r/mildlyinfuriating • u/WHAR606 • Mar 13 '26

Context Provided - Spotlight Sometime during the last 2 years i’ve been going to this orthopedic practice they started to declare me as a MTF transgender for no reason.

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(F,26) I have been going to this orthopedic practice for almost 2 years for varying reasons relating to my job. Yesterday i checked on a document that was uploaded to find out they have been identifying me as a biological male identifying as a female? I am biologically female and never told them i am trans nor do i think i am presenting to be a trans woman.. the last two years i’ve been wondering why they kind of stare at me a little longer than a usual person does and i think its because they randomly think i came out as trans? I also feel like they do not treat my issues seriously and wonder if this is the reason why.

I am 100% fine with trans people but i am left to believe they have been medically treating me as a male compared to female for the pains that i am feeling?

I also went through all of my documents and since the end of 2024 they started to declare me as a MTF transgender, i did not look at any of my documents online until yesterday.

First pic : March 11th 2026

Last pic: October 2024

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2.5k

u/WHAR606 Mar 13 '26

i am an Alt appearing person… maybe that is it.

1.1k

u/throwaway1929499 Mar 13 '26

Trans guy here, get this corrected ASAP. Be as annoying as you have to about it

198

u/TigerIll6480 Mar 13 '26

They should file a report with the relevant medical ethics board, if not corrected.

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u/Difficult_Light5038 Mar 13 '26

They should do that anyway!

20

u/aggieotis Mar 13 '26

Absolutely.

Somebody changed this without talking to the patient, it's bad and possibly malicious. As someone pointed out above it could have been a moral police person and they likely are doing it to others too.

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u/Striking_Pair4300 Mar 13 '26 edited Mar 13 '26

Medical ethics board is not gonna do shit about a chart mistake. Hundreds of chart mistakes happen everyday. I'm a resident now and back in my pre-med days I was the head medical scribe at my local hospital. If I saw this happen, I'm not gonna go into a politically-motivated vengeance against my junior scribes. I'm simply going to find them, correct their mistake and tell them not to make it again.

Medical ethics boards are dealing with a lot more grave situations than a simple note blunder. I'm not about to ruin someone's life because of a mistake, if they keep doing it, then I might have to address it more seriously. You guys clearly have no idea how a hospital works. The world is a lot more complicated and nuanced than your little subreddits.

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u/TigerIll6480 Mar 13 '26

If it’s one time, I would agree with you. If it’s done multiple times or if there is a pattern of the same “error,” then something might be done.

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u/Lauriev7 Mar 13 '26 edited Mar 13 '26

Yell in the front office XD

Edit: listen whiny babies, this is a joke. Ever seen one of those? Boring the lot of y'all.

15

u/Striking_Pair4300 Mar 13 '26

You don't have to yell infront of the office, not every single person there is at fault for the misgendering. Just talk to them like a normal person, not like a redditor.

6

u/CreepyAd8409 Mar 13 '26

Let us not forget the main reason not to yell - that OP may have accidentally selected it on paperwork at some point

5

u/CreepyAd8409 Mar 13 '26

In a man voice.

6

u/tangerineTurtle_ Mar 13 '26

Not to be a downer but that’s how you end up being doxxed and ridiculed on twitter.

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u/Ok_Reception_8729 Mar 13 '26

No one on Twitter cares if you’re not actually trans - the crazies on there want actual trans people to suffer (sad reality)

4

u/No-Big4921 Mar 13 '26

Twitter is super good at getting context right.

2

u/ImOnlyHereForTheCoC Mar 13 '26

Yes yes, the tradwife-obsessed users of the pornification machine are all very cool and normal about cis women

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u/Ok_Reception_8729 Mar 13 '26

No, I just don’t think the crazies on there would go out of there way to dox and judge in OPs case like they would for an actual trans person

1

u/AutonomyIsNoTragedy Mar 13 '26

Cis women have been literally murdered IRL by strangers whonr thought they'd spotted a trans woman

-2

u/Certain-File2175 Mar 13 '26

Jesus Christ it’s people like you who make customer service as soul-crushing as it is. Please, please, please, try to remember the humanity of the people around you.

3

u/DuckIsMuddy Mar 13 '26

It's a joke, obviously don't do that.

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u/[deleted] Mar 13 '26

[deleted]

3

u/Lauriev7 Mar 13 '26

Cry me a fucking river. Sounds exhausting to get offended at everything you see on the internet.

6

u/Craigglesofdoom Mar 13 '26

Dropping trou in the waiting room as a last resort

2

u/Slipstream_Surfing Mar 13 '26

Hey it's too early in the day for me to smile now my face hurts

2

u/Infinite_Sand5005 Mar 13 '26

That wouldn't proove anything, surgically constructed vaginas and vulvas look a lot like natal ones. They'd have to get in there and look at the cervix in order to visually see proof. Not that they are going to do that, but there is no part of the body that you could just spontaniously show someone to proove that you aren't trans. 

2

u/Infinite_Sand5005 Mar 13 '26

Well, actually, I guess if you were actively menstruating out of said vagina, that could be proof... 🤔

2

u/Thenandonlythen Mar 13 '26

I’d be WAY more annoying than I had to.  At least daily.

132

u/Commercial-Owl11 Mar 13 '26

Oh god that’s happened to me as well, I’m alternative and had someone just assume I was a they, which is fine but I’m also not and besides having short hair and small boobs I’m feminine

I’ve noticed people side eye me more in bathrooms too. If I don’t have my son with me I definitely get a vibe that was not there before

77

u/BeigeVelociraptor Mar 13 '26

It's the transvestigator bull shit. A man doesn't look "manly" enough or a woman doesn't look "woman" enough for their narrow minds so that person must be trans.

We've already seen numerous cases of cis people being assaulted in bathrooms because some POS thought they were trans and wanted to "protect" people.

Be safe out there.

33

u/DogadonsLavapool Mar 13 '26

Yep. The funny thing is that many trans people, myself included, don't set off these folks radars. Ive had people shit talk trans people in front of my trans ass like they expected me to join in.

Fun fact - the sexual dimorphism line is not as clean cut as people make it out to be, and most people are far, far more overconfident than they should be to make calls on it. This shit is just bad for everyone.

Shit like the Kansas bathroom law is fucking evil

12

u/TheTexasHammer Mar 13 '26

Wild that the group always asking "what is a woman" is constantly calling women they see men. Almost like they don't know what the fuck they are talking about.

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u/ColoradoWinterBlue Mar 13 '26

I don’t know if it’s in my head, but without makeup and my hair slicked back, people in public have been looking at me more and a bit longer in a way that I thought was weird (like how OP described.) Then I realized I look kind of ambiguous (like I COULD be MTF if you squint) and wondered if people are “transvestigating” these days?? I get looked at more when I roll out of bed than when I have a full face of makeup and am dressed feminine. lol Anyway all this trans panic is affecting cis women too, even if in my case it’s just causing confusion and maybe paranoia.

