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Extremist transgender ideology sees children as fertile grounds for medical experimentation to hair loss reasons in women cheapest finast validate the decisions of troubled adults hair loss cure dr cossorellis purchase 5 mg finast overnight delivery. There are so many flaws in the idea that it is medically necessary to hair loss in men luteinizing buy finast canada dose healthy children with puberty blockers, hormones, and by slating them for mutilating surgery. The pink and blue toy aisles are regimented in a way that toys never were for those of us who grew up in the 1970s and 80s. How did we come to a place where we believe that if a young boy likes pink, sparkles, and expresses himself in an effeminate way, that he "is a girl"? That young effeminate boy who, like most children thought of as having "gender dysphoria" or being "gender non-conforming", grew up to be a healthy, well-adjusted adult with no identity conflicts about his sex. Proposing that masculine girls and feminine boys "are the opposite sex" is simply transing away the gay. But there is no evidence for the safety of their use for this purpose, and plenty of evidence for the long-term medical harms these powerful drugs can cause. One of the most popular, Lupron, is reported to cause bone density loss in young adults among other serious complications. Indeed, it can leave a child permanently unable to have an orgasm or any normal sexual relations. Source: Early Medical Treatment of Children and Adolescents With Gender Dysphoria: An Empirical Ethical Study. It is the process of puberty itself that usually resolves these conflicts and helps a child understand and accept his natural, sexed body. In plain English, we are not fully-grown adults with 100 percent of our intellectual and decision-making capacities until we are about 25. It is immoral to normalize and subsidize toxic chemical and surgical "treatments" that permanently impair the bodies of children, adolescents, and young adults. It has only been in the past 10 years that we have fallen under a spell that has convinced us that thousands of children, suddenly and out of nowhere, are being "born in the wrong body" and they need to be fixed by cutting healthy tissue out. Something is very wrong with the mentation of adults proposing this gruesome intervention. The proposed rule would allow a child to receive such "treatment" with the consent of a parent or guardian. What of the parents and guardians for whom children are an accessory, a tool through which to live out their own identities? Cluster B personality disorders in parents, such as Borderline Personality Disorder, wreak emotional and physical havoc on children. When you dig into the reasons for gender dysphoria among young people, you often find trauma and destabilizing events. Do not make them pay for the sins of their abusive parents with their very bodies. It is disturbing that none of the outspoken advocates for "trans children" in the caring professions have said so aloud. Jennings is now castrated and suffering with a "neo-vagina" constructed partially from his own colon. My goal is to wake up the consciences and good sense of the people involved in this process. Policymakers who facilitate this misguided proposal will be morally responsible for participating in the biggest medical scandal in the United States since the lobotomy craze and the Satanic Panic/Recovered Memory Syndrome hoax of the early 1990s. That we are even proposing to eliminate the 21-year age requirement is irresponsible. But to incentivize it by directing Medicaid dollars to pay for it is a full-scale outrage. Regardless of where you believe you stand on these issues so far, I implore you to read the evidence showing the delusion, the dishonesty, and the material and emotional harms associated with the idea of "trans children". Some excellent resources, with links to both peer-reviewed studies as well as the stories of actual families, include: 4thwavenow.

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During this time hair loss cure october 2013 cheapest generic finast uk, according to hair loss cure for man cheap 5 mg finast otc Halleck hair loss cure earth clinic buy cheap finast 5mg, Susan felt that she "had to die" and she did not want her children to suffer without a mother. She connected this fear to her own fatherless childhood and to the conflict between David and her own mother. Even in his personal interviews with Smith, she had not tried to gain his sympathy; she consistently "portrayed herself as a bad person, an evil person" to Dr. Honing in on the molestation, Pope tried to paint a picture of Susan as a teenaged seductress. Pope led the court through the carjacking lie once more, and handed the witness back over to Bruck for his redirect examination. The "graphic defense testimony" included details about "David Smith coming in and out of the house, demanding sex. Dotson concluded, "She seems much older and heavier than when she was arrested, not a cunning killer. Halleck, through his dense testimony, described a very sick, abused woman, and the media immediately disseminated this new image. Halleck positioned Susan within the dominant discourse on infanticide in the contemporary United States. Historians of infanticide argue that prior to the twentieth century infanticide was viewed as an act of desperation based on socioeconomic circumstances, committed most often by exploited slave or servant women. At the end of the nineteenth century, the new science of psychology advanced the "medical model" of behavior and with it a new focus on the deviant female body. Historical precedents for this model of deviant female behavior are found in the discourses surrounding "female problems" like premenstrual syndrome, post-partum depression, menopause, or the Victorian hysteria epidemic (literally, "womb disease"). This new "Susan" amounted to a counternarrative that did not so much challenge the facts presented by the prosecution as emphasize other facts of her experience altogether. Elayne Rapping, a scholar of televised legal dramas (both real and fictional), first discovered the existence of this legal "narrative battleground" while watching the televised trial of the Menendez brothers, who murdered their parents in California in 1989. The defense did this by masterfully reorganizing jury perceptions not only of what facts might be in question in the case but of what narratives and assumptions about the patriarchal family the jury should be using to gauge the guilt of the defendants. Martha Fineman and Martha McCluskey (New York: Oxford University Press, 1997), 96. Their first trial ended with a hung jury, split precisely along gender