Garry
Warne was born in Bendigo, Victoria on August 10th 1944. He
graduated from the University of Melbourne in 1968 and spent five years at the
Royal Melbourne Hospital, two of which were as Assistant Endocrinologist. He gained
his MRACP, later converted to FRACP, in adult medicine. A late decision
prompted by becoming a father made him think of switching to paediatric
endocrinology, which was fortuitous because Dr Norman Wettenhall, who had
established endocrinology at RCH, was close to the age when he would have to
retire but he had not found a successor. Garry started attending Dr
Wettenhall’s outpatient clinics as an observer while still working at the adult
hospital. He found that paediatric endocrinology was a fascinating field, still
in its early stage of development, and saw in it an opportunity for him to
contribute. He decided to take the risk of giving up adult endocrinology and
applied for a job at RCH.
Consultant endocrinologist and the creation of the
Department of Endocrinology and Diabetes
In 1974,
six years after graduation, he was once again a junior resident medical
officer, but at RCH. After a year he was accepted as a fellow in paediatric
endocrinology at the University of Manitoba in Winnipeg, Canada, and spent 2½ years there carrying
out laboratory research in the very new field of foetal steroids, supervised by
Professor JSD Winter. He returned to Melbourne in 1977 and was given a full
time appointment as Assistant Endocrinologist, with half his salary coming from
the Research Foundation. In 1980, Dr Wettenhall retired and Garry was appointed
Endocrinologist. In 1983 political pressures on the very vulnerable Endocrine
Clinic made the need for greater security clear and Garry approached John Court
with a proposal for the Diabetic Clinic to join with endocrinology to form the
Department of Endocrinology and Diabetes. Dr Court graciously agreed, the new
department was established and Garry was appointed as the foundation director, a
role he retained until 1999.
Clinical and laboratory research
Garry
established the endocrinology laboratory, focusing on steroid hormones and cell
culture. The referral of a key patient with a familial intersex condition led
to the development of techniques for studying the androgen receptor, which in
turn attracted referrals of intersex patients, children with adrenal disorders
and children with variations of pubertal development. In his laboratory
research, he enjoyed excellent collaborations with Professor John Funder and Professor
Jeffrey Zajac. The group won a series of NH&MRC grants and a number of their
students obtained their PhDs. Over 150 papers, both clinical and basic, and a
textbook co-edited with Prof John Hutson and Prof Sonia Grover, were published.
George Werther joined as Garry’s assistant in 1982 and research expanded along
with his interests.
RCH International
In
1993, the signing of the Cambodian Peace accord, negotiated by Australian
Foreign Minister Gareth Evans, evoked a powerful emotional response in Garry
for reasons he finds difficult to explain and he found himself reading
everything he could about Cambodia and South East Asia. He started visiting SE
Asia and was made to feel very welcome by his new-found colleagues. He
persuaded the Novo Nordisk company to sponsor a scholarship to bring budding
paediatric endocrinologists from ASEAN countries to RCH Melbourne for a year at
a time. In 1995 he travelled to Hanoi, Vietnam to meet a candidate and was the
first Australian paediatrician to visit the National Hospital of Pediatrics
there. He went back there less than a year later and gave a course of 10
lectures on paediatric endocrinology. He was invited to come back every year,
and did so for the next 16 years, making more than 50 visits to Hanoi in all and
taking many RCH colleagues with him to give lectures. He also visited India and
Indonesia many times, as well as a number of other Asian countries. He
developed a wide network of contacts that would prove invaluable later on.
In 1998, John de Campo, then CEO, and Glenn Bowes, then Director of Medical
Services, proposed to Garry that a new department should be created around his Asian
interests and Royal Children’s International (initially called Children’s
Hospital Asia-Pacific Alliance, or CHAPHA) was established, with Garry as
foundation director. In 1999 he stepped aside from his leadership role in
endocrinology.
RCHI
projects in Vietnam
In 2003, RCH received a visit from Irish-American philanthropist, Charles
(Chuck) Feeney, the founder of The Atlantic Philanthropies (AP). Garry was one
of four people invited to make a presentation to him. Mr Feeney had long been
interested in Vietnam and he chose RCH International as the entity he wanted to
support. A number of very large grants followed. AP asked RCHI to prepare the health
services plan and functional design brief for a complete rebuilding of the
National Hospital of Pediatrics in Hanoi and also to prepare a comprehensive
5-year staff training plan. Subsequently, RCHI was commissioned by AP to implement
this education and training program, which had many components and which was
cross-disciplinary.
AP also asked RCHI to develop a 5-year staff training program that
ultimately involved 117 staff belonging to the cardiovascular unit at the Hue
Central Hospital. These doctors, nurses, technicians and managers received
their training at five different centres, two in Vietnam, two in Australia and
one in France.
These enormous projects involved large numbers of RCH staff from many
disciplines, as well as experts who were engaged as consultants and a very
fruitful collaboration with the Nossal Institute of Global Health at the
University of Melbourne. In addition perhaps as many as 100 Vietnamese health
professionals came to Melbourne for short or long-term training. Both projects
were completed successfully and deep friendships between RCHM and the hospitals
in Vietnam were formed. Susan Carden, RCH ophthalmologist, obtained her PhD for
work done on retinopathy of prematurity as part of one of these projects in
Vietnam.
International
assistance to Aceh following the Asian tsunami
The Asian tsunami on Boxing Day, 2004, created a humanitarian crisis in
the Indonesian province of Aceh. Professor Graeme Barnes made contact with an Indonesian
colleague of his at the Gadja Mada University in Yogyakarta and offered help
from RCH.
Negotiations with World Vision led to major grants being made to RCH. RCHI and
Trevor Duke from the Department of Paediatrics became involved and the project
to assist the rebuilding of medical services and infrastructure in Aceh,
implemented by health professionals from Yogyakarta under the guidance of
advisers from Australia, was developed. It continued for three years, with
Garry as project director and with essential project management expertise being
provided by the Nossal Institute for Global Health.
Intersex and
gender dysphoria
Meanwhile, Garry’s continuing clinical activities led to the
establishment of parent and patient support groups, the publication of
literature about complex conditions for lay readers, the making of a teaching
video on communication in relation to intersex conditions, the co-founding with
Campbell Paul of the Gender Dysphoria Clinic (2003) and the development with
A/Prof Lynn Gillam and Dr Jacky Hewitt of ethical guidelines for decision
making on children with intersex conditions.
Honours and awards
Garry
was awarded the People’s Health Medal by the Vietnamese Ministry of Health in
2005, the Minister’s Award for Outstanding Individual Achievement (Victorian
Public Healthcare Awards) in 2007, the Australasian
Paediatric Endocrine Group’s Norman Wettenhall Medal for excellence in research
and innovation (2008), the Royal Children’s Hospital Gold Medal (2008) and in
2010 he was made a Member in the Order of Australia. He is an honorary life
member of APEG, ESA, ISPAE and AISSG (Australia)
Since
retirement
Since retiring in 2012, Garry has held appointments as Honorary Emeritus Visiting Medical Officer at RCH, Professorial Fellow, Department of Paediatrics, University of Melbourne (until May 2020), Esteemed Honorary Research Fellow, Murdoch Children’s Research Institute and Honorary Secretary, RCH Alumni. He sits on the board of Children’s Rights International. He and his late wife Elaine have three children and five grandchildren. He enjoys choral singing, photography, drawing, walking, travelling, cooking and seeing friends. His partner, Linda Kent is a professional musician. He considers that he was just lucky to have been in the right place at the right time on a number of occasions.