This is just so strange, and I'm pretty into strange. I cannot at the time figure out if this is good or not yet, but it is certainly different in many regards.
It's for sure refreshing to read something that isn't a power fantasy isekai with the same story.
[/I already commented this but...I honestly hope Dr. Tamaki turns out to be an actual trans character... not a mental patient
This has a lot of potential]