Olympic Athletes Rapinoe and Bird Slam IOC Trans Ban: โ€œIโ€™m Sickened By Itโ€

https://www.erininthemorning.com/p/olympic-athletes-rapinoe-and-bird

โ€œIt’s just a total acquiescence to the Trump Administration,โ€ Rapinoe said.

Ron is home and well

Ron is home and well.ย  The procedure went well.ย  The blockage was not as bad as the CT scan showed. The doctor said no stents were needed and the blockage could be managed by medication.ย  Hugs

I am in the waiting room

Hi everyone. ย I am in the waiting room and they just took Ron into the OR. ย So we got up at 3:30 am. ย We showered and packed our stuff. ย I forgot the sandwiches but I do have my chips and pretzels. ย Of all the people waiting I am the only one eating. ย I did not eat at home because Ron couldnโ€™t eat and I felt it would be mean as he couldnโ€™t eat and it wouldโ€™ve mean. ย  I am not really hungry but I took my medications and I am diabetic so I need something in my stomach. ย 

The good news is his OR nurse is a friend of ours from our ICU days. ย She is a really great nurse and it is grand Ron had someone he knew. ย  The bad news is ย the doctor was not sure if stents were the best course of action. ย Instead of by pass surgery. ย He will check to see how bad it is and if stents would work as Ron is a diabetic and stents tend to clog in a few years. ย So once he gets in there he will measure the pressure. ย Then he will explain to Ron if stents are appropriate or if a bypass operation would be a better option. ย Pretty scary. ย Hugs

Open Windows & Clay Jones In

regard to POTUS’s mental acuity.

President Nucken Futz

Trump is losing what’s left of his mind

Clay Jones

On Easter Sunday, Donald Trump posted to Truth Social, โ€œTuesday will be Power Plant Day, and Bridge Day, all wrapped up in one, in Iran. There will be nothing like it! ! ! Open the Fuckinโ€™ Strait, you crazy bastards, or youโ€™ll be living in Hell – JUST WATCH! Praise be to Allah. President DONALD J. TRUMPโ€

Trump supporters, including the evangelicals, don’t care how vulgar he is, how insane he is, or that he is threatening to commit war crimes. They don’t care that he unleashed his tirade on Easter Sunday. They don’t care that he has gone back and forth with his demands regarding the Strait of Hormuz, from wanting to get it open, to demanding help from NATO, to saying it will open up naturally, back to demanding that Iran open it, or he will bomb them straight to hell. (snip-MORE)

Trump unhinged

Another truth social posting by the tangerine monster

Ann Telnaes

Sign The Card For Ron & Scottie!

Put whatever you’d like to inscribe with your sig. in a comment. Scottie is with Ron as Ron gets his stents today. Here’s to all the best from all of us, with positive and healing energy to you both!

Clay Jones, Leading Kansas

He Has Risen

To vote yes

Clay Jones

This cartoon was drawn for the Fredericksburg Advance. But don’t yell at them for it; you can yell at me.

If you live in Virginia, you have been bombarded with flyers about the special election on redistricting. And it’s not just flyers but also TV commercials, which are also popping up online. We are getting these things from both sides.

There is a special election in November on a state constitutional amendment that would give Democrats as many as four seats in Congress. The measure would also temporarily bypass the stateโ€™s redistricting commission to redraw maps in the middle of the decade.

The stateโ€™s Supreme Court approved the measure to be on the ballot less than a week before early voting began. State Republicans repeatedly tried to stop Democrats from moving forward with the referendum. The irony here is that Republicans claim that voting yes will disenfranchise voters, while they literally tried to keep this off the ballot so people couldn’t vote on it.

This is a direct response to Donald Trump and Republicans redistricting mid-decade to give themselves more seats. Donald Trump even said he was entitled to have more congressional seats. This is one reason why we need to No Kings protest. Donald Trump already believes he’s entitled to win elections heโ€™s lost. (snip-MORE, and it’s on point)


The Parsons Project

by Andrรฉ Swartley

Leading Kansas

Key points at a glance

  • Energy company Deep Fission is in the process of building a new and untested type of underground nuclear reactor in Parsons, KS
  • The Trump administration has reduced regulations to encourage nuclear power production
  • The reactor will likely power data centers for artificial intelligence
  • Large data centers consume huge amounts of water and energy and produce different types of pollution, leading to health risks for nearby residents

In November 2025 a two-year-old energy company called Deep Fission broke ground in Parsons, Kansas. They hope this project will enable them to install the second ever energy producing nuclear reactor in the state, after Wolf Creek, potentially with more reactors on the way in the future. If the early โ€œcharacterizationโ€ drilling goes to plan, they claim the reactor could begin pumping electricity into the grid in the near future.

