1. 10yo is PLENTY old enough to have dysphoria. A lot of kids realize they are trans (not by name, of course, but they do FEEL it) as early as 2 years old or so, which is when kids start realizing what gender is and where they belong in that respect. It’s true that many kids don’t realize this until puberty or even later, but that is not the only path.
1a. You don’t have to have gender dysphoria to be trans. You don’t have to have a diagnosis to be trans.
2. Doctors and nurses absolutely familiarize themselves with the chart before seeing the patient (if there is time. Looks like here there probably is time). Awareness of social history including family/living situation, custody issues, recent life events that may require sensitivity, and CERTAINLY gender as well as biological sex would definitely be a part of the chart. So for instance I have seen patients who are trans; usually when I write a note for them I would put it in the very first line of the note: “John is a 15yo transgender male (assigned female at birth) who presents for X”
3. Generally speaking this is……not the case. Yes, knowing someone’s biological sex is important, though I am honestly more concerned with any particular therapies they may be on for a medical transition, or health maintenance (eg pap smears, prostate checks) than I am with their chromosomes or whatever. For kids, some diseases have a tendency to affect one sex or another, but there’s not much I can think of that has such a strong association with one sex that I would be screwed if I didn’t know the kid’s biological sex. (Plus, as mentioned in 2, we can know both their bio sex AND their gender!!)
3a. I do not know of any drug that is effective in women but will literally literally cause heart failure in men.
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