Of course I was totally pissed off and I started to call the VUmc and endocrinologist. I think I have made a dozen calls between the two for over 5 hours total (it’s a good thing I have an unlimited phone bundle π).
At last I spoke with a male nurse who pointed out that my psychiatrist could send his gender dysphoria diagnosis to the VUmc and I could start with the treatment. This was possible because I didn’t need those psychological talks (which are the main reason for the waiting list).