This makes me smile so much. I work in the NHS and have been having quiet conversations with patients about preferences for years. I no longer feel scared to admit that, and the relief I feel is crazy. On the other hand, I have twice been in physical exams as a patient, and the female practitioner needed a second opinion, and the staff member she brought in was a man. I don't want to make any assumptions, could have been in drag, I don't know how the man identifies, but importantly, I wasn't asked if it was ok. I was ok, but I didn't like the deception because if they are trying to deceive me this way, that's a red flag and I'm now on guard. My own patients though would have run out of there, and it's exactly this that needs to be remedied.