I think "not giving a shit" can be described instead as "gloating". The TA behaviour is akin to terrorism. For the Trans Activist terrorist, the end justifies the means. If people actually suffer, or die, as a direct result of TA terrorism, then good, as far as they are concerned. All publicity is good publicity. Hate campaigns raise the profile of the haters, keeping them in the public eye, keeping the discussion alive.
I'd go further in this comparison. Trans Activists hate women. They wish to eliminate women. If not all women can (practically) be eliminated, they must be supplanted, replaced, imprisoned, or brainwashed. Women must be controlled and corralled. TERFs are dangerous, because they have shown strong tendencies towards thinking for themselves, and standing up for other women in the face of the TA Terrorist propaganda. So TERFs first - they must be decapitated! then all the other female women.
A gynaecologist, whose profession is entirely focused on and provided for women, is quite a good patsy if you think about it. I think the actions taken here, visiting the gynaecologist, insisting on being treated, being outraged and verbally attacking and abusing the staff, then writing a public review on Google were all part of a well-thought-out plan. The bonus part where the professional organisation took disciplinary action against the gynaecologist was a brilliant outcome for the antagonistic pair. It was a gamble, but the gynaecologist took the bait and swallowed it. Result!