A letter to NHS Fife

[WarriorN]

I hear from the folks over at NHS Fife that doctors and nurses cannot be expected to understand biological sex without the help of obstetricians. Since I run a maternity hospital, and am one of the people “making decisions at birth while delivering the baby”, today seems like an auspicious day to join the discourse.

https://x.com/janhavinilekani/status/1948332138610163862?s=46&t=A2fpFNgDRyXF2d6ye97wEA

https://janhavinilekani.substack.com/p/inclusivity-in-healthcare-should?r=487ax&triedRedirect=true

By Janhavi Nilekani

An absolutely stonking letter, ridiculing the absurdity of the mess of DEI in the nhs.

Brilliant! Sounds like a fantastic doctor- she makes total, utter, complete sense

She’s not a dr - Janhavi Nilekani is the Founder and Chairperson of Aastrika Foundation and Aastrika Midwifery Centre. She has a PhD in Public Policy from Harvard, and a Bachelor of Arts from Yale.

she runs a maternity hospital however and is clearly very knowledgeable about medical ethics and evidence

It's a brilliant piece. Thanks @WarriorN

She's got her head screwed on. Fabulous.
Will re-read tomorrow.

Fabulous, as clear and perfect as JKR's initial essay. I do hope that her midwifery center stays safe...

Fantastic article - I like the example of the patient’s right to refuse care and how this has been confused with the right to em and care.

Excellent article that addresses so many inter-related issues.

I found the intro extremely shocking. It is so obviously about satisfying the desires of a fetishistic man. A man who may claim he is a woman, but is certainly not being treated as a woman would be. How likely is it that any actual grandmother would be treated with lactation-inducing drugs so that she could feed her grandchild? It might happen, I suppose, because in a female lactation would be an artificially stimulated natural reaction to female hormones, rather than a pathological response, and it might be seen as similar to a currently lactating grandmother wet-nursing her grandchild. But I suspect and hope that the infant's welfare would be given priority here.

Brilliant article.

Here is an archive link in case the substack disappears in the future

archive.is/4afFw

yes that stood out to me too.

and the intro was also bang on

thanks for the archive link.

Sorry, that should say ‘demand’ not ‘em and’ !

My rule of thumb is, if my husband wouldn't be able to get away with it - not that he tries - why is any other man either allowed or encouraged.
There's so much guilt and pressure levelled at women before during and after pregnancy and as a parent about what we do, eat..... But then all consideration for the child goes out the window in the name of inclusion. The child is the most important consideration full stop.

I also agree. I think, though, that it's about individuals demanding treatment, not care. A treatment that causes unnecessary harm is not 'care'.

An awesome letter. Beautifully argued!