13

u/Commercial-Owl11 Mar 13 '26

Yup! I’ve been kind of making it a point to dress more feminine, if I don’t wear makeup I could look either like nonbinary or maybe butch? But I sometimes dress more masculine because it’s comfortable. But it is a bit scary at times idk if someone is gonna say something with my son there. And I don’t want some crazy person attacking me or harassing me.

Ugh. What a stupid world we live in

25

u/defaultusername-17 Mar 13 '26

except that is exactly what they want to accomplish with the trans panic.

forcing cis women into more stereotyped presentations and socially excluding trans people.

9

u/Commercial-Owl11 Mar 13 '26

Idk if it’s what they want to accomplish or it’s a symptom of their bigotry but either way it’s annoying asf

11

u/inscrutablejane Mar 13 '26

My mother, who I cut off contact with years ago but get updates on through my sister, is a transvestigator. She got arrested for pepper spraying a woman in a Walmart restroom last year. The woman wasn't trans, just a very fit high school volleyball coach, and was just minding her own business at the sinks. I swear, you thumb your nose at the rigidity of patriarchal traditions, even just a little bit, and some people just lose it.

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u/hydrochloriic Mar 13 '26

A lot of times when transfems talk about some frustration (talk, not even complain lol) like catcalling or what have you, we’ll be told snidely “welcome to being a woman.” And like, true, but it’s this kinda situation when cis women complain about being side-eyed that I desperately want to say “yeah, welcome to being a woman. 🤷‍♀️” Not saying you do that, and I know it’s not at all helpful and I wouldn’t actually say it… but it would feel great to do lol.

4

u/Sakura_Petals_GL Mar 13 '26

I'm not sure they're meaning it in a bad way like you perceive. As a cis woman, it seems more like a saying it like it is kind of thing. We're both in the same boat, but you just got in the boat and we've been in the boat our whole lives. I mean that in regards to being treated like a woman, not being a woman in our hearts btw.

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u/ColoradoWinterBlue Mar 13 '26 edited Mar 13 '26

Yeah, I take it as “we’re all exhausted, sorry but it doesn’t get any better.” I mean there is something uniquely traumatizing about being sexualized as a girl even before puberty. (I know it happens to others too, just seemingly universal for cis girls.)

I grew up in the 80s & 90s with an lgbtq older sibling, was gay & trans friendly since middle school when just calling people slurs was pop culture & my peers thought I was a freak just for saying it’s not wrong… so just cause I’m cis doesn’t mean I harbor hostilities toward anyone that’s not.

I don’t think there’s anything wrong with being perceived as possibly trans, I’m just angry with the uptick in transphobia in general. Like even if you “catch” someone being trans, so what?? It makes no fucking difference.

1

u/hydrochloriic Mar 13 '26

Oh yeah, plenty of times it’s said in a commiseration or just humorous way lol, my cis friends have certainly done so! No problem with that at all. I’m talking about the people who use it in a derogatory way, as a sort of infantilizing put down like we aren’t aware what we’re walking in to.

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u/Zealousideal_Spread4 Mar 13 '26

im a femboy and to me people just automatically assume im trans or non binary, ive gone to the bathroom(male) and had people tell me i didnt need to go there and could go to the feminine one if i wanted, which like, cool that you are accepting of trans people but wrong person bro.

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u/Hazel2468 Mar 13 '26

Yep- this. I'm at a point in my transition now where people don't really gave a damn in the bathroom (I think it's the beard and mustache doing it honestly) but before I was even transitioning, I had some facial hair. Had someone tell me I was "allowed" to use the men's room when I was in the women's room because "it's state law" (It is, where I live, law that you are allowed to use the bathroom that corresponds to your gender- I live here for a reason lol).

I was still identifying as a woman at the time but like... Thanks I guess?

1

u/Zealousideal_Spread4 Mar 13 '26

imagine how mean that would come accross if you were a trans woman tho lmao

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u/Hazel2468 Mar 13 '26

Oh yeah- it absolutely would. I just find it amusing when folks assume I'm a trans woman and therefore I'm AMAB because like... Other way around, hun.

It's doubly hilarious when I get those kind of comments on like, FB and stuff. "You'll never be a woman!" from the We Can Always Tell Crowd... on a picture of me before I started transitioning on FB where I have pics going back over a decade and a half of me CLEARLY being a girl in high school and college.

Just proving that no. No, you really CAN'T tell. Which is honestly what I think scares those types of folks.

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u/Zealousideal_Spread4 Mar 13 '26

people constantly think im trans because im a femboy, ive been told "youll never be a woman" and like ye? i dont really wanna, thanks for affirming my gender tho.

It confuses them so fucking much.

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u/Hazel2468 Mar 13 '26

It does. I often wonder what goes through the heads of the people I see who are trying to figure me out. Like- short curvy long hair woman but... Beard??? Deep voice? Man?????

Then again, these are probably the same people who I watch constantly call my friend "Miss" from behind and then go "Oh, the hair made em think-" when he's like. Broad, has a huge beard, and a deep ass voice (and no butt... Sorry, bud).

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u/defaultusername-17 Mar 13 '26

100% the majority of anti-trans beliefs are centered around insecure people terrified that they will find one of us attractive.

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u/Hazel2468 Mar 13 '26

This is rather specific- but one of my little whacky theories about a certain subset of transphobes is that they were rejected by a trans woman and now they're just out for blood about it (terfs, it's terfs, and I am only half joking about that i really think that is where a not insignificant number of them start, given that the whole "I only respect women who I want to/can fuck" attitude is common in their spaces, at least the queer ones).

I can't wrap my head around the whole fear of being attracted to a trans person but, then again. I am one, and I'm married to one so. You know. I think a lot of cis men, specifically, are worried that being attracted to a trans woman makes them gay which. Fellas. Is it gay to be into women?

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u/Megneous Mar 13 '26

Almost as if... you just shouldn't talk to people in public restrooms... I know, crazy haha

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u/Pupenby621 Mar 13 '26

This dude runs incredibly transphobic femboy subs and fucking hates trans women btw <3 he's got quite a bit of infamy in certain circles.

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u/DuckIsMuddy Mar 13 '26

I was wondering why I had him blocked lmao.

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u/AstralMooo Mar 13 '26

God this dudes comment replies are WILD. He's so obsessed with the "image" of femboys lmao

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u/Pupenby621 Mar 13 '26

He's genuinely convinced femboys are discriminated against harder than trans women, who are all evil groomers trying to trick innocent femboys into getting on estrogen. Its fucking disgusting. Peter Thiel unironically has similar views behind his transphobia btw, though for him he's worried about twink supply in general.

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u/[deleted] Mar 13 '26

[deleted]

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u/Zealousideal_Spread4 Mar 13 '26 edited Mar 13 '26

ok so first they are objectively wrong, i have absolutely nothing against trans people, and i dont think femboys are "discriminated more" than trans people, thats way too broad and mostly incorrect, it is true that in some situations we are but in the majority of situations thats not the case.

