Wow Jenny, that's powerful and poignant. You have certainly had a very full life to date, filled with joy, pain, loss and rebuilding.
Your strength, and obvious perseverance has driven you, time and time again, most only re-invent themselves once or maybe twice in a lifetime, you have superseded those averages. Maybe, as you say it is just that you are you, living you... good luck with your last 2 years of medical training.
Just as a by...
Interestingly in the eighties I never knew who to talk with or who would even listen about my needing to be female... so in the late 80's I moved out to Australia, you know, the land of the rugged, to try and put behind me years of inner torture, only to discover it wasn't as imagined. So it started again... wasn't until nineties and internet that I discovered GID/Transgender etc... That was the start of my long final journey (been gradually ticking all the boxes, only a couple to go).
Katy xx