He intentionally misgenders his own children so honestly I’m not that torn up about it.

There’s nothing wrong with being a woman, it’s only an insult if Musk thinks it is. We’re allowing him to torture himself with it.

I think “first lady” is referring to the absence of Meliana and omnipresence of Musk at Trump’s side rather than saying Musk is/identifies as female.

Still, as you say, an unwise choice of words because the phrase can be taken a couple of/a few ways.