I think its telling that you’ve taken an ambigous set of second hand facts and then stretched and generalized them into “Hatred”, “Transphobia” and a willingness to let your family member DIE because their “gender isn’t easily categorised and put into the right boxes”. Vague abdominal pain is one of the most common things seen in the ER, most of the time it resolves on it own. It’s also pretty common for a doctor to not reenter the room after examining a patient. Is it the best bedside manor or the best customer service?- No. Is it obviously “hatred” and a depraved willingness to let a person die? Also no. The fact that you are so quick to make incendiary statements about the motivations of the doctor based on such flimsy secondhand facts makes all the rest of your assertions suspect. If your standards for hatred and near murdurous intent are set so low it’s no wonder you view the world as out to get you.

Side note: The fact that it was “several days later” before surgeons removed an un-burst appendix means that even if it truly was appendicitis at that time (40% of all emergency appendectomies end in the removal of a healthy appendix) then it’s likely that it wasn’t appendicitis 3–7 days before. 80% of appendicitis pain starts less than 48 hours earlier, with most exeptions to the 48 hour rule happening in the elderly, and those with prior serious bowel disease.