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 3
Este es el episodio No 77 y el decimonoveno de la tercera temporada de nuestro podcast GRANDES FRAUDES CIENTIFICOS.
La ética en la Medicina comprende tanto la ética en la consideración sobre los tratamientos y procedimientos más adecuados para el manejo de los padecimientos de los pacientes como también la práctica en sí de la medicina por parte de los proveedores de salud. Lo primero está íntimamente relacionado al concepto de "medicina basada en la evidencia" que ya he discutido en los episodios anteriores.
Lo segundo, confronta a los médicos con la obligación ética de tomar sus decisiones terapéuticas guiados por el conocimiento de los beneficios de los tratamientos utilizados así como sus posibles daños.
Sobre esto hablo en este episodio.
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
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
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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
I begin today with another part of the interview with the Chilean legislator that shows his indignation about the damage caused by gender ideology.
VIDEO (not available)
Hello, welcome to episode No 77 and the nineteenth of the third season of our podcast GREAT SCIENTIFIC FRAUDS.
I am your host Dr. Esteban Morales van Kwartel
Ethics in Medicine includes both ethics in the consideration of the most appropriate treatments and procedures for the management of patients' ailments and also the practice of medicine itself by health providers. The first is intimately related to the concept of "evidence-based medicine" that I have already discussed in the previous episodes.
The use of puberty-suppressing drugs, sex hormones, and mutilating surgeries for sexual transition lacks the elements of evidence-based medicine that categorically demonstrate the existence of benefits, and if any, that these outweigh the harms. Because of this, its use enters the field of research. But in addition to this, there are studies that show that these treatments cause a multitude of damages to the patient.
The second aspect, the practice of medicine itself, confronts doctors with the ethical obligation to make their therapeutic decisions guided by the knowledge of the benefits of the treatments used as well as their possible harms. It also includes respect for what is known as "the patient's informed knowledge". I talk about this second aspect in this episode.
Evidence-based medicine and medical ethics 02:58
From an ethical perspective, decisions regarding patient care should be based on the management and treatments that have the highest content of evidence-based medicine. This is what best leads to the identification of the best-evaluated methods of health care, as well as potentially harmful methods. This approach allows both doctors and their patients to make the best-informed health decisions.
In his professional practice, the physician must not only ensure that the treatment and procedures recommended or applied by him are supported by a solid evidence-based literature, but must also ensure that they have passed the risk-benefit analyses. The latter is really important because all medical treatment or management carries some type of risk; therefore, this analysis must ensure that the benefit outweighs the risks in order to proceed with a medical action.
The recommendation or application of a medical management or treatment that does not comply with the aforementioned characteristics, in addition to lacking the ethical requirements necessary for its application, falls within the field of experimentation, which if not done within the norms that regulate it, adds one more element that violates medical ethics. I will refer to these rules related to research later. This becomes even more objectionable when it comes to a minor.
As I highlighted in the previous episode, the studies that have been carried out on the use of hormone blockers in young people do not support, in terms of the concept of evidence-based medicine, their use for gender dysphoria in any circumstance, whether provisional or permanent. On the other hand, the use of surgical and hormonal mutilating treatments also do not comply with the concept of evidence-based medicine to control emotional and psychological distress in patients; therefore, the use of these has no justification from the point of view of medical ethics.
The study on the ethics of the treatment of GD presented by Dr. Kelsey Hayes that I have been quoting, refers to the concepts of "beneficence and non-maleficence" and the principle of "autonomy", as a moral obligation for the practice of medicine, which I think are important to refer to here. The principle of beneficence in medical practice consists of acting for the benefit of others, promoting their well-being and legitimate interests. This involves preventing or alleviating harm, doing good, and granting benefits. But while this principle exists, there is also that of Nonmaleficence, which consists of intentionally avoiding any action or fact that results in pain or harm. It is also known as primum non nocere, which means "the first thing is not to harm." The principle of autonomy has to do with respect for the patient.
I talk about this in the next section.
Principles of beneficence and non-maleficence. 7¨02
The debate on bioethics in clinical practice began in 1974, when a commission of the United States Congress was created to discuss this issue. But this occurred in the context of experimentation on human beings. This generated the so-called "Belmont report" in 1978. I will talk about this later. But two of the commissioners, Tom L. Beauchamp and James F. Childress, in 1979, published their famous book, in which they reformulate these principles to be applied to ethics in health care. These were formulated as the principles of Beneficence, nonmaleficence, and autonomy.
First, physicians have a moral obligation to comply with the principle of beneficence which was defined in the previous section. Some proponents of these treatments for gender dysphoria justify their action on this principle by arguing that these treatments would eliminate the potential risks of suicide and psychological suffering. However, as the numerous studies I have referred to have shown, there is not enough evidence to support this claim. This absence of evidence rules out the application of these treatments as acts of charity.
