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In 1935 the Portuguese neurologist Egas Moniz pioneered the surgical procedure known as the frontal lobotomy for the treatment of serious mental health disorders. The procedure severed the nerve fibres in the frontal lobe of the brain that connected other regions of the brain.

In 1949 Moniz was awarded the Nobel Prize in Medicine for his for his breakthrough procedure.

Some 60,000 such procedures were performed in the US alone, the last in occurring in 1967 when the dreadful consequences of the procedure demanded its withdrawal.

The fact that Moniz and his followers were highly qualified and well intentioned did not prevent them from perpetrating one of the greatest mistakes of modern medicine.

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There will never be robust evidence in support of gender-affirming treatment since the entire premise is built on the lie that humans can change sex. Evidence cobbled together therefore will also be built on lies. There is no metal illness or distress that can be cured by genital mutilation or sterilization.

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Intelligence is no guarantee to avoid making emotional based positions across many domains. Gregory, in response to your closing statement, that the issue is based on a lie, if we can equate a “ lie” to be an ideological belief. It is salient to acknowledge that there is no clinical scenario, let alone a diagnosed medical condition, which has legally available treatment confined to one protocol, under threat of punitive legislation for clinicians’ non compliance. The activists have bluffed the legislators , so far. They have also bluffed the colleges and the statutory regulatory body , AHPRA. It will take some political championing to protect future vulnerable kids

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At the rate this is going, any difficult and disrupting preteen , troublesome enough to attract the attention of activist social scientists ( and some of our medical colleagues) could be deemed a candidate to receive a trial of “ gender transition “...” care”? It probably would never become compulsory, but who would be shocked were it soon be suggested as a management option. My tongue being too firmly held against my cheek, to be able to laugh, like you dear reader.

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