Hippocratic Oath

I swear by Apollo the physician, and Asclepius, and Hygieia and Panacea
and all the gods and goddesses as my witnesses, that, according to my
ability and judgement, I will keep this Oath and this contract:

To hold him who taught me this art equally dear to me as my parents, to be
a partner in life with him, and to fulfill his needs when required; to
look upon his offspring as equals to my own siblings, and to teach them
this art, if they shall wish to learn it, without fee or contract; and
that by the set rules, lectures, and every other mode of instruction, I
will impart a knowledge of the art to my own sons, and those of my
teachers, and to students bound by this contract and having sworn this
Oath to the law of medicine, but to no others.

I will use those dietary regimens which will benefit my patients according
to my greatest ability and judgement, and I will do no harm or injustice
to them.

I will not give a lethal drug to anyone if I am asked, nor will I advise
such a plan; and similarly I will not give a woman a pessary to cause an
abortion.

In purity and according to divine law will I carry out my life and my art.

I will not use the knife, even upon those suffering from stones, but I
will leave this to those who are trained in this craft.

Into whatever homes I go, I will enter them for the benefit of the sick,
avoiding any voluntary act of impropriety or corruption, including the
seduction of women or men, whether they are free men or slaves.

Whatever I see or hear in the lives of my patients, whether in connection
with my professional practice or not, which ought not to be spoken of
outside, I will keep secret, as considering all such things to be private.

So long as I maintain this Oath faithfully and without corruption, may it
be granted to me to partake of life fully and the practice of my art,
gaining the respect of all men for all time. However, should I transgress
this Oath and violate it, may the opposite be my fate.

https://www.washingtonpost.com/dc-md-va/2022/08/26/childrens-national-
hospital-trans-hysterectomies/

Children�s National Hospital has been inundated with threatening emails
and phone calls after an influential right-wing Twitter account published
a recording that falsely suggested the hospital is performing
hysterectomies on transgender children, a hospital spokeswoman said. The
torrent of harassment was accompanied by social media posts suggesting
that Children�s be bombed and its doctors placed in a metal shredder.

The recording, made by Libs of TikTok founder Chaya Raichik, features two
telephone operators at the renowned D.C. medical facility stating � in
response to Raichik�s questions � that a 16-year-old trans boy would be
eligible for a hysterectomy at the hospital�s gender development clinic.
Children�s has not disputed the authenticity of the recording but said the
employees provided inaccurate information.

�None of the people who were secretly recorded by this activist group
deliver care to our patients,� hospital spokeswoman Ariana Ahmadi Perez
said. �We do not and have never performed gender-affirming hysterectomies
for anyone under the age of 18.�

Libs of TikTok
@libsoftiktok
�
Follow
??BREAKING EXCLUSIVE REPORT??

..@ChildrensNatl admits in damning audio recording that they do �gender
affirming� hysterectomies on minors including 16-year-olds and �younger
kids�

Full story here: <https://libsoftiktok.com/p/audio-childrens-hospital-
admits-to?sd=pf&triedSigningIn=true>

Such statements have not dispelled the furor Raichik�s Thursday post
unleashed. Right-wing media outlets, including Fox News and the Daily
Caller, ran stories based on the erroneous information provided in the
telephone conversations. A subtitled video of the recording had been
viewed more than 800,000 times on Twitter by Friday evening.

In response to a request for comment for this story, Raichik immediately
agreed to an interview on the condition that she be allowed to record it.
But after learning The Post had missed that response and published the
story before an interview could be arranged, she stopped communicating
with The Post and expressed outrage on Twitter. �That�s not how this
works,� she tweeted.

