Leo’s mother had found Adkins’s clinic online, and knew the Duke University Health System’s reputation; the family had had other good experiences with Duke specialists. Deanna Adkins, director of the Duke Child and Adolescent Gender Care Clinic, has had to become an advocate for patients. “We have heard, within our groups, that they’re sending in patients who aren’t really patients to try and record us saying something that looks bad,” Deanna Adkins, co-founder of the Duke Child and Adolescent Gender Care Clinic