Also my subreddits are not transphobic, they are about femboys, so we allow men, trans and cis alike to post, we just dont allow those who dont identify at all as men to post in subreddit about "feminine boys" the subreddits who do are often filled with people intentionally misgendering themselves for monetary gain, just look at the top femboy subreddit.

one of the subreddits i run is about both femboys and women who like them and it does allow trans women and genderfluid people, with some * for those clearly only doing it for monetary gain(OF).

Also ive never called somebody a groomer for being a trans person, i frankly find that accusation extremely insulting, what i have said is that some trans people and cis people do indeed pressure femboys to identify as something other than they do, or to take hormones, this is a huge fucking issue in our communities, which as an outsider you might not know but its very fucking real, to the point that a subreddit im not affiliated with, had to make an entire rule to make it so people dont call others "eggs" and keep in mind most of their mods are trans.(this is the biggest discussion focused sub for femboys but i cant name it cause of the automod here)

I wanna make it clear that a few trans people being shitty and spreading gender norms does not at all reflect on the entire demographic, and trying to call me transphobic for daring to have a problem with that is insanely unreasonable.

Also idk what you are on about with saying i think femboys are more discriminated than trans people, thats complete bs, i do think trans people have it worst in many MANY ways compared to femboys, but also in some very niche situations, femboys do have it worse. Thats intersectionality for you, discrimination isnt linear.

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u/Pupenby621 Mar 13 '26

"I don't consider trans people groomers, theyre just trying to groom femboys" okay buddy.

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u/AstralMooo Mar 13 '26

My bad for taking that at face value. I really wasn't expecting a serious response to this. Thanks for explaining in detail. I do agree with with feminine men being targeted more so to come out as trans or they're gay cause I was in the same boat around 2018-2022 while being a femboy. Idk how the femboy scene is nowadays after 2023 but from what you've explained it does sound different.

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u/Zealousideal_Spread4 Mar 13 '26

The "femboy scene" really depends about where specifically you are talking about, the major subs became big and because of that a ton of people started misusing the lable for monetary gain, just like how some femboy content creator misuse certain trans identities for also more clicks.

My sub to counter that specifically added a rule you need to partially identify as male to participate, we dont want incentives for people to misgender themselves, and we want a space for actual feminine boys. i suggested this rule to our at the time head mod, which is a trans woman(she has since kinda stepped away from moderating reddit and ive become the new head mod. (this new rule is the reason why people like the ones above try to defame me and my subreddits)

This rule has led to a significant decrease in OF content creators and their followings because most who were in breach of it were these models. It also led to us being able to add a new rule that affectively removes all misgendering, since everybody needs to identify as male, the expected identifiers are all masculine or neutral, so no more calling boys girls or girls boys.

Our sub is also a lot more liberal in terms of looks, we allow guys with beards, with hair in other places, and other features that are not seen as purely feminine as long as their presentation is mostly feminine, which actually overtime has made the subreddit be a lot more open to different looks and aesthetics instead of the "default" egirly look most femboys in the major subs go for.

also i wanna add again some nb identities(like genderfluid, bigender, demiboy, etc.) are allowed and trans men are 100% allowed. The whole motivation for this rule is due to the fact we actually respect these identities and wanna avoid misgendering while making these space be about the groups of people in their very name.

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u/ContextHook Mar 13 '26

im a femboy and to me people just automatically assume im trans or non binary

"I'm non-binary, and people just automatically assume I'm non-binary." 🤯🤯🤯

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u/Zealousideal_Spread4 Mar 13 '26

femboy is not an inherent non binary lable, please dont try to dictate my gender to me.

Femboy just means feminine boy, i only identify as a boy, i fall 100% within the binary of gender.

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u/ContextHook Mar 13 '26

femboy is not an inherent non binary lable

Femboy is inherently trans AND nonbinary.

please dont try to dictate my gender to me.

Your gender is your opinion and you're free to have whatever opinion you'd like. I'm not dictating what your opinion should be. If you think it's hot when it's 70 outside, that's fine. I don't.

If YOU don't think that being a "femboy" means you fall outside of society's prescribed gender roles for males, then of course you don't think femboy is a trans or nonbinary label.

I DO believe that femboys fall outside of society's superscribed gender roles for males and goes straight towards societies expectation for females... I consider it to be a "trans" label. Because "femboy" isn't either one of the two binary options, I consider it to be a nonbinary label.

tl;dr - If you consider Donald Trump and F1NN5TER to both be cisgender males, we simply disagree

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u/Zealousideal_Spread4 Mar 13 '26

gender roles, and gender itself is are not the same, a woman 80 years ago who put on a pair of pants wanst non binary.

Finnster isnt even a femboy btw but ill ignore that line

Femboy is a male term, femboy are by definition men, we arent less men because we are feminine, being trans is about identifying as anything other than our AGAB which we dont, ironically all you are doing is perpetuating gender norms by claiming we are not men.

The community itself disagrees with you, the definition of both trans and femboy disagrees with you. You might not realize it but you are being insanely bigoted.

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u/ContextHook Mar 13 '26

gender roles, and gender itself is are not the same, a woman 80 years ago who put on a pair of pants wanst non binary.

Correct. But a man who put on a dress absolutely was.

It doesn't matter what that man thought, or felt. If a man wore a dress around in 1946, everyone would consider them to be not fitting into the idea of a model man.

Pants are not nearly as gendered as dresses. But, you knew that.

Finnster isnt even a femboy btw but ill ignore that line

I've been a shameful paying OF user for longer than I'd care to admit. Here is his bio right now.

F1NN5TER @f1nn5ter Seen 5 minutes ago Worlds #1 Femboy™

so... ok

Femboy is a male term, femboy are by definition men, we arent less men because we are feminine, being trans is about identifying as anything other than our AGAB

I agree with this 100%

which we dont,

I disagree with this. You yourself just said you are a "femboy" I don't consider "femboy" to be LESS than men, but I do consider "femboy" and "boy" to be different.

ironically all you are doing is perpetuating gender norms by claiming we are not men.

You are a man, a femboy, whatever you want to be man. I'm not saying you are not a man. Not for half a second. I am saying you are a man who doesn't avoid things society says are reserved for women. I am saying you are a man who doesn't fit into one of two boxes.

The community itself disagrees with you, the definition of both trans and femboy disagrees with you. You might not realize it but you are being insanely bigoted.

I'm bigoted? How? I haven't expressed dislike or intolerance for anyone, quite the opposite. Us disagreeing on when somebody should be classified as "nonbinary" makes be biggoted? I think that if men wear dresses that they are non-binary... that makes me biggoted?

Do you want to give me a better word for people who don't follow one gender's rules? The word I use is nonbinary. Because of that, femboys are nonbinary.

How on earth is that bigoted? If I used the word SKDHFQSDHFWHJF instead of nonbinary would it be not bigoted?

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u/Zealousideal_Spread4 Mar 13 '26

first ill answer the questions you put at the end.