Parsons is a city of 10,000 in southeastern Kansas, near the Oklahoma border. Iโ€™ve lived in Kansas for most of my life and I had not heard of Parsons until last week. So, why is Deep Fission in Parsons, Kansas, and why now? Not coincidentally, the Great Plains Industrial Park, also located in Parsons, has lately been advertised as a prime location for new data centers to power the trillion-dollar (yes, trillion with a T) artificial intelligence boom forced upon us by large technology corporations and their venture capitalist backers. Which means the Parsons nuclear reactor project would likely come as a package with one or more new data centers, along with potential economic prosperity and a host of legitimate concerns that community members have already raised.

Part 2: The New Nuclear Power

While the Department of Energy set a goal for the Parsons reactor to go online in July of this year, Deep Fission themselves are aiming to connect to the grid by 2027 or 2028. Two years is still an unusually rapid rollout for a nuclear power plant, which usually takes 6-10 years from groundbreaking to full operation.

This reduced timeline comes by way of the Trump Administrationโ€™s efforts to slow the national and worldwide adoption of renewable energies like wind and solar power. In February of this year alone, Trumpโ€™s Department of Energy halted the approval of โ€œ168 projects โ€“ those that focused on renewable energy projectsโ€ while allowing nearly 11,000 other energy projects to proceed as planned, including new nuclear energy projects. Executive Order 14301 in May of 2025 provided Deep Fission with the means to build their experimental nuclear reactor on such a short timetable.

Nuclear energy is typically labeled as โ€œcleanโ€ energy compared to coal, oil, and natural gas, meaning that it releases fewer pollutants into the air and water than fossil fuel consumption. Still, there are two main concerns. First is the disposal of nuclear waste, which ranges from the lightly contaminated clothing of plant workers to the lethally radioactive spent fuel a plant produces over time. This latter โ€œaccounts for just 3% of the total volume of waste, but contains 95% of the total radioactivity.โ€

A relatively new method in the US and Europe for disposing of our most dangerous nuclear waste is to bury it very deep underground, so that it can be surrounded by solid rock to provide the same level of pressure containment as required at structure at a surface nuclear reactor facility. The father-daughter team that eventually founded Deep Fission originally created Deep Isolation to dispose of nuclear waste. Deep Fission takes their concept a step further by placing the entire reactor, and therefore its most dangerously radioactive elements, into a borehole drilled one mile underground.

The second main concern related to nuclear energy production is, of course, accidents or attacks. It is true that large-scale nuclear accidents are very rare, but when they happen, they become instant, globally recognized disasters whose names we all know: Chernobyl, Three Mile Island, Fukushima. The effects are so widespread as to be practically impossible to quantify. The reactor explosion and meltdown in Chernobyl, for example, caused several dozen deaths directly related to radiation exposure, but various studies have predicted anywhere from thousands up to a million eventual additional cancer deaths. Not to mention the environmental and economic cost to the entire region around Chernobyl. And radioactive boars still terrorize people and farmland in the region around the Fukushima plant in Japan.

But those issues are known, and regulations have historically attempted to shore up potential dangers posed by new plants. In contrast, nothing like the underground nuclear reactor in Parsons, Kansas has ever been attempted before, and thanks to Executive Order 14301, will not need to go through long established design and testing phases that other types of nuclear reactors have been subject to in the past. John Young, a mining environmental regulatory specialist who lives in Sedgwick County, asks, โ€œWhy abandon the current regulatory process for something created out of whole cloth with no public input? And no one can define the current regulatory pathways for Federal and State authorizations.

โ€œWhat,โ€ Young asks in frustration, โ€œcould possibly go wrong?โ€

Part 3: Data Centers and Artificial Intelligence

So that is a glimpse into the nuclear energy side of things. Next we must address concerns around data centers and artificial intelligence. Data centers come in different sizes, like the smaller center being proposed in Wellington, KS, which would reportedly โ€œuse roughly 30% of the cityโ€™s electrical capacity while generating an estimated $1.3 million in annual electric utility revenueโ€ while consuming only two gallons of water per day. Larger data centers consume resources less modestly. โ€œAround the country, and the world, there is a land race among the big tech companies for sites for their data centers,โ€ claims a November 2024 investigative report by Rolling Stone. Data centers are much newer than nuclear energy technology, yet the ways in which they harm communities near them have already become apparent.