The scrutiny of Children�s comes just weeks after Libs of TikTok similarly
targeted Boston Children�s Hospital over its care for transgender people.
In that instance, the account highlighted a video produced by the hospital
discussing �gender-affirming hysterectomies.�

Libs of TikTok claimed the surgery was being performed on �young girls,�
although Boston Children�s officials said the procedure is not available
to those under 18. Despite its name, the Boston hospital, like Children�s
National in D.C., treats patients into young adulthood. Officials at
Boston Children�s likewise said their providers were targeted with threats
and harassment after Libs of TikTok brought attention to their programs.

The uproar over transgender care at children�s hospitals comes as
lawmakers in many states are seeking to curb LGBTQ rights in classrooms
and on athletic fields. From Florida to Kentucky, conservatives are
seeking to limit the discussion of gender in schools and bar participation
by trans athletes in youth sports, with many on the right baselessly
claiming that gay and trans educators are seeking to �groom� and sexually
abuse children. In Texas, Gov. Greg Abbott told the state Department of
Family Protective and Services to investigate parents who provide gender-
affirming care to their transgender children. That order is being
challenged in the courts.

Hysterectomy � the removal of the uterus, cervix and fallopian tubes,
sometimes accompanied by removal of the ovaries � can be performed in
addition to mastectomy (often referred to as top surgery by transgender
doctors and advocacy groups) for people transitioning. But the procedure
is almost never offered to children, experts said, and the current
standards of care published by the World Professional Association for
Transgender Health state that the surgery should not be performed on
minors.

Dr. Loren Schechter, director of gender affirmation surgery at Rush
University in Chicago and a member of the association�s executive
committee, said he could recall only one gender-affirming hysterectomy on
a minor in 23 years of practice. In that case, he said, the patient was a
17-year-old who had already been in treatment for years and had been
repeatedly counseled by doctors to delay the surgery.

�These are considered decisions, and they�re complex decisions,� Schechter
said. �The thought that people are getting pushed or rushed into surgical
intervention is just ludicrous.�

Yet Children�s National officials admit that some information put out by
the hospital has increased public confusion. Before Thursday, the
hospital�s website erroneously stated that gender-affirming hysterectomy
was available to patients �between the ages of 0-21,� an error that has
been corrected, Perez said.

And in Raichik�s recording, two hospital employees answering the phones
state unambiguously that a minor patient could receive a gender-affirming
hysterectomy.

�It depends. Each department�s different. Some departments cut off at 18,�
one telephone operator says in response to Raichik�s question about
whether a minor would be eligible for the surgery. �How old is your
patient?�

�Sixteen,� Raichik says.

�Okay,� the operator replies. �Alright. So they�re in the clear.�

After confirming with a second person over the phone that a 16-year-old
would be eligible for a gender-affirming hysterectomy, Raichik asks
whether it is �a common procedure that you guys do for that age.�

�Yes, we have all different type of age groups that comes in for that,�
the hospital worker responds.

�For the hysterectomy?� Raichik asks.

�Yes, ma�am,� the employee says, adding later that she has �seen younger
kids, younger than your child�s age� undergo the surgery.

On Thursday night, the hospital�s website temporarily went down. Officials
said they are investigating what went wrong and that it was not yet clear
whether the outage was related to the gender-care furor.

Raichik � a former real estate salesperson who has operated under various
online pseudonyms � has amassed 1.3 million followers with posts that
avidly stoke the nation�s culture wars, with a particular focus on LGBTQ
issues. Her previous targets have included schools and Pride events, said
Ari Drennen, LGBTQ program director for Media Matters of America.

The new focus on children�s hospitals is particularly worrisome, Drennen
said, bringing the potential for violence and harassment directed at
families seeking medical care.

�I think most people should be able to agree that health-care decisions
are not best made by angry internet mobs,� Drennen said.

An earlier version of this story incorrectly indicated that Raichik had
not responded to a request for comment. The Post was not aware she'd
responded through Twitter message before the story was published. The
story also misidentified the machine that one Twitter commenter suggested
Children's doctors be fed into. It was a metal shredder. This story has
been corrected.

Taylor Lorenz contributed to this report.

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