Detransitioner Prisha Mosley appeals dismissed NC malpractice case
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On Monday, the North Carolina appeals court will face a problem much bigger than one case, one plaintiff or even one state. It will decide whether those harmed by ideology under the guise of medical care have a right to justice.
We believe the answer must be yes.
As an emotionally distressed teenager, I, Prisha Mosley, found myself turning to dark places on the internet. The addictive, appealing culture of inclusivity absorbed by chat rooms and subreddits captivated my young and impressionable mind. As I struggled with multiple mental health diagnoses and eating disorders, I came to believe that the real problem with me was that I was born in the wrong body.
PRISHA MOSLEY: DOCTORS DESTROY MY BODY FOR GENDER CARE. THEY NOW ADMIT IT WAS WRONG
I was told that instead of embracing my biological gender, I could transform myself into a man. At the time, it seemed like the only way forward, especially at the behest of my doctors, who quickly acknowledged that this was what was wrong with me. Since I was already struggling with suicidal thoughts, they pressured me to believe that I needed to complete the transition as quickly as possible because my life could be in danger. I was told there was an easy and acceptable solution to my woes: testosterone injections and the surgical removal of my healthy breasts.
My doctor even told me that by taking testosterone, I would enter puberty as a boy. It was a lie. This was medical fraud.
Prisha Mosley is an Independent Women ambassador and detransition expert. (Independent Women)
The system that was supposed to protect me instead threw me to the wolves. Instead of looking at my personal traumas and carefully considering the best way to resolve them, my doctors and therapists signed off on the complete disintegration of my body before I even had a driver’s license.
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I got the deceptive confirmation, not the medicine. My psychological suffering, coupled with the loss of my healthy, functioning body and body parts, has become worse than it was before my transition. And these results can never be reversed.
My doctors and therapists signed off on the complete disintegration of my body before I even got a driver’s license.
That’s why I contacted the attorneys at Campbell Miller Payne to file a lawsuit for medical malpractice.
As her lawyer, I, Josh Payne, have spent years examining the ins and outs of Prisha’s case – the first of its kind to be heard in court in the country – and now others are enjoying it too. Prisha’s situation is unfortunately not unique. Across the country, vulnerable minors and young adults facing complex mental health issues are being referred to life-changing medical interventions without the rigor, skepticism, or informed consent that our legal and medical systems demand.
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When Prisha sought care, she was entitled to the most basic protections in both law and medicine: evidence-based treatment based on transparency and the basic medical principle of “do no harm.” But instead, his doctors sold him a false story that he could change gender and mutilated his body to serve that lie.
In 2023, Prisha filed a lawsuit against the healthcare providers who facilitated her transition, alleging fraud, negligence, and malpractice. But his case has not yet been decided by a jury of his peers. It was rejected on a procedural technicality: time.
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The trial court ruled that their claims came too late. But this is exactly the injustice at the heart of this call. Prisha was completely unaware that the testosterone and surgery that the defendants claimed as “treatment” could harm her. Cases like Prisha’s do not comply with strict statutes of limitations because the patient trusts medical professionals to care for him honestly. When this trust is broken through deception, the damage is not immediately apparent. In fact, the authority and ideology that guides these decisions often overshadow this situation.
Recognizing this, North Carolina lawmakers extended the statute of limitations for these cases and acknowledged that justices must be held accountable for delayed understanding of matters with profound medical consequences. But despite this legislative victory, Prisha’s claims were dismissed with prejudice and she was prevented from presenting her case to a jury.
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Courts exist to examine disputed facts, not to obstruct them. In Prisha’s case, there are legitimate questions that need to be examined. What did their doctors know? What did they announce? But did they meet the standard of care owed to a vulnerable patient? These questions deserve answers, and that’s exactly why we filed the objection.
This objection is the subject we will discuss in our written submission to the court on Monday, April 13.
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This is first and foremost about principles. The issue is whether the law should recognize that vulnerable patients cannot meaningfully consent to interventions whose consequences they do not understand. This is about whether medical professionals can develop unproven treatments without taking responsibility. Cases like Prisha’s are said to be rare. But whether so or not, rarity is no defense against negligence. There is no law to protect negligent and fraudulent behavior. The law exists to protect people from harm.
Our case is not only about getting justice for one person, but also setting a precedent for other cases across the country. Medicine stands at the intersection of ethics and responsibility in an age where these three sometimes conflict. If our appeal is successful, it will not guarantee victory, but it will guarantee something much more fundamental: the right of those who forgo passage to be heard.
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A successful appeal will prove that liability does not end when the medical procedure ends. On the heels of Fox Varian’s $2 million verdict this year, this will prove justice has arrived for those who have given up on the crossover across the country.
On Monday, the court will evaluate our claims and decide whether justice can be achieved in our case. We believe this should not be a difficult decision.
Joshua Payne is an attorney who represented Prisha Mosley and the co-founder of Campbell Miller Payne, a law firm dedicated to representing those harmed by medical transition procedures and transition survivors.
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