Has the world gone mad?

I really don't care if they call me a he, she or them as long as they take care of my their/them/its ailments. - exactly. I simply do not need to know this entirely irrelevant piece of information about the writer.

I am absolutely happy for people to live the life they want to as long as they do so without harming others, but on a professional communication the writer's gender preferences are totally irrelevant to the matter in hand and have no place on these letters.

It might as well say: John Smith, likes jazz - it is nothing to do with the professional approach.

My DGC knows that their preferences are their own and they never get on a bandwagon forcing these into people's faces. They just quietly get on with their life. They have my support to be themself.

I'm afraid it is people like your beloved family member, who have led to employees being asked to publically declare their preferred pronouns.

Perhaps "John" is on a genderfluid journey other people find confusing because he still has prominent breasts or is visibly pregnant.