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After the accident, counseling and hormone therapy brought stability.

Jessica's bleeding disorder and the prohibitive cost made sex assignment surgery virtually impossible, but she nevertheless found an "inner peace" that Jesse had never experienced.

A practical joke that nearly killed Jessica Mc Guinness ultimately saved her life.

It happened in 2005 when Jesse, as she was then known, was on a camping trip with some friends in West Virginia.

She came out to family and friends, who were accepting and supportive, but for four years hid Jessica from her EMS co-workers, finding many of them unsympathetic to transgender patients.

And then began the self-medicating to stop the emotional pain — marijuana, LSD and alcohol until age 22 and then solely alcohol.

There was physical pain from those injuries, to be sure, but also flaring were psychic wounds Jesse had held close for 30 years — the wounds of living as a man while being a woman at her essence.

"I should have died under that bridge," Jesse realized.

Pittsburgh Sex Guide advises where to find sex, prostitution, hookers, brothels, erotic massage parlors and escorts in Pittsburgh, Pennsylvania.

Pittsburgh is a city of about 350,000 in Allegheny County, at the center of the Pittsburgh Region in southwestern Pennsylvania; the population of its metropolitan area is about 2.4 million.

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