medical professionals were supposed to be highly intelligent people.

This is not news to doctors. We know sex and gender are different and the way different pathologies present, drugs act and biochemical reference ranges are different in men and women.
Some are so embedded in Transgender ideology that (for whatever reason) they lose their sense on this. I recently read a colleague posting a comment online to say transwomen don’t identify as female, they are female
It irks me hugely that the demographics section on a patient’s record says gender:female rather than sex but it’s not in my control to change the way the IT system is set up.
What is ridiculous and has lead to patient harm is allowing people to change the “gender” marker on their notes along with the creation of a brand new set of records and NHS number so that the person is detached from their previous record and will automatically have their risk of heart disease calculated, their reference ranges for blood tests and what screening programmes they get invited to based on their ‘new’ sex rather than their actual, still existing biological one. So if their new GP has no idea they are trans (and with Covid may not have met them face to face) they may not receive accurate care. Which you’d think TRAs would want for trans people. But apparently not.

If people believe that a person actually transitions, i.e. actually changes or transforms, from male to female, then things like heart disease calculations, reference ranges for blood tests and screening programmes appropriate for males will of course no longer be relevant to that person, since that person is now female.

like heart disease calculations, reference ranges for blood tests

Some will change, depending on when/ if the person started hormone therapy and had surgery. Testosterone increases risk of heart disease, oestrogen decreases it.

At last. Now it's just everyone else (well, the koolaid drinkers, I think most people know perfectly well)

My Trans friend is in her mid 50's so her risk of prostate cancer is now climbing.
She also needs medical care linked to her "sex change" surgery 35 years ago
and the drugs and medicines linked to it.

Any doctor who did not properly record her (his) birth sex
would be negligent IMHO

If people believe that a person actually transitions, i.e. actually changes or transforms, from male to female, then things like heart disease calculations, reference ranges for blood tests and screening programmes appropriate for males will of course no longer be relevant to that person, since that person is now female.

Doctors and professionals working in Gender Identity Services have a responsibility to ensure their patients are disabused of this.

Any HCP who believed such a thing would be putting patients at risk.

@R0wantrees

If people believe that a person actually transitions, i.e. actually changes or transforms, from male to female, then things like heart disease calculations, reference ranges for blood tests and screening programmes appropriate for males will of course no longer be relevant to that person, since that person is now female.

Doctors and professionals working in Gender Identity Services have a responsibility to ensure their patients are disabused of this.

Any HCP who believed such a thing would be putting patients at risk.

What about transgender people who never go near a Gender Identity Service and simply identify as male / female? And then change their gender on their NHS record? And change GP?

Also, HCP's are exempted from the obligation to believe TWAW / TMAM, yes?

What about transgender people who never go near a Gender Identity Service and simply identify as male / female? And then change their gender on their NHS record? And change GP?

Self-identified transgender people?

Male and female refer to sex not gender identity. A doctor would have surely had to approve the modification of a NHS record and at the very least, they should ensure that their patient was aware they had not changed sex. There is significant sex based health check information such as removal from the cervical screening database which would need to be conveyed.

I'm shocked that any doctors went along with the corruption of such key data as sex. Its medical negligence to have done so.

HCP's are exempted from the obligation to believe TWAW / TMAM, yes

No-one is compelled to believe TWAW / TMAM. HCPs will have policies which they are required to follow.

Then there will be a list of organs (uterus, cervix, ovaries, breasts, penis, testicles, prostate etc) and an individual ticks whether they have them or not.

Right.... and when it comes to a person being honest about whether they have a vagina or not, will those people have a box for ‘neo-vagina’ so they can get the specialized cars they personally need?

And if they have no penis, but have ticked vagina instead of neo-vagina, and ticked breasts etc they still will be at huge risk because it could be easily read as a woman with a hysterectomy.

The issues with ticking organs is ridiculous. Stick to male or female and then gender to avoid situations like missed pregnancies and missed kidney issues as has happened recently.

Male and female refer to sex not gender identity.

Male to female transition is a term used very commonly. See, for instance, the description of the film on the BBC recently: "Filmed over five years, we follow Lily Jones, 20, as she transitions from male to female..."

Male to female transition is a term used very commonly. See, for instance, the description of the film on the BBC recently: "Filmed over five years, we follow Lily Jones, 20, as she transitions from male to female..

Indeed, doctors and the BBC have a responsibility to those people who believe that sex change is possible. It is not.

@Helleofabore

Then there will be a list of organs (uterus, cervix, ovaries, breasts, penis, testicles, prostate etc) and an individual ticks whether they have them or not.

Right.... and when it comes to a person being honest about whether they have a vagina or not, will those people have a box for ‘neo-vagina’ so they can get the specialized cars they personally need?

And if they have no penis, but have ticked vagina instead of neo-vagina, and ticked breasts etc they still will be at huge risk because it could be easily read as a woman with a hysterectomy.

The issues with ticking organs is ridiculous. Stick to male or female and then gender to avoid situations like missed pregnancies and missed kidney issues as has happened recently.

Also, there is research which shows that health is affected not just by the presence or absence of particular organs or the effect of hormones, but also by chromosomes. It goes right down to the cellular level.

Well done @ St Andrew's University for pointing this out. Nice to know not all UK Universities are totally captured.

I have noticed that in those surveys students get their friends and family to complete for University assignments/projects, they always just ask for your Gender and not your Sex.

Indeed, doctors and the BBC have a responsibility to those people who believe that sex change is possible. It is not.

Hm. Try saying that in public.

Hm. Try saying that in public.

That's exactly what the BMJ article reported widely in the MSM is doing and highlighting that the risk is to patients when HCPs collude.

Scotsman 'Doctors must learn to distinguish between sex and gender, top Scottish medics warn
Doctors confusing sex and gender are putting patients’ treatment at risk, a group of senior medical researchers has warned.'

www.scotsman.com/health/doctors-must-learn-to-distinguish-between-sex-and-gender-top-scottish-medics-warn-3187822

I have this problem every time I need blood tests or lab tests done at my GP surgery. They automatically put "F" in the sex box and give me weird looks when I remind them that just because I'm transitioned/post-op my sex is STILL male.

It's happened at my local hospital too. I don't care about my feelings - I care about any medical necessities being carried out PROPERLY.

The whole medical establishment has been captured by the "no hurty the gender feelz" brigade. It's infuriating.

@R0wantrees

Male to female transition is a term used very commonly. See, for instance, the description of the film on the BBC recently: "Filmed over five years, we follow Lily Jones, 20, as she transitions from male to female..

Indeed, doctors and the BBC have a responsibility to those people who believe that sex change is possible. It is not.

I had not really thought about it like that. It’s true. What should -more accurately - the phrasing be? ‘...transitions from a male person to one who has secondary sex characteristics of a female person’ ?