A May 2021 video on child gender transitions from the Boston Children’s Hospital (BCH) that has been making the rounds in conservative Internet circles is a particularly stark example of how the benign-sounding language of medical expertise — “adolescents” who are “coming to the realization that they might be trans or gender diverse” can now be “treated,” BCH’s Dr. Jeremi Carswell informs viewers — can mask an ideology with serious consequences for gender-confused youth. But it’s also an unwitting testament to the contradictions sewn into that ideology, which often go unchallenged amid the zealous enforcement of trans orthodoxy in…