lines in which women sympathized with the allegedly abused boys. Rapping argued that those who did not watch the trial on television were "outraged" that the boys were not found guilty, but those who did watch it, "especially women and college students-came to see a situation that looked very diff from the one they had originally assumed-once the issue of sexual abuse became a central theme. The prosecution did not venture very far beyond the day that Smith reported being carjacked, except to delve into her sexual history in the months leading up to her crimes. In their second trial, the boys were found guilty and they remain in prison today. But the use of this "counternarrative" in their famous, televised trial resulted in unprecedented public debating of a new legal strategy. Rapping argues that the strategy did not work for the Menendez brothers because of its timing. In the 1990s, she charts the rise of a new "law and order" discourse that called for harsher criminal punishments centered on a heroic, protector role of the state (as represented by 918 919 Rapping, Law and Justice, 113-116. See Donald Alexander Downs, More Than Victims: Battered Women, the Syndrome Society, and the Law (Chicago: University of Chicago Press, 1998). Over twenty nations around the globe recognize maternal infanticide as a distinct form of homicide deserving of different legal treatment. Cheryl Meyer and Michele Oberman argue that certain nations "medicalized" infanticide in the early twentieth century by "positing a causal relationship between pregnancy, childbirth, and subsequent maternal mental disorder. As seen in the debates over post-partum depression and psychosis in the recent Andrea Yates trial, legal practitioners and theorists in the United States have resisted this gendered, biological model of motive. Her youngest child was fourteen months old, which went beyond the general international criteria of postpartum effects spanning one year, and this was a strategy that was not likely to succeed in this country at any rate. The experts in the Smith trial consistently offered a gendered reading of her psychological state in which she epitomized feminine victimhood and mental instability. There is, in fact, a long history to this defense, as seen in the earlier discussion of the scorned and desperate Medea.

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Those who do conduct naturalistic observations often work on-site where direct observation is convenient and inexpensive hair loss young living essential oils discount 5 mg finast with mastercard. For example hair loss in men rain buy finast on line, school psychologists who work in an elementary or secondary school can easily observe a classroom or playground that may be located on the same premises as their office hair loss cure trials discount finast online mastercard. Many efforts have been made to increase the convenience, reliability, and validity of naturalistic observations. Others have developed structured observational coding methods for specific populations. Jones, Ulicny, Czyzewski, & Plante, 1987; Lewinsohn & Shaffer, 1971; Mariotto & Paul, 1974; K. Many of these scales can be used by trained paraprofessionals to reduce the costs associated with conducting naturalistic observations. For example, a child may be highly disruptive in class, get into frequent fights on the playground, and have numerous conflicts at home over homework or household chores. Teachers or parents may suspect an attention deficit disorder and refer the child to a psychologist for evaluation. In addition to conducting an interview with the child, family, and teachers, the psychologist might wish to observe the child at home and/or at school. Therefore naturalistic observation involves entering into the world of the patient to observe the person interacting with the environment in which problems occur. Although there are many obvious advantages to observation in a natural environment, several important disadvantages should be addressed. The psychologist must travel to the home, school, or work environment as well as conduct the observation and then travel back to the office. The psychologist can therefore spend many hours out of a day involved with just one case. Second, confidentiality can be compromised when teachers, coworkers, peers, and others know that a psychologist is coming to observe so-and-so. This is referred to as reactivity, reflecting the notion that people often behave differently in private than in public while being watched by certain others. For example, a disruptive child may be on his or her best behavior knowing that a psychologist is observing in the classroom or on the playground. Fourth, Assessment I: Interviewing and Observing Behavior However, most of these techniques and scales are still employed primarily for research purposes and only infrequently for clinical purposes. The patient is instructed in how to observe and record his or her own behavior in an objective manner. Self-monitoring has become a very commonly used tool not only for assessing problems but also as an intervention. Patients are instructed to maintain a diary or log where they can record the problematic behaviors as well as other important information such as feelings and thoughts associated with each behavioral occurrence. For example, someone who is trying to lose weight might be asked to write down everything he or she eats for several weeks. The person might be asked to also record feelings and thoughts at the time as well as what happened before and after each eating episode. In this way, both patient and psychologist develop a better understanding of the target behavior, or problem, as well as the factors that may encourage or reinforce it. For instance, total calorie consumption, percentage of fat in the diet, and stress-related eating episodes can be more closely assessed using this method than with a traditional interview. Although many people might find self-monitoring boring and a chore, computer technology. Self-monitoring has been successfully employed with a large number of problem behaviors other than eating problems, including smoking (Pomerleau & Pomerleau, 1977), sleeping problems (W. Much research and press has attended to helping people become more physically active by using low cost pedometers such as the Digiwalker (Strath et al. The small and inexpensive device reliably counts steps and people are encouraged to accumulate 10,000 (or five miles) of walking each day (Figure 7. First, patients often have some reaction to the process of recording their behavior, which changes the very behavior that is being assessed. Paradoxically, this disadvantage in getting an accurate assessment can become a treatment advantage.