Water: โ€œLarge data centers can consume up to 5 million gallons per day, equivalent to the water use of a town populated by 10,000 to 50,000 people,โ€ according to a June 2025 study by the Environmental and Energy Study Institute (EESI). And data centers built explicitly to power AI represent the fastest growing portion of the market.

Last year, researchers at the University of California, Riverside calculated that ChatGPTโ€”one of several popular Large Language Models (LLMs) vying for marketplace dominanceโ€”answered about 10,000 queries per second. The processing load to do so guzzled about 6,000 liters (or about 1,000 toilet flushes) of fresh water per second, all day, every day. That is only generating written text. AI photos require more water, and still more for AI video. โ€œThe extraction process is permanent,โ€ explains the University of Alabama at Birmingham Institute for Human Rights. Water used to cool data centers evaporates as it cools hot components, meaning it can no longer be used by people in the region who need water for drinking, cooking, bathing, laundry, and general survival.

Pollution: Unfortunately, it is not only consumption of water to worry about. The evaporation of water cooling data centers leaves behind higher concentrations of nitrates and other contaminants leaked through agricultural fertilizers and pesticides into local water supplies, drastically increasing incidents of โ€œrare cancers, muscle disorders, and miscarriagesโ€ among people who live nearby. Geographically, Parsons, Kansas sits atop the Alluvial and Ozark Aquifers.

Reports of noise pollution have increased near data centers as well. Residents in different Virginia towns experienced disturbing high and low frequency humming in a wide radius around two new data centers.

Energy: New York City is the most populous city in the United States. The population consumes about 11 billion watts of electricity per hour. However, by 2030, โ€œpower usage ofโ€ฆdata centers is projected to rise to nearly 2967 trillion watts an hour,โ€ increasing load and wear on current energy infrastructure and raising energy prices for regular people while tech companies receive sweetheart discounts from local and state institutions.

Gradual Disempowerment: Artificial Intelligence scholars and ethicists have identified a trend they call โ€œgradual disempowerment.โ€ As AI becomes more capable, people will continue to offload, โ€œalmost all societal functions, such as economic labor, decision making, artistic creation, and even companionshipโ€ to their favorite AI service. The scariest part is that these studies have actually measured reduced cognitive ability โ€œat neural, linguistic, and behavioral levelsโ€ after only a few months of using services like ChatGPT.

These same experts predict that the disempowerment will not only come at the individual level, but also at the societal level, as lawmakers turn their attention and favor even more toward tech companies and AI services that increasingly take over tasks that used to be performed by human beings.

DHS and ICE: The Department of Homeland Security (DHS) and Immigration and Customs Enforcement (ICE), and have been using AI models to power their violent and unpopular immigration raids across the country. They are also surveilling, threatening, and creating databases of protesters.

Part 4: What Next?

The purpose of this article is not to overwhelm with doomsaying or inevitability. If the Deep Fission underground reactor works as advertised, it could genuinely provide cleaner energy than fossil fuel and mitigate some of the effects of climate change. But to get there safely, we need to demand transparency and regulatory protections from political and corporate leaders. If enough of us speak up in place like ParsonsTopekaSedgwick County, and every corner of our town, state, country, and world, we embolden those watching, each other, and ourselves to continue building the world we want and deserve.

Some Shorts & A Story

Science-y, funny, not as or at all funny, plus a big surprise. Enjoy!





A man planted tomato seeds from two McDonaldโ€™s burgers. Three months later, whoa.

โ€œI expected this tomato to grow,โ€ James Prigioni said, โ€œbut I did not expect this.โ€

By Annie Reneau

In many ways, fast-food restaurants feel like the opposite of a backyard vegetable garden. But one gardener has tied a McDonaldโ€™s hamburger directly to a garden harvest in a way that even surprised him.

James Prigioni makes popular gardening videos on YouTube. In one, he wanted to see if he could grow a whole tomato plant by planting the seeds from a tomato on a McDonaldโ€™s burger. He picked up a Deluxe Quarter Pounder with cheese, pulled out a tomato slice, and removed two seeds. After rubbing the seeds on a paper towel to remove the protective coating, which can inhibit sprouting, they were ready to plant.

