- Joined
- Jun 21, 2022
Edit: sorry, didn't read earlier posts close enough and missed that someone had said these had been posted a few times times before. I'd seen some of the updates on him but hadn't seen the original butchering. But if you are like me and missed them in the past, do take a look....
Here's a couple more for link-non-clickers to illustrate what the canal looks like
It looks like Rumer just took a sharp ice cream scoop and scooped out the penis.
Here are the results of the first revision by Bowers:
It feeds....
Omg it looks cis!
Can it be??
IT LIVES!!!
He also posted his post-op records from Marci Bowers
This was a medical student btw
Went and found some of the follow up posts on him:
And now I have a boots on the ground report. I attended a training targeted to therapists who were interested in writing letters for patients who want “gender affirming” surgery. The presenter has her own practice for LGBT. She stated multiple times in the presentation that she will lie in her letters in order to get the patient approved for surgery.
It looks like the pics you chose were from the initial surgery (Rumer).
Here's a couple more for link-non-clickers to illustrate what the canal looks like
It looks like Rumer just took a sharp ice cream scoop and scooped out the penis.
It feeds....
Omg it looks cis!
Can it be??
IT LIVES!!!
This was a medical student btw
Went and found some of the follow up posts on him:
And now I have a boots on the ground report. I attended a training targeted to therapists who were interested in writing letters for patients who want “gender affirming” surgery. The presenter has her own practice for LGBT. She stated multiple times in the presentation that she will lie in her letters in order to get the patient approved for surgery.
- She opened asking all the therapists if they have written a letter or been asked for a letter. No one had so she asked them to reflect on, “what is your agency doing if people aren’t even asking for letters?” implying transphobia is the cause and if they were sufficiently affirming they would be getting requests for letters. She also had asked before the training what people's reactions would be if asked for a letter and was shocked that the biggest response was "not my place" and others responded with works like "concern" "abuse" etc.
- She showed an anti trans legislation risk map, possibly one by Tony Reed, to illustrate how important this is that therapists start writing letters as much as possible.
- She stated that in the past the “mental health treatment [for trans identified patients] was to “cure” them". She claims they used to consider the purpose of the surgery to make the person straight and that they would have to confirm they would be straight to get surgery. But, “it’s not the case anymore” that surgery is to make sure you are straight after.
- The presenter stated, “I don’t know what gender and sex have to do with each other.” And “We know that biological sex and gender are different and gender is a social construct.“
- She said “not all transgender people have dysphoria.” She said that she will diagnose those people with gender dysphoria anyway so they can get the surgery.
- She says being trans is more of a medical condition than psychological.
- “That’s kind of a privileged position to not think you need to share your pronouns.” Referring to others at the conference
- “WPATH 8 is a guide not a Bible” “the purpose is not to make sure the person in front of you checks every box” of eligibility, but to improve access to surgery.
- “It is not scary” to write the letters, “I had less information than this when I wrote my first letter.”
- She says if the person was able to get in for therapy, they can consent to surgery, it’s not any different for surgery. They are ready if “they have the ability to understand that there’s risks“.
- “You only need two of the criteria to meet the diagnosis” “so even if someone doesn’t have super significant distress, I’ll say you have significant distress to get you the surgery.”
- “There are no diagnoses that will disqualify someone” but ”we will want to make note if there are any communication or comprehension concerns.”
- She says “I did give a letter still” for a person who wanted a full surgery with no understanding of what the surgeries entailed or the recovery process. She noted in the letter that those needs must be met before surgery, and said it would be up to the surgeon to assess whether the client meets that criteria. Later she shows the form letter for people with issues which shows that she writes the letter with the exact same ending as the other letters stating that the person was sufficiently informed of all the risks and alternatives, but starts it with "if all the above conditions are met."
- She says that “people are suicidal and self harm because they hate their body” (meaning that this is gender dysphoria) are different than people who self harm because they feel no one loves them or cares for them “but I’ll write letters for both.”
- She says it isn’t a big deal if your client doesn’t stop smoking before the surgery but it will just impact healing.
- She says “I would probably have concerns” if someone hasn’t presented as trans prior to surgery, but still “wouldn’t deny a letter.”
- Of course there were lots of statements about how “all these surgical treatments are things that are done for illnesses.” and “These are things that cis people get done all the time” and don’t need to get a mental health evaluation for. … Not sure how many guys are seeking out phalloplasty.
- She tried to remember a resource for more information on the surgeries and she couldn’t think of it.
- She outlined that she complete a bio-social evaluation: ensure that the client has the information they need to make an informed decision and has the information they need for recovery. The questionnaire mostly asks how long they’ve IDed/presented as trans, why they want the surgery, basics relating to recovery like where they live and who can help them. Part of the questionnaire asks, “if you have sex for money do you anticipate any changes after surgery?”
- She says she will still write letter for a homeless person if they can stay at someone’s place for recovery.
- She also recommends having someone to help you shower and bathe after top surgery - this is really underselling the recovery process. People I know who have gone through it needed at least a couple of weeks of help with basic stuff in their apartment and making meals and stuff. Also she didn’t discuss anything relating to medications during surgery and possibility of dependence.
- She goes over the types of surgery and complications. She says none of the surgeries have surprising complications, that they are just what you would expect such as bruising, scarring, etc. She did mentioned that genital surgeries often include catheters (no info on the length the client may need to use one). She said that the regarding mastectomy, “when the surgery is complete it kind of looks like a pec line.” Lol.
- She shares her form letter for recommending surgery. The final paragraph includes the language “I have explained the risk benefits and alternatives of the surgery.” (She didn’t mention alternatives once.) The letter also states that the client is aware insurance will not pay for reversals.
- One attendee seemed to be there to ask troublesome questions, said she was desisted and a detrans person who is upset about the care they received, first asked about how you can tell if someone is experiencing gender dysphoria and not some other mental health problem. The presenter basically said that wasn’t her job that they can have the surgery if they ask for it and that she has only known 1 person she wrote the letter for who regretted surgery because of the cosmetic appearance of the neovag.
- Later the attendee asked something like “can tell us more about how you help the person make a decision about the more risky surgeries, like the phalloplasty surgery” and mentioned the 60% risk of complications which are often urinary complications that can result in long-term catheter use. The presenter said she had already explained how she does that (by not mentioning severe complications at all). Then someone else in the audience yelled that her husband is FTM and has had phalloplasty but no complications so she thinks that is not a correct statistic.
- Then many other attendees chimed in about how they aren’t worried about people regretting the surgeries because the assessment process is similar to how you would assess for a medically necessary surgery.
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. It always amazes me how so many people are just unaware of this bull shit.. these mental gymnastics never fail to amaze me. 
