I am in the final 10 minutes.
They got a specialist to talk. Professor Ian Hickie from Sydney University.
A straight to the point question from Liam: Should we shut down the gender clinics?
Prof Ian Hickie: absolutely not. In my view most of the serious gender clinics in Australia do a great job and deliver considerable mental health & physical health benefits'
Liam: So you agree with their affirmation model, do you? Essentially the child gets to dictate the terms.
Prof Hickie: The child does not dictate the terms. The child is not driving the car here. And I think the position you are presenting is not representative of the genuine situation. Parents who have kids ...
Liam: Hang on, when you say the 'genuine' situation....
Prof Hickie: The great majority ....
Liam: are you saying that the people who are speaking out, those people who have been affected, the casualities in this are not genuine?
Prof Hickie: What I am saying is that the great majority of people who come forward for care, kids who behave a certain way from a very early age, who come forward at puberty and the youth that come forward in adolescence, genuinely come forward seeking to understand the situation that they find themselves. So what really needs to be represented are many of the positive stories. How many lives have been saved.
Liam: The kids whose lives have been wrecked, where do you put them.
Prof Hickie: In the whole of medicine we are dealing with situations all the time, if you have a surgical procedure, if you have a medical procedure, you take medicine, you seek care there is a chance....
Liam: yes, but that is after comprehensive medical analysis. Not an affirmation model. A child goes in and after one consultation, puberty blockers prescribed.
Prof Hickie: No, I don't
Liam: How do you explain that?
Prof Hickie: I don't accept that is what happens in the great majority of situations in Australia. What you are doing is you are picking out and attempting to dramatise and sensationalise a particular side. Which is really sad, I think. Really sad.
Liam: Shall we just go back to the other question again. How do you explain a child being put on puberty blockers and irreversible damage after just one consultation?
Prof Hickie: Let's go back. Let's go back. I don't ...
Liam: No, could you answer the question.
Prof Hickie: no, I don't accept it. I think you also need to address the question of are you presenting an accurate picture. And I would say that no, you are not. There is always the possibility that medical care, in any situation, is not optimal. But when you talk about standard care in Australia in this area. You will find...
Liam: You are using a lot of bureaucratic phrases there.
Prof Hickie: it is not not bureaucratic.
Liam: With respect, how many have you come down from your academic ivory tower and spoken to the people on the ground.
Prof Hickie: I have spoken to kids, I have spoken to kids every day. (Liam is talking over him). I speak to kids everyday and to parents everyday who have gone through this situation. Including those who have not been able to access care in the past. Including those who have gone along and decide at various points and say 'I am happy to stop where I am at'. When you come back later in life and people may change their minds. That is entirely possible.
To say that someone did the wrong think at the time is also not true.
Liam: Professor, answer me this. You are happy to see a 15 year old girl go and have a double mastectomy, are you?
Prof Hickie: No. Not necessarily. And the case in Australia is about kids at a certain age moving from just blocking to hormonal treatment to then potentially surgical is taken typically in a very considered way and not at early ages.
Liam: So, at 15 years old, a child who is not legally deemed responsible enough to drive a car, is somehow deemed medically fit enough to mutilate her body surgically.
Prof Hickie: Language. No you... firstly you used language of mutilation, in an attempt to vilify the doctors involved, and vilify the people involved, I think it entirely inappropriate.
Liam. I am not vilifying anybody. I am saying it is mutilation because if you change your mind four years later, and you have lost your breasts you'd be pretty unhappy about it as well.
Prof Hickie: At 15 years old, children entered into the process, of starting to be involved in their own decision making around contraception, around their own health. Children get involved at 15 are having to make decisions around all sorts of surgical procedures and other areas affecting their health. You try to make fun of the academic thing, you have already tried, you have already tried to dismiss me ....
Liam: I don't think it is funny at all. I think the casualties involved in this are incredibly sad. I want you to address the real issues .
Prof Hickie: I want you to address the issues of the mental health harms of no action. Of the systematic data of the reduction in suicidality. The potential for mental heath are. ..