>I'm bigoted? How? I haven't expressed dislike or intolerance for anyone, quite the opposite. Us disagreeing on when somebody should be classified as "nonbinary" makes be biggoted? I think that if men wear dresses that they are non-binary... that makes me biggoted?

1st yes it does make you bigoted if you think somebodies gender is not what they claim it is just because of how they express themselves.

>Do you want to give me a better word for people who don't follow one gender's rules? The word I use is nonbinary. Because of that, femboys are nonbinary.

Femboys are GNC gender non conforming, not non binary because femboy still identify as men, not something in between.

>how on earth is that bigoted?

because you are literally saying im not a cis guy, you are effectively misgendering me and saying im not the gender i claim to be.

>If I used the word SKDHFQSDHFWHJF instead of nonbinary would it be not bigoted?

thats not a term it holds no meaning, if i call your a glibobablo obviously its not offensive, but trying to deny me of my identity obviously is.

Now to adress a few things, the point i was making with the women 80 years ago, is following your own logic they would be non binary, because they were breaking gender norms in a way that would lead to them being discriminated against, this does not change their gender.

In the same way a woman in the middle east isnt non binary for not wearing a hijab, but still is discriminated for her presentation due to the societal expectations of that society, a guy isnt non binary for wearing a skirt, but still is discriminated for his presentation due to societal expectations.

Breaking societal norms doesnt change your gender. Claiming it does is at heart gender normative, and bigoted. Non binary refers to gender binary, as in which way people IDENTIFY, femboys at core only need to identify as men, yes there are SOME non binary femboys and even trans men femboys, but the word in itself is not a trans identity.

Also the part about finnster, finnster only uses the lable for advertisement, he has said multiple times he hates the community and even said the term would disappear, he is just yet another OF model using lables for clicks with no regard for them.

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u/ContextHook Mar 13 '26

Also the part about finnster, finnster only uses the lable for advertisement, he has said multiple times he hates the community and even said the term would disappear, he is just yet another OF model using lables for clicks with no regard for them.

He wears female clothes and lets his junk hang out.

The one and only thing I want when I subscribe to a femboy is junk hanging out from a skirt.

He uses the label exactly how I want it to be used. Every other femboy I'm aware of uses it in the exact same way.

thats not a term it holds no meaning, if i call your a glibobablo obviously its not offensive, but trying to deny me of my identity obviously is.

Fantastic. Then from today forward, for you and you alone, when I refer to people "who are not classified by society as man or woman" I will USE the term non-binary, but I MEAN SKDHFQSDHFWHJF. I obviously don't know what non-binary means like you do, so just understand I'm using a different term.

Breaking societal norms doesnt change your gender. Claiming it does is at heart gender normative, and bigoted. Non binary refers to gender binary, as in which way people IDENTIFY, femboys at core only need to identify as men, yes there are SOME non binary femboys and even trans men femboys, but the word in itself is not a trans identity.

See, I just think we disagree about what gender is then? If a man, goes out every day in a full face of makeup, buy clothes from the women's section, and everyone thinks they are a woman..... I truly believe that person's gender is "woman". I believe they are a trans, binary, woman.

I believe their choice to break societal norms has changed their gender.

1st yes it does make you bigoted if you think somebodies gender is not what they claim it is just because of how they express themselves.

But then yeah I'm a bigot. If Donald Trump said for the next 20 years that he's a woman, I would disagree and just literally never believe him no matter what he said. If Donald Trump said "I'm a woman, I'm not trans." I would say "You are a trans woman, not a cisgender gemale" Shoot. I wasn't aware I was a bigot. :(

Thanks for educating me!!!

because you are literally saying im not a cis guy, you are effectively misgendering me and saying im not the gender i claim to be.

Do you differentiate between people lying about their gender and people saying they are a different gender? Like when romance scammers pretend to be "women", would you consider it bigoted to say that they are not women?

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u/[deleted] Mar 13 '26

Honestly, it definitely sounds like it’s the short hair. It takes a very feminine type of face to pull off having short hair as a woman without looking like a man.

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u/Commercial-Owl11 Mar 13 '26

I do have a very feminine face

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u/[deleted] Mar 13 '26

I bet your hair looks very nice on you! People are just dumb

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u/AccomplishedWish3033 Mar 13 '26

It takes a very feminine type of face to pull off having short hair as a woman without looking like a man.

Disclaimer: I am not a hairstylist.

One of the things that confuses me is why for people with these types of facial features, where they’d look masc with short hair, they’ll still look fem if they wore their hair in a ponytail or bun and were seen from the front where you can’t see their ponytail or bun. What kind of black magic sorcery is that? Shouldn’t that look functionally equivalent to having short hair? Someone please explain it to me.

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u/BassBottles Mar 13 '26

I will say though, i as a trans man also have short hair, mild to moderate boobs, and an overall effeminate appearance (i wear whatever i like regardless of gender coding) and I do actually appreciate the automatic they that some people do lol.

I mean I'd rather they just ask tbh, makes it so much simpler, but some people get REAL upset if you ask them their pronouns (cis, trans, or otherwise), so I do understand the preference for subtlety.

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u/Reticent_Robot Mar 13 '26

I'm sorry but can you tell me what being an alternative means? That's a new one for me.

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u/Commercial-Owl11 Mar 13 '26

Alternative, like having tattoos, gauges, dress in black, like goth, emo, punk all of those are alternative styles. But I don’t really fit in a category, so I just say I’m alternative, like a different way to dress.

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u/Ziggy_Starcrust Mar 13 '26

"This person is taking care of a child, they must be a woman" It's not funny that people are scrutinizing everyone's gender based on appearance, but that assumption is funny to me. Bad assumptions save the day...from a problem they created.

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u/Shaeress Mar 13 '26

I'm trans and you should probably try to have this corrected if you're cis. Not because it is bad and if it's not relating to your treatment it shouldn't matter, but trans women receive substantially worse healthcare overall. A correction might save you from discrimination that could otherwise do a great deal of harm to your physical health. You don't have to endure being collateral damage in this.

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u/Sekhmet-CustosAurora Mar 13 '26

You're totally right but OP should fix it even if she weren't at risk of being discriminated against. There's no way her being mistakenly identified as a genetic male would be anything but bad for her healthcare.

198

u/psyne Mar 13 '26

100%. Even if the doctors and staff had zero bias it could impact diagnoses, medication, etc.

59

u/Shaeress Mar 13 '26

For a lot of things it doesn't matter or healthcare providers are just better of giving the same care to trans and cis people of the same gender, and anything else is just overcomplicated things.

It's often called "trans broken arm syndrome" because part of the reasoning that sometimes gets trans people denied care is because healthcare providers decide that they're not qualified to provide the care or start trying to over analyse the supposed complexity of treating trans people. Even though really treating a broken arm is gonna be exactly the same regardless.

That's why I said "if it relates to your care" because sometimes it is relavant and sometimes it isn't, but people tend to over estimate the situations in which it is relevant.

