1 00:00:00,120 --> 00:00:04,080 Speaker 1: An Ali law firm is ready to evict Billie Eilish 2 00:00:04,440 --> 00:00:09,080 Speaker 1: from her mansion because of her admission that she lives 3 00:00:09,119 --> 00:00:12,799 Speaker 1: on stolen land on behalf of the tribe. This should 4 00:00:12,840 --> 00:00:13,319 Speaker 1: be fun. 5 00:00:14,200 --> 00:00:17,840 Speaker 2: It's gonna be very fun. I want to take just 6 00:00:17,880 --> 00:00:19,000 Speaker 2: a couple of minutes. 7 00:00:19,400 --> 00:00:25,720 Speaker 3: To talk about the podcast because it's still actually it's 8 00:00:25,880 --> 00:00:29,680 Speaker 3: it's a it's still a thing, and it is a 9 00:00:29,680 --> 00:00:34,200 Speaker 3: great example of numerous things. There are things over which 10 00:00:34,960 --> 00:00:37,880 Speaker 3: neither me nor Dragon have any control whatsoever. 11 00:00:38,880 --> 00:00:39,559 Speaker 2: I don't know that. 12 00:00:42,400 --> 00:00:46,600 Speaker 3: I really doubt that if we pushed back on Iheart's 13 00:00:46,600 --> 00:00:49,800 Speaker 3: decision to change the which is kind of interesting because 14 00:00:50,240 --> 00:00:52,880 Speaker 3: what iHeart has changed is what we've always done, right, 15 00:00:53,280 --> 00:00:56,120 Speaker 3: Because we've always posted the first hour first. 16 00:00:56,760 --> 00:00:59,200 Speaker 4: We published them backwards so that when you play them, 17 00:00:59,240 --> 00:01:02,520 Speaker 4: they'll be played in order. But now recently iHeart says, 18 00:01:03,160 --> 00:01:06,560 Speaker 4: publish them in the order that they air, meeting first 19 00:01:06,560 --> 00:01:07,520 Speaker 4: hour for a second hour. 20 00:01:07,600 --> 00:01:10,520 Speaker 3: So that's how we publish them. We published nine o'clock, 21 00:01:10,560 --> 00:01:11,120 Speaker 3: ten o'clock. 22 00:01:11,720 --> 00:01:15,040 Speaker 4: No, in previous we would publish them backwards, so I 23 00:01:15,040 --> 00:01:19,080 Speaker 4: would publish eleven ten nine, so that when they played them. 24 00:01:18,920 --> 00:01:21,240 Speaker 2: And when you say nine, when you do eleven ten, nine. 25 00:01:21,280 --> 00:01:22,360 Speaker 2: You're doing this, you're. 26 00:01:22,240 --> 00:01:26,200 Speaker 4: Signaling, right, because then it just filters down because. 27 00:01:25,959 --> 00:01:30,520 Speaker 3: I'm looking at the speaker format and the nine o'clock 28 00:01:30,560 --> 00:01:33,319 Speaker 3: hour is the first one for today, and then the 29 00:01:33,440 --> 00:01:37,919 Speaker 3: ten o'clock would be the next one. Then he's checking, 30 00:01:38,319 --> 00:01:43,440 Speaker 3: he's checking, he's checking, checking, checking, checking checking. 31 00:01:44,120 --> 00:01:46,360 Speaker 4: I am still working on these nineteen ninety seven machines, 32 00:01:46,400 --> 00:01:49,080 Speaker 4: I go. So, first thing you would see right now 33 00:01:49,120 --> 00:01:49,919 Speaker 4: when you look at. 34 00:01:49,760 --> 00:01:52,400 Speaker 2: That, this is based on the new way you format. 35 00:01:52,120 --> 00:01:55,720 Speaker 4: Correct the way myheart tells us to format it now. 36 00:01:55,880 --> 00:02:00,000 Speaker 3: And this is how we see it on our podcast platform, 37 00:02:00,360 --> 00:02:03,000 Speaker 3: not what you see on your iHeart app or your 38 00:02:03,040 --> 00:02:09,120 Speaker 3: podcast platform, but on our our dispartram that distributes the 39 00:02:09,160 --> 00:02:10,359 Speaker 3: podcasts out right. 40 00:02:10,400 --> 00:02:13,400 Speaker 4: So first thing first that I see. The top of 41 00:02:13,520 --> 00:02:19,000 Speaker 4: the list is uh two three, twenty six daily talkbacks. 42 00:02:19,520 --> 00:02:23,720 Speaker 4: Then there is the eleven am Philipbuster debate, ten am 43 00:02:24,440 --> 00:02:27,400 Speaker 4: No One needs Illegal on Stolen Land, nine am, the 44 00:02:27,480 --> 00:02:30,959 Speaker 4: podcast order Clintons and Epstein temporary protected status. 45 00:02:31,040 --> 00:02:31,280 Speaker 2: Right. 46 00:02:31,360 --> 00:02:33,640 Speaker 3: So my point is that is how you and I 47 00:02:33,680 --> 00:02:36,200 Speaker 3: have always post a note. 48 00:02:36,600 --> 00:02:39,360 Speaker 5: No, Michael, Michael shut up, shut up. 49 00:02:39,840 --> 00:02:43,480 Speaker 2: You go back far enough, go back to previous ones. 50 00:02:43,680 --> 00:02:48,040 Speaker 4: Yep, Michael shut up, So on January thirtieth, it is 51 00:02:48,200 --> 00:02:52,640 Speaker 4: published in this order. Nine am, spreaker, you're looking at 52 00:02:52,639 --> 00:02:56,280 Speaker 4: a spreaker looking at speaker nine am, show up to work, 53 00:02:56,600 --> 00:03:00,320 Speaker 4: ten am, Don lemon arrest eleven am tech pair of 54 00:03:00,360 --> 00:03:01,200 Speaker 4: leave shots. 55 00:03:01,919 --> 00:03:05,640 Speaker 3: That's interesting because in Los Angeles for the week in program, 56 00:03:06,160 --> 00:03:10,640 Speaker 3: it was the first hour got published first, second hour published, second, 57 00:03:10,840 --> 00:03:11,760 Speaker 3: third hour published third. 58 00:03:11,880 --> 00:03:13,840 Speaker 2: No, so they weren't doing it either. 59 00:03:13,919 --> 00:03:16,720 Speaker 4: They were doing it correctly the way we had been 60 00:03:16,720 --> 00:03:19,880 Speaker 4: told to do it in the past, which you publish 61 00:03:20,280 --> 00:03:23,760 Speaker 4: the last hour first, so when it goes in playback order, 62 00:03:24,240 --> 00:03:26,120 Speaker 4: it goes from that first hour first. 63 00:03:26,280 --> 00:03:26,400 Speaker 2: Right. 64 00:03:26,800 --> 00:03:30,320 Speaker 4: So yeah, so now they've told us to publish the 65 00:03:30,440 --> 00:03:35,440 Speaker 4: first hour first rather than the last hour first. 66 00:03:35,520 --> 00:03:40,640 Speaker 3: So for today, you will publish the nine o'clock hour first, correct, 67 00:03:40,800 --> 00:03:42,760 Speaker 3: and then the ten o'clock hour will be on top 68 00:03:42,800 --> 00:03:45,640 Speaker 3: of that, correct on our distribution platform. 