Well it's going to continue to be the bare minimum in most cases if trans people continue to have that kind of hostile attitude. I can't very well do much more if my patients assume that I'm the bad guy because I'm a straight white male, and honestly that seems to be the attitude I run into too often. At the very least many of these patients seem extremely withdrawn and unwilling to have a conversation about anything. I get it, there are a number of reasons why these patients distrust the system, but at some point it's creating barriers to care that I don't have the resources to break down despite the fact that I had nothing to do with creating those barriers in the first place. It's just frustrating, and it doesn't benefit anyone.