The insanity of "woke" medicine

 

Would you expect your doctor or medical practitioner to treat you according to their preconceived quasi-political notions of what it means to be "masculine" or "feminine", irrespective of your biological sex?  Would you expect them to treat you according to protocols that are not only ineffective for your biological sex, but potentially actually harmful?  You might get that, whether you like it or not, if current trends in the American medical establishment go unchecked.

In two recent articles, Katie Herzog, hosted by Bari Weiss on her Substack page, has tackled this problem head-on.  The first is titled "What Happens When Doctors Can't Tell the Truth?"

I’ve heard from doctors who’ve been reported to their departments for criticizing residents for being late. (It was seen by their trainees as an act of racism.) I’ve heard from doctors who’ve stopped giving trainees honest feedback for fear of retaliation. I’ve spoken to those who have seen clinicians and residents refuse to treat patients based on their race or their perceived conservative politics.

Some of these doctors say that there is a “purge” underway in the world of American medicine: question the current orthodoxy and you will be pushed out. They are so worried about the dangers of speaking out about their concerns that they will not let me identify them except by the region of the country where they work. 

“People are afraid to speak honestly,” said a doctor who immigrated to the U.S. from the Soviet Union. “It’s like back to the USSR, where you could only speak to the ones you trust.” If the authorities found out, you could lose your job, your status, you could go to jail or worse. The fear here is not dissimilar. 

When doctors do speak out, shared another, “the reaction is savage. And you better be tenured and you better have very thick skin.”

“We’re afraid of what's happening to other people happening to us,” a doctor on the West Coast told me. “We are seeing people being fired. We are seeing people's reputations being sullied. There are members of our group who say, ‘I will be asked to leave a board. I will endanger the work of the nonprofit that I lead if this comes out.’ People are at risk of being totally marginalized and having to leave their institutions.” 

While the hyper focus on identity is seen by many proponents of social justice ideology as a necessary corrective to America’s past sins, some people working in medicine are deeply concerned by what “justice” and “equity” actually look like in practice.

“The intellectual foundation for this movement is the Marxist view of the world, but stripped of economics and replaced with race determinism,” one psychologist explained. “Because you have a huge group of people, mostly people of color, who have been underserved, it was inevitable that this model was going to be applied to the world of medicine. And it has been.”  

“Wokeness feels like an existential threat,” a doctor from the Northwest said. “In health care, innovation depends on open, objective inquiry into complex problems, but that’s now undermined by this simplistic and racialized worldview where racism is seen as the cause of all disparities, despite robust data showing it’s not that simple.”

“Whole research areas are off-limits,” he said, adding that some of what is being published in the nation’s top journals is “shoddy as hell.”

There's more at the link.

The second article is titled "Med Schools Are Now Denying Biological Sex".

In 2019, the New England Journal of Medicine reported the case of a 32-year-old transgender man who went to an ER complaining of abdominal pain. While the patient disclosed he was transgender, his medical records did not. He was simply a man. The triage nurse determined that the patient, who was obese, was in pain because he’d stopped taking a medication meant to relieve hypertension. This was no emergency, she decided. She was wrong: The patient was, in fact, pregnant and in labor. By the time hospital staff realized that, it was too late. The baby was dead. And the patient, despite his own shock at being pregnant, was shattered.

To Dana Beyer, a trans activist in Maryland who is also a retired surgeon, such stories illustrate how vital it is that sex, not just gender identity — how someone perceives their gender — is taken into consideration in medicine. “The practice of medicine is based in scientific reality, which includes sex, but not gender,” Beyer says. “The more honest a patient is with their physician, the better the odds for a positive outcome.”

The denial of sex doesn’t help anyone, perhaps least of all transgender patients who require special treatment. But, Lauren says, instructors who discuss sex risk complaints from their students — which is why, she thinks, many don’t. “I think there’s a small percentage of instructors who are true believers. But most of them are probably just scared of their students,” she says.

And for good reason. Her medical school hosts an online forum in which students correct their instructors for using terms like “male” and “female” or “breastfeed” instead of “chestfeed.” Students can lodge their complaints in real time during lectures. After one class, Lauren says, she heard that a professor was so upset by students calling her out for using “male” and “female” that she started crying.

Then there are the petitions. At the beginning of the year, students circulated a number of petitions designed to, as Lauren puts it, “name and shame” instructors for “wrongspeak.” 

One was delivered after a lecture on chromosomal disorders in which the professor used the pronouns “she” and “her” as well as the terms “father” and “son,” all of which, according to the students, are “cisnormative.”

. . .

This hypersensitivity is undermining medical training. And many of these students are likely not even aware that their education is being informed by ideology. 

“Take abdominal aortic aneurysms,” Lauren says. “These are four times as likely to occur in males than females, but this very significant difference wasn’t emphasized. I had to look it up, and I don’t have the time to look up the sex predominance for the hundreds of diseases I’m expected to know. I’m not even sure what I’m not being taught, and unless my classmates are as skeptical as I am, they probably aren’t aware either.” 

Other conditions that present differently and at different rates in males and females include hernias, rheumatoid arthritis, lupus, multiple sclerosis, and asthma, among many others. Males and females also have different normal ranges for kidney function, which impacts drug dosage. They have different symptoms during heart attacks: males complain of chest pain, while women experience fatigue, dizziness, and indigestion. In other words: biological sex is a hugely important factor in knowing what ails patients and how to properly treat them.

Again, more at the link.

I highly recommend reading both articles in full, and watching Bari Weiss' Substack account for more of them.  Then, armed with that knowledge, assess your medical practitioners from a coldly logical, practical perspective.  Are they treating you for who and what you are, physically and biologically?  Or are they forcing you into an ideological pigeon-hole?  If the latter, I can only suggest that you find another medical practitioner at once, if not sooner.

If these views ever come to dominate medical praxis in the USA, getting older isn't going to be a problem for most of us.  We'll be dead through medical malpractice before we can reach that stage.

(For all I know, that may be part of the plan.  Dead people don't need Social Security or Medicare, after all.  It's cheaper for the state if we die young - and that may be the point!)

Peter