69 00:03:45,760 --> 00:03:50,840 Speaker 4: Correct, right, all right, so it will show up at 70 00:03:51,520 --> 00:03:55,920 Speaker 4: say one o'clock. When I get it all done, it 71 00:03:55,960 --> 00:04:01,680 Speaker 4: will look like February fourth, Daily talk back, February fourth, 72 00:04:01,920 --> 00:04:08,040 Speaker 4: eleven am, February fourth, ten am, February fourth, nine am. 73 00:04:08,680 --> 00:04:12,720 Speaker 3: Now all I know is, well, there's several things I 74 00:04:12,760 --> 00:04:16,279 Speaker 3: know but in regards to podcasts, I use a podcast 75 00:04:16,360 --> 00:04:22,440 Speaker 3: app called Downcast, and excuse me. On Downcast, I can 76 00:04:22,480 --> 00:04:27,320 Speaker 3: go to settings, and on settings I can say for 77 00:04:27,480 --> 00:04:34,080 Speaker 3: new episode's action, download most recent the playable downloads podcast 78 00:04:34,160 --> 00:04:39,560 Speaker 3: to keep automatic download. And then I have how you know, 79 00:04:39,680 --> 00:04:47,120 Speaker 3: the playback, and I have playback oldest first, so that 80 00:04:47,640 --> 00:04:51,039 Speaker 3: the nine am, which would be the oldest one, gets 81 00:04:51,080 --> 00:04:55,960 Speaker 3: played on my podcast app first, so it doesn't affect 82 00:04:56,640 --> 00:05:00,920 Speaker 3: me because on my on where I download my podcast, 83 00:05:01,640 --> 00:05:06,640 Speaker 3: regardless of out downloads, my playback is playback the oldest first. 84 00:05:07,960 --> 00:05:10,520 Speaker 3: So that I'm listening to let's just say I'm listening 85 00:05:10,560 --> 00:05:12,960 Speaker 3: to Rogan, well, Joe. 86 00:05:12,800 --> 00:05:14,640 Speaker 2: Rogan just does one he just does one holee. 87 00:05:14,720 --> 00:05:21,560 Speaker 3: But if I'm listening to CNBC's Odd Lots, for example 88 00:05:21,600 --> 00:05:24,200 Speaker 3: a Financial Thing, or if I'm listening to one of 89 00:05:24,240 --> 00:05:29,360 Speaker 3: the Mac podcasts, it may download in that reverse order. 90 00:05:29,440 --> 00:05:32,640 Speaker 3: But the playback on my app is in the oldest 91 00:05:32,680 --> 00:05:36,960 Speaker 3: episode gets played first. Here's what I find interesting and 92 00:05:37,240 --> 00:05:39,120 Speaker 3: a couple of points I want to make about this. 93 00:05:40,360 --> 00:05:43,600 Speaker 3: First for some people, you get it. Couber number zero 94 00:05:43,680 --> 00:05:46,279 Speaker 3: six y two four US Mike finally able to listen 95 00:05:46,320 --> 00:05:49,640 Speaker 3: before two pm. Thank you, for sending ihearttex staff to 96 00:05:49,680 --> 00:05:54,200 Speaker 3: the remedial podcast one oh one for Goobers. Okay, so 97 00:05:54,480 --> 00:05:58,080 Speaker 3: that person is happy about it. Then I scroll down 98 00:05:58,279 --> 00:06:02,960 Speaker 3: and I find next let's see this is goob thirty 99 00:06:03,000 --> 00:06:06,159 Speaker 3: eight fifty eight, Michael, we preferred the way the podcasts 100 00:06:06,160 --> 00:06:10,240 Speaker 3: were published before, not the new arrangement. Now it's back asswards. 101 00:06:10,440 --> 00:06:14,839 Speaker 3: You're not a TV program. We're seeing the last episode first. 102 00:06:14,960 --> 00:06:21,279 Speaker 3: Doesn't make sense. Admit your mistakes, correct it, and move on. Well, 103 00:06:21,800 --> 00:06:24,880 Speaker 3: if I had the ability to do that, I might 104 00:06:24,960 --> 00:06:29,239 Speaker 3: do that. Then I get this nasty one on twenty 105 00:06:29,279 --> 00:06:34,520 Speaker 3: one eighty nine. Michael, I don't care what iHeart says. Well, okay, 106 00:06:34,880 --> 00:06:37,680 Speaker 3: because you don't get your paycheck from them, I do. 107 00:06:38,880 --> 00:06:40,560 Speaker 2: I don't care what I heart says. 108 00:06:40,640 --> 00:06:44,560 Speaker 3: I ought to do so that your shows show up 109 00:06:44,560 --> 00:06:47,119 Speaker 3: in my view starting at nine am, then ten am, 110 00:06:47,160 --> 00:06:50,360 Speaker 3: then eleven am. Since you change, your show shows up 111 00:06:50,400 --> 00:06:53,240 Speaker 3: at eleven am, ten am at nine am, and I 112 00:06:53,279 --> 00:06:56,599 Speaker 3: can't change that, Okay, well, then maybe I'll to change 113 00:06:56,600 --> 00:07:00,560 Speaker 3: your podcast app. But that's side the point. So the 114 00:07:00,600 --> 00:07:03,719 Speaker 3: text continues. So I have my own solution. I'm just 115 00:07:03,760 --> 00:07:06,000 Speaker 3: going to unfollow you and not bother listening to any 116 00:07:06,040 --> 00:07:06,880 Speaker 3: of your podcasts. 117 00:07:07,200 --> 00:07:09,920 Speaker 2: I'm sad to do this, but it's just bolt you know. 118 00:07:09,920 --> 00:07:14,880 Speaker 3: What that that you're so don't your show something doesn't 119 00:07:14,920 --> 00:07:17,880 Speaker 3: show upright, and it's not because of any of my settings. 120 00:07:17,880 --> 00:07:19,840 Speaker 2: I have checked on that. Goodbye. 121 00:07:20,600 --> 00:07:24,760 Speaker 3: Now, all of that is just so hilarious from me. 122 00:07:24,800 --> 00:07:26,800 Speaker 2: Do I hate? Do I hate to lose lose. 123 00:07:26,640 --> 00:07:30,960 Speaker 3: A goober, Yes, but to lose a goober over something 124 00:07:31,040 --> 00:07:35,720 Speaker 3: that literally dragon and I have no control over something 125 00:07:35,760 --> 00:07:38,920 Speaker 3: that is done either in San Antonio or New York 126 00:07:39,440 --> 00:07:44,600 Speaker 3: by some Look, iHeart is as bureaucratic as is the 127 00:07:44,600 --> 00:07:45,400 Speaker 3: federal government. 128 00:07:45,440 --> 00:07:47,240 Speaker 5: I mean, we've read the email the other day. 129 00:07:47,320 --> 00:07:49,640 Speaker 2: So we read the email online which told us this 130 00:07:49,720 --> 00:07:51,200 Speaker 2: is what we are required to do. 131 00:07:52,440 --> 00:07:55,960 Speaker 4: And in their picture in the email, it does the 132 00:07:56,560 --> 00:08:00,840 Speaker 4: top card, the top segment that you see is Chuck 133 00:08:00,880 --> 00:08:04,880 Speaker 4: and Buck our three, next one down Chuck and Buck 134 00:08:05,000 --> 00:08:09,440 Speaker 4: hour two, the third one down Chuck and Buck hour one. 135 00:08:09,760 --> 00:08:13,080 Speaker 5: Right, So this is the way we have been told 136 00:08:13,640 --> 00:08:14,120 Speaker 5: to do this. 137 00:08:14,640 --> 00:08:18,360 Speaker 3: And if I thought, but let's think about this, let's 138 00:08:18,360 --> 00:08:22,120 Speaker 3: say that I stand up my heart and say, screw you, 139 00:08:22,200 --> 00:08:22,960 Speaker 3: I'm not gonna do it. 140 00:08:23,000 --> 00:08:24,800 Speaker 2: I'm gonna do it the other way. 141 00:08:25,080 --> 00:08:28,240 Speaker 3: Now, I will get the emails that the text I 142 00:08:28,360 --> 00:08:31,880 Speaker 3: just read, They will now just flip and somebody will 143 00:08:31,880 --> 00:08:33,640 Speaker 3: now say, oh, you finally. 