When I pick you up and make a medical report on you going to the Hospital, the forms don't ask for your "Pro-nouns"! The Doctors only want to know, (Male or Female) and what seems to be the issue. The whole 54 gender thing goes right out the window when you have overdosed or your hurt! I have yet to have one person say to me when they need help, that I'm; (#&()*&%$#@).