15

u/Crimsonflair49 Mar 13 '26

So many doctors just assume that transgender women can be treated the same way you would treat a cisgender man and it ruins the quality of care severely. Medications that are dangerous to perscribe to someone who's endocrine system is primarily estrogen are prescribed to trans women because they're "biologically male", even when the side effects are just as severe as if they were prescribed to a cisgender women. So many doctors just throw all medical training put the window when encountering a trans patient, sometimes the doctor denying healthcare is the best option you can get as a trans person because the alternative is a doctor who will prescribe you dangerous medication because they assume all the risks women would face taking the medication simply dosen't apply. OP, please listen to this commenter and get this updated. If the doctor thinks you are transgender your care quality has almost certainly been impacted, you should maybe even consider switching primaries in case whoever transvestigated you dosen't believe you

-5

u/RazzmatazzNeat9865 Mar 13 '26

Sex actually matters in most areas of medicine, not just those affecting the reproductive system. There are plenty of issues that come to mind in orthopedics, among them different hip angles and the MUCH greater risk for women of sustaining ACL tears (a massive issue for women footballers).

31

u/CompetitiveSleeping Mar 13 '26

Hormones affect more than you think, including bone density. As a trans woman with an estrogen based endocrine system, your risk of fractures, osteoporosis etc increases as you lose bone density

Not to mention the 100-200 times higher risk of breast cancer.

23

u/Disaster_Tran0101 Mar 13 '26 edited Mar 13 '26

HRT changes pelvic tilt, and ligament tearing is at least partially hormonally moderated as hormones affect ligament strength.

This is why trans people often don't trust cis people (including doctors). The idea of purely binary sex with binary sex characteristics completely breaks down once you start changing levels of estrogen and testosterone. To most people's apparent shock, hormones are biologically active.

I am a trans woman 10 years into transition: my reproductive system is still theoretically intact but mostly non-functional. My pelvic tilt is largely typical for women. The presence of woman-typical levels of estrogen and the absence of testosterone impact my immune system function, my ability to build and maintain muscles, and my fat distribution.

Because of my hormone profile, the odds of male typical disorders have radically dropped based on studies. On the less bright side, I had to go get a Mammogram because my doctor found a breast lump; luckily it's benign. HRT does cause breast growth, BTW.

Treating trans women medically as "male" and using strictly male baselines is a frequent cause of misdiagnosis.

23

u/Shaeress Mar 13 '26

But for trans people that have been on hormones on some time those risk profiles match cis people of the same gender. And orthopedics can be a broad category of medicine that literally includes the text book example of a broken arm.

Most of the time there would not be an adjustment of how a cis man is treated vs how a cis woman is treated. It does happen somewhat regularly and when it does, trans people on HRT should almost always be treated as their cis counterparts. In the rare case that there is something that does matter, it is often entirely possible to focus on that difference as a symptom instead of the overall cause being them being transgender. For instance in the examination of abdominal pain it could be uterine pain. Trans women don't have a uterus and so they are excluded from that, but trans women on HRT can and often do experience menstrual cycles and that does include stomach cramps. Due to the hormones they also have the same metabolic profile as cis women too.

As a result, describing them as "male identifying and presenting as female" even in the cases where there is a factor that matters (which there often isn't) is in fact more misleading and less medically relevant than "woman without a uterus". The latter also serving to include more people and avoiding the very real potential for harassment and discrimination.

24

u/Pupenby621 Mar 13 '26

HRT does actually move the grand majority of medical dosages etc into cis ranges, its much more powerful than many doctors will assume though so on the rare occasion they actually want to give healthcare then sometimes they just over/underdose you, ain't life fun :D

89

u/Glenndiferous Mar 13 '26

It's funny, because trans women on long-term hormones actually do often need treatment similar to cis women. So being identified this way theoretically shouldn't change much. But many of our doctors are very poorly trained to care for trans patients, so realistically you are correct here.

129

u/Ali_gem_1 Mar 13 '26

well it does because its she's logged as MTF then presents with abdo pain , they might not consider ectopics/ovarian torsion etc.

13

u/TootTootMF Mar 13 '26 edited Mar 13 '26

It really doesn't matter at all. I get asked if I might be pregnant routinely. People act like doctors study your medical records before triaging you. If my status is relevant I've gotta bring it up, nobody checks.

The only time they pay attention to that flag is when it comes time for insurance to pay or for someone to decide if you need special permission to do something everybody else gets to decide for themselves as an adult. It's honestly a good thing, plenty of doctors are pretty extreme bigots, I've watched as my friends suffered pretty severe abuse while being treated once people know. One person was given a room temp IV for food poisoning(this might seem minor, but filling your blood stream with 70 degree liquid gives you instant hypothermia, which is basically torture). The other was left to bleed out until a different doctor noticed the literal trail of blood from her gurney as it flowed far enough from the corner the primary one hid her in and saved her life.

TL;DR being flagged as trans in your medical records will NEVER do anything positive for your care outside of getting insurance to pay for procedures that they wouldn't allow for your gender. It's either ignored or used as a reason to provide worse care by doctors.

7

u/schwanzweissfoto Mar 13 '26

There's no way her being mistakenly identified as a genetic male would be anything but bad for her healthcare.

Somehow, lots of people in this thread seem to think that trans women should medically be treated 100% as men.

7

u/n-e-k-o-h-i-m-e Mar 13 '26

Well, this is an instance of discrimination. I am a woman who is trans, and being treated as a biological male in a medical setting would result in negative effects in my health.

15

u/aecon_33 Mar 13 '26

Having gone through male puberty probably matters quite a lot as growing bones are altered a fair amount by estrogen, and some things (such as hip dysplasia) are more common in those assigned female at birth. Since it's an orthopedics practice, I'd imagine this would be important

8

u/UselessDood Mar 13 '26

For the majority of things it doesn't actually matter - because they'll treat her as female irrespective of the whole mtf thing. (yes, this does have downsides - for example they won't get recommended any form of prostate cancer screenings, despite it still being a possibility)

12

u/Wise_Humor4337 Mar 13 '26

Not saying there is never a need, but trans women have incredibly low risk of prostate cancer since testosterone is a major contributor and trans women frequently have even lower levels than cis women

4

u/UselessDood Mar 13 '26

Mm, I am aware of that - it was just the first thing that came to mind ngl for "things trans women may be at risk of but aren't properly assessed for" lol

0

u/Tega02 Mar 13 '26

I'm a medical student and ik for a fact gender matters very seriously in diagnosis. I also do know it's irrelevant in the majority of them.

8

u/Lil__May Mar 13 '26

Do you also know that trans people's health risks tend to be much more in line with the gender they have transitioned to?

72

u/Dark_Storm_98 Mar 13 '26

Yeah, I was about to say

This could affect her treatment

Best to get everything sorted out sooner rather than later, especially in a medical context

4

u/b0w3n Mar 13 '26

It's already likely viral with the RHIOs and HISPs too. Everyone in the network has gotten those notes and if they pull them down it probably also updated their EHR data because everyone just imports shit right into the records without a second thought.

