Grandes fraudes científicos de los siglos XX y XXI
Este podcast va dirigido a todas aquellas personas que buscan la verdad. A través de los episodios estaremos exponiendo, cómo la "mala ciencia" distorsiona la realidad, alejándola de la verdad, afectando todos los aspectos de la vida. Describiremos el origen y las herramientas de esta "mala ciencia" que son principalmente: la politización de las ciencias, la ciencia de los paradigmas y la teoría del consenso en las ciencias. Además, a lo largo de los episodios iremos discutiendo la relación de estas con una serie de anomalías sociales, y cómo afectan los cinco valores que en nuestro concepto son esenciales: las ciencias (como valor o concepto); el pensamiento conservador; el cristianismo y el judaísmo; la familia, y nuestra forma de producción.Como médico epidemiólogo y de salud pública, enfatizaremos en los aspectos de salud, pero también nos estaremos refiriendo a otros aspectos sociales, como los políticos y económicos, en cuanto a que estos son factores condicionantes del bienestar humano. Nuestras intervenciones persiguen destacar el derecho que tenemos los seres humanos a discutir nuestras ideas en un ambiente democrático, donde se de el libre flujo de las ideas, y en donde prevalezca el pensamiento reflexivo e inquisidor que nos permita acercarnos a la verdad. En este proceso de análisis, estaremos abordando las prácticas de salud que contribuyen al bienestar personal y social, como una manera de aplicar en nuestras vidas, la "buena ciencia" o, simplemente, la ciencia. Además, analizaremos aquellas prácticas, comportamientos y decisiones médicas, que aún cuando algunas provengan de instituciones "oficiales", estén revestidas de anomalías que perjudican nuestro bienestar.
Grandes fraudes científicos de los siglos XX y XXI
Fallas éticas del tratamiento trans 2
Este es el episodio No 76 y el decimoctavo de la tercera temporada de nuestro podcast GRANDES FRAUDES CIENTIFICOS.
En el episodio anterior dije que los medicamentos para la supresión de la pubertad, en especial el Luprol, se utilizan cada vez más para tratar lo que ha sido llamado disforia de género; a pesar de no contar con la aprobación de la FDA para este uso; además, este uso no satisface los requerimientos de una medicina basada en la evidencia.
En este episodio me sigo refiriendo a esto último y describo los daños producidos al organismo, especialmente de los niños, por su uso en una condición para lo que no están indicados. Esto, como estaré puntualizando, conlleva serias connotaciones éticas, desde las perspectiva científica y de la práctica de la profesión médica.
REFERENCIAS
Medicina basada en evidencia
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949895/
https://aquila.usm.edu/cgi/viewcontent.cgi?article=1214&context=ojhe
Soh, Debra; The End of Gender: Degunking the miths about sex and identity in our society; Simon & Schuster, Inc. (New York): 2020; Threshold. ISBN 9781982132538
http://ereserve.library.utah.edu/Annual/GNDR/5770/Diamond/gndr5770whatmany.pdf
Para abordar otros temas relacionados que podrán también ser de mucho interés, los invito a adquirir mi libro: LOS DOS GRANDES FRAUDES CIENTIFICOS DE LOS SIGLOS XX y XXI. Este lo pueden adquirir como libro físico en todas las sucursales de la librería panameña EL HOMBRE DE LA MANCHA. Igualmente, puede ser adquirido como ebook haciendo clic AQUI
Los invito a suscribirse a mi sitio web donde podrán acceder a nuestro podcast y a mucha otra información de interés. Este lo pueden encontrar también en los directorios de Apple podcast; de spotify y todos los mayores directorios de podcasts.
Pueden enviar sus comentarios y observaciones a través de mi sitio web, así como a mi correo electrónico estebanmoralesvk@gmail.com
Presentation and Introduction 0:00
Below is an excerpt from an interview with a Chilean congressman.
RECORDING (not available)
This happens here in the United States, Chile and other countries. If we do not open our eyes and act accordingly, this will happen in Panama and many other places.
Hello, welcome to episode No 76 and the eighteenth of the third season of our podcast GREAT SCIENTIFIC FRAUDS.
I am your host Dr. Esteban Morales van Kwartel
I said in the previous episode that puberty suppression drugs, especially Luprol, are increasingly used to suppress the endogenous production, that is, by the body itself, of sex hormones in pediatric and adolescent populations with gender dysphoria; but so far, according to what has been presented, this use does not meet the requirements of evidence-based medicine. In this episode I expand more on this topic.
Hazards of pubertal blockers for the DG 03:24
In the last episode I debunked some arguments put forward by those who favor the use of pubertal blockers for the treatment of what they have called "gender dysphoria in children and adolescents." Below I will demonstrate the falsity of some other arguments of the proponents of trans ideology.
Supporters of the use of these chemicals also claim that these patients receive the treatment
After that, the treating physician analyzes all potential risks and benefits. They also add that it is unethical to deny them treatment since this is the only therapy available to children with GD. It is unethical, according to those who favor its use, to allow a patient to suffer the distress of natural pubertal development when medicine can combat the distress it causes.
