NC - do you agree that it will be obvious to most patients that you are male, in A&E some who are drunk, on drugs, in pain, with eye injuries, for whom it won't be obvious
BU - someone's ability to see someone as trans isn't based on being drunk or intoxicated. Your perceptiosn inhibited by ocular injury, distress, drunkness doens't damage ability to see if someone is trans or not. I don't consider male to encompass transwomen don't agree it's obvious to most that I'm male.