Bitter-tweet: The Foul Flavour of the Gender Debate*

(Note to my readers: This essay has been updated, sanitized of the hostile tweets that peppered the earlier version.) 


I was wrong.

I couldn’t take the heat.

If you can’t stand the heat, get out of the kitchen,” I wrote self-importantly last month, in response to Twitter blow-back to “Act One” of my trilogy of essays on gender identity.  “But I’ll stay in this kitchen, for now, no matter how hot it gets.”

But that little flare-up was a summer breeze compared to the white-hot Twitter-rage blasted at me last week by an angry mob of trans activists.

I fled the kitchen:  I deactivated my Twitter account, alarmed and demoralized – and frankly a little bit scared.

My “sin” was to issue the tweet below, linked to the third installment of my “Jack and Jill” series, in response to the January 21 National Post headline “Puberty blockers, cross-sex hormones: Canada’s family doctors get guidance on treating youth with ‘gender dysphoria’.

Let me state this plainly here, if I haven’t been clear enough before now:  I am not a “transphobe”.  A phobia, defined by the Oxford dictionary, is “an extreme or irrational fear of or aversion to something”.  I’m not afraid of or averse to trans individuals or those who struggle with their gender identities.  (That’s not one hundred percent true, in a sense, I suppose:  I am afraid of trans individuals of the sort who came gunning for me on Twitter.  But it’s not their trans-ness I’m afraid of – their ideologically-driven hatred of dissent and the harm and havoc they are generating for families are what frightens me.)

I view gender dysphoria, medically and quite simply, as a departure from the normal order of things; that is, as an example of what we used to be able to call, in less politically-charged times, a “disorder”.  As I wrote in Act Two:

“It should go without saying (from a medical viewpoint, at least) that calling something a “disorder” isn’t a moral judgment.  Pathology isn’t bigotry: it’s simply a departure from the healthy order of things.  If I diagnose someone with diabetes, or appendicitis, or schizophrenia, I don’t think any less of them.

Nor am I in any way “intolerant”.  I have the utmost sympathy for those who bear this difficult cross.  It’s not their fault that they are conflicted.  They deserve respect, compassion and fierce support, not condemnation and discrimination.  As I put it previously:

To state what should be obvious, youth struggling with gender dysphoria don’t choose to be afflicted: one might sooner choose waterboarding as a path to serenity.

But the CMA has chosen to ignore the basic science of sex and gender in a rush to embrace the now-popular fiction of gender fluidity.  The preamble in CMAJ last week to its suite of transgender articles contains this pronouncement:

A key shift is from a binary notion of gender as only male or female, with some people moving from one to the other, to seeing gender identity as a spectrum or galaxy.

The “key shift”, it seems to me, is that Canada’s “voice for doctors” has severed its attachment with scientific reality.  Because the gender binary is more than just a “notion”: it’s a fact of our mammalian existence, firmly rooted in the biology of our sex.  As I wrote:

There is scant support for the concept of “gender fluidity”.  Rather, gender is best understood as “binary, with exceptions”.  Boys are boys and girls are girls, each half of the binary represented by a bell curve; and within each bell curve we see a spectrum of expression from feminine to masculine, from Barbie-loving to rough-and-tumble males, from girly-girl to tomboyish females. This is perfectly normal (and desirable – imagine the blandness of a world without it), and the range of expressions within the binary carries, for the most part, through to adulthood.  Exceptions to the binary norm, as in some individuals with disorders of sexual development (DSD), serve only to prove that rule.

The most important of the CMA articles (by Joseph Bonifacio and colleagues), entitled “Management of gender dysphoria in adolescents in primary care”, closes with this:

“Best management will continue to evolve as new research emerges. However, the hallmark of care will remain a thoughtful, affirming, well-reasoned individualized approach that attempts to maximize support for this vulnerable population, as youth and their caregivers make complex and difficult decisions.”

Who wouldn’t be on board with that?  I certainly am.  Unfortunately, that closing statement is preceded by a rickety construct of conjecture and ideology, fifty-eight “references” notwithstanding.  (The fact that the recently issued, devoid-of-evidence, gender-affirmation policy statement by the American Academy of Pediatrics is supplied as a linchpin citation is instructive.)

It’s difficult to imagine NOT being in support of “affirmation”, it must be said.  Except that affirmation in this context is not necessarily a component of prudent love and care.

It is not the role of good parents to affirm every desire of their children regardless of whether or not it’s in their best interests.  We are their parents, after all, endowed with profound responsibility to provide guidance, leadership, structure, and correction.

Affirmation is tossed around these days by trans activists like wild-eyed revivalist tent preachers dispensing baptism.  “Dip yourself in the holy waters of affirmation, my child, and you shall be healed, released at last from your old body and awarded a new one.”

