I strongly suspect this article is being incredibly selective in it's narrative to the point of utter dishonesty. Because while transmen "pass" better than transwomen as it's easier to cover female features with male features than vice versa. So the change in facial fat, caused by testosterone over female facial bone structure, coupled with a beard and receding hairline. And broader shoulders if she works out a lot while on T, along with breast removal, will give an upper body that looks more male under clothes. But that's just in photographs. Careful photographs at that. If you look at the photo of this woman it's taken at an odd high angle, most likely because a in a straight on photograph it would be pretty obvious that the shape of her lower body is clearly female. The fact is that when it comes to transness, the hips don't lie.

So in real life, when she is not in a carefully angled photograph, when she is walking and talking, nobody will be taken in for too long. Any t-men I've ever seen, even on television, where they are again, shot to look most manly, at best come across as incredibly uncanny valley. Initially you maybe think they could be an incredibly feminine, probably gay, man. But even then, it becomes increasingly obvious that something is off. There is just no way that it's possible that medical professional after medical professional, didn't, at a bare minimum, suspect that this person was female.

What has most likely happened is that they knew she was a woman but were actually worried about the consequences of outright asking if she was a woman. They probably repeatedly asked leading questions to get her to admit to her biology, which she repeatedly refused to answer honestly. Are we actually supposed to believe that no medical professional asked her what medication she was currently on? That's a totally standard question for nearly all medical issues. She didn't just fail to disclose her status, she very obviously lied repeatedly. And the culture of fear that exists in so many professions around transness, meant everyone went along with her through fear.

And why did she lie? Just through the vanity of wanting everyone to act as if she was really a man. Nope, that was probably part of it. But even a quick google will show you that excess testosterone is linked to chronic kidney disease. There hasn't been any study that specifically tracks how taking excess testosterone affects women, because we all know this type of study isn't done. But any doctor who is told that a patient with kidney issues is taking testosterone would almost certainly tell them to stop. And that's what this woman didn't want.