I actually have direct experience with this exact thing, about 10 years ago when I was in my first couple years of transitioning I lived in rural Appalachia and was in a car accident, had the first responders, medical professionals at the hospital, and investigating officer all question if I was trying to kill myself after I disclosed I was on HRT + I'm visibly trans, with a nurse telling me that my HRT made my injuries worse (bold faced lie) so I can 100% understand hir's position, obligatory death to America. Even though it was a no-fault accident, I ended up getting the blame for it after they said I intentionally crashed the vehicle (another bold faced lie) took many years to recover mentally, emotionally, physically, and financially.