Trying out different seed-planting methods

But like any good scientist, Prigioni wanted to try a different method for testing McDonaldโ€™s tomato seeds. So he pulled a slice of tomato from a second Quarter Pounder and, instead of extracting the seeds, planted the entire slice.

With the help of a heat mat and a grow lamp, both sets of seedlings germinated and sprouted in soil-filled red Solo cups in about a week. After they were fully established, Prigioni separated the plants so they could thrive individually before being planted outside.

He planted one of the plants in the ground outside and another in a 5-gallon bucket. He then showed how he culled the lower leaves as they developed blight and used a tomato cage to support the plants as they produced fruit and grew heavier. He also added extra fertilized soil and mulch to the bucket plant.

The harvest was unexpected

After three months, the plants were producing abundant fruit. The bucket plant didnโ€™t perform as well as the in-ground plant, which Prigioni said was due to insufficient watering during very hot days. The bucket plant also ripened faster, likely due to the stress it had been under. Still, it was an impressive harvest, especially for a plant that started on a McDonaldโ€™s burger.

The in-ground McDonaldโ€™s plant was even more incredible, with dozens of tomatoes dripping from it.

โ€œI expected this tomato to grow,โ€ Prigioni said, โ€œbut I did not expect this.โ€

The fruit from both plants tasted good and sweet, he said. By the fourth month, the in-ground plant was starting to struggle with its health, but not with its fruit production.

โ€œThe plant had so many tomatoes on it that it seemed like it was having a little difficulty ripening that much fruit at one time,โ€ Prigioni said. โ€œI mean, I have had some plants with a lot of tomatoes on them, but never in my life have I seen a single tomato plant with this much fruit on it. I was completely blown away.โ€

How the McDonaldโ€™s tomatoes compared

He said one of his favorite parts of the experiment was seeing what kind of tomatoes would grow from the seeds. He thought it might be a beefsteak variety, but it turned out to be a Roma type. However, he surmised that the McDonaldโ€™s tomato was likely a hybrid, based on its ripening characteristics.

Prigioni also shared how the McDonaldโ€™s tomato plants compared with his other tomato plants.

โ€œIn another area of the garden, I grew Roma tomatoes that I got from Loweโ€™s, and I planted them at the same time as the McDonaldโ€™s tomatoes,โ€ he said. โ€œThe harvest from them wasnโ€™t quite as large, but the fruit ripened way more evenly, and I was able to harvest a lot more fresh fruit right off the vine that was ripe.โ€

A ripe harvest of Roma tomatoes growing in a garden
Thereโ€™s nothing like a tomato right off the vine.ย Photo credit: Canva

โ€œOverall, I was shocked with the level of production,โ€ he continued. โ€œAnd this is probably my favorite experiment that Iโ€™ve ever done. I mean, to be able to take a cheeseburger, grab a tomato from it, then grow a tomato plant, and then harvest pounds and pounds of tomatoes from it is just such a unique and refreshing experience.โ€

Perhaps an unexpected result, but a great way to challenge our assumptions and demonstrate the power of nature, even in the context of fast food.

You can follow The Gardening Channel with James Prigioni on YouTube for more gardening education.

For Those Of US Who Wondered…

Scottie mentions restroom etiquette sometimes. Turns out, there’s an actual etiquette, as he says, and here’s a story about it!

1976 research study confirms science behind โ€˜urinal etiquetteโ€™

The โ€œbuffer urinalโ€ is more important than we realize.

By Evan Porter

Thereโ€™s a theory that most men, and people in general, intuitively understand โ€œurinal etiquette.โ€ Itโ€™s the art and science of where to stand in relation to other men when using a public restroom. Stand too far away, and you risk coming across as standoffish or rude. Stand too close, and youโ€™ll make the other person uncomfortable.

Most people prefer to have a โ€œbufferโ€ between themselves and strangers, and itโ€™s not limited to urinals or public restroom stalls. When given the option, most of us will sit at least one seat away from the nearest stranger in a movie theater or auditorium. Weโ€™ll leave a bench or treadmill between ourselves and a fellow gym-goer.

The buffer may seem like common decency and consideration for the people around us, but there could be more to it than that, according to a decades-old research study.

Scientists put theory to the test

In 1976, a team of researchers actually got the idea to test whether the proximity of a stranger had an effect on the way men urinated. Yes, really.

More specifically, they wanted to test what happens when someone invades your personal space. Do you just feel awkward or uncomfortable, or are there more measurable things happening in the body.

