I giggled a little when I saw it in that trainwreck (I'm not assigning blame to either side; I'm just saying the vehicle that was the thread flipped over at some point), but I thought it was in reference to a legacy who had a sex change shortly after birth- a more common procedure.
But if an alum who was in good-standing (but not necessarily hands-on active) had a sex change, would anyone at HQ really be the wiser?
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