"This is Sam Shepard, she has been with me before I moved toTolerance," Amanda introduced me to her head nurse who justhappen to be a fifty year-old m...n.Amanda must have noticed the questionable look on my face."Sam and her husband are also part of Dr. Knox's program. Herbetter half owns and operates one of the local gas stations."I then asked a question I should have asked earlier. "How do thepatients handle the idea that you were once a man?" A lot better than most people would think. When a. Joseph Johnson was 58 and had been a long haul truck driver since he was 23. Over the years he had grown more cautious about who he was willing to give a ride to because it was not as safe to pick up even women because on occasion even they might pull a knife on a truck driver to steal his cash.He made the decision that day to stop because of the size of the young woman standing on the side of the road in the black t-shirt with colorful screen print and black skirt with blue and purple designs. More

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