Objectively, the worst kind of urinal. Photo Credit:ย Photo credit: Wikimedia Commons

For the experiment, researchers began with a pilot study in a menโ€™s public restroom. An observer stood by the sink, appearing to busy himself with washing and grooming, all while secretly keeping tabs on the men who entered. The published study takes it from there:

โ€œWhen a potential subject entered the room and walked to a urinal, the observer recorded the selected urinal and the placement of the next nearest user. He also noted (with a chronographic wristwatch) and recorded the micturation delay (the time between when a subject unzipped his fly and when urination began) and the micturation persistence (the time between the onset and completion of urination). The onset an cessation of micturation were signaled by the sound of the stream of urine striking the water in the urinal.โ€

Ethical concerns about observing unsuspecting men in a restroom aside, the study found that none of the 48 subjects chose to stand directly next to another โ€œuserโ€ at the urinal banks. The data also showed that men urinated longer the farther they were from the nearest person.

The study was repeated, but this time, confederates were involved. Volunteers were stationed at specific distances from unsuspecting bathroom users, while another observer hid in a nearby stall and used a โ€œperiscopeโ€ to get a clear sightline of the urine stream.

The surprising findings

Once again, the data was extremely conclusive: men who stood directly next to a confederate while urinating took longer to begin and also urinated for longer overall.

โ€œThese findings provide objective evidence that personal space invasions produce physiological changes associated with arousal,โ€ the authors noted in their abstract.

It was an important, if controversial, study in advancing the field of proxemicsโ€”the study of physical space in human nonverbal communication. Research like this unusual bathroom study has helped us understand โ€œintimate distance,โ€ a space very close to our bodies that we reserve for romantic partners, children, and close friends.

Research in the field has also mapped the โ€œpersonal bubble,โ€ or โ€œpersonal distance,โ€ typically reserved for family members and friends. However, when strangers invade this spaceโ€”in a crowded elevator, a packed subway car, or by standing next to us at the urinalโ€”thatโ€™s when things get really interesting.

Our bodies respond, and MIT Press notes that people often deal with an invasion of personal space by โ€œpsychologically removing themselves from the situationโ€ by listening to music or staring blankly at a wall.

Now we know a little more about the physiological response behind this aversion, and it makes urinal etiquette make much more sense. Itโ€™s not just โ€œmachismoโ€ or homophobiaโ€”itโ€™s a way of avoiding a serious stress and anxiety trigger. Or, at the very least, a way to have a much more satisfying pee.

Political Tests?

How gender-affirming care is becoming a political test for top medical groups

Orion Rummler

This story was originally reported by Orion Rummler of The 19th. Meet Orion and read more of their reporting on gender, politics and policy.

The largest medical association in the United States supports gender-affirming care โ€” a stance it has reiterated in different ways over the last 10 years. But as Republicans press leading medical organizations on health care for transgender youth, the American Medical Association (AMA) is the latest group caught between political rhetoric and the complex realities of specialized care that few people receive.  

As patients, families and doctors navigate this care in an increasingly confusing and hostile landscape, what medical groups say matters. But lately, what theyโ€™ve had to say โ€” and how politicians interpret it โ€” has only caused more uncertainty. 

The AMAโ€™s stance was already in question after a January meeting between leaders of major medical groups and Dr. Mehmet Oz, the head of the Centers for Medicare and Medicaid Services. After that meeting, which was first reported by The New York Times, one group in attendance โ€” the American Society of Plastic Surgeons (ASPS) โ€” muddied the waters about whether it had taken a more restrictive stance on gender-affirming care.

Questions soon followed for the AMA, the nationโ€™s most prominent organization representing doctors.

Twenty Republican state attorneys general are pushing for the AMA to broadly oppose gender-affirming care for minors, in response to news coverage about their recommendations around youth surgeries. The attorneys suggest that the AMA may be violating state consumer protection laws by confusing, or even misleading, medical providers and patients about their stance. They mention wanting to โ€œavoid a formal investigationโ€ into the issue. 

The attorneys, led by Steve Marshall in Alabama, wrote a letter in February asking whether the group recommends hormone therapy or puberty blockers to treat gender dysphoria in minors. 

โ€œIf you agree that there is insufficient evidence to support using surgical interventions to treat gender dysphoria in minors โ€” as your recent statement indicates โ€” we do not understand how you can find that there is sufficient evidence to support using hormonal interventions to treat gender dysphoria in minors,โ€ their letter reads. 

