00:08:16.160But even though biological sex is obviously real.
00:08:23.840Oh, yes. Medicine is really interesting in this right now, because in some ways,
00:08:33.440all of the doctors would clearly acknowledge biological sex. You would say someone was assigned
00:08:40.320female at birth, assigned male at birth. Maybe you could use natal sex.
00:08:44.320And they acknowledged its existence because if you're in the emergency room and you have somebody
00:08:52.240who's coding and you're trying to figure out what their lung capacity is, there are definite medical
00:09:00.160needs and times when your biological sex changes the course of the treatment.
00:09:07.040But in our patient population, everyone was assigned female at birth, assigned male at birth.
00:09:18.400You heard the term cis a lot, who's cisgender. We talked about how all of our patients were probably,
00:09:24.720you know, would judge you if you walked in and they thought you were cis.
00:09:27.520And those kind of things. It's it's it's it's constant.
00:09:32.720And Jamie, how did this affect this type of language? How did this affect the way that you treated your patients?
00:09:38.240I do think that the staff were always sort of on edge because it wasn't just the concern that you were providing good medical care,
00:09:52.400but you also always had the concern. It has this patient's pronouns changed again.
00:09:59.440And their preferred names were changing frequently. Even the term preferred name.
00:10:06.080Sometimes people would say that's not that's, you know, activists would push that that you can't even say that because it's not it's it's not their preference.
00:10:13.920It's their name, even though it's not their legal name. A lot of the staff that are hired into the clinics like this,
00:10:22.800at least in the United States, are also activists and oftentimes directly there is a push to directly hire trans and LGBTQIA people to work in these clinics as the staff.
00:10:35.480And so you join the clinic, you start working, you start noticing some of these things.
00:10:39.780And when did you start to get really concerned? Because you were the person responsible for processing the intake of potential patients.
00:10:47.440So you're getting these people in and going, you go here, you go there.
00:10:51.620When did you feel like, whoa, like this is not good?
00:11:01.420There definitely was a point where I went from 10 intakes a month where there would be 10 newly referred young people to the numbers being in the 40s and 50s every single month.
00:11:17.320And the cases were getting more and more outlandish or sometimes even completely bizarre.
00:11:30.920In the states, oftentimes, if anything about gender gets brought up in a pediatrician's office, they immediately just refer you to the gender center.
00:11:40.780So I could be getting an intake where a kid maybe told their parent three days ago that they thought they were non-binary and asking for they, them pronouns.
00:11:51.420And yet they're already landing in a specialized medical clinic that does hormones.
00:11:58.540So there were some intakes where it was just, it made absolutely no sense.
00:12:03.660The entire concept of kids being allowed to explore their gender and explore these concepts have been almost wiped off the map.
00:12:25.120So initially, I would try to be encouraging you as a parent to find a therapist and start working with a therapist for your kid.
00:12:33.660Um, but the minute you're talking to me on the phone, you have already started on a pathway because the only therapists that I have to refer your kid to are therapists who are going to affirm their gender identity, not question it at all.
00:12:55.580And potentially, as soon as I say, take your kid to that therapist, that therapist might see them for one or two visits and send them right back to the center to get started and seen by the people that prescribe hormones.
00:13:08.400So three days ago, my daughter said, I think I'm non-binary because she saw on social media, let's say, I bring her to you, you send us to a therapist, therapist sees us a couple of times, sends us back to you in order to see a doctor to be prescribed hormones.
00:13:31.700So I think this is a very important part of the conversation because someone I know very close to me had a double mastectomy and that is a very, very serious operation.
00:13:44.320It's a very serious operation and you know this better than anyone.
00:13:47.860It can take months to recover from and actually the risk of complications with such an invasive type of surgery, the risks are high, to put it mildly.
00:14:04.060And what are the potential side effects of these drugs?
00:14:08.680So the puberty blockers we were using were mostly their implants that go into the arm or their injectables that are used on a monthly or three month basis.
00:14:22.240And in our center, you had to be at least in the very initial start of puberty to get a puberty blocker.
00:14:32.160But one of the things we were starting to see was that some of the kids put on the puberty blockers, mental health was getting worse once they started the blocker.
00:14:42.540And that's against what the narrative tells us.
00:14:46.520The narrative says these interventions are supposed to make people better.
00:14:51.360And what we were seeing was parents calling and saying, my child has had the blocker in for a month.
00:15:00.300They've had the blocker in for three months and they're now failing out of school.
00:15:04.320Things that were supposed to be getting better were getting worse.
00:15:08.880In the center that I worked in, I started there when we were still supposed to be operating under the WPATH guidelines, standard of care seven, which had some age kind of ideas for when people were supposed to start hormones.
00:15:29.200WPATH 7 was supposed to be 16 and it said only in rare and, you know, kind of urgent cases should you be under the age of 16.
00:15:40.820We were pretty much putting anybody on testosterone at 13 and a half if that's what they wanted and they got to us in time.
00:15:49.360And what does that do to you if you are a young person who's been given testosterone?
00:16:00.080Even if you were given a blocker first and we blocked you and then put you on a cross-sex hormone, we are potentially basically causing you to be infertile for life.
00:16:15.420And testosterone, you know, the effects that kids reported that they wanted happened pretty quick.
00:16:24.520So, we would permanently affect your voice and your voice would be dropped into a male pitch.
00:16:30.900You would see growth on your clitoris into what we would refer to as a micropenis.
00:16:37.540We would start seeing atrophy and your vaginal canal would start to have atrophic features.
00:16:46.400All of your body fat would start to move and shift around.