Very well written. One of the things that I would say, though, is, if you have an autistic patient, don't make small talk, instead, ask them what their special interest is. I have to have a colonoscopy next month and my gastroenterologist, who has a good rapport with autistic patients, said that the anaesthetist is horse crazy. What I'm planning to do is show her the Japanese character for horse, and hat it's pronounced "uma" (oo-ma, not you-ma). She said that one of her male anaesthetists has a wife who does equine therapy, and as I'm a sex abuse survivor, and am not comfortable with males, the only way I would really be comfortable with him would be if he said, "Can we do something unconventional? I'll bring my wife in with me," and he then said, "I'm so and so, and this is my wife. I know you're autistic, and my wife works with some autistic people as part of her equine therapy. What I'll do, is, I'll let your consultant examine your lungs, or, I'll let you hold my wife's hand while I do."
Some doctors spend so much time on the other side that they forget what it's like to be patients. My rheumatologist, however, when I told him about a urologist doing a non-consensual prostate exam said, "I'm not condoning what he did, but sometimes, to older male doctors, it's just another male prostate and there's no consideration given to whether or this person was sexually abused or how triggering it may be."