Videofluoroscopic swallow studies should be carried out after initial assessment if there are concerns about swallow safety hair loss diet purchase online finast. Management of Feeding and Swallowing Difficulties Treatment should aim at reducing the risk of aspiration during swallow and optimizing efficiency of feeding and promote enjoyable mealtimes hair loss wellbutrin xl discount finast uk. A Cochrane review59 of treatment of swallowing difficulties in chronic muscle disease concluded it was not possible to hair loss 6 months after pregnancy purchase finast 5 mg otc determine the benefit or otherwise of dietary and feeding advice, surgical intervention (cricopharyngeal myotomy or upper esophageal dilatation), and enteral feeding. Changing food consistency and optimizing oral intake are appropriate treatment strategies. The literature suggests there is currently widespread use of consistency modification in helping to optimize oral intake. Preferably, this intervention would be evaluated objectively on videofluoroscopic swallow studies. In 1 study, complete restriction orally to eliminate risk of aspiration during swallowing was not found to significantly affect the clinical course in severe spinal muscular atrophy. Positioning and seating alterations and orthotic devices (eg, Neater Eater, elbow support, valved straw) to enhance selffeeding ability may improve swallow safety and efficiency. There is currently no supporting evidence that oral motor treatment programs impact safety or efficiency of oral feeding. The gastrointestinal/nutrition working group did not reach consensus regarding when to refer a patient with spinal muscular atrophy for consideration for gastrostomy tube placement and whether one should supplement or replace oral feeding with tube feeding in a nonsymptomatic patient. Some practitioners prefer a proactive approach, particularly in the nonsitters, whereas others believe that exposing such patients to the risk of surgery is inappropriate prior to the onset of symptoms. However, 1 clear consensus is that optimal management requires proactive nutritional supplementation as soon as inadequate oral intake is recognized. Whether a gastrostomy tube is placed in a particular child often requires extensive discussion with multiple caregivers. It usually takes time to schedule a surgical procedure like gastrostomy tube placement. In the interim, nutritional supplementation via nasogastric or nasojejunal feeding is desirable. Nasojejunal feeding may be preferable in circumstances when gastroesophageal reflux with aspiration is a concern, especially when the patient is on ventilatory support. Gastrostomy tube feeding is the optimal method of feeding when insufficient caloric intake or unsafe oral feeding is of concern. It prevents the potential morbidity associated with prolonged use of either nasogastric or nasojejunal tubes. The presence of a nasojejunal or nasogastric tube may also result in a less-than-ideal mask fit when there is a need for the use of noninvasive ventilation such as bilevel positive airway pressure. There are several options for gastrostomy tube placement, including insertion via percutaneous methods with endoscopic guidance, or placement via open or laparoscopic surgical techniques61 together with an antireflux procedure such as Nissen fundoplication. The open surgical technique is associated with a relatively large upper abdominal incision, increased postsurgical pain, and risk for respiratory complications due to diaphragmatic splinting. A laparoscopic surgical technique provides the best possible setting for immediate or early postoperative extubation. Care should be taken to minimize the amount of fasting preoperatively and to resume full nutritional support as quickly as possible following the procedure. Possible pulmonary complications of sedation should be anticipated and may require treatment with noninvasive ventilation (see "Pulmonary Care"). Gastrointestinal Dysfunction Children with spinal muscular atrophy suffer from the following gastrointestinal problems: gastroesophageal 1040 Journal of Child Neurology / Vol. Gastroesophageal reflux is an important determinant of mortality and morbidity in patients with spinal muscular atrophy. It can be associated with silent aspiration and results in pneumonias and, at times, life-threatening events. Some children may refuse feeds when they develop discomfort with swallowing, placing them at risk for undernutrition.

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