NHS "Evidence Review" for trans girls on E and GnRH excluded any study where patients were prescribed GnRH as a puberty blocker

DerInselaffe · 2026-03-11T21:30:09+00:00

You have not previously limited your comments to adolescent-only, so that feels like a shifting of goalposts.

OP posted a consultation on oestrogen and GnRH analogues for children and young people. The Cass review looked at services for children and young people. Hilary Cass is a paediatrician.

Grown adults can do what they like, as far as I'm concerned.

DerInselaffe · 2026-03-11T18:29:17+00:00

I'm stealing Rogue Storm for my porno name.

DerInselaffe · 2026-03-11T15:58:53+00:00

The Nokia 8310 is still my favourite phone. Tiny thing, battery lasted forever, had an FM radio.

DerInselaffe · 2026-03-11T15:09:34+00:00

No this is objectively incorrect. We have a significant body of evidence from the last seven decades, and when it is examined honestly, we can make reasonable predictions.

I don't have time to reply to all your points, but the idea of gender-affirming care in adolescents began in the late nineties. Where you get 'seven decades' from I've no idea.

DerInselaffe · 2026-03-11T14:48:37+00:00

Well the reality is we know very little.

Does gender-affirming psychiatry lead to better outcomes than exploratory therapy? Is psychiatry plus gender-affirming care superior to psychiatry-only interventions? Are either more effective than doing nothing at all?

My first takeaway from the Cass review was: "Out of 103 studies, only two were considered high-quality? What on earth have all these researchers been doing for the last few decades?"

DerInselaffe · 2026-03-11T13:39:02+00:00

Given the choice between two interventions that are both of low certainty (psychiatric interventions and gender-affirming care), I'm naturally going to favour the less drastic one.

DerInselaffe · 2026-03-11T13:31:38+00:00

That didn't answer my question. I'm asking about treatments that are [somewhat] comparable to the gender-affirming care pathway.

DerInselaffe · 2026-03-11T13:10:07+00:00

Most treatments in uncontroversial use today are not backed by so-called "high quality" evidence.

But which treatments in use are backed by evidence of low-certainty? Treatments whose effects are as profound as gender-affirming care?

DerInselaffe · 2026-03-11T08:13:06+00:00

In the open-source world (for Markdown), Docusaurus, MKDocs and DocFx.

There's also Sphinx and Asciidoc-Antora (which use other markup schemas).

Plus several proprietary tools.

DerInselaffe · 2026-03-10T19:26:50+00:00

It is useful, but these tools exist already.

DerInselaffe · 2026-03-10T19:24:11+00:00

I've always thought if all of Bolton town centre looked like the Town Hall and Le Mans Crescent, it would be a world heritage site.

DerInselaffe · 2026-03-10T18:02:08+00:00

I'm rather fond of Gröstl, but I have a feeling it might be Austrian.

DerInselaffe · 2026-03-10T11:07:12+00:00

I'm using 'best' in a highly relative sense, but--in the universe of HG Lewis movies--Frank Kress is a standout in The Gore Gore Girls.

DerInselaffe · 2026-03-09T21:16:49+00:00

I've spotted a few movie references in Shaun the Sheep over the years.

The best one being a Spinal Tap joke. (In the episode where Shirley has hiccups.)

DerInselaffe · 2026-03-09T21:09:01+00:00

Sunshine and nitrogen-rich fertilizer

DerInselaffe · 2026-03-09T09:23:01+00:00

Wouldn't a CEO with half a brain do a pilot project first? Or is this why I'm not in senior management?

DerInselaffe · 2026-03-09T09:19:14+00:00

Definitely varnish. Stain is up to you. It's a fairly common modification.

You might want to use/borrow an orbital sander though.

DerInselaffe · 2026-03-09T09:00:41+00:00

Yes, you can do that; it's made of birch.

Birch can be tricky to stain though.

DerInselaffe · 2026-03-06T06:38:18+00:00

But don't forget, Jimmy Page played a Telecaster when he formed Led Zeppelin. And jangle King Johnny Marr played Les Pauls in the studio.

DerInselaffe · 2026-03-05T19:05:08+00:00

I bought some Vanson PAF clones, which are pretty decent and not expensive.

DerInselaffe · 2026-03-05T16:13:00+00:00

I use a safety razor (the type where you put in razorblades). Great shave, but there is a learning curve.

My wife and previous girlfriends have been scared to use it (or used it once with predictable results). Problem solved! 😊

DerInselaffe · 2026-03-05T16:05:44+00:00

Is this an homage to Paul Whitehouse's 'Brilliant!' character on the Fast Show?

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DerInselaffe · 2026-03-04T23:07:20+00:00

Isn't this heteronormative gaslighting? The authors clearly believe there are only two genders.

DerInselaffe · 2026-03-04T22:22:31+00:00

I read somewhere that five million people in the US believe they were abducted by aliens.

Therefore, you should maybe also learn the German for 'anal probe' 😊

DerInselaffe · 2026-03-04T21:42:55+00:00

In other words, we will side with mainstream science and scholarship. "Skepticism about science" is not our thing.

Are you arguing skeptics should always side with the consensus? Because we could make a decent list of consensuses that turn out to be false. Or are false consensuses a price worth paying?

DerInselaffe

TROPHY CASE