Trans and health: reality bites

[QAOPspaceman]

Maybe affirming people's fantasies doesn't help them or anyone else

www.theguardian.com/society/2024/sep/19/trans-people-england-missing-vital-cancer-screening

This is so not OK, from the article:
NHS England stipulates that when a patient changes their registered gender, they are given a new NHS number and must be registered as a new patient at their GP practice. All their previous medical history is transferred into their new medical record and their previous name, sex at birth, any other gender-specific terms and old NHS number are removed.

Is this NHS England treating people like they have a GRC (which is dangerous enough for withholding and concealing vital medical information) but even people who don’t have a GRC? Thereby putting them at completely unnecessary risk of harm?

There should be no changing of sex markers at all for anyone in a healthcare system that relies on shared funding from a central pot. Because you can’t change sex. Just have a box that says ‘would like to be known as (new name and title)’

Is this not exactly what they wanted? No record of their "assigned sex at birth"?

The answer is to continue to record birth sex and add a gender field to the database. Medical records are supposed to be confidential and used only on a need to know basis.

This would provide the right information for screening invitations. Invitations could be worded carefully and appropriately for anyone whose gender and birth sex don’t match.

I saw a trans man write on Twitter that he’d had a hysterectomy in order that he’d no longer have to worry about missing cancer screenings.

I don’t understand this. Surely sex should be recorded correctly, plus any cross-sex hormone treatment or surgery? The patient’s gender identity could also be recorded and flagged, so that medical staff are reminded at each contact.

"Gender identity" isn't sex, and even transactivists often say this. Even those who insist you can actually change sex, will use the concept of "sex assigned at birth" in their definition of trans. So surely they could have it clearly stated prominently at the top of their notes that they have a "gender identity" of M and a "sex assigned at birth" of F or vice versa/whatever, and a clear note of what screening is required based on what they still have, what they've had removed, and so on. That would be brief and easy to understand.

The whole deletion of true sex thing is mindblowingly stupid and directly contravenes "do no harm".

There are estimated to be between 200,000 and 500,000 trans people in the UK.

I know this is the Guardian, but 'Really?'

Did they miss the memo that went out this week downgrading the 262,000 figure from the census as being unreliable and massively over inflated due to the terrible wording of the questions?

Why are they trying to over inflate the numbers to up to double what has been discredited as an overestimate?

I bet adding an extra field to a humongous database is not a simple, or cheap, option. That American geezer who's sueing to have nonbinary on his passport, I read that if he succeeds it's going to cost millions.

If a patient changes their gender identity on their health records, they should sign a legal waiver. It's upto them to request the appropriate sex based medical care because they chose to falsify their medical records. The NHS and tax payers can't be expected to pick up the bill for the ensuing catastrophic artificially created health crisls.

There are estimated to be between 200,000 and 500,000 trans people in the UK.

I think that's realistic if you include all the "non-binary" tweens, teens and young people who will probably grow out of it - it depends what their sources are.

I suspect there is no one humungous database, but a fragmented patchwork of systems interfacing across the different services and Trusts. Some of these systems will be pretty old, some will be new, they will be on a variety of hardwares, operating systems and DBMSs - and yes, adding an extra field would not be simple or cheap as it would have to be added EVERYWHERE to ALL systems. It would make the work required to change the date fields from ddmmyy to ddmmyyyy for Y2K look like a walk in the park.

Well colour me surprised. Change your gender and your sex stays the same. Who'd have thunk it?

I actually don’t think this option should be allowed to change sex on the central system. Because we can’t let people suffer as individuals just because they made indoctrinated choices earlier in life.

Plus it shouldn’t be allowed because people/NHS England changing anyone’s health records permanently, messes up the accuracy of NHS records and data forever. These are used in health research to benefit everyone and so nobody should be able to mess up the data like that.

Well, what about this for a solution............

Everyone gets an invite for screening. Wouldn't miss anyone if all us wims had to have prostate checks and DP's were invited for their overies to be given the once over. Can't wait for one of the numpties to come up with this one

So what about detransitioners? Will they get yet another new NHS number under the current system?

We had a man on here once, calling himself a trans mum, who was really looking forward to getting his smear test letter in the post.

"The NHS shouldn't have given trans people what they asked for because it turns out to be bad for trans people. Giving trans people what they want is transphobic."

I've had it up to here with the sheer bottomless stupidity of the Guardian.

Awww bless!

This.

If they want to have a separate column on their records, fine but it's harmful to them to be removing it. And it's harmful to others because it potentially corrupts data.

highame… unfortunately there’s a big element of fetishism among some transwomen where being treated as a woman is a sexual turn-on - so by pretending to give this guy a smear the HCP would be participating in a sexual thing for them (aside from the waste of nhs time and money) and you can be sure if everyone was invited for tests intended for women, a subset of transwomen would attend them for this reason.

(Though I also get the point below about tw on estrogen needing breast cancer screening - I’m not sure what the best plan is if it’s both necessary and a fetish - but we should avoid screening that’s not necessary, as a baseline.)

God I’m so bored and tired of the endless toddler trantruming of TRA when the logical consequences of their actions dawn on them

TRA - allow us to erase our old identity including the sex we were born completely from NHS

NHS ok - our records now have no way of letting us know that Davina used to be Dave just as you asked

TRA - waaaaaaah I didnt get an invite for sex based cancer screening

no you absolute fuckwits because when you replaced dave with Davina on nhs records, tje nhs will obviously not understand Davina has a prostate

god it’s all so cutted up pear

god it’s all so cutted up pear

It really is 😂

The NHS guidance says trans patients who are excluded from these national screening programmes can request a mammogram or smear from their GP, but family doctors are not routinely trained on how to discuss screening with trans patients or ensure they have the same access to tests, reminders and follow-ups.

Oh look, they're "excluded", AGAIN

Family doctors aren't not trained, they're terrified of saying the wrong thing

So they're "transphobic" if they mention the person's sex, or if they don't

It doesn't matter how many times you bend over backwards, victim mentally will still be claimed

Oh YES. Exactly this. (A reference for Mumsnet old-timers, admittedly, but it's perfect.)

Wha really?? Does that actually happen?? What does the poor nurse do?? Surely that's assault against the nurse?