As for the former, the numerous statements presented by many people, both trans and detrans, which I have collected in previous episodes; the statements of Yaelis Galdámez's mother and Yaeli herself, presented in episode 74; and evidence presented by Dr. Soh in her book, contradicts this. The evidence presented indicates the ease with which pubertal blockers are obtained, with minimal restrictions, through special clinics distributed in the United States and Europe.
Numerous statements from relatives and patients, also presented in episodes 72 and 73, refer to the superficiality of the medical care of these patients in which it is decided to perform hormonal medical interventions; the lack of investigation and attention to mental problems; the number of misdiagnoses of gender dysphoria.
As for the second, it is not true that there are no other alternatives; To the extent that the correct diagnosis is made, properly focused psychotherapy demonstrates many successes in addressing this problem. Dr. Soh, a neurophysiologist, concludes in her research that most people who end up transitioning would not have done so if health professionals had looked for other possible explanations for gender dysphoria.
The political environment that has been created by gender ideologues means that many of the experts are too afraid to publicly criticize gender-affirming therapies.
Dr. Soh adds that parents should be more skeptical if an adolescent or young adult is given the go-ahead to transition, because doctors don't have, in this political environment, the necessary and right conversations with their patients.
The arguments presented show that the medical judgment and criteria have not been met in terms of the fact that the diagnostic criteria are not met in many cases; the political-philosophical criterion has been allowed to prevail over the biological one; the clinical experience produced by pubertal blockers in their use not approved by the FDA has been ignored and the existence of desistance has been denied, which I remind you, are the cases of children who after a while give up this idea of transition when the anguish for their gender naturally ceases.
This superficiality is made more evident by the fact that every doctor who graduates from the Faculty of Medicine must be fully aware that the use of these pubertal blockers has numerous negative effects on the body of children. These, among other things, interrupt the development of secondary sex characteristics; they produce the arrest of bone and muscle development; they stop the maturation of the juvenile brain, etc. Worryingly, fertility can be affected by preventing the development of gonadal tissue and mature gametes.
In all these things there is the uncertainty that puberty will resume normally if the use of the drug is stopped, and if it occurs, it is not known what deficit may remain.
But we are going to move on to the second aspect, which is the approach to scientific truth that we can approach through the use of systematic research as a requirement for the practice of good medicine.
Use of chemicals in the DG: a bad science. 8:58
Although this drug has been approved by the FDA only for the medical conditions described in the previous episode (precocious puberty, etc.), its long-term effects are not yet fully known. The long-term endocrine and metabolic effects of its use for precocious puberty are not even known; Especially since, as I said earlier, its use is quickly discontinued once the correct age for its development has been reached.
Don't forget that this drug has not been approved by the FDA for use in gender dysphoria.
In a review of the literature, carried out by Kelsey Hayes, published in the journal "ética de la salud", of the University of Nuestra Señora de los Olmos,
The most recent studies on the treatment of gender dysphoria and the behaviour of these drugs in their use in several other conditions were addressed.
His conclusions were very revealing. This essay concludes through an extensive review of the literature, and I quote: "That the use of inconclusive and under-researched methods to manage gender dysphoria cannot be ethically justified and therefore needs to be reevaluated." They came to this conclusion as to the failures of its use due to its lack of adherence to evidence-based medicine as we defined it in the previous episode.
Overall, they found no evidence from any large, randomized, controlled study documenting the purported potential benefits and harms to children with gender dysphoria as a result of pubertal suppression and decades of hormone use to transition to the opposite sex.
However, their use in other conditions has been investigated, as is the case of the use of these drugs in children with gestational diabetes, in which the experience shown is that most of these patients do not move to later stages of puberty when their use is interrupted, which contradicts what has been assured by the promoters of this treatment for gender dysphoria. that the process of puberty resumes smoothly after the cessation of these drugs.
These medical interventions lack the integration of individual clinical experience with sufficient external clinical evidence available from systematic research that are requirements of evidence-based medicine to be considered good medical practice. Therefore, there is insufficient evidence that this method is the safest way to alleviate the suffering of these people.
The claim that puberty-blocking treatments are fully reversible makes them seem harmless, but, as I said in the previous section, and as has been verified in this literature review, this claim is not supported by scientific evidence.
But in addition, there is something more alarming in this; It's the fact that there are studies that show strong evidence that boys who receive suppressive drugs during puberty or before puberty are likely to move on to a next stage where these drugs are replaced with cross-hormone therapy that leads them to transition to the opposite sex.
This leads to other very serious problems that I refer to below.
Hormones and mutilations in the DG. 13:36
As shown in the review of the literature mentioned above, studies conducted on adult men undergoing sexual transition through the use of these hormones have shown the existence of a large number of adverse effects. Many others are potential effects based on pharmacology and knowledge of physiology, including the biological cycles of humans.