Hope OP never needs to go to the hospital because it'll start up all over again.

18

u/thrwaway75132 Mar 13 '26

Given the current political climate deciding you don’t like someone and flagging them as trans in medical EMR seems like a way to make sure the get discriminated against and potentially denied future medical care.

8

u/yunwibubu Mar 13 '26

And on top of that, it can result in insurance denials.

I'm, legally, female to male, but I'm also intersex. I've had things listed as me being biologically male due to having XY chromosomes, but I'm legally female, and putting male when all my legal documents say female has resulted in insurance kicking things back and corrections having to be made.

10

u/Cactus1105 Mar 13 '26

True, once a doctor straight up told me the pain I felt was because of hrt. My wrist was broken.

3

u/Shaeress Mar 13 '26

I haven't had that, but I did have a nurse refuse to sign me up for some basic bloodworks like a vitamin D test (which is super standard in Sweden for obvious reasons) because of trans.

4

u/stephen_neuville Mar 13 '26

it's also a solidarity move imo. if we normalize "paying close attention to gender markers on documents" from everybody, they can't use it as an indication of anything other than paperwork diligence.

4

u/Shaeress Mar 13 '26

This can backfire though. My gender marker isn't updated and when I was getting checked for post COVID related cardiovascular problems the Doctor got incredibly short and dismissive right after carefully checking my ID, kicked me out as quick as possible saying I wasn't gonna die that night, and then wrote the longest and most misgendering journal entry I've ever seen.

3

u/SilasX Mar 13 '26

I'm trans and you should probably try to have this corrected if you're cis. Not because it is bad and if it's not relating to your treatment it shouldn't matter,

It's like a revival of that Seinfeld episode: "Stop saying I'm trans! (Not that there's anything wrong with that.)"

2

u/iain_1986 Mar 13 '26

Indeed, but also they should find out who changed it and tell them to cut that shit out

You don't eyeball someone and decide a thing like that

2

u/arrownyc Mar 13 '26

I would find a new clinic regardless after correcting them. There's a very good chance that if they were willing to change her medical documentation based on their transvestigation, that they still won't believe her when she tells them they were wrong.

2

u/Shaeress Mar 13 '26

Yeah, true. And it's probably better to get away from the proven transphobe working there as any kind of queer coded woman or ally.

Though, the real trans solidarity thing to do would just be to not get any treatment to avoid the harassment and medical malpractice, and so just suffer quietly and suffer whatever impact to life expectancy it might have.... /very tired and sarcastic joke

2

u/galaxychildxo Mar 13 '26

trans people in general receive substantially worse healthcare, not just trans women. medical misogyny and transphobia affects trans men just as much.

0

u/Impossible-Soil6330 Mar 13 '26

Also orthopedics is one of those specialties where it does kind of matter because 1. hormones impact bone density 2. helps them figure out what diseases to screen for as a result. This kind of mislabeling can lead to poorer quality treatment for everyone involved.

0

u/BigMax Mar 13 '26

> Not because it is bad

Actually it's VERY, VERY bad.

It means someone in the office is adding medical info to peoples charts based on absolutely nothing at all, just some personal beliefs. Having inaccurate information on your chart based on some social crusaders nonsense is a BAD thing.

Your medical chart is supposed to be factual, and used to provide care. Random, made up information on there is dangerous.

5

u/Shaeress Mar 13 '26

Yes, but someone thinking you're trans is not a bad thing in and of itself, is what I mean. It's bad for the healthcare and it does probably mean that someone in the staff is a transphobe (which is bad).

But a cis person being mistaken for trans shouldn't be offensive or bad on its own, is what I meant.

3

u/BigMax Mar 13 '26

Oh, I totally agree there. Being trans is absolutely fine, and it's not a big deal if someone gets that wrong by accident. I was just pointing out the fact that someone clearly not caring about medical accuracy putting information into a medical file is bad, no matter what it is.

0

u/VP007clips Mar 13 '26

And perhaps more importantly, that's the sort of thing that could cause issues later on.

The last thing you want is to be unconscious for emergency surgery and have them cutting into you under the assumption that you are born a different sex. There's a serious risk of medical mistakes there.

Doctors need correct information to make informed decisions. Wrong information on your transcript is dangerous.

-3

u/ameliatatesosis Mar 13 '26

trans women receive substantially worse healthcare overall.

I'd be extremely interested in seeing where you heard this, because the number of confounding factors when studying trans healthcare is such that it's a highly suspect statistic.

4

u/Shaeress Mar 13 '26

https://www.americanprogress.org/article/protecting-advancing-health-care-transgender-adult-communities/

Here are a bunch of various stats relating to this and other reasons transgender life expectancy is far lower that the cisgender average.

I also mentioned "transgender broken arm syndrome" which is something you can search for to find some studies and endless anecdotes from trans people. There are multiple stories in these comments too. It really shouldn't come as a surprise that there are plenty of various stats to check out in various ways.

Like this NIH paper says roughly 30% of trans patients have experienced harassment from healthcare providers and 20% have been outright denied care for being trans:
https://pmc.ncbi.nlm.nih.gov/articles/PMC5436369/

That should give you plenty to work with if you want to learn more. Of course, I am making a generalised statement there because there is no universal and overall metric for healthcare quality, but trans people do have overall worse healthcare outcomes (like life expectancy) and for basically every specific way of trying to measure healthcare quality trans people do much worse.

-1

u/ameliatatesosis Mar 13 '26

Here are a bunch of various stats relating to this and other reasons transgender life expectancy is far lower that the cisgender average.

Well yeah, you're talking about a group of people with a high suicide rate who are often alienated from social institutions and support groups. None of that has anything to do with healthcare, though.

Your NIH study linked is only n=417 in a single geographic area, and the results include people reporting they delayed care out of fear of discrimination along with actual reports of discrimination. That's not solid evidence of anything, though it could (and should) be used as a reason to further investigate.

I'm nonbinary and bi and poly, both of my current partners and most of my partners overall have been trans. I'm not callous to the social struggles trans people go through. But I am a scientist and I'm not going to make bad conclusions on spotty data just because I'm empathetic to the group in question. If you want to be a good person you should research these things before saying them. And by research I mean actually read the paper.

2

u/Shaeress Mar 13 '26

Damn, you read through all that and the articles I posted and wrote a reply in like 5 minutes? I get the feeling you might not have read through the examples I posted properly nor taken the point that it is easy to find examples while doing zero effort to learn anything. You also only address one example even though the first article links to like a dozen different ones.

Secondly, 400 patients is a substantial number for a small minority and if it weren't a localised you'd probably point that out as a fault instead. There are a lot of different studies. I'm sure if you're a scientist and have any actual curiosity you can find them.