“Affirmation” is on track to challenge “tolerance” as the most abused term in the entire human lexicon.  (“Social justice” warriors preach “tolerance” for everyone – until, of course, you don’t agree with them: then they are intolerant of you, and militantly so.)

The youth’s voice is always paramount,” Dr. Bonifacio et al assert in their article.  Well, parents, if your idea of domestic utopia is adolescent anarchy, then adopt those six words as creed for your household.

Without a doubt, what should be paramount is attentive and active listening to the voices of your children:  always be by their side, never abandon them, don’t let them ever doubt your love for them.  No matter what.

But to believe, as per Dr. Bonifacio, that their “voice is always paramount” is to believe that we exist only to do their bidding.  And that, as we all know perfectly well, is nonsensical.

Also nonsensical is this claim:

“Medications that suppress puberty — hormone blockers — allow youth time to explore their gender identity and expression without having to worry about ongoing pubertal changes and development of secondary sexual characteristics that may be psychologically disturbing and undesired. This can also allow families time to access resources and support and adjust to changes within the family; it can also be a time in which to explore next steps.”

He simply skips over the enormous risks of using blockers in this manner.  Starting a child on these drugs essentially ensures further travel down the troubled road to transition, with its signposts of cross-gender hormones, sex reassignment surgery, permanent infertility, and a lifetime requirement to take powerful drugs with dangerous side effects.

In Archives of Disease in Childhood Drs. Christopher Richards, Julie Maxwell, and Noel McCune point out that the use of puberty blockers leaves young people “in developmental limbo without the benefits of pubertal hormones or secondary sexual characteristic, which would tend to consolidate gender identity.”  These drugs, they warn correctly, are being used for gender dysphoria “in the context of profound scientific ignorance.

So my statement that “I am appalled” by the CMA’s one-sided, ill-informed stance, given the implications for the care of youth who are struggling, is one hundred percent accurate.  (The CMA has plenty of company, mind you, chief among them the American Academy of Pediatrics and United Kingdom’s National Health Service.)

Our purpose is to drive meaningful change,” states the CMA on its website.We do that by launching conversations and debate on today’s most pressing and complex health challenges.

Transgender issues certainly qualify as one of “today’s most pressing and complex health challenges”.  And I am, like most conscientious physicians, an ardent supporter of meaningful change that enhances understanding and support of trans individuals.

But why the CMA chose to forgo meaningful “conversation and debate” prior to drinking the gender fluidity Kool Aid is a question for the ages.  “There is plenty of disagreement, as in all other areas of science,” observed Dr. Joe Hebert in Psychology Today“This is how medicine progresses.“

“No-one blames transgender people for firm and active political activity,” continued Dr. Hebert.  “They have been poorly treated in the past. But when debate turns into fanaticism, and reason goes out of the window, it’s time to blow the whistle, however good the cause.”

Hence my tweet last week.  It was met, for a couple of days, with unanimous applause and a host of supportive, thoughtful, grateful comments.

And then the trans-activist mob caught wind of my tweet.  Judging by the tenor of their comments, I doubt that those freshly agitated Twitterites took time to read one whit of my “Act Wisely” essay before their hatred poured forth:  I was immediately labeled a transphobe, a bigot, a homophobe, unprofessional, intolerant, discriminatory, a menace to children, and guilty of malpractice; I was accused of “misgendering”, reported to the Twitter police, and, to summarize the most eloquent offering, invited to “fuck off and die”.

My humble, little-noticed blog got a sudden blaze of activist attention.  Little snippets were cut and pasted out of context onto Twitter, my work summarily dismissed as a “bizarro” collection of bigotry and homophobia.  Which is a curious descriptor for a collection of amateurish essays dedicated mostly to politics and the joys of living with cancer, with the notable exception of my “Jack and Jill” trilogy and a pair of irreverent articles (presently removed) which I penned in response to British reports of a man giving birth and boys having periods.

The thrust of those latter two essays served only to emphasize what is already known to pretty much everyone: biological males cannot get pregnant, and biological boys cannot menstruate. But the discovery of those “diatribes” on my blog showered rocket fuel on the mob’s collective indignation.  And removing them from my site didn’t lower the temperature one bit: techy dumpster-diving activists promptly extracted them from Google’s archives and held them high as smoking evidence of my depraved intolerance.

I tried, for a bit, to defend myself on Twitter, attempting to rationally debate the wholly irrational.

But when I was doxed by the mob, my workplace made public so as to “warn” the public away from the crazy-eyed transphobe, along with vows to report me to the regulatory college of physicians and surgeons – I had had enough.  Rattled, and deeply disturbed, I suspended my account.

Trusted colleagues, witnessing my consternation, suggested I back away and avoid further harm to my psyche.  And I was inclined to agree, at first.

But after some extended reflection my over-riding sentiment was this:

How dare you?

How dare you impugn my integrity and professionalism?