Liam: So you would rather take action, affirm their gender, go through puberty blockers, irreversible, cross sex hormones, irreversible, you'd rather do that than actually stop, wait and have a comprehensive medical analysis ...
Prof Hickie: No. Again. That is a mis statement, it is a complete mis characterisation.
Liam: And take a pause.
Prof Hickie: no. That is a mischaracterisation of what I said. Gender affirming care does not mean immediately moving to puberty blockers, immediately moving to hormone treatment, immediately moving to surgery. That is a complete mischaracterisation...
Liam: Why are the vast majority of kids turning up to these gender clinics and put on that train.
Prof Hickie: You have to look at the whole process of what happens. And again mischaracterisation...
Liam: Parents are telling us they are being pushed to one side in this. Parents are telling us they are not being heard. Parents are telling us they are being isolated.
Prof Hickie: And how many parents have you talked to that tell you the exact opposite. Are they in your show? Again, the exact opposite?
Liam: Again, it is not a mathematical competition.
Prof Hickie: No, but it is a realistic one. You are trying to characterise a system on the basis of some particular cases and ignore the great majority. What is that? What is that?
Liam: How do you explain the meteoric rise in numbers of kids in Australia presenting at gender clinics.
Prof Hickie: that is a much more interesting question. Sociologically in our society, it is really interesting that more kids are coming forward for care. That is a good thing.
Liam: How do you explain it?
Prof Hickie: That is a good thing. The idea that we are simple binary people, simple male, simple female and happy with that does not respect what has been known for centuries. That a great number of young people are not so binary, they are not so fixed. As our whole society becomes more inclusive and less rigid, more kids are coming forward. This is not just simply a fad, it is not just simply a fashion.
Liam: Really?
Prof Hickie: Really. It is going closer to what has always been the reality.
Liam: Does the influence of social media have anything to do with it in your opinion?
Prof Hickie: Increased awareness? You bet!
Liam: And you think that is healthy do you?
Prof Hickie: Yes!
Liam: So when doctors come to us and say this system is wrong, it is a medical scandal..
Prof Hickie: One? One doctor? (he repeats that )
Liam: And when child psychologists come to us .... so here you are on numbers again. How many do you want us to find? Do you want me to go back out there and come back to you in 12 months time....
Prof Hickie: I would refer, I much refer to the college of physicians, I'd like to refer to the AMA, I'd like to refer to the College of Psychiatrists, large numbers of doctors here in Australia and internationally who are continually looking at the evidence.
Liam: So when a child psychiatrist come along, just one, Professor in your own language, and they get suspended because they present a different opinion, what do you say to that?
Prof Hickie: That person is in dealings with their employer. If you go to the College of Psychiatrists ?
Liam: That is convenient.
Prof Hickie: If you go to the College of Psychiatrists,
Liam: You just go for the bureaucratic headline.
talking over each other.
Prof Hickie: I want to drill down on the thousands of cases in Australia, where good practices are occurring. That is what is happening.
Liam: Finally, what do you say to the parents who have spoken to us, to the parents who have written to us, that are terrified about the situation and what is happening to their children?
Prof Hickie: I'd be quite happy to have conversations with any of those people, to hear their story.
thank you professor.
Then at the end Liam says 'Your argument about the majority is really heartless.'
Prof Hickie says 'I don't agree. My give (????) my heart to the people in any medical situation who might find themselves harmed by medical care is the same for those who have benefitted. I am not heartless at all. It is heartless to ignore the great majority who have benefited.'
Liam says: No you just accept that there are casualties on the side of the road.
Prof Hickie says: Do you accept from any surgical procedure that something may go wrong?
Liam: I don't accept that children...
Prof Hickie : Have you had surgery?
And it keeps going.
Liams: "I don't accept that children have to be put at risk unnecessarily."
Prof Hickie keeps mentioning surgical risks as a defence.
And it goes on...
Blimey. There is a whole lot of denial in Professor Hickie.
But no numbers for n where n+1 is the equation. Liam really did highlight that Hickie is ideologically driven even though that was a very frustrating interview.