144 00:08:33,320 --> 00:08:35,280 Speaker 2: Did it right. Now I'm gonna listen to it again. 145 00:08:35,600 --> 00:08:37,720 Speaker 3: And then the person who said you finally got it right, 146 00:08:37,800 --> 00:08:39,880 Speaker 3: thank you for finally getting it right. It's not gonna 147 00:08:39,880 --> 00:08:42,440 Speaker 3: be mad. It's not gonna listen again. So we say 148 00:08:42,520 --> 00:08:48,400 Speaker 3: lose lose situation. And I think, what It doesn't astound 149 00:08:48,440 --> 00:08:50,280 Speaker 3: me because I've been doing this for almost twenty years now. 150 00:08:50,640 --> 00:08:56,480 Speaker 3: But what fascinates me is how everyone thinks that whatever 151 00:08:56,559 --> 00:08:59,400 Speaker 3: we do, whatever Dragon and I do, and look, this 152 00:08:59,440 --> 00:09:00,840 Speaker 3: is a good sign. Don't get me wrong, it's a 153 00:09:00,840 --> 00:09:05,880 Speaker 3: good sign. But you believe that you are the only listener. 154 00:09:06,440 --> 00:09:08,120 Speaker 2: And I want it that way. 155 00:09:08,200 --> 00:09:10,040 Speaker 3: I want you to think that it's just you and 156 00:09:10,080 --> 00:09:13,160 Speaker 3: I talking radio was so personal that I just want 157 00:09:13,200 --> 00:09:15,160 Speaker 3: it to be between you and me. 158 00:09:15,640 --> 00:09:19,439 Speaker 4: From the text line three three one oh three text 159 00:09:19,440 --> 00:09:25,040 Speaker 4: microor Michael, Yes, just label the segments play first, play second, 160 00:09:25,200 --> 00:09:28,199 Speaker 4: play third. Well, that's why I label them nine to 161 00:09:28,280 --> 00:09:29,160 Speaker 4: ten and eleven. 162 00:09:29,240 --> 00:09:29,480 Speaker 2: I mean. 163 00:09:31,280 --> 00:09:33,760 Speaker 3: The other thing that amazes me, and and this is 164 00:09:33,800 --> 00:09:37,840 Speaker 3: something I probably would get in trouble for. I would 165 00:09:37,960 --> 00:09:42,720 Speaker 3: not use the iHeart app to listen to podcasts. 166 00:09:44,000 --> 00:09:45,960 Speaker 5: Michael loves the iHeart app. 167 00:09:46,040 --> 00:09:47,080 Speaker 2: Yes, I love it. 168 00:09:47,200 --> 00:09:50,839 Speaker 3: I'm just saying that I am I am forbidden by 169 00:09:52,480 --> 00:09:55,960 Speaker 3: God forbids me from using the iHeart app to listen 170 00:09:56,040 --> 00:09:56,880 Speaker 3: to podcasts. 171 00:09:57,000 --> 00:09:57,720 Speaker 2: Do you know why? 172 00:09:58,200 --> 00:10:01,440 Speaker 3: Because like the downcast and I look kind, I have 173 00:10:01,480 --> 00:10:05,000 Speaker 3: no financial interest in downcasts whatsoever. There are many good 174 00:10:05,040 --> 00:10:08,560 Speaker 3: podcast apps, but I choose my own podcast app to 175 00:10:08,600 --> 00:10:12,040 Speaker 3: listen to podcasts because I can't set the settings however 176 00:10:12,080 --> 00:10:12,679 Speaker 3: I want to. 177 00:10:12,960 --> 00:10:13,880 Speaker 2: If I want to listen to. 178 00:10:13,840 --> 00:10:17,160 Speaker 3: Our two first and our six last, and what, I 179 00:10:17,200 --> 00:10:20,960 Speaker 3: can do that. So if you're stuck on just I 180 00:10:21,080 --> 00:10:24,560 Speaker 3: can't change this. Because somebody even said, oh maybe I'll 181 00:10:24,600 --> 00:10:26,319 Speaker 3: be just upgrade. I don't know whether they would do 182 00:10:26,400 --> 00:10:29,400 Speaker 3: you any good or not. I don't know, because once again, 183 00:10:29,840 --> 00:10:30,600 Speaker 3: I don't use. 184 00:10:30,480 --> 00:10:31,360 Speaker 2: The iHeart app. 185 00:10:31,400 --> 00:10:33,720 Speaker 4: No, no, no, The iHeart app is the best app out there. 186 00:10:33,720 --> 00:10:36,720 Speaker 4: They finally caught up with car radios where you can 187 00:10:36,760 --> 00:10:38,760 Speaker 4: program your favorites like can't. 188 00:10:38,640 --> 00:10:39,480 Speaker 2: You can and I can. 189 00:10:39,559 --> 00:10:42,040 Speaker 5: I encourage, I encourage people. 190 00:10:41,760 --> 00:10:45,920 Speaker 3: To use the iHeart app. It's just that I don't 191 00:10:46,320 --> 00:10:48,960 Speaker 3: listen to radio a lot. 192 00:10:49,200 --> 00:10:50,640 Speaker 5: So the iHeart app is free. 193 00:10:50,720 --> 00:10:52,600 Speaker 2: To you, and it's free to you. That's right. 194 00:10:52,960 --> 00:10:55,080 Speaker 3: And I don't know, maybe I'll puts around with all 195 00:10:55,120 --> 00:10:56,800 Speaker 3: fart around with the day. Maybe there is a way 196 00:10:56,840 --> 00:11:00,400 Speaker 3: to manipulate it for playback everything. But here here's what 197 00:11:00,880 --> 00:11:04,000 Speaker 3: the points I really want to make is that I'm 198 00:11:04,000 --> 00:11:07,200 Speaker 3: not gonna please everybody. And if somehow you think that 199 00:11:08,120 --> 00:11:11,640 Speaker 3: it's a threat or it's somehow gonna cause me to 200 00:11:11,720 --> 00:11:14,280 Speaker 3: curl up in a fetal position because you say, simply 201 00:11:14,320 --> 00:11:17,160 Speaker 3: because the pud you can't you can't find a podcast 202 00:11:17,200 --> 00:11:19,320 Speaker 3: app that will play the podcast in the order that 203 00:11:19,400 --> 00:11:22,480 Speaker 3: you want, and so you're gonna leave, and so goodbye. 204 00:11:22,720 --> 00:11:24,360 Speaker 2: You want me to curl up in the fetal position 205 00:11:24,440 --> 00:11:25,880 Speaker 2: and cry, it's not gonna happen. 