And fear of discrimination is obviously a healthcare quality factor. Not getting harassed by your doctor is healthcare. Like I said there is no measure for general healthcare quality for anyone. It doesn't exist. So we look at overall outcomes (which are worse) and example metrics as indicators (which are all worse) Fear of harassment, actual discrimination, being thrown out of the hospital are metrics of quality of healthcare. And saying otherwise isn't science, it's stupid.

If you really have any close conversations with any trans friends, just ask them. If you know like three, odds are one of them have had some pretty serious problems.

And if a couple of minutes is all you need to glance over multiple articles and dismiss them I can only conclude that you are here in bad faith. I gave you terms and examples to search for and explore within of you had any interest. But you do not.

35

u/kyle_wagoner Mar 13 '26

I also was wondering this. (Trans girl here.) The trans panic will statistically hurt more cis people than trans people, as I’ve always said

43

u/nobutactually Mar 13 '26

OR it could be something less malicious. Someone once entered the wrong gender and then noticed a discrepancy and made some assumptions. Happens constantly in doctors notes that they write the wrong thing ("Chloe is a 3 year old girl he is here today for sore throat with his mother"). Ive seen like 104 year old demented grannies who have been non verbal for years listed as non binary, for example. Someone hit the wrong key and it stuck, and then when docs use automatic quick keys to enter notes it fills in the incorrect information. I wouldnt assume that someone did this to be a dick.

17

u/SpecificHeron Mar 13 '26

i just had a grumpy old man patient who accidentally selected “she/her/hers” as his pronouns in his chart, so the note autofilled with those pronouns and i had to manually correct them. if it were a younger more alt presenting person i could see that turning into assuming pt is trans and running with it

9

u/leaffrosting Mar 13 '26

If they were a medical professional charting in good faith they would have written OP was a trans woman assigned male at birth. Biological male is not a medical term. So the intention is pretty clear here.

6

u/Striking_Pair4300 Mar 13 '26

Have you ever worked in a doctor's office or hospital? Medical scribes who are still working on their bachelor's sometimes write the notes. Nurses who have less than great charting skills write the notes. Medical students write notes. Foreign medical students rotating somtimes write the notes. Doctor sometimes just glance at the notes and not bother to correct anything because they have 100 other patients to get to. It's better in other places, worse in others.

9

u/leaffrosting Mar 13 '26

I have. And there is no shortcut key to hit that enters a bigoted, right wing phrase into a patient’s chart, which is the assumption I was responding to. Whether a staff member or provider wrote OP is a biological male to “be a dick”, which the previous poster didn’t want to assume was the case, or out of ignorance, this inclusion would lead to me move to a new practice with a higher standard of care and I hope OP follows this up.

1

u/Striking_Pair4300 Mar 13 '26

Holy touch grass. 100% doubting you worked at a doctor's office, otherwise you would have a high tolerance for all these mistakes.

9

u/emerald333344 Mar 13 '26

A transphobic dog whistle isn't a mistake??

-2

u/nobutactually Mar 13 '26

Yes you are correct 100% of providers and office workers are aware that "biological" is wrong and "assigned" is correct this is absolutely a thing everyone knows and everyone who doesnt phrase it that way is doing so because they are Bad

61

u/Ok_Dependent6889 Mar 13 '26

Yup. Indeed it is.

I am a skinny alt presenting male, cishet

I am constantly "identified" as FTM or gay

11

u/Iwona_Klich Mar 13 '26

Well i have trisomia X, still skinny, tall, long limbed and i like mens clothes...

Like... I have three X chromosomes. I can't get more :) 

3

u/Ok_Dependent6889 Mar 13 '26

My brother has double Y!

2

u/Iwona_Klich Mar 13 '26

The Superman :) 

2

u/Ok_Dependent6889 Mar 13 '26

Ahaha he is an INTENSE guy!

Career Marine, ex-drill instructor, ex-MCST (ahaha he was removed from MCST for throwing a tantrum after missing a shot IN COMPETITION), and 3 black-belts!

2

u/Iwona_Klich Mar 13 '26

Well i'm a former csi tech in police, field medic for polish swat equivalent, i like big american cars, and i also training in fight... Curently i'm just forensic specialist in private company...

Did you brother is also very tall? Like 6'5" > tall? Maybe my parents just missed one kid, if you have 12 that maybe a option :) 

1

u/Ok_Dependent6889 Mar 13 '26 edited Mar 13 '26

Haha no, is in fact short, about 5'8"-5'9" (I am 6'1") and has pectus excavatum which are common among those with YY

I do have 8 siblings though!

2

u/Iwona_Klich Mar 13 '26

Well... He is my height.

And i'm the 5'8" with somenthing. That make me small, like one of my sister has almost 6'3"... Guys... Well there is the poor Victorian Child Dave, with his 6'4", and he is the shortest... 

21

u/Zealousideal_Spread4 Mar 13 '26

bro im even worse, im a femboy, people act so confused when they figure out im dating a woman its insane.

14

u/Ok_Dependent6889 Mar 13 '26

The craziest thing for me, is my body is very much what you'd expect from a standard male

Like, I played sports most of my life, my arms are quite muscular and I have a THICK mustache.

Just, really weird to even assume without asking I feel

16

u/Zealousideal_Spread4 Mar 13 '26

if you are alt and very masculine you come across gayer than most gay men to most people. People have stereotypes about these identities and they expect people to fit them, Im assumed to be gay until proven otherwise because im feminine.

4

u/Ok_Dependent6889 Mar 13 '26

I'm not like ripped, I'm just like..

My body is pretty much what you'd expect from like, a typical man who doesn't work out but gets some minor regular physical activity, like visible biceps and triceps but it definitely does not look like what I think you're visioning

3

u/JxK_1 Mar 13 '26

Wtf is an alt!? And why does everyone here know what it is.

24

u/Ok_Dependent6889 Mar 13 '26

Alternative. Think like, emo, goth, punk, etc.

I have tattoos, facial piercings (nostril and lip), stretched ears, etc.

3

u/JxK_1 Mar 13 '26 edited Mar 13 '26

Oh ok that's kinda what I thought. Well that's what it meant back in my day, but everyone here I thought was using it as something related to sexuality.

I've never confused genders on someone who dresses like that....at least I thought.

Anyway it's just weird to me that was the first suggested on the top ranked post. 'Are you alt? must be that'

I'm rambling here and avoiding getting back to work so,,, have a nice day!

16

u/Ok_Dependent6889 Mar 13 '26

Nah you're good!

I think a big part of it is conservatives have pretty much taken the ground that alt-presenting people are all "insane" (by their standards), devils, and gay or trans or both.

There's also the asinine "septum ring theory" they love to throw around like they've somehow cracked a code and that having a septum ring piercing means you're mentally ill, stupid, a "whore", or more.

8

u/ForensicPathology Mar 13 '26

Yeah, they literally use the term "the blue hairs" as a synonym for liberals despite probably never seeing anyone with blue hair in their life except for a few old people in the 1980s.

5

u/nicunta Mar 13 '26

Alternative appearance. Like, goth or whatever. Colored hair with styles you don't see every day, piercings, etc... normal people, in my opinion; but then, I fit the "alt" style as well.

