Longreads

In 2014, Oregonian reporter Casey Parks contacted local hospitals to find transgender patients who were interested in telling their stories. One doctor, Karin Selva, had a 15-year-old patient named Jay who was willing to share his own. Parks met Jay and his mother Nancy the following year, soon after his first testosterone shot, and has spent hundreds of hours with him since — at home with family and friends, on school visits, and during medical appointments. In the first piece of a three-part series, Parks chronicles the realization that would prompt Jay’s medical transition.

One afternoon while his mom worked, Jay called his younger sisters to the living room. They were 8 and 10 — old enough, he hoped, to understand.

“I need to show you a video,” he told them. He streamed one of the YouTube videos on the TV. A trans guy appeared on the screen and…

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