My second most difficult event was a couple of months ago going to the dermatologist for my semi-annual skin check up. I had been on hormones for a year, and had developed nice B+ cup breasts. All went well when the nurse called me in, until she handed me the gown and said, "you know the drill, open in the back and everything off but your underwear. I took the gown, and thought, Oh, 💩!!! No one other than my wife had seen me topless in over a year. I took the gown, stripped to the bare minimum, and sat down thinking what I would tell the female PA when she came in. When she did, I told her, I was a little embarrassed as my chest had grown, and she didn't miss a beat, "Oh, you have gynacomastia, it's pretty common. I blurted out, "Yes, yes, that's it!" And then, "I'm transgender and on estrogen!" She didn't respond at all, continued with the exam and when she came around to check my chest out, put her hand on my shoulder, told me it was okay, just to relax. She continued the exam, a bit more gingerly than usual, when she finished, she patted me on the back, smiled and said, "it's all going to be okay." Professional and caring, reassuring and nonjudgmental. She turned what could have been hurtful and painful in to validation.