How dare you question my dedication to the care of my patients?

How dare you try to damage my clinical practice?

How dare you throttle open, honest debate about the care of our youth?

I couldn’t let this drive-by shooting, this gross smear to my professionalism and character, go unchallenged, I decided:  hence this essay.

I returned to the scene of my “crime” under cover of darkness – meaning that I opened a new, anonymous Twitter account and clicked my way back to the relevant threads.

I discovered a gleeful post mortem taking place amongst those who had buried me in vitriol, akin to a gang of loathsome school-yard bullies high-fiving after beating up on their latest victim.  They were celebrating their “power” in driving me off Twitter.

They were correct, I suppose:  Bullies can be extremely “powerful”.

Is it any wonder, given my experience, that so many physicians are silent?  Who can tolerate this?  Who is willing to risk their reputation by going toe-to-toe with people like this?

As Dr. Herbert put it:  “Medical scientists seek greater understanding of their subject, and better treatments for their patients, not martyrdom.”

I’m not being especially brave in speaking up about this – I got chased off of Twitter, after all.  The crude and vulgar manner in which the trans activists “communicate” is telling: they seem unable or unwilling to make their points without hurling F-bombs or insulting their interlocutors in the most vile manner possible.

But I’m speaking up as a physician for what I believe to be correct, based on what I know of science and biology and evidence, and motivated primarily by concern for kids who are struggling.

These kids are the ones who are brave, forced to endure scorn and ridicule and bigotry as they navigate their tortuous paths, while being used as pawns by activist ideologues.

Equally heroic are those parents and clinicians brave enough to stand firm in the face of fanatical gender mysticism and to advocate instead for careful remedies rooted in actual science and genuine empathy.

I’ll reactivate my Twitter account, briefly, long enough to dump this essay into its ravenous maw.  Then I shall heed, permanently, Barton Swaim’s recent counsel in The Wall Street Journal: “For sanity’s sake delete your account”.

Twitter, concluded Swaim, is nought but a “vast array of vicious, defamatory and inane utterances. The instantaneous awareness of so much folly is not, I now think, healthy for the human mind… After an hour or so of watching humanity’s stupidities scroll across my screen, I felt I had peeked into some dreadful abyss into which only God can safely look. It was not for me to know the thoughts of man.”

Spending time on Twitter,” he said, “became, for me, a deeply demoralizing experience.”

Believe me, I can relate.

Farewell, Twitter.  Hello, sanity.


*views expressed by the author in this piece are his own


17 Replies to “Bitter-tweet: The Foul Flavour of the Gender Debate*”

  1. I felt extreme empathy for transgender children and the battle they face through your article “Jack and Jill”. It is really upsetting that these critics could not have discussions without hounding you down, threatening your practice, and being vulgar and rude.

  2. Thanks for even considering taking on the twitter mob. Your essay encouraged me, and I am stunned that not more doctors, social workers, principals, teachers and politicians are able to see how destructive the trans agenda is.
    It is bizarre that the hill we seem to be required to die on is the biological reality of binary sexuality. But other great cultures have fallen and sexual degeneracy appears to be one of the final conditions in their death throes.

  3. I’m so sorry they attacked you like this, sadly this is their MO, and women as well as men who dared speak up have been abused in this way for several years now. And you know what? More and more brave professionals are coming out under their own names to oppose this dangerous ideology. Women’s groups have forced institutions to stop pretending that “there’s no debate”. Here in the UK we seem to be getting somewhere, but I’m positive, from knowing colleagues from all over the globe who feel very much the same about this, that it’s only a matter of time before this medical scandal is exposed for what it is. Thank you for putting yourself in the line of fire. You added to the joint effort.
    Running into what is essentially a cluster B personality disordered rage can be traumatising. I hope you are ok, and that you have people who support you in real life. All the best, and thanks once again!

  4. ‘The bigger you are the harder you fall.’

    I cite this aphorism with the best of intentions. Thank you for expressing your views publicly. They provide invaluable information and also help encourage us small fry—who *must* soldier on even if our leaders are targeted or otherwise compromised.


  5. I applaud your courage and resolute drive to keep promoting Truth, Dr. Les. I am a registered psychologist and, unfortunately, far too many of my colleagues align themselves with Trans “activists” and refuse to look at the medical, scientific, clinical and empirical evidence indicating that the “Trans ideology” is (potentially) harmful to kids and teens, as well as adults. I have interviewed numerous top names in the field and other stakeholders here: Please stay strong. Our numbers are relatively small but they continue to grow as people start engaging with us *directly* and realize we are not a bunch of transphobes, bigots, etc.

  6. I’m very sorry you’ve been the subject of such harassment, Dr. Les. But I sincerely appreciate that you are speaking up, sharing your concerns. I hope that you inspire more of your colleagues to do the same. I suspect that as more medical and mental health professionals put their heads above the parapet it will get easier for others to join you.