206 00:11:26,800 --> 00:11:29,800 Speaker 3: We we have we always have people coming and going, 207 00:11:30,080 --> 00:11:32,720 Speaker 3: And if you've left, that means that somebody who's waiting 208 00:11:32,720 --> 00:11:34,400 Speaker 3: in line can now come in through the door and 209 00:11:34,440 --> 00:11:37,160 Speaker 3: they can become a listener too. So it's it's you know, 210 00:11:37,240 --> 00:11:39,880 Speaker 3: it's a it's not a zero some game. 211 00:11:39,960 --> 00:11:41,400 Speaker 2: You can do it. You can do whatever you want 212 00:11:41,400 --> 00:11:41,600 Speaker 2: to do. 213 00:11:41,760 --> 00:11:44,360 Speaker 4: Here's also the thing, these two text messages came within 214 00:11:44,679 --> 00:11:47,240 Speaker 4: eleven seconds. If you got there of each other at 215 00:11:47,240 --> 00:11:50,320 Speaker 4: three three, one oh three, text Mike or Michael, Mike, 216 00:11:50,679 --> 00:11:53,120 Speaker 4: I'm happy about the podcast change. I don't have to 217 00:11:53,160 --> 00:11:56,440 Speaker 4: manually go to the next segment once the one finishes, Okay, 218 00:11:56,520 --> 00:11:59,920 Speaker 4: and immediately after that, eleven seconds later, new way sucks 219 00:12:00,080 --> 00:12:00,880 Speaker 4: the only way better? 220 00:12:01,160 --> 00:12:06,119 Speaker 2: Right, So once again, and if. 221 00:12:08,360 --> 00:12:11,360 Speaker 3: And I wouldn't even tell you to contact local management 222 00:12:11,800 --> 00:12:13,000 Speaker 3: because this is a decision. 223 00:12:13,000 --> 00:12:14,480 Speaker 2: It's even out of their hands. 224 00:12:15,080 --> 00:12:17,440 Speaker 3: So you know, if if I wanted to make fun 225 00:12:17,480 --> 00:12:19,760 Speaker 3: of Tepper for having made this decision, I would be 226 00:12:19,840 --> 00:12:22,520 Speaker 3: completely off base because he had nothing to do with this. 227 00:12:22,760 --> 00:12:24,920 Speaker 3: If I wanted to make fun of Jojo or Brenda, no, 228 00:12:25,160 --> 00:12:27,200 Speaker 3: they had nothing to do with this. This is a 229 00:12:27,240 --> 00:12:29,760 Speaker 3: decision made, as I said, either in San Antonio or 230 00:12:29,800 --> 00:12:32,640 Speaker 3: New York, or, for that matter, some bureaucrat sitting working 231 00:12:32,679 --> 00:12:35,800 Speaker 3: at home somewhere in ten buck two who really doesn't 232 00:12:35,800 --> 00:12:37,679 Speaker 3: even know what a podcast is for all I know, 233 00:12:38,280 --> 00:12:45,040 Speaker 3: but just settle down and don't I don't take them 234 00:12:45,080 --> 00:12:48,320 Speaker 3: as threats, but I do take them as oh, well, 235 00:12:48,360 --> 00:12:51,120 Speaker 3: just I'm go'sition you need more goodbye? Okay, Well, you 236 00:12:51,160 --> 00:12:55,040 Speaker 3: know what, audiences come and go all the time, And 237 00:12:55,480 --> 00:12:57,880 Speaker 3: if anything, I've learned with the ups and downs of 238 00:12:57,920 --> 00:12:59,679 Speaker 3: my life. You know, being on the top of the 239 00:12:59,720 --> 00:13:02,360 Speaker 3: mountain them being in death valley is that you know 240 00:13:02,480 --> 00:13:05,360 Speaker 3: things will change, and things new change, and everything happens. 241 00:13:05,400 --> 00:13:08,320 Speaker 3: It's just it's just the way it is. But good grief. 242 00:13:08,320 --> 00:13:08,640 Speaker 2: People. 243 00:13:09,360 --> 00:13:15,080 Speaker 3: If if this the issue of podcasts causes you that 244 00:13:15,360 --> 00:13:21,920 Speaker 3: much stress, true, I'm being sincere. I suggest therapy. I 245 00:13:22,000 --> 00:13:24,599 Speaker 3: really do suggest therapy. The world's going to hell on 246 00:13:24,679 --> 00:13:28,280 Speaker 3: a handbasket. We've got lots of problems around the world. 247 00:13:28,559 --> 00:13:31,640 Speaker 3: People have their own individual problems in their life. And 248 00:13:31,679 --> 00:13:34,439 Speaker 3: if this is your problem, is the podcast order? Oh 249 00:13:34,480 --> 00:13:37,560 Speaker 3: my god, please, for the love of God, recognize that 250 00:13:37,679 --> 00:13:39,960 Speaker 3: your life is so much better than ninety nine point 251 00:13:40,040 --> 00:13:42,160 Speaker 3: nine percent of all the other people living on this 252 00:13:42,280 --> 00:13:44,880 Speaker 3: planet that you ought to be thankful that the only 253 00:13:44,920 --> 00:13:47,200 Speaker 3: thing you have to bitch about is a podcast order. 254 00:13:47,600 --> 00:13:51,040 Speaker 4: Didn't you have a guy seriously email you about the 255 00:13:51,160 --> 00:13:53,160 Speaker 4: change of station and timeslot? Oh? 256 00:13:53,320 --> 00:13:55,319 Speaker 5: Yes, completely ruined his day. 257 00:13:55,520 --> 00:13:58,600 Speaker 4: His day, ruined his day, wanted you and damn near 258 00:13:58,720 --> 00:14:01,000 Speaker 4: forced you to try and to. 259 00:14:01,000 --> 00:14:04,240 Speaker 3: Go back, which we try to accommodate a little bit 260 00:14:04,600 --> 00:14:10,320 Speaker 3: by doing the situation rewound, reloaded, situation reloaded, which he 261 00:14:10,360 --> 00:14:12,679 Speaker 3: could listen from two to four, but that might not 262 00:14:12,679 --> 00:14:14,520 Speaker 3: fit a schedule, so I don't know. 263 00:14:15,600 --> 00:14:17,600 Speaker 2: Wow, just wow. 264 00:14:21,760 --> 00:14:26,960 Speaker 3: It's whenever I give a keynote address or I'm doing 265 00:14:27,000 --> 00:14:30,200 Speaker 3: a Q and A with you know, some organization has 266 00:14:30,280 --> 00:14:33,040 Speaker 3: hired me to come and speak. I know when I 267 00:14:33,080 --> 00:14:35,960 Speaker 3: walk into the room and I stand up in front 268 00:14:36,000 --> 00:14:39,600 Speaker 3: of that audience, whether it's fifty people or you know, 269 00:14:39,760 --> 00:14:42,600 Speaker 3: five hundred people or a thousand people, I know that 270 00:14:42,600 --> 00:14:45,800 Speaker 3: there are people in that room that aren't going to agree, 271 00:14:46,080 --> 00:14:48,320 Speaker 3: or even worse, aren't even going to listen to what 272 00:14:48,360 --> 00:14:50,680 Speaker 3: I have to say. And then some of them who 273 00:14:50,760 --> 00:14:53,560 Speaker 3: don't like me may listen to what I say because well, 274 00:14:53,600 --> 00:14:55,840 Speaker 3: they're at the conference, and that's what their employer chose, 275 00:14:55,880 --> 00:14:57,800 Speaker 3: and that's who we're paying, that's who we paid to 276 00:14:57,800 --> 00:15:00,040 Speaker 3: come and speak, and so they're like, well, cra I 277 00:15:00,080 --> 00:15:02,360 Speaker 3: might as well listen to them. And all I can 278 00:15:02,440 --> 00:15:05,640 Speaker 3: hope is that maybe they'll learn something, maybe they won't, 279 00:15:05,840 --> 00:15:08,680 Speaker 3: maybe they'll have a different attitude. Maybe I'll change their perspective. 