This simply isn’t possible in the modern era in a hospital network. You don’t own your records, the hospital does. You very likely don’t decide if you respond to subpoenas, there’s a policy in place drafted by executive leadership that they probably comply with any that are “valid” to avoid the expense and potential legal complications regardless of ethics.

This is why when I started doing gender affirming care, especially for pediatric cases, I went independent. I only do mental health though tbf. It’s far more difficult in this age for a physician to remain independent, especially if they don’t do very lucrative things like surgery (who are far more likely to be independent because they have oodles of cash and don’t want hospital networks taking any more than necessary)

And even then with modern electronic records it’s not that simple. Even for my practice it would take weeks to “torch” records and I technically would not be able to verify this was done. I’m also not sure if EMR or hosting providers could be subpoenaed. I assume so.

Convenience, big data, and capitalist healthcare have led us to a horrifying place where the government stealing your records is easier than ever and healthcare workers wanting to do the right thing have more barriers than ever

Aside from all that though is that the correct response, at least initially, should not necessarily be to destroy records or go into hiding but to hire lawyers and refuse release. Generally it’s not as hard to refuse release as one would think, I’ve done it a few times for reasons unrelated to this. If it becomes clear that you’ve failed in this, which is important because it can set precedent that records cannot be released for anti trans bullshit, then you go off grid.

The fact that there is no reporting on a countersuit or pushback from any hospital makes me think that my first paragraph may be the case and that they all simply willingly complied to avoid rocking the boat though. It’s not a given; you have a decent window of time to comply with subpoenas and they could be formulating a plan to not comply, but my gut says many simply handed the records over.