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It’s the closest translation of the Dutch “huisarts” that’s available.

“A general practitioner, commonly known as a family doctor or primary care physician, is a medical professional who focuses on providing general healthcare to patients. They often serve as the initial point of contact for individuals with medical concerns. General practitioners treat a wide range of health issues, offer preventive care, make diagnoses, and prescribe medications. When necessary, they refer patients to specialists for more specialized care. In essence, a general practitioner is a key figure in healthcare, playing a crucial role in managing individuals’ health.”

I get the feeling you’re personally offended by this, and if so, I’ll apologize as it was never my intention.

The above statement is just an observation myself and colleagues I’ve shared my concerns with did. It might be a coincidence, but nearly all our transitioned patients had a prior diagnosis for autism, and without exception all had psychiatric comorbidities.

This also seems to be in line with the (scarce) literature on the subject. (I.e. 1 2)

I hope I’m wrong and my patients are just exceptions, and that we won’t look back at these years with regret.

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You are correct. “Duistere figuren” could be translated to “shady figures”.

It’s a public secret that “Winkel 137” (EN: “Shop 137”) in Rotterdam is a front for illegal activity, most likely drugs. It’s never open during normal hours, the shelves are barely stocked, and no one ever really enters the place. It’s been there for as long as I can remember though.

If you look at the place in Google maps you can even see some weird ducts coming out of the wall on the above floor, presumably to clear out some of the vapors coming from the shop.

As men get older, it becomes more challenging to initiate urination. As a result, the distance the urine stream travels at the beginning becomes unpredictable.

On the other hand, towards the end of urination, the stream becomes weaker and may cause post-dribbling. This also increases the chances of hitting the toilet seat.

Failing to clean the toilet seat afterward is simply pure rudeness though.