280 00:15:08,800 --> 00:15:11,680 Speaker 3: Maybe I won't, But that's the whole point of talk radio. 281 00:15:12,040 --> 00:15:14,440 Speaker 3: Talk radio is probably the one place that you can 282 00:15:14,480 --> 00:15:20,000 Speaker 3: go now where, particularly here between social media, text lines 283 00:15:20,080 --> 00:15:23,080 Speaker 3: everything that you can interact and you can express your opinion, 284 00:15:23,080 --> 00:15:26,240 Speaker 3: and as I've said before, oftentimes it will influence me 285 00:15:26,680 --> 00:15:30,480 Speaker 3: about certain things. There was something that was on X 286 00:15:30,560 --> 00:15:33,440 Speaker 3: yesterday that as I dig into it, I actually think 287 00:15:33,440 --> 00:15:35,960 Speaker 3: I'm wrong about something that I posted on X yesterday, 288 00:15:36,400 --> 00:15:38,800 Speaker 3: and I probably will take it down later day after 289 00:15:38,840 --> 00:15:41,520 Speaker 3: I'm able to confirm through Lexus and Texas whether it's 290 00:15:41,560 --> 00:15:44,600 Speaker 3: true or not. But someone brought it to my attention. Well, 291 00:15:44,600 --> 00:15:46,920 Speaker 3: what's funny is someone that brought it to my attention 292 00:15:47,280 --> 00:15:49,520 Speaker 3: did so in such a way that normally I would 293 00:15:49,520 --> 00:15:51,960 Speaker 3: have just blown them away, except I thought to myself, 294 00:15:52,200 --> 00:15:58,400 Speaker 3: maybe I should just double check to make sure podcasts really. 295 00:15:59,520 --> 00:16:01,720 Speaker 2: Breathe breathe out. 296 00:16:01,840 --> 00:16:04,200 Speaker 5: Cracks me up about this whole thing is it's been 297 00:16:04,280 --> 00:16:05,360 Speaker 5: backwards for years. 298 00:16:05,560 --> 00:16:08,120 Speaker 1: You guys made it forwards. 299 00:16:08,520 --> 00:16:09,760 Speaker 2: Now Iheart's trying. 300 00:16:09,560 --> 00:16:10,800 Speaker 3: To fix it, and they made. 301 00:16:10,640 --> 00:16:13,320 Speaker 5: It backwards on the iHeart app. 302 00:16:13,640 --> 00:16:16,720 Speaker 2: So where I listen to the podcast, it's backwards. 303 00:16:17,120 --> 00:16:18,720 Speaker 5: I think the whole point is to try to get 304 00:16:18,800 --> 00:16:19,080 Speaker 5: me to. 305 00:16:19,080 --> 00:16:22,200 Speaker 4: Use the iHeart app and listen forwards. 306 00:16:22,320 --> 00:16:25,280 Speaker 5: Wow, I think the federal government's better than iHeart. 307 00:16:26,760 --> 00:16:26,920 Speaker 2: You know. 308 00:16:27,000 --> 00:16:30,440 Speaker 3: I had a market president actually say to me one 309 00:16:30,520 --> 00:16:33,920 Speaker 3: time because I've made say comment about you know, well, 310 00:16:34,000 --> 00:16:36,280 Speaker 3: I'm used to bureaucracy, and he goes, oh, no, you'll 311 00:16:36,320 --> 00:16:38,720 Speaker 3: soon learn that we're more bureaucratic than the federal government. 312 00:16:38,760 --> 00:16:41,080 Speaker 2: That was the president here that told me that one time. 313 00:16:41,720 --> 00:16:44,680 Speaker 3: Someone said, I haven't confirmed it, but somebody says that 314 00:16:44,720 --> 00:16:48,600 Speaker 3: on the iHeart app, you can manipulate through the settings 315 00:16:48,920 --> 00:16:50,160 Speaker 3: how it is played. 316 00:16:49,840 --> 00:16:51,400 Speaker 2: Back on your iHeart app. 317 00:16:51,520 --> 00:16:57,240 Speaker 3: So there, let's get to the American Society of Plastic Surgeons, 318 00:16:57,680 --> 00:17:04,520 Speaker 3: the ASPS American Society of Plastic Surgeon Surgeons. They announced 319 00:17:04,560 --> 00:17:09,680 Speaker 3: late last month a really huge policy change regarding gender 320 00:17:09,720 --> 00:17:11,640 Speaker 3: affirming surgeries for minors. 321 00:17:12,560 --> 00:17:13,440 Speaker 2: This is a. 322 00:17:13,280 --> 00:17:17,800 Speaker 3: Great story and a sad story because it's a it's 323 00:17:17,840 --> 00:17:22,159 Speaker 3: a great story of how science eventually catches up and 324 00:17:22,320 --> 00:17:26,600 Speaker 3: overtakes the really cool thing to be doing, Like, oh, 325 00:17:26,840 --> 00:17:30,399 Speaker 3: maybe we shouldn't be doing lobotomies. Maybe we shouldn't just 326 00:17:30,480 --> 00:17:33,000 Speaker 3: you know, bleed people out as a way to cure them. 327 00:17:33,480 --> 00:17:35,159 Speaker 3: Or maybe we ought to learn, you know, how to 328 00:17:35,359 --> 00:17:40,240 Speaker 3: maybe we ought to invent something besides you know, whiskey 329 00:17:40,400 --> 00:17:43,239 Speaker 3: as an anesthetic before we start trying to you know, 330 00:17:43,359 --> 00:17:45,080 Speaker 3: cut people's limbs off or something. 331 00:17:45,720 --> 00:17:46,920 Speaker 2: It's it's the. 332 00:17:48,400 --> 00:17:52,520 Speaker 3: It's an example of how something that becomes popular in 333 00:17:52,560 --> 00:17:57,159 Speaker 3: the culture gets embedded in one of our institutions. In 334 00:17:57,200 --> 00:18:00,600 Speaker 3: this case, i'll just call medicine and institution that it 335 00:18:00,640 --> 00:18:03,760 Speaker 3: gets embedded there because it's the politically correct thing to do. 336 00:18:04,280 --> 00:18:07,800 Speaker 3: And then suddenly somebody somewhere starts, well, wait a minute, 337 00:18:07,920 --> 00:18:10,399 Speaker 3: maybe we ought to question this, maybe we ought to 338 00:18:10,400 --> 00:18:13,840 Speaker 3: look at it. And then you suddenly realize, oh, what 339 00:18:13,880 --> 00:18:15,840 Speaker 3: we're doing is actually not medicine. 