I live in an extremely "progressive" (obviously the word doesn't mean what it used to) California town. Our doctors office is covered with trans flags and offers for gender counseling. It makes me literally sick. I've written about it on their Yelp review page and comment forms. Unfortunately it's the only local clinic currently taking our insurance. We use it very rarely, but it's still maddening. Recently, I went to another practice, dermatology, for my yearly skin check. The dermatologist brought in a student who was trailing her and asked if "she" could be there. I barely glanced at her and thought it was a woman. However as we went through the exam I noticed the student was wearing a trans flag pin, was much taller than average, and had *very* large feet. I began to get anxious, wondering if this was actually a man with us. I had to open my gown so she could check my front and felt extremely uncomfortable. I didn't know what to do - could I say "hey, are you a dude?"? - so I finished the appointment. Afterwards, when I caught the doctor in the hall, I explained my reservations and asked if the student was a woman or trans woman. She got super irritable with me and said, "a woman!" Being in California, I'll never really know what that meant, and it wouldn't surprise me at all if they let a trans " woman" work with them and called him a woman. Extremely disturbing, I still feel violated.