Aggrieved Former Patients Object to Appointment of Canadian Pediatric Society’s New President
The founder of a pediatric gender clinic in Ontario, Dr. Natasha Johnson, who now leads the nation’s association of pediatricians, has said that parents’ objections to gender-transition treatment should be ‘deprioritized,' I report for The
@NewYorkSun.
A prominent Canadian pediatrician, Natasha Johnson, has staked her career on the principles of diversity, equity, and inclusion. Accordingly, a decade ago she established a pediatric gender clinic at McMaster University in Hamilton, Ontario, to serve the needs of the fast-growing population of youth who are distressed about their gender or have otherwise adopted a transgender identity.
So when the Canadian Pediatric Society announced last month that it had appointed Dr. Johnson as its next president, this was widely interpreted by Canadian physicians as the medical association burnishing its own DEI bona fides and squaring itself against the Trump administration’s aggressive opposition to medicalized gender transitions for minors.
Amid roiling political conflicts south of the border about the safety, efficacy, ethics, and wisdom of providing puberty blockers, cross-sex hormones, and gender-transition surgeries to treat gender-related distress in adolescents, Dr. Johnson has maintained in public statements that young people’s satisfaction with these interventions in Canada is extraordinarily high.
And yet, while Dr. Johnson is on record pointing to at least some verifiable research to back up that assertion, The New York Sun spoke with three families who offered detailed accounts of their experiences at her gender clinic that sharply conflict with such a rosy portrayal of patient outcomes. It is, of course, entirely possible these families’ negative experiences with Dr. Johnson and her colleagues reflect only a small minority of those who have attended the McMaster gender clinic. Rare is the doctor with a 100 percent satisfaction rate. Nevertheless, the families collectively told the Sun they remained outraged that they did not receive from Dr. Johnson what they consider to be equitable and inclusive care for their particular needs.
One former patient of Dr. Johnson’s, Faith Groleau said she was fast-tracked for testosterone treatment by Dr. Johnson as a teenager despite serious mental health conditions, proper attention to which Ms. Groleau later concluded should have overridden the impulse to medicalize her adolescent detour into a masculine identity. Ms. Groleau, 26, eventually stopped taking the powerful cross-sex hormone and detransitioned, meaning she reverted to presenting and identifying as her birth sex. Saddled, most noticeably, with a permanently masculinized voice as a consequence of her treatment, Ms. Groleau came to fault Dr. Johnson for what she characterized as “extreme negligence.”
“She didn’t do her job of vetting me at all,” said Ms. Groleau of Dr. Johnson’s care. “She just sent me onto a pipeline of destruction.”
The Sun also conducted interviews with two other families who asked to have their identities shielded — including a mother and daughter who requested to be known by first-name pseudonyms and a husband and wife who agreed for their child’s story only to be used as background reference for this article. All three families shared medical records, and in some cases email exchanges and other documents, that detailed their experiences at the McMaster gender clinic.
Centrally, the families all faulted Dr. Johnson, who is not a trained mental health professional, for engaging in what is known as diagnostic overshadowing: focusing myopically on a gender-related diagnosis at the expense of attention to what the families argued to the Sun were more pressing mental health concerns. Dr. Johnson, the families said, egregiously put these three adolescent patients on a fast track to receive gender-transition interventions. This included approving a biological girl, who at the time identified as male, for a double mastectomy just as she turned 16, even as her mental health rapidly deteriorated. The girl later detransitioned and came to bitterly regret the surgery.
Their stories offer testimony to the ongoing debate within the pediatric gender medicine discipline over whether minors seeking gender-transition interventions should undergo a comprehensive psychosocial assessment by a mental-health professional before being approved for irreversible modifications to their sex characteristics.
Dr. Johnson has made conflicting statements on the matter. All three families who spoke with the Sun about her gender clinic said that while a social worker was on staff, the adolescents in these families were not provided a formal assessment by a mental health professional before being approved for gender-transition medications.
The parents who spoke with the Sun uniformly expressed alarm and offense that, as they reported, their expressed concerns about the prudence of providing gender-transition interventions to their seriously mentally ill children were essentially dismissed and even stigmatized by Dr. Johnson. All three families reported that Dr. Johnson did not take kindly to having her authority challenged, and that in the face of pushback about her proposed or past gender-care plans, her typically pleasant demeanor could turn on a dime and become intimidatingly hostile and defensive.
In some cases, these families said, Dr. Johnson pitted children against their parents, and in one case, pitted divorced parents against one another when it came to fraught decision-making about initiating gender transition interventions. Her office even called child protection services to report one mother for merely expressing concerns about her daughter undergoing a mastectomy, the mother reported.
Dr. Johnson, who along with communications representatives from McMaster did not respond to repeated requests for comment, is on the record asserting that, as a matter of course, parents’ objections to their children receiving gender-transition drugs should at least generally not interfere with a child’s expressed desire for such medications. In a presentation she gave at the 2022 conference of the World Professional Association for Transgender Health, or WPATH, a video of which the Sun obtained, Dr. Johnson said that such feelings on the part of parents “should not be prioritized.”
Ms. Groleau said she took great offense to the suggestion. “My mother was absolutely correct in being concerned because I did detransition,” she said.