Damn I'm Confused!

This morning I decided (for once) to get ahead of the game and go to my VA clinic for my required hormone level blood tests.
Just to confuse you, going to my local VA clinic is not going to the closest center where I have to go most of the time. It's much smaller , normally has one busy check in person and about 20 seats or so. You can't get lost in a crowd there!
Of course you need an ID to check in and at this point of my transition I still have a very male VA identification card. This morning I simply tied my hair back in a pony tail and went in.
I was fairly certain I would not have to answer any potentially embarrassing questions about why was I getting an estrogen as well as an testosterone test done. I was totally relaxed as I waited in line to get checked in until the receptionist glanced up and said "can I help you Mam?". Then he looked at my I.D and started with Mam I'm sorry Sir. Well I went from relaxed, to amused to elated!
Then it was time to "hurry up and wait" which is something all you veterans knew our military was famous for.
The remainder of the visit was surprisingly routine. The last time I did it, the process was a little tricky because I was getting blood work requested by a non Veterans Administration Doctor. Today, nobody said a word and I didn't have to say the transgender word once. Furthermore,  they are even letting me "hand carry" my results to my "endo-doctor". (Never trust a doctor to doctor fax machine!)
My reasoning is either the clinic workers know I'm the token transgender patient or my outside doc has been approved by the VA.
Whatever it was, hopefully today was a good sign for the future!