Well stated, JoeS21! Although I have waged a life-long battle with GID, I am biologically male, I look male & have a male first name. So I don't have a problem with this. Also, most of the clinics I go to seem to call me in by my first name. But I can certainly see where the way patients are addressed in the waiting room could be problematic. A bit more sensitivity, on the part of healthcare providers as well as insurance companies, would be helpful.