The principle of beneficence is also violated by the fact that the existence of alternative treatments that entail little or no harm is ignored. As I have shown in previous episodes, numerous recently revealed researches, which have been ignored by gender ideologues, have been showing that a significant percentage of GD are caused by psychological trauma caused by sexual assault, all the other causes and categories contained in "rapid-onset gender dysphoria", in addition to paraphilias, autism, etc.; all of these are susceptible to well-targeted and well-planned psychological treatments.
On the other hand, there is nothing abnormal in the body of a child with a suspected GD; Some children may have a higher-than-normal level of distress in their sexual development during puberty. But it does not mean that this should be treated as a disease by applying medical treatments and procedures to a totally healthy body. In these cases, a correct multidisciplinary psychological management is needed in which the parents themselves participate. Proper management in which your thoughts align with physical reality has been practiced successfully for a long time.
The application of the moral principle of beneficence is, however, confronted with the obligation to comply with the principle of non-maleficence, enunciated as primum non nocere. The application of these treatments in the DG violates this moral principle due to the multitude of damages that are attributed to the application of these treatments and methods, supported by numerous medical literature and that we have been recording throughout our episodes.
There is, therefore, no need to destroy a totally healthy body to treat a construct that is also often stimulated, induced, promoted through social networks, schools and other institutions and organizations.
Finally, there is the ethical principle of "autonomy" to which I will refer in the next section.
The ethical principle of autonomy. 12:12
The third moral principle for medical practice is the one advocated by Beauchamp and Childress; They define the autonomous individual as one who acts freely according to a self-chosen plan. However, according to the authors, this concept of autonomy does not mean that the individual follows his or her own desires or inclinations, but that it has varying degrees that are linked to the level of knowledge of medical actions and possible outcomes. In this sense, they emphasize what they call "autonomous action," rather than autonomy itself. In order to determine whether an action is autonomous, it must be checked whether it exceeds a substantial level of understanding by the patient.
A person's autonomy is then respected to the extent that he or she is recognized as having the right to hold views, to make choices, and to perform actions based on personal values and beliefs. Compliance with this moral principle by doctors obliges them to do the following: to know themselves, in an up-to-date manner, all the details about the management and treatment they are going to apply; its effects, short, medium and long-term consequences; its effectiveness; risk-benefit aspects; the existence or not of alternatives, etc. It also forces them to disclose the information to their patients; to ensure understanding and voluntariness on the part of the children, and to facilitate as much as possible the participation of the patient or guardian (who must be the parents in the case of children) in decision-making.
This moral principle of autonomy is what leads to the obligation of the physician in his medical practice to fully comply with the principle of "the informed knowledge of the patient".
Unfortunately, in the case of DG, especially in the case of children, autonomous action is systematically violated in many cases, as is recorded in numerous statements given by those affected, some of which I have presented in previous episodes; by statements by the parents themselves, and what is recorded in numerous publications and books by expert neurophysiologists, psychologists and social researchers, some of which I have also presented in my episodes.
In addition to the ethical requirements for medical practice, ethical principles for medical experimentation are also presented. Since the application of treatments for GD, especially in children, falls within the concept of experimentation, I will refer to this in the next episode. I am also going to refer to the concept of informed knowledge of the patient; but until then, I will end with some conclusions in the next section.
Conclusions and farewell . 15:44
The medical practice carried out correctly must be in accordance with the components of "evidence-based medicine". This is the basis for the application of the ethical principles to which physicians must submit for their practice. These are the principles of beneficence, nonmaleficence, and autonomy.
In the case of gender dysphoria in children, apart from the fact that the effectiveness of hormone blockers has not been proven, their use carries serious risks in both the medium and long term.
Children who transition are used hormones for a long period of time, which causes serious physiological disorders that can even lead to infertility.
Gender-altering surgeries are offered after cross-hormone therapy and lead to another series of irreversible risks.
Most children with GD accept their biological sex by the end of adolescence. Statistics reveal that between eighty and ninety-five percent of young people with gender dysphoria emerge physically and psychologically intact after going through puberty.
Supporters of the use of hormones and surgeries for GD justify it because they supposedly relieve the anguish that mainly induces suicide. But the evidence shows that these methods do little or nothing about this anguish because it is a psychological problem and not a physical one.
However, medical practice indicates that psychotherapy is presented as a treatment option, which provides fewer implications and whose effectiveness is supported by the existence of in-depth analyses, so this should be the standard of care. In this way, maleficence is avoided and beneficence is honored as long as it is applied through an "autonomous action".
In the description of the episode you can consult all the references on today's topic.
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