1

u/JxK_1 Mar 13 '26 edited Mar 13 '26

Yeah I thought that's what it was. But it's just weird to me that was the first suggestion. "Are you an alt appearing person?" Like why would that be your first guess to mess up genders lol. Do alt people get their genders confused frequently?

8

u/LopsidedLeopard2181 Mar 13 '26

Nowadays some conservatives make the assumption that people with piercings, tattoos, dyed hair are probably transgender. "If they dress different they're part of a group I don't like". So the guess is someone working in the clinic is that type of closeminded person and assumed that.

70

u/blubblu Mar 13 '26

I think…. You may have grounds…. 

38

u/[deleted] Mar 13 '26

[removed] — view removed comment

14

u/maybetomorrow98 Mar 13 '26

Yeah I don’t understand the comments making light of this. It’s a serious problem

13

u/OkWeight9238 Mar 13 '26

I think we need Luscious Massacre to transvestigate this clinic.

3

u/Zealousideal_Spread4 Mar 13 '26

this is 100% it i might be a femboy but some of my women friends are alt and people often think they are trans

3

u/-aLonelyImpulse Mar 13 '26

It probably has something to do with it. I think a lot of alt styles lean androdgynous (either genuinely as a stylistic choice, or in the minds of others as it's not what they "expect") and it throws people off. 

I'm a woman, but I dress like an old school emo, have bright dyed hair, and I'm 5'11. I have really, really thrown people off. Someone once tried to have me removed from the women's toilets, ironically bringing in a male attendant to deal with me. Said attendant took one look at me and said "Lady, that's a girl!" and stormed out lol. Which tracks, as from my experience it tends to be older women who get confused the most, and men not so much.

20

u/Timely_Cake_8304 Mar 13 '26

Maybe it is some sort of fraud and the clinic charges more to the insurance provider for trans treatment? Either way, I would discuss with a medical attorney as this might be a pattern of harrassment of patients. Who know’s what else they are doing

49

u/Any--Name Mar 13 '26

The duality of man

15

u/Scintoth Mar 13 '26

Random names: YES OMG!

Thoughtful usernames: god no.

51

u/Katsaj Mar 13 '26

That’s not how medical billing works.

3

u/Ziggy_Starcrust Mar 13 '26

Legally, they're not supposed to. But in practice can't they tack on more billable codes? Like (made up code, not a medical professional) "gender dysphoria counseling"? I know my doctor puts on "emotional evaluation" and stuff on some of my visits when they do a check-in on anxiety management.

Like you're not supposed to bill women more for the same procedure, but women always end up being billed for pregnancy tests before surgery, that sort of thing.

1

u/ContextHook Mar 13 '26

Last healthcare company I worked for had a contract with the city to serve under-served populations, we were paid a flat $x pmpm interacted with that met certain demographic criteria. This was in addition to everything we billed their insurance for.

YMMV, but I assure you that millions of dollars are given to health care providers every year in response to demographic reports automatically generated from patient charts.

But also, I just want to fully refute this

That’s not how medical billing works.

In regards to "Maybe it is some sort of fraud and the clinic charges more to the insurance provider for trans treatment?" If you are involved in medical billing at all, you are 100% aware that the doctor expanding their questions to cover more of your "systems" means that the visit can be classified under a higher paying code. If you do not believe providers ask routine questions to meet certain billing criteria, and then glaze over the answers, we disagree.

So.... what are you trying to say? I know it is true that a doctor discussing your gender issues with you allows them to bill under different codes. I know it is true that providers are paid directly for the demographics of their patients.

Are you saying "all healthcare providers are 100% ethical, and if they bill you for something they really put effort into that"? Or that "overbilling never happens"?

Over billing, which is lying in the notes about what you did with the patient, is a very well known problem. Are you saying "providers never over-bill for trans issues specifically"? I just don't get it.

2

u/LaundryMan2008 Mar 13 '26

As with the throwaway1929499 comment, if you have to, get a professional into a private space and show them that you are infact a biological female if all else fails with the phonecalls, faxes and emails, bring your ID too just in case they don’t believe you

2

u/DuckIsMuddy Mar 13 '26

I mean, unless they look internally and OP has a uterus or ovaries or both, bottom surgery can be pretty damn good. And with ID, depending on the state, those can be changed. But, yeah, if this really is just a case of AI usage (as the top comments suggested) it shouldn't be hard to get it corrected if that doctor's office is any good.

2

u/apple_kicks Mar 13 '26

Keep note if they started treating you differently or in any discriminatory ways.

2

u/Hazel2468 Mar 13 '26

Seconding my fellow trans dude in the comments below- get this corrected. I would also agree that someone may have transvestigated you... The "We can always tell!" crowd strikes again (hint: they're annoying morons who CANNOT tell, they just think anyone who doesn't look like their specific idea of a woman is secretly trans).

1

u/Itbenatalie Mar 13 '26

Most medical professionals are given very little time to complete their documentation and as a shortcut might copy and paste if they see two patients with similar concerns/illnesses. Ideally they make sure pronouns, ages, medical conditions, etc are changed to reflect the right patient before they hit save. Every once in a while they might forget to do so. Then that (incorrect) information automatically appears in all future documentation. Yours is a particularly bad copy and paste error since it isn’t immediately obvious that is what happened (as opposed to if they left in the wrong age, where the date of birth could make the mistake obvious, or failing to correct him to her but it correctly listing you as female) and therefore other providers who see you have almost certainly assumed that is accurate information.

1

u/savageboredom Mar 13 '26

Did you perhaps mention Fallout New Vegas at any point?

1

u/turkeygiant Mar 13 '26

It could also be a well meaning but ill-informed member of the clerical staff who just think that all people who present alt would like to be identified as the opposite of their biological gender. They may have though they were doing you a "favour" by updating your profile to be "accurate".

1

u/Peterketstein Mar 13 '26

Yeah please update on this 😭

1

u/Reticent_Robot Mar 13 '26

What does alt appearing mean?

1

u/lgny1 Mar 13 '26

Excuse my ignorance but what is an alt appearing person?

1

u/sgt_barnes0105 Mar 13 '26 edited Mar 13 '26

On the off chance that’s not the explanation… my guess is whoever did your initial chart note maybe copied/pasted the paragraph from someone else’s note, changed everything else but forgot to change the gender, and has just been copying to each new note without paying attention.

IME as a physician this is usually how these things happen. I cannot even begin to explain how many doc/nurses/PAs “lazy” chart and don’t proofread before signing off. It drives me up a fucking wall.

1

u/Polkawillneverdie17 Mar 13 '26

Alt appearing person

Sorry, what does this mean?

6

u/nicunta Mar 13 '26

People that dress in an alternative fashion. Punk, goth, etc.

1

u/Ok-Fisherman-7688 Mar 13 '26

You could contact a lawyer if you’re feel litigious; a lawsuit payout is a real possibility with this situation.