I went to the allergist and when we updated my med list we changed my gender to T (MTF), I don't remember exactly when I let them know the name Sarah. Now everyone in that system is using that. It does please me and I'm getting used to being addressed as Sarah even when I'm not presenting myself as female, it's just awkward at times.
I guess I'm continuing to worry more about other's ability to handle it than making sure my needs are being met. It wouldn't be the first time I've given myself a lower priority than family and even strangers. This is why I stick around on this forum, you kids always help me see the unreasonable rationalizations and justifications that allow me to place my needs lower than others.