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The costs of trans visibility The costs of trans visibility

12-03-2023 , 12:43 PM
Quote:
Originally Posted by ganstaman
You're certainly allowed to question my credentials, but I don't know that some tit-for-tat is really necessary. And it doesn't make me feel bad, in part because basically no one here doubts me. As I said, I just found it humorous.

There are 2 issues going on here, and it feels like you're still mixing them up. So I'm going to write them clearly separately.

1) Gender dysphoria is generally what's listed by endocrinologists giving hormones to trans patients (as I said, I have never seen BDD listed), and while some of the patients may qualify for that diagnosis, not all strictly do. But they do have to put some diagnosis to get paid -- are you disputing that this actually happens regularly across various fields of medicine?

2) Transgender is not a mental illness. Do you disagree? Are you using your above paragraph as somehow evidence that being trans is a psychiatric problem?
Let’s follow up on the hormones. You have to have a reason, an honest reason, to prescribe medication. There must be a diagnostic code. So, if an endocrinologist is giving a female testosterone, if the reason, ie, diagnosis is not gender dysphoria, then what diagnosis is used to justify giving a woman exogenous hormones.
And you and I both know (at least I would if I was really in medicine) that the diagnosis must make sense otherwise insurance won’t pay.
The costs of trans visibility Quote
12-03-2023 , 12:52 PM
Quote:
Originally Posted by ganstaman
You're certainly allowed to question my credentials, but I don't know that some tit-for-tat is really necessary. And it doesn't make me feel bad, in part because basically no one here doubts me. As I said, I just found it humorous.



There are 2 issues going on here, and it feels like you're still mixing them up. So I'm going to write them clearly separately.

1) Gender dysphoria is generally what's listed by endocrinologists giving hormones to trans patients (as I said, I have never seen BDD listed), and while some of the patients may qualify for that diagnosis, not all strictly do. But they do have to put some diagnosis to get paid -- are you disputing that this actually happens regularly across various fields of medicine?

2) Transgender is not a mental illness. Do you disagree? Are you using your above paragraph as somehow evidence that being trans is a psychiatric problem?
As a professional which I am not questioning it surprises me that you seem to word that as mental illness is a bad thing So what if someone thinks it is .It is a medical diagnosis that can be treated .
Why is a must before you seek gender affirming care do we have those individuals consult with a mental health professional . Even if someone believes it is a mental health issue does not mean they think they are bad people

As we see a higher % of suicides amoung transgender individuals and those that undergo gender affirming care we treat that as a mental health issue as we do with anyone that is suicidal
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12-03-2023 , 12:56 PM
Quote:
Originally Posted by Meisner
Let’s follow up on the hormones.
Actually, let's remember the context of this discussion:

Quote:
Originally Posted by Bobo Fett
I was commenting based on your belief that all transgender people are mentally ill
Quote:
Originally Posted by Meisner
Every single patient I have who is “transitioning” has the diagnosis F45.22, body dysmorphic disorder which is, as a point of fact, a mental health diagnosis, not a medical diagnosis.
So are you claiming that being transgender is a mental illness?
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12-03-2023 , 12:58 PM
Quote:
Originally Posted by lozen
As a professional which I am not questioning it surprises me that you seem to word that as mental illness is a bad thing So what if someone thinks it is .It is a medical diagnosis that can be treated .
?? I have no idea why you think I think mental illness is a bad thing. I just think it's inaccurate as applied to transgender people. It's also something bigots say to invalidate trans people by suggesting they aren't really trans but instead something is broken in their brain making them think that.
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12-03-2023 , 01:03 PM
Quote:
Originally Posted by ganstaman
So are you claiming that being transgender is a mental illness?
And to jump ahead, if you say yes, your evidence is that a mental health diagnosis is attached to visits for endocrinologists to give hormones to trans patients who are transitioning? What about other trans people -- they get no such diagnosis, so do they have a mental illness? No one is saying that some transgender people don't have gender dysphoria, but not all do. And the mental illness is gender dysphoria, not the trans identity itself.
The costs of trans visibility Quote
12-03-2023 , 01:13 PM
Quote:
Originally Posted by lozen
As a professional which I am not questioning it surprises me that you seem to word that as mental illness is a bad thing So what if someone thinks it is .It is a medical diagnosis that can be treated .
Why is a must before you seek gender affirming care do we have those individuals consult with a mental health professional . Even if someone believes it is a mental health issue does not mean they think they are bad people

As we see a higher % of suicides amoung transgender individuals and those that undergo gender affirming care we treat that as a mental health issue as we do with anyone that is suicidal
If it’s not an illness, then why is an intervention required. If a man is really a woman, fine. So be it. Why are we performing surgeries and adding hormones that weren’t previously there?
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12-03-2023 , 01:16 PM
https://www.cms.gov/medicare/regulat...pt/hcpcs-codes

Funny that when I did a cursory search of the 2023 CPT codes I don't find any for trans, gender or dyphoria. Most of the CPT codes I deal with are for orthopedic and neurologic surgeres but I don't normally see such specifics more like defining things as simple, complex, complex with multiple issues. Perhaps the fake doctor will just give us the exact codes he is claiming gansta won't admit to using so we can find them ourselves
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12-03-2023 , 01:24 PM
Quote:
Originally Posted by ganstaman
?? I have no idea why you think I think mental illness is a bad thing. I just think it's inaccurate as applied to transgender people. It's also something bigots say to invalidate trans people by suggesting they aren't really trans but instead something is broken in their brain making them think that.
So you don't want someone to say trannies which I agree with but than you call a group bigots

