'Dear madam': Doctor suspended after refusing to use preferred pronouns, telling patient she is still a woman

A doctor was suspended by a medical college after an argument with a woman who wanted to become a man and was requesting testosterone injections. The doctor said that despite male pronouns and testosterone injections, the patient would remain a woman. The college declared the doctor must adhere to the patient's preferred "gender identity."

Dr. Raymond Brière has 700 patients in Montreal, Quebec, Canada, and had been seeing the unnamed woman for at least four years before their confrontation in 2022.

During the appointment, the woman reportedly asked for a prescription for testosterone, citing that she had already been using male pronouns.

The doctor noted that he had never helped a patient transition into a man and issued a warning to the woman that testosterone therapy could make her more aggressive, the Daily Mail reported.

The patient disputed the claim and told the doctor that his opinions were based on "stereotypes." She was then offered testosterone gel, but demanded injections as a faster means to "masculinize."

The patient also allegedly made a recording of Dr. Brière in which he insisted that she would still be "genetically a woman," even after treatments. The doctor reportedly said a genetic analysis of the patient would show that she had two XX chromosomes, rather than the XY of a man.

Brière was also allegedly asked to refer to the woman as "he/him," to which he responded that she is "biologically a woman."

The doctor then reportedly told the patient that believing she is a man was "in your brain."

"A patient until today, [but] you were a woman, dear madam," Brière reportedly remarked.

Before long, the two agreed that the patient should see another doctor, with Brière stating that he would organize a new appointment. That was until another argument erupted surrounding the use of pronouns, which resulted in the doctor refusing to book the new appointment.

That was a serious point of contention for the Medical College of Quebec, which sided with the patient in its subsequent three-month suspension of Brière.

The college determined the doctor had acted in an "inappropriate and disrespectful manner." It added that it was the "doctor's obligation" to establish a relationship of trust with his patient and ultimately adhere to her gender confusion.

"[If a patient] believes that their gender identity does not correspond to the sex appearing on their birth certificate, they can request that they be referred to by the identity they express," the panel declared. "The medical encounter must then take place while respecting this gender identity."

The college added that it did not see any indication that the patient had been "difficult" and referred to the patient as a "he."

Brière disagreed and said that the patient "denotes, at best, a problem or the non-existence of the mutual trust necessary for the professional relationship."

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