340 00:18:15,960 --> 00:18:17,920 Speaker 2: We're actually hurting people. Now. 341 00:18:17,920 --> 00:18:21,480 Speaker 3: The American Society of Plastic Surgeons is the largest organization 342 00:18:21,520 --> 00:18:25,159 Speaker 3: of board certified plastic surgeons in the entire world. They 343 00:18:25,240 --> 00:18:28,040 Speaker 3: got eleven thousand members and that represents about ninety four 344 00:18:28,080 --> 00:18:31,960 Speaker 3: percent of all board certified plastic surgeons in the United States. 345 00:18:32,480 --> 00:18:35,680 Speaker 3: So it's not some fringe group, it's not some advocacy group. 346 00:18:35,960 --> 00:18:40,120 Speaker 3: It's the professional medical society that sets the standards, provides 347 00:18:40,280 --> 00:18:44,560 Speaker 3: continuing education, and represents the specialty when it comes to 348 00:18:44,800 --> 00:18:48,680 Speaker 3: policy recommendations and how they might interact, say with Health 349 00:18:48,680 --> 00:18:51,200 Speaker 3: and Human Services or Medicare, or any of the government 350 00:18:51,200 --> 00:18:53,760 Speaker 3: agency for that matter, how they might interact with just 351 00:18:53,960 --> 00:18:59,200 Speaker 3: doctors in general. They have a new position. Wow, no 352 00:18:59,400 --> 00:19:05,000 Speaker 3: gender surgeries, no transgender surgeries should be performed on individuals 353 00:19:05,080 --> 00:19:09,960 Speaker 3: under the age of eighteen, with the single exception of 354 00:19:10,240 --> 00:19:17,359 Speaker 3: chess masculinization, which is top surgery for transgender males, which 355 00:19:17,400 --> 00:19:19,119 Speaker 3: they still recommend waiting. 356 00:19:18,920 --> 00:19:19,960 Speaker 2: Until age nineteen. 357 00:19:21,160 --> 00:19:25,000 Speaker 3: Now that is a huge departure from their previous approach, 358 00:19:25,320 --> 00:19:28,760 Speaker 3: which say which essentially deferred to the existing guidelines from 359 00:19:28,880 --> 00:19:33,320 Speaker 3: organizations like the World Professional Association for Transgender Health. Now, 360 00:19:33,320 --> 00:19:37,240 Speaker 3: what do you think if you are the World Professional 361 00:19:37,280 --> 00:19:41,000 Speaker 3: Association for Transgender Health, what do you think your agenda 362 00:19:41,160 --> 00:19:45,919 Speaker 3: is to promote and push transgenderism and to promote and 363 00:19:46,080 --> 00:19:48,119 Speaker 3: you know, bury the science that says this is not 364 00:19:48,200 --> 00:19:52,320 Speaker 3: a good idea and advocate for the punitive faith science 365 00:19:52,320 --> 00:19:56,119 Speaker 3: that says it is a good idea. So here's what 366 00:19:56,320 --> 00:20:00,520 Speaker 3: changed and when. Now they had not established their own 367 00:20:00,520 --> 00:20:03,719 Speaker 3: specific age guidelines for gender firming procedures. 368 00:20:03,480 --> 00:20:05,720 Speaker 2: So surgeons pretty much followed. 369 00:20:05,320 --> 00:20:09,520 Speaker 3: What that World Professional Association for Transgender Health said. You know, 370 00:20:09,600 --> 00:20:15,159 Speaker 3: the other point I'm making about that is this, if 371 00:20:15,200 --> 00:20:18,199 Speaker 3: your doctor I'm not giving medical advice here, but if 372 00:20:18,200 --> 00:20:20,840 Speaker 3: your doctor ever says, well, such and such, you know, 373 00:20:20,880 --> 00:20:24,480 Speaker 3: the colleges of the American College of Pediatrics suggests, or 374 00:20:24,520 --> 00:20:27,960 Speaker 3: the American Society of General Surgery suggests. You might want 375 00:20:28,000 --> 00:20:30,879 Speaker 3: to ask, well, okay, that's great, what do you suggest 376 00:20:31,520 --> 00:20:35,800 Speaker 3: because I've come to you and you're supposed to study, Yes, 377 00:20:35,880 --> 00:20:39,920 Speaker 3: whatever board certification you have. But much like Tamer's dad 378 00:20:39,960 --> 00:20:42,880 Speaker 3: always did, he was always studying. He studied medicine until 379 00:20:42,880 --> 00:20:45,480 Speaker 3: the day he died. He was always reading journals, he 380 00:20:45,560 --> 00:20:48,960 Speaker 3: was always studying, always trying to not just keep up, 381 00:20:49,240 --> 00:20:53,080 Speaker 3: but get ahead of whatever the curve was. So just 382 00:20:53,080 --> 00:20:56,240 Speaker 3: a little hint, learn to advocate for yourself. Don't just 383 00:20:56,359 --> 00:21:00,640 Speaker 3: take the doctor's word at it. All's all of these 384 00:21:00,680 --> 00:21:03,240 Speaker 3: surgeries they now say, really ought to be put off 385 00:21:03,400 --> 00:21:07,480 Speaker 3: until they're at least nineteen. Don't do it before beforehand. 386 00:21:07,720 --> 00:21:12,320 Speaker 3: This was announced last week. Now here's their reasoning, which 387 00:21:12,359 --> 00:21:16,639 Speaker 3: really gets into how badly we have bastardized science in 388 00:21:16,680 --> 00:21:21,000 Speaker 3: this country. They cited a lack of high quality, long 389 00:21:21,080 --> 00:21:25,600 Speaker 3: term studies that demonstrate the safety, efficacy, and psychological outcomes 390 00:21:25,760 --> 00:21:29,159 Speaker 3: of gender affirming surgeries performed on minors, and they specifically 391 00:21:29,240 --> 00:21:32,640 Speaker 3: pointed to three things. There was limited data on surgical 392 00:21:32,680 --> 00:21:37,399 Speaker 3: outcomes because nobody was studying the complication rates. Nobody was 393 00:21:37,400 --> 00:21:41,239 Speaker 3: thinking about revision rates or long term satisfaction. Well, if 394 00:21:41,240 --> 00:21:43,760 Speaker 3: you're going to cut somebody's penis off, if you're going 395 00:21:43,800 --> 00:21:46,880 Speaker 3: to give you know, a female a double mass spectomy 396 00:21:46,920 --> 00:21:49,040 Speaker 3: when she's fifteen years old, have you ever thought about 397 00:21:49,080 --> 00:21:51,800 Speaker 3: what the long term effects of that are? You know, 398 00:21:51,960 --> 00:21:53,879 Speaker 3: maybe you able to study that before you decided. 