Dr. Forcier is my doctor, the one in the previous post of the thread, has been for years, going back to my teens, since she's quite the specialist on youth/teens, but still sees any ages. The way this was said was strange for her, perhaps edited a bit. I think she means this when she sees a potential kid, in which case you wouldn't have to be assertive.
She knew who I was within the first 10 words I spoke to her, since her first question to every child is, "Are you a boy, girl, or somewhere in-between?" When I first saw her, I could not have been more reclusive in my day to day life, and anything but outspoken to anyone but her/parents/therapists about this, which is kind of significant in that sense. I mean, if the child isn't being consistent on some level, even fluidity, it's a bit harder to give medical intervention like hormones in this case.
The persistent, insistent stuff isn't the last time you'll hear her say that though, she said it enough when I was filming with her this past Wednesday, the 22nd. It sounds odd without the context and knowing what a strong doctor she is, but I'd defend that as I do here, given I've heard it so often.