For example, men who are given estrogen, which are the female hormones for them to transition to the opposite sex, are at great risk of experiencing: formation of thrombi that can lead to pulmonary embolisms, cerebral embolisms, etc.; cardiovascular disease; weight gain due to the accumulation of fat produced by estrogen; increased triglycerides; high blood pressure; decreased glucose tolerance; gallbladder disease; and breast cancer, among other things.
Women who receive testosterone, which is the male hormone that makes them transition to the opposite sex, may be at risk of having low HDL, which is the so-called good cholesterol, which needs to be high for the benefit of the body. Triglycerides also increase, which combined with the above leads to cardiovascular disease; Increased levels of homocysteine, which is an amino acid whose increase is also a cardiovascular risk factor. In addition, liver damage can occur; insulin resistance, which leads to diabetes, high blood pressure, etc. This, among many other serious things that I do not mention here.
Most importantly, children who transition will need these hormones for a significantly longer period of time than transitioning adults. Because of this, they are much more likely to experience physiological morbidities than those that have been investigated in adults.
But after these stages, there follows the phase of sex-altering surgeries that carry their own set of irreversible risks. I already referred to these complications in a previous episode, but I'll make a quick reminder. The most dramatic thing in this "trans" ideology are surgical mutilations, such as mastectomies and surgical transformations of the sexual organs that simulate the passage from one sex to the other.
This is not simple or totally safe as it is proposed; it can lead to multiple complications including: pulmonary embolism, sepsis, bladder cut; pain due to the presence of hair inside the urethra and many others. All this without counting the very high medical expenses.
It is also worth remembering, as I explained in previous episodes, the sinister origins of this ideology and its methods, represented in Dr. John Money's "Frankenstein" experiments that ended in the David Reimer case, which I described in previous episodes. These methods, which are currently accepted by institutions, such as the American Academy of Pediatrics and a large sector of the medical group, not only lack the requirements to be considered evidence-based medicine, but on the contrary, historical, scientific evidence and clinical experience show their ineffectiveness and danger to the health and safety of patients.
Gender dysphoria, as advocated by its promoters, is totally incongruent with tangible reality, measurable by physical and biological laws. As perceived by gender theorists, reality is created by thought; it is a construct, it is not tangible. But at the same time they advocate a series of medical interventions that modify a body, which is something tangible, to accommodate a thought that is intangible. This is irrational. This trans ideology advocates a series of medical interventions aimed at a healthy body, in which healthy organs are mutilated to adapt it to a mental creation.
Here are some conclusions and farewell.
Conclusions and farewell . 19:23
Our current civilization has made great technological and medical advances that have made us greatly advance in medical research in the search for evidence that should allow us to take increasingly safe steps in the approach to our medical disorders. This should make health professionals, families and society in general reflect on the way in which this issue is addressed.
In the case of the use of puberty-suppressing drugs, sex hormones, and mutilating surgeries for sexual transition, there is no context to which the evidence-based practice can be attributed. Treating psychological and emotional distress through treatments agreed upon by political and ideological segments, which lack evidence of their effectiveness, takes us back to a dangerous experimental field already forbidden by international agreements.
If the intervention of doctors in these cases is given by the mere satisfaction of the patient's wishes and the tendency of the moment, motivated perhaps by resorting to the correct politics in order to protect their medical practice, it would lead us to even more despicable fields. And even worse, when in this case there is documented scientific evidence on the damage that these procedures cause to the patient.
But as if this were not enough, the situation becomes even more critical when the patient and even the parents are denied the right to duly informed medical consent, either by alluding to the patient's lack of competence or by concealment by the doctor.
All this leads us directly to the third element that must be present in any discussion related to people's health: ETHICS.
I talk about this in the next episode.
In the description of the episode you can consult all the references on today's topic.
I invite you to purchase my book: THE TWO GREAT SCIENTIFIC FRAUDS OF THE TWENTIETH AND TWENTY-FIRST CENTURIES. Here I describe and analyze in a simple way and with responsible scientific evidence everything related to climate misrepresentations. This can be purchased in all branches of the prestigious Panamanian bookstore, EL HOMBRE DE LA MANCHA.
I also invite you to access our website estebanmoralesvankwartel.com to which I invite you to subscribe. Here you can also access all the episodes of our podcast and find a lot of other information of interest. Through my website you can also purchase our book THE TWO GREAT SCIENTIFIC FRAUDS OF THE TWENTIETH AND TWENTY-FIRST CENTURIES.
IT HAS BEEN A PLEASURE TO BE WITH YOU. I HOPE I HAVE MET THE EXPECTATIONS OF OUR RESPECTED LISTENERS FOR INFORMATION THAT IS HONEST AND USEFUL FOR THEIR OWN LIVES, FOR THEIR FAMILIES, AND FOR THE COMMUNITY IN WHICH THEY OPERATE.
See you soon and thank you for honoring us with your attention.