A presentation at Mermaids , presumably by Green, instructed parents in this medical tourism (Mermaids 2007). Spack treated a further seven British children over the next few years (Times, 22 January 2012).
Dr Norman Spack (Boston USA)
TedTalk
2013
www.ted.com/talks/norman_spack_how_i_help_transgender_teens_become_who_they_want_to_be?language=en
2013 lecture in which Norman Spack explains how he treated 12 UK childen including Susie Green's child and claims credit for 'successfully' restricting Jackie's height through use of cross-sex hormones as well as puberty blocking drugs. Spack desribes that Susie Green purchased hormones for her son in Canada and criticises NHS Tavistock GIDS for not prescribing puberty blockers to all children who request them.
2005 article
(extract)
"Dr. Norman Spack, clinical director of the endocrine division at Children's Hospital in Boston, said gender identity is formed at birth and is not a product of the environment. Much more research still needs to be done around how male and female brains differ and how transgenderism occurs, he said. Of the more than 100 transgendered people he has treated, many secretly cross-dressed as children and suppressed their gender identity because their parents were punitive.
''In many cases they went on to live a life that was a sham, getting married and having children," said Spack, one of the few pediatric endocrinologists in the country who specializes in gender identity and intersex issues. ''They go through a difficult time of depression coming to grips with the fact that their body doesn't match their brain."
Most of Spack's transgender patients are adults, he said, but he is involved in the care of about five prepubescent children dealing with gender identity issues.
''It's the relatively rare child who will come forward and have the courage to say, 'This is what I am, even though it was not what I was born to look like,' " Spack said. ''I admire the school for its acceptance. When schools set an example like this, it's a lesson for all." (continues) archive.boston.com/news/local/articles/2005/03/05/methuen_school_faces_parents_queries_on_students_gender_issue/
2005 article
(extract
"IDEAS: At what age should children be allowed to take hormones, like estrogen and testosterone, that will forever change the way their bodies develop?
SPACK: Well, the Dutch would say 16. But I think more flexible guidelines will be coming out. For some kids, 16 might be appropriate. For others you lose opportunities if you wait. [One of my patients, a] transgendered girl from the UK, was destined to be a 6-foot-4 male. With treatment, she's going to end up 5-foot-10.
IDEAS: What are the most difficult ethical issues you face?
SPACK: The biggest challenge is the issue of fertility. When young people halt their puberty before their bodies have developed, and then take cross-hormones for a few years, they'll probably be infertile. You have to explain to the patients that if they go ahead, they may not be able to have children. When you're talking to a 12-year-old, that's a heavy-duty conversation. Does a kid that age really think about fertility? But if you don't start treatment, they will always have trouble fitting in. And my patients always remind me that what's most important to them is their identity.
IDEAS: Several years ago, you became an evangelist for transgender kids at Children's Hospital. How did you become so committed to this issue?
SPACK: Well, let's start with 1974: I'm working at Bridge Over Troubled Waters as a volunteer. I see lots of transgendered kids. They were runaways, in bad shape. Then years later, in 1985, I'm working in adolescent medicine. Someone sends me a transgendered Harvard graduate who presented himself as a male. He introduced me to his friends and support groups. And then I began working with transgendered people in their 20s. The people in their 20s were socially in good shape. But they were having trouble getting their physique to conform to their identity. I knew the twenty-somethings could have better chances of passing if they were treated earlier.
IDEAS: And how did you make the case for this specialized clinic at Children's Hospital?
SPACK: In the last five years, I've been getting more and more referrals, parents with gender-variant kids. The parents heard about me through Internet support groups. So, I began to bring my transgendered patients and their parents - kids as young as 9 - to a large number of clinical conferences in various departments at Children's Hospital. That way, my colleagues could learn about this population. My philosophy is, "Who am I to say what it's like to be transgendered when I have people who are living with it every day?" These kids won over the hospital, one department at a time."(continues)
archive.boston.com/bostonglobe/ideas/articles/2008/03/30/qa_with_norman_spack/?page=2