Case manager who left transgender care center blows the whistle on ‘appalling’ practices for kids

A former case manager at a transgender medical care center in St. Louis has since turned into a whistleblower — one with a horrifying story to tell.

Jamie Reed is her name, and in 2018 she became a case manager at the Washington University Transgender Center located in the St. Louis Children’s Hospital.

Four years later, she left the clinic this past November. She explained why in a recent piece for The Free Press.

“I left the clinic in November of last year because I could no longer participate in what was happening there,” she wrote.

“By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to ‘do no harm.’ Instead, we are permanently harming the vulnerable patients in our care,” she added.

Keep in mind, Reed is no conservative. In fact, according to Free Press boss Bari Weiss, she’s a full-fledged “progressive,” and she’s married to a “transgender man.”

So why the abrupt change of heart?

It begins with the fact that when she first joined the center, she processed intakes. And whereas there used to be 10 or so intakes a month, by the time she left there were 50 or more, with the majority of them being girls trying to transition into boys.

Most of these girls reportedly had comorbidities, including depression, anxiety, ADHD, eating disorders, obesity, autism, etc. Many of the girls, she noted, also had imaginary diseases.

“Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t),” Reed explained.

“The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion,” she added.

But when Reed dared to point out that maybe the transgender claims were also “a manifestation of social contagion,” the doctors refused to believe her. Yet Reed is convinced that’s exactly what usually happened at the center. It didn’t help that it was so easy to get put on the transgender program.

“To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. That’s all it took,” she explained.

One of the problems, she continued, was the kids who wanted to transition seemed to have very little understanding of what transitioning truly means.

In the case of girls transitioning into boys, for example, it means a deeper voice, the spouting of a beard, more interest in sex, higher aggression, etc.

“Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor,” she wrote.

Making matters worse, “the center downplayed the negative consequences” of transition, preferring instead to emphasize “the need for” it.

This at times led to disastrous outcomes, such as the time in 2020 when a boy who wanted to transition into a girl was prescribed Bicalutamide.

“Bicalutamide is a medication used to treat metastatic prostate cancer, and one of its side effects is that it feminizes the bodies of men who take it, including the appearance of breasts. The center prescribed this cancer drug as a puberty blocker and feminizing agent for boys,” Reed wrote.

“As with most cancer drugs, bicalutamide has a long list of side effects, and this patient experienced one of them: liver toxicity. He was sent to another unit of the hospital for evaluation and immediately taken off the drug. Afterward, his mother sent an electronic message to the Transgender Center saying that we were lucky her family was not the type to sue,” she added.

Another time, a 17-year-old biological girl who was on testosterone had sexual intercourse without realizing that testosterone thins the vaginal tissue.

“She said she was bleeding from the vagina. In less than an hour she had soaked through an extra heavy pad, her jeans, and a towel she had wrapped around her waist. The nurse at the center told her to go to the emergency room right away,” Reed wrote.

“We found out later this girl had had intercourse, and because testosterone thins the vaginal tissues, her vaginal canal had ripped open. She had to be sedated and given surgery to repair the damage. She wasn’t the only vaginal laceration case we heard about,” she added.

Reed goes on to list several additional examples before concluding her post with a summary of what inspired her to finally look elsewhere for work.

The beginning of the end reportedly started in the spring of 2020, when she began speaking out and raising a fuss. Within a year, she was penalized for doing so.

“In all my years at the Washington University School of Medicine, I had received solidly positive performance reviews. But in 2021, that changed. I got a below-average mark for my ‘Judgment’ and ‘Working Relationships/Cooperative Spirit,'” she wrote.

“Although I was described as ‘responsible, conscientious, hard-working and productive’ the evaluation also noted: ‘At times Jamie responds poorly to direction from management with defensiveness and hostility,'” she added.

Why the change in sentiment? All because she’d made the grand error of questioning the “medicine and the science” …

Vivek Saxena


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