You would concur that not 100% of the people in your field agree with you

What would you account for the sudden growth in youth that call themselves transgender?
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12-03-2023 , 01:25 PM
Quote:
Originally Posted by jjjou812
https://www.cms.gov/medicare/regulat...pt/hcpcs-codes

Funny that when I did a cursory search of the 2023 CPT codes I don't find any for trans, gender or dyphoria. Most of the CPT codes I deal with are for orthopedic and neurologic surgeres but I don't normally see such specifics more like defining things as simple, complex, complex with multiple issues. Perhaps the fake doctor will just give us the exact codes he is claiming gansta won't admit to using so we can find them ourselves
F64.0 and F45.22. And the psychiastriat can confirm that all F ICD-10 codes refer to mental health diagnoses.
The costs of trans visibility Quote
12-03-2023 , 01:28 PM
Quote:
Originally Posted by lozen
So you don't want someone to say trannies which I agree with but than you call a group bigots

You would concur that not 100% of the people in your field agree with you

What would you account for the sudden growth in youth that call themselves transgender?
Typical hypocrisy of the pro-trans crowd. It’s cool for them to call names, threaten violence, but god forbid the pro-reality crowd exercised their first amendment privileges.
No one says such people do not exist. They do. And they are crying out for help. We, as compassionate beings, want to get them the mental help they are begging for.
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12-03-2023 , 01:37 PM
Quote:
Originally Posted by Meisner
F64.0 and F45.22. And the psychiastriat can confirm that all F ICD-10 codes refer to mental health diagnoses.
Those aren't CPT codes.... What are the CPT codes?
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12-03-2023 , 01:48 PM
Quote:
Originally Posted by jjjou812
Those aren't CPT codes.... What are the CPT codes?
You are in medicine and don’t know what ICD-10 diagnostic codes are? The hell man.
CPT are billing codes for treatments and services, not diagnostic codes.
The costs of trans visibility Quote
12-03-2023 , 02:43 PM
Quote:
Originally Posted by Meisner
No one says such people do not exist. They do. And they are crying out for help. We, as compassionate beings, want to get them the mental help they are begging for.
The sickening part for me and most gays is they said exactly this, word for word for years( yes in the 2000’s ) and what they meant was we want to end gays.
The costs of trans visibility Quote
12-03-2023 , 02:44 PM
Quote:
Originally Posted by Meisner
You are in medicine and don’t know what ICD-10 diagnostic codes are? The hell man.
CPT are billing codes for treatments and services, not diagnostic codes.
I’d like to see you try to tell me what a cptrpg code is to my face.
The costs of trans visibility Quote
12-03-2023 , 02:50 PM
Quote:
Originally Posted by spaceman Bryce
The sickening part for me and most gays is they said exactly this, word for word for years( yes in the 2000’s ) and what they meant was we want to end gays.
If you proceed from the premise that intercourse is intended to continue the species, then yes, gays are not natural. That being said, homosexuality is concerned with sexual object choice, not believing you are something other than what you are. A gay man is still a man. He merely finds himself sexually attracted to other men. But he doesn’t believe he’s anything other than he is, like a woman, or a giraffe.
The costs of trans visibility Quote
12-03-2023 , 02:50 PM
Quote:
Originally Posted by spaceman Bryce
I’d like to see you try to tell me what a cptrpg code is to my face.
Certainly, since you clearly don’t know what they are.
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12-03-2023 , 02:53 PM
thread went downhill after the cheetah boy stuff. What are the current points of contention? Please nothing about medical codes, billing or otherwise.
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12-03-2023 , 02:56 PM
Quote:
Originally Posted by Luckbox Inc
thread went downhill after the cheetah boy stuff. What are the current points of contention? Please nothing about medical codes, billing or otherwise.
Basically just the pro reality crowd seeking to protect children and the other side calling names and threatening violence.
The costs of trans visibility Quote
12-03-2023 , 03:00 PM
Quote:
Originally Posted by Meisner
If you proceed from the premise that intercourse is intended to continue the species
If you mean solely intended, common sense would dictate that this premise is, at best, misguided. If you don't mean solely intended, the statement seems to be an irrelevant truism.
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12-03-2023 , 03:00 PM
Luckbox, elrazor and me had the last exchange like the kind you’re looking for.
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12-03-2023 , 03:02 PM
Me? I'm not looking for an exchange. I don't usually go in this thread, but curiosity got the better of me earlier and I decided to check it out

Edit: see you edited to clarify you were addressing Luckbox.

Last edited by d2_e4; 12-03-2023 at 03:11 PM.
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12-03-2023 , 03:09 PM
Why do we keep getting the superficial arguments found on Hannity about protecting the children from the evil pro trans activists, concerns about what are on peoples driver's licenses and defying sex classifications from the alleged doctor?
The costs of trans visibility Quote
12-03-2023 , 03:12 PM
Quote:
Originally Posted by d2_e4
Me? I'm not looking for an exchange. I don't usually go in this thread, but curiosity got the better of me earlier and I decided to check it out.
I can't believe you won't accept the premise that the goal of intercourse is procreation. Every. single. time.

God damn activist.
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12-03-2023 , 03:14 PM
Quote:
Originally Posted by jjjou812
I can't believe you won't accept the premise that the goal of intercourse is procreation. Every. single. time.

God damn activist.
I'm sure he'll accept that premise next time he wants a blow job or anal, right?
The costs of trans visibility Quote
12-03-2023 , 03:16 PM
Quote:
Originally Posted by lozen
Very well put if you eliminate gender affirming care for kids and gender ideology being taught in the schools we have no issue .

This The costs of trans visibility, but I also don’t think adults with an obvious mental illness should be allowed in positions of power like Richard Levine. Or be given a national stage to influence youth like Bruce Jenner.
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