Questions regarding the grammatical gender of English words.

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Grammatical Gender þe þæt

When the nominative articles for masculine and feminine nouns were exchanged for þe and cases for nouns were lost, it would make sense for masculine and feminine to become a common gender like in ...
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What reflexive pronoun should I use if don't know the gender?

I am writing something for university and I am talking about how a patient might hurt... himself/herself? itself? (talking about the patient) If it was something informal I would use themselves but ...