  7. First of all, thank you Dr. Les for getting onto Twitter. I was one of the people congratulating you and very sorry to see these nitwits attack but they always do. You are far to kind to malignant, narcissistic big mouth fake lesbians who think they are self important because they lead a sea of Orcs.

    However I disagree with you leaving. It’s a free world but I hope you consider coming back. There are people- professionals like yourself, famous people with their careers on the line and broken parents (so many broken parents) who kids have been sucked into this trans vacuum and literally have had their teens them walk out on them to the waiting arms of the vicious helping them get SRS within just a few months of affirming they as trans. Their stories are horrific and many of them are Canadian. All of these people hold their ground against this wave of trans activism every single day.

    There are de-transitioners who fight day in and day out to warn others of the harm. And there are even old time transsexuals saying, ‘This is wrong, this is wrong, this is wrong’. Our Canadian government is pushing their damn Gender Unicorn and telling schools not to tell parents if their teens are trans. As you know the vast majority of people are either asleep, unaware or afraid to speak up.

    So I like the rest of my buddies on Twitter will stay and continue battling because as Einstein said, “If I were to remain silent, I’d be guilty of complicity.” I pretty proud to stand with these doctors, professionals, parents and trans people to keep giving voice to save our children and young people. I hope at some point you come back and join us. Even under a different name. Take care and please continue educating people.

  8. Dr. Les, I am a mother from the US whose daughter began identifying as transgender over four years ago after learning about this at school. It was clearly a social contagion as evidenced from the high percentage of kids she knew who also latched on to this idea. I have been told to put her on puberty blockers and lied to — told these were well-studied and perfectly safe and psychologically necessary. I was lied to. These clinicians are putting girls on testosterone as a lifetime treatment for a feeling that will likely change with maturity and time. Thank you for having the courage not to close your eyes to this medical madness and speak truth to these child abusive practices masquerading as medicine. It hardly seems believable that a medical doctor could be so viciously attacked simply for stating an irrefutable fact about the dangers of this untested unsafe medical protocol. Please know how much we parents support and admire what you are doing. We wish there were more doctors like you.

  9. Sad, scary, and completely to-be-expected results. Logic, reason, common-sense and ethics are absent from the trans ideology crowd. I appreciate your writing/viewpoint and only wish more professionals would speak up! It is a divide-and-conquer strategy; one doctor, one psychiatrist at a time they can silence easily, but a group would be more difficult for them to discredit. I hope you will get the support you need from colleagues….and I hope the ethics board of your hospital will not fall for their diatribe and cave under pressure. Please keep up the good work!

  10. Bravo, bravo, they are deranged bullies and need to be stopped, the damage they have done and will continue to do unless they are stopped is immense.
    What a time to be alive, 1984 has become an instruction manual and mental illness and fetishes are enabled and thrust upon children to validate the feelings of men.
    Many of the culprits involved are also enabling and supporting pedophiles.

  11. I was talking with some ladies a while back about how if we were offered this “enlightening curriculum” back when we were teens, how many of us would have gladly taken the chance to be boys. I mean, no periods, “way better at sports”, no hair to spend hours on, way easier clothes choices, way quicker to be sent outside to do outside chores instead of the inside ones etc, etc. Who in their right mind would want to be content with what you’ve been given when it’s “so easy” to just make the change and find who you really are and BE HAPPY?
    And THEN we all slogged through those tough teen years and adjusted as young adults…. and got married and had children. And discovered that really we were all just normal kids, dealing with normal thoughts and wishes looking at the “greener grass” on the other side of the fence.
    What on earth is society going to look like in 25 years when all those teens that aren’t being properly supported through teenagedom now, discover that what they had is what they actually want and there’s no going back?
    I do think those who support you and are deeply grateful to you, Dr. Les, are more than those against. I’m sorry we’re not as loud.
    And I’m sorry that in being our voice, you were so vilified.

  12. Dr Les, I was with some other moms having our monthly ‘trans’ check in when 2 of us were excitedly saying ‘did you see dr les on Twitter’. We were so glad that you spoke up, in hindsight we should have warned you about the onslaught of bullying you would encounter. By the time we all returned home we found your account deactivated, they got to you similar to how ravens pick at carcasses. I can not know what you went through in those days but I do understand because I have had threats made to me via Tumblr, it’s a scary place to be and us gender critical moms and dads will support your right to voice your critical thinking on the subject. Thank you and please remember that your voice is needed now more than ever.

  13. I was on Twitter for about a day when I realized there is absolutely nothing productive you can gain from it. There’s too much anonymity afforded to seriously disturbed people, and its supported by the site, since they have a view that skews toward the extreme side. The affirmation of their bullying is as bad and detrimental to our society as the affirmation of people with gender dysphoria.

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