This is an escalation of a familiar tactic, said Khadijah Silver, director of gender justice and health equity at Lawyers for Good Government. And if it works, it will be a major weapon in the political fight to delegitimize gender-affirming care, they said. 

โ€œIf you can convince the public that they have shifted stance, thatโ€™s extremely powerful,โ€ they said, referring to the AMA. 

In some ways, that impact is already being felt.

In a recent congressional hearing on rising health care costs, the board of trustees chair for the American Medical Association was asked about how patients across the country are struggling to find doctors. Two hours into the hearing, he was also asked about gender-affirming care for trans youth โ€” a topic that affects few Americans, but takes up a lot of political air. 

Rep. Erin Houchin, a Republican from Indiana, asked why the medical group changed its position on surgeries for trans youth. 

But the AMA maintains that it has not changed its position. 

โ€œIn surgery and minors, our belief is that it should generally be deferred until adulthood. But, we respect the physician-patient-family relationship in determining that,โ€ Dr. David H. Aizuss answered in response to the question from the congresswoman. 

That exchange took only a few minutes out of a hearing that spanned the gamut of crises facing the U.S. health care system, like skyrocketing insurance premiums and a worsening physician shortage. But it represents a growing tension between Republicans and medical groups, as elected officials who oppose gender-affirming care push for major health care organizations to do the same. 

The American Medical Association declined to comment on the attorneys generalโ€™s letter, which had asked for a response by March 25. In a broader statement, the medical group said it supports gender-affirming care. 

โ€œWe support evidence-based treatment for medical care, including gender affirming care,โ€ an AMA spokesperson said in an email. โ€œCurrently, the evidence for surgical intervention in minors is insufficient for us to make a definitive statement. In the absence of clear evidence, surgical interventions in minors should be generally deferred to adulthood. Treatment decisions should be made between the physician and the patient (and family) based on the best medical evidence and clinical judgment.”

That position aligns with the World Professional Association for Transgender Health (WPATH), an authority on medical care for trans people. WPATH recommends that patients generally wait until adulthood before seeking surgery. Trans youth rarely undergo surgery of any kind; of the small number performed on adolescents, the majority are mastectomies. 

If an adolescent does need surgery, WPATH recommends they meet extensive criteria โ€” including a full understanding of reproductive side effects, a yearโ€™s worth of hormone therapy, sustained gender incongruence, plus emotional and cognitive maturity. 

The questions surrounding surgery come on the heels of the American Society of Plastic Surgeonsโ€™ response to the January meeting with Oz. In what the Times described as a โ€œtenseโ€ meeting, Oz pressed leaders of organizations including the AMA and the ASPS on why they recommend gender-affirming care for trans youth. At that meeting, the surgeons group said it would be changing its position, per the Times.

Weeks after the meeting, ASPS released a nine-page statement saying that gender-affirming surgery should be delayed for minors until a patient is at least 19. The surgeonsโ€™ group cited insufficient evidence that benefits for surgery outweigh risks, and pointed to a controversial report created by the Trump administration to back its position. 

The surgeons group noted that it still opposes criminalization of such medical care. The Trump administration celebrated the announcement. 

โ€œToday marks another victory for biological truth in the Trump administration,โ€ said former Deputy Health and Human Services Secretary Jim Oโ€™Neill, in a press release. Oz, who has compared gender-affirming care for minors to lobotomies, applauded the American Society of Plastic Surgeons โ€œfor placing itself on the right side of history.โ€

In the following days, the surgeonโ€™s group appeared to backtrack. The American Society of Plastic Surgeons reportedly told NPR that its position โ€œdoes not include a blanket recommendation for surgery for minors.โ€ The ASPS did not respond to a request for comment on this story. 

The AMA has had its own trouble communicating its position. In a recent internal newsletter from the board chair, the association said that its policy on gender-affirming care has not changed at all; and that it requested a correction from The New York Times in response to the outletโ€™s coverage of its initial statement on youth surgeries. However, the Times says it has received no such requests.

This back-and-forth is taking place against an intense political backdrop: Six states have made it a felony for doctorsto provide gender-affirming care to trans youth. Hospitals across the country have shuttered gender clinics in response to pressure from the administration. As a result, some young patients are cut off in the middle of treatment and medical professionals are grappling with how the law impacts them. 