399 00:21:53,600 --> 00:21:54,560 Speaker 2: You to go whack them off. 400 00:21:55,720 --> 00:22:02,520 Speaker 3: Insufficient evidence regarding psychological benefits persisting into adulthood, Well we 401 00:22:02,600 --> 00:22:07,080 Speaker 3: know us Laman know that just from hearing from people 402 00:22:07,280 --> 00:22:10,840 Speaker 3: who've gone through transgender surgeries only to regret it and 403 00:22:10,880 --> 00:22:15,040 Speaker 3: now they've got severe psychological problems. And then this one 404 00:22:15,600 --> 00:22:21,000 Speaker 3: the third point. They cite minimal research on regret rates 405 00:22:21,560 --> 00:22:26,320 Speaker 3: or detransition following surgeries performed before the age of eighteen. 406 00:22:27,119 --> 00:22:30,360 Speaker 3: So we're doing wackadoodle on kids under the age of eighteen, 407 00:22:30,600 --> 00:22:32,919 Speaker 3: and we're not studying any sort of long term effact. 408 00:22:33,000 --> 00:22:35,080 Speaker 2: Oh yeah, let's just go do it, Just go do it. 409 00:22:35,880 --> 00:22:38,680 Speaker 3: So the core of their position is now the evidence 410 00:22:38,760 --> 00:22:42,280 Speaker 3: base that exists is largely composed of short term studies, 411 00:22:42,680 --> 00:22:46,119 Speaker 3: very small sample sizes, and observational data, rather than the 412 00:22:46,240 --> 00:22:49,200 Speaker 3: kind of randomized controlled trials or the kind of large 413 00:22:49,240 --> 00:22:54,760 Speaker 3: scale longitudinal studies that would be typically performed to come 414 00:22:54,840 --> 00:22:57,879 Speaker 3: up with guidelines like you do for any sort of 415 00:22:57,920 --> 00:23:02,040 Speaker 3: pediatric population or for that matter, population that you're treating, 416 00:23:02,080 --> 00:23:05,200 Speaker 3: whether it be you know, for you know, geriatric medicine 417 00:23:05,320 --> 00:23:10,320 Speaker 3: or whatever, sports medicine, anything, and then they cite, huh, 418 00:23:11,000 --> 00:23:17,120 Speaker 3: shocking neurological development concerns. You mean, you take a somewhere 419 00:23:17,160 --> 00:23:21,040 Speaker 3: between eleven and eighteen years old and you whack off 420 00:23:21,040 --> 00:23:24,640 Speaker 3: their penis, or you whack off their breasts, or you 421 00:23:24,640 --> 00:23:28,280 Speaker 3: you try to create a penis out of vagina, and 422 00:23:28,880 --> 00:23:32,680 Speaker 3: you're just now concerned about neurological development problems. 423 00:23:33,440 --> 00:23:34,080 Speaker 5: Huh? 424 00:23:34,119 --> 00:23:37,160 Speaker 2: Who could have possibly seen that coming? Say? 425 00:23:37,200 --> 00:23:39,840 Speaker 3: What I can see coming is that this hour's chance 426 00:23:39,880 --> 00:23:41,840 Speaker 3: to win one thousand dollars is coming up in the 427 00:23:41,840 --> 00:23:44,840 Speaker 3: next five minutes thanks to Mercedes Bens of Littleton Mercedes 428 00:23:44,840 --> 00:23:46,040 Speaker 3: off Littleton dot com. 429 00:23:46,680 --> 00:23:49,560 Speaker 6: Hey, Michael, just to handy tips for your listeners that 430 00:23:49,600 --> 00:23:53,320 Speaker 6: are having a little problem with the podcast change. I'm 431 00:23:53,400 --> 00:23:57,720 Speaker 6: kind of old and stupid myself, so I just did 432 00:23:57,760 --> 00:24:00,960 Speaker 6: what every red blooded American grandpa as I handed my 433 00:24:01,040 --> 00:24:04,640 Speaker 6: phone off to my eight year old grandkid, and problem 434 00:24:04,720 --> 00:24:07,360 Speaker 6: solved When I do happen to miss your show. I'm 435 00:24:07,400 --> 00:24:10,240 Speaker 6: able to easily listen to it on podcasts because my 436 00:24:10,880 --> 00:24:12,320 Speaker 6: eight year old grandkid. 437 00:24:11,920 --> 00:24:14,760 Speaker 5: Figured it out for me. Yeah, well again, you other 438 00:24:14,800 --> 00:24:16,000 Speaker 5: listeners eight year old. 439 00:24:18,359 --> 00:24:20,720 Speaker 3: And you know what the quality of this program's about 440 00:24:20,760 --> 00:24:22,600 Speaker 3: for eight year olds anyway, so you know you might 441 00:24:22,680 --> 00:24:24,240 Speaker 3: let then listen to it too. 442 00:24:24,400 --> 00:24:26,520 Speaker 4: Well, we do have the rules of engagement where the 443 00:24:26,640 --> 00:24:31,120 Speaker 4: engineer could not find the talkback button, but there quite 444 00:24:31,200 --> 00:24:35,440 Speaker 4: literally was a blind guy who could find the talkback exactly. 445 00:24:36,440 --> 00:24:39,480 Speaker 3: So let's go back to these neurological development concerns because 446 00:24:39,480 --> 00:24:42,600 Speaker 3: we're talking about transgender surgeries in the American Society of 447 00:24:42,640 --> 00:24:46,560 Speaker 3: Plastic Surgeons has finally seen the light something I've been 448 00:24:46,600 --> 00:24:48,399 Speaker 3: preaching about for ever since the. 449 00:24:48,440 --> 00:24:50,360 Speaker 2: Became this became a thing to do. 450 00:24:52,600 --> 00:24:56,800 Speaker 3: These surgeons emphasized that the pre frontal cortex, which is 451 00:24:56,840 --> 00:25:02,080 Speaker 3: responsible for our executive functions, our risk assessment, our ability 452 00:25:02,200 --> 00:25:06,359 Speaker 3: to make long term decision making, that continues developing well 453 00:25:06,400 --> 00:25:11,119 Speaker 3: into our twenties. And as somebody mentioned on the text line, 454 00:25:11,359 --> 00:25:14,400 Speaker 3: isn't it interesting that, oh yeah, we were doing these 455 00:25:14,760 --> 00:25:18,960 Speaker 3: life altering surgeries under the age of eighteen, but insurance 456 00:25:19,000 --> 00:25:20,920 Speaker 3: companies don't really consider you to be an adult till 457 00:25:21,480 --> 00:25:22,560 Speaker 3: the age of twenty five. 458 00:25:22,840 --> 00:25:24,360 Speaker 2: Well, this is the point they're making. 