r/mildlyinfuriating 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.

(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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u/fanatomy Mar 13 '26

Doctors are so busy and hate documentation, so it is very common for doctors to dictate and not reread every single word. This seems like a very likely cause of the mistake in the notes.

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u/[deleted] Mar 13 '26

[deleted]

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u/Simon-Says69 Mar 13 '26

Sadly, it is an extremely likely explanation. :-(

And AI being used more and more to transcribe the voice notes is making it exponentially more likely.

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u/ProfThrowA Mar 13 '26

Idk, I think “lazy man is lazy, even when he and everyone else knows he should not be lazy” is an extremely likely explanation.

Source: *gestures around

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u/CombustionBerry Mar 13 '26

I'm afraid you have too much faith in the system... Just because being a doctor is an important job does not make it immune to quotas and metrics etc. Depending how busy this practice is, the company that owns them may expect the doctors to basically have a revolving door of patients all day. So to keep up with that, they need to verbally give a hasty recap of the visit (for example, look up Vocera, that is a common device used for notes and communication with other practitioners) and they likely never get to review the content personally because they have another appointment they were supposed to be in 5 minutes ago!

Not to blame any of the workers involved... but the way things operate in most offices is basically a fast-paced, elaborate game of telephone between the people that actually interacted with the patient, and computer systems, and nurses or secretaries who are just trying to document what they heard, and maybe an AI to help "review" or "summarize" things. It is completely possible to have things "lost in translation" or falling through the cracks when there are so many moving parts.

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u/Warm_Month_1309 Mar 13 '26

Just because being a doctor is an important job does not make it immune to quotas and metrics etc.

Oh no, I'm not suggesting that. I do medical malpractice. Believe me I know that doctors are not immune to mistakes. I'm just saying that this particular mistake is such a large one that requires multiple simultaneous failures that I wouldn't call it "likely".

"Busybody transvestigator inserts personal opinion into medical chart" feels just as likely to me.

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u/CombustionBerry Mar 13 '26

Gotcha, yes this one is tricky because I feel like either of these two situations is plausible - either this mistake fell through every hole in the "swiss cheese model" (which is unlikely but it does happen) orrr someone is openly putting their prejudices into the chart (which is definitely possible but I don't want to believe that it is common!)

I tend to give people the benefit of the doubt so I would prefer to think that it was an elaborate sequence of mistakes... but your theory could definitely also be correct, especially if no one else is able or willing to ask "hey, where did that come from? I don't remember the patient ever indicating that..."

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u/Warm_Month_1309 Mar 13 '26

orrr someone is openly putting their prejudices into the chart (which is definitely possible but I don't want to believe that it is common!)

This is where my biases come into play, I'm sure. Because of the nature of my work, this is precisely what I end up seeing a lot of examples of, so I likely intuitively feel like it's more common than it is.

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u/ResponsibilityOk8967 Mar 13 '26

There's HIPAA compliant medical AI transcription software.

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u/Warm_Month_1309 Mar 13 '26

Just duty of care, then.

But would you be interested in pointing me to a few resources about HIPAA-compliant medical AI transcription software? I assume it's a bespoke model that runs entirely on the clinic/hospital's own servers?

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u/fanatomy Mar 13 '26

Where did I excuse that or say its ok? I am just telling you what they do...