And despite ample news coverage, gender-affirming care is still not widely understood. 

Very few transgender youth seek and access surgeries. More rely on hormone therapy and puberty blockers to treat gender dysphoria, which is a medical condition that can cause significant distress for trans people. 

Puberty blockers delay the hormones that cause kids to go through puberty, which can be an intense and emotionally fraught time for trans youth. Many families say this treatment is crucial for their childโ€™s wellbeing and prevents distress caused by dysphoria. There are potential risks, like decreased bone density, which is monitored by medical providers. Some providers recommend weight-bearing exercise or diet optimization to boost calcium and vitamin D levels while on puberty blockers. 

Hormone therapy, which involves taking testosterone or estrogen to cause physical changes that align oneโ€™s body with their gender identity, is another treatment that some trans youth receive to alleviate dysphoria. As with puberty blockers, clinics require a mental health assessment as well as parental or guardian consent for the treatment. 

Multiple studies have found that access to these treatments decrease depression and anxiety for trans youth. Butthey are now banned in much of the country, after Republican politicians and conservative lobbying groups flooded statehouses with bills aiming to restrict the care for minors. 

The Endocrine Society and the American Academy of Pediatrics are under federal investigation over their support for gender-affirming care. Both medical groups have sued, as the government seeks information to determine if they have made โ€œfalse or unsubstantiated representationsโ€ regarding the care. 

The attorneysโ€™ general letter to the American Medical Association is leveling up that pressure on medical groups, Silver said. 

โ€œBecause the care is so politicized, any association that stands up and asserts its support for physicians who provide the care, will be made an example of,โ€ they said. 

Ron remembered something I had long forgotten.

Due to the Stephen Miller pogrom against anyone not white and the red states wanting to prove they are more maga than everyone else, but really it is just about how very unpopular Republican policies are that they are on a restrict voting to republicans only drive.ย  I have been talking about how I would need a passport to vote.

Ron has been pushing for us to get passports and has been looking into it.ย  One of the things he read was if you had a prior passport all the massive amount of information wouldn’t be needed.ย  Ron told me he remembered I had a passport.ย  I told him I had to have a red diplomatic passport due to the sensitive nature of my military job but I had to return it when I left the military.ย ย 

He said Scottie you have an old blue passport. I said, Really?.ย  Yes I remember seeing it he replied.ย  The more he talked the more it jogged my memory and I did remember having a blue passport.ย  I was not sure if I needed it to go to Germany or if it was issued after I turned in the red one. I had forgotten about all of this.ย  But Ron is excellent at keeping our files and he remembered it.ย  The thing that is a problem is that my passport has my prior to marriage name.ย  But Ron says it is better to have this as the needed paperwork is not needed.ย  I hope so.ย  I am so tired these days.ย  Ron is worried.ย  Normally I jump out of bed at 3 or 4 and an charged up for the day.ย  I am barely able to drag my self out of bed now at 5 and I am going to bed early.ย ย 

Right now the cat screams at me to get up and feed him.ย  I fell into a deep sleep last night and Ron got up and made his side of the bed and went out to the livingroom. Normally I hear Ron’s every move and wake up and if needed talk to him. But an hour later the cat was upset I was not up came to the bedroom and howled until I woke up.ย  Then he got on the bed and purred. Ron claims he never heard him.ย  But I got up and went to my office with the cat following me.ย  I sat at my desk and Tupac jumped up on the desk on his towel and purred madly happy to have his desk time with me.ย ย 

But this being so tired and going back to bed more often during the day and sleeping not just resting my back, is upsetting to me. I have been getting up early like 3 or 4 am and going to bed between 7 or 8 pm most of my life unless required to not do it.ย  I would jump out of bed so energetic it would upset Ron and his sister laughed at how when she visited every time she got up I was already up.ย  Now I am so tired Ron can get up and out of the bed get dressed and not wake me.ย  When I do get up I feel I am dragging my body along.ย  I have no energy to even think. Something has changed in my body and it scares me at how hard this shift has been.ย  My doctor did not seem concerned about the blood results, saying since I have struggled with anemia before, it is likely I am facing it again making me tired. Plus there is the stress I am under.ย  He did mention a screening for colon cancer and that asked if I struggled with depression.ย  His nurse came in an asked me a bunch of questions resulting in the fact that I struggle with depression more than 2 days a week.ย  He said he will have me check the results in 3 months and then he will go at it because by then my stress should be decreased.ย  Hugs