459 00:25:24,200 --> 00:25:29,120 Speaker 3: Right here, that your pre final cortex continues to develop 460 00:25:29,359 --> 00:25:31,720 Speaker 3: until you're at least twenty five, which is also another 461 00:25:31,760 --> 00:25:33,520 Speaker 3: reason why maybe we have to change the voting age 462 00:25:33,520 --> 00:25:35,040 Speaker 3: of twenty five too. But you want to go down 463 00:25:35,080 --> 00:25:40,520 Speaker 3: that path. So they probably don't have the neurological maturity 464 00:25:40,920 --> 00:25:44,280 Speaker 3: to fully comprehend what's going to be the permanent, irreversible 465 00:25:44,359 --> 00:25:48,159 Speaker 3: nature of a surgical invention that removes your penis or 466 00:25:48,160 --> 00:25:52,040 Speaker 3: your breasts, or for that matter, it's essentially for a female, 467 00:25:52,040 --> 00:25:57,240 Speaker 3: it's a hysterectomy. Now, what I find fascinating about this 468 00:25:57,280 --> 00:25:59,760 Speaker 3: story is this is not some sort of novel argument 469 00:26:00,080 --> 00:26:05,240 Speaker 3: in medical ethics. It's why miners cannot consent to most 470 00:26:05,359 --> 00:26:11,439 Speaker 3: medical procedures without a printal approval. But the Society of 471 00:26:11,600 --> 00:26:16,800 Speaker 3: Plastic Surgeons is extending that reasoning specifically to gender affirming 472 00:26:17,119 --> 00:26:20,959 Speaker 3: surgery because they're arguing that, well, it's permanent, and the 473 00:26:21,000 --> 00:26:24,720 Speaker 3: magnitude of these decisions more's even greater caution, where have 474 00:26:24,880 --> 00:26:29,720 Speaker 3: you been your doctor's for Peach's sake? And then of 475 00:26:29,760 --> 00:26:33,320 Speaker 3: course we got all they're trying also, which is kind 476 00:26:33,320 --> 00:26:36,360 Speaker 3: of sad, but nonetheless I want you to know about it. 477 00:26:36,760 --> 00:26:39,800 Speaker 3: They're also trying to align themselves with what's going on internationally. 478 00:26:41,160 --> 00:26:44,840 Speaker 3: In Sweden back in twenty twenty two, the Carolynsk Institute, 479 00:26:44,880 --> 00:26:48,720 Speaker 3: one of the world's leading medical institutions, they issued four 480 00:26:48,800 --> 00:26:53,080 Speaker 3: years ago new guidelines restricting hormones and surgery for miners 481 00:26:53,560 --> 00:26:56,800 Speaker 3: to clinical research settings only because they said there's no 482 00:26:57,000 --> 00:27:02,479 Speaker 3: evidence to approve this for the general pop Finland in 483 00:27:02,560 --> 00:27:06,840 Speaker 3: twenty twenty, six years ago, updated three years ago, shifted 484 00:27:06,840 --> 00:27:11,000 Speaker 3: to a more conservative approach. They said, the first line 485 00:27:11,000 --> 00:27:15,679 Speaker 3: of treatment is psychotherapy. Oh so when I talk about 486 00:27:15,720 --> 00:27:21,400 Speaker 3: transgenderism being a psychological problem, Finland recognized that six years 487 00:27:21,440 --> 00:27:24,720 Speaker 3: ago and said that should be the first line of treatment. 488 00:27:25,680 --> 00:27:29,680 Speaker 3: Even the dumbmass United Kingdom. Following the CAST Review, which 489 00:27:29,720 --> 00:27:34,880 Speaker 3: was an extensive government commission systematic evidence review, the National 490 00:27:34,880 --> 00:27:36,680 Speaker 3: Health Service in England, which I don't have a lot 491 00:27:36,720 --> 00:27:40,280 Speaker 3: of good things to say about it, severely restricted puberty 492 00:27:40,280 --> 00:27:44,760 Speaker 3: blockers and hormones from minors and they effectively stopped referrals 493 00:27:44,840 --> 00:27:45,600 Speaker 3: for the surgery. 494 00:27:46,800 --> 00:27:49,480 Speaker 2: Norway, three years ago they. 495 00:27:49,359 --> 00:27:53,680 Speaker 3: Adopted guidelines similar to Sweden and Finland, they emphasized caution 496 00:27:53,800 --> 00:27:59,199 Speaker 3: and psychological support over actual surgical intervention. So they actually 497 00:27:59,200 --> 00:28:02,719 Speaker 3: pointed to those international policy shifts as evidence that the 498 00:28:02,760 --> 00:28:07,199 Speaker 3: broader medical community is reconsidering the evidence based for pediatric 499 00:28:07,240 --> 00:28:11,120 Speaker 3: gender interventions. And you thought that we were the leader 500 00:28:11,160 --> 00:28:15,400 Speaker 3: in medicine, which I do believe that we are, except 501 00:28:15,440 --> 00:28:19,000 Speaker 3: I think we were overcome by political correctness. Nobody wanted 502 00:28:19,000 --> 00:28:20,800 Speaker 3: to stand up and say, hey, this is wrong, we 503 00:28:20,800 --> 00:28:27,520 Speaker 3: shouldn't be doing this. And finally, just finally, so what 504 00:28:27,560 --> 00:28:31,840 Speaker 3: evidence do we have that even exists? Because it's really limited. 505 00:28:32,440 --> 00:28:34,919 Speaker 3: Most of the sample sizes have been very very small, 506 00:28:35,280 --> 00:28:37,920 Speaker 3: fifty maybe two hundred of the most. There have been 507 00:28:37,920 --> 00:28:41,280 Speaker 3: no control groups in the studies whatsoever. And of course 508 00:28:41,480 --> 00:28:44,280 Speaker 3: they suffer from a significant loss to follow up because 509 00:28:44,400 --> 00:28:46,920 Speaker 3: a lot of people regret the procedures and then they're 510 00:28:47,000 --> 00:28:50,560 Speaker 3: less likely to participate in future research. And then they 511 00:28:50,560 --> 00:28:55,040 Speaker 3: get conducted at these specialized clinics with you know, skilled 512 00:28:55,080 --> 00:29:01,440 Speaker 3: surgeons and better patient selection. So the results get do 513 00:29:01,480 --> 00:29:05,680 Speaker 3: you want to regret? And detransition data shows it's absolutely 514 00:29:05,720 --> 00:29:10,320 Speaker 3: mind boggling. Early studies suggests regret rates of greater than 515 00:29:10,360 --> 00:29:14,760 Speaker 3: one percent. However, it gets even worse. Let me just 516 00:29:14,800 --> 00:29:16,480 Speaker 3: take a little bit of time in the beginning of 517 00:29:16,520 --> 00:29:18,440 Speaker 3: the next segment. Then we'll move on to the next topic. 518 00:29:18,760 --> 00:29:20,320 Speaker 3: But I want to talk to you about the regret 519 00:29:20,400 --> 00:29:24,800 Speaker 3: the detransition data because everything that I've been saying, the 520 00:29:24,840 --> 00:29:28,040 Speaker 3: American Society of Plastic Surgeons and I ain't no doctor, 521 00:29:28,360 --> 00:29:30,200 Speaker 3: although I do have a jerfish doctor, and I did 522 00:29:30,240 --> 00:29:32,680 Speaker 3: stay on a holiday in last night. I want you 523 00:29:32,760 --> 00:29:34,840 Speaker 3: to know this data because next time it comes up 524 00:29:34,840 --> 00:29:37,080 Speaker 3: in conversation with some of your peers, I want you 525 00:29:37,120 --> 00:29:38,040 Speaker 3: to be able to tell them this