I have watched the entire show and i can confirm. He’s shown multiple times to actually be completely unempathetic and self centered, even with his only friend. He makes racist, mysogynistic, homofobic, etc, comments just because he wants to piss people off. I don’t remember him saying anything transfobic but that’s just because he never encounters a trans person he can insult (except maybe one time where he discovers a girl is actually physiologically a man and is completely unempathetic to her learning this information, despite knowing full well how much she identifies with her beauty as a woman)

If you’re wondering how the show is appealing, he’s a very interesting character to observe. The audience is meant to empatize with everyone around him and sometimes with him. He has some redeemning qualities that people try to focus on and they tolerate him because he’s a net good. In the end people leave the hospital happy and healthy. He’s extremely pragmatic and calls other people out on their bullshit all the time. He often unearths social tensions people have which are hurting them. He will stand for his principles and against other evil people. He’s constantly a pain, but he’s not spiteful, does not hold any groudges. If someone fucks up he either throws them out on the spot or they are forgiven completely