they were kissing and groping one another, Cayea said that “[Jones] told me that she wanted me to choke her.”

When Cayea did put his hands around her throat, he said that “she started telling me that I was a little bitch … and I couldn’t do it hard enough.”

Cayea then said he began to choke her with more force. He could not say how long he was choking her before “all of a sudden, she started to buckle.”

“I let go of her, and she dropped down,” he said.

Cayea testified through tears that he did not notice Jones’ lips turning blue because the lights were off in the bathroom. When he dragged her out into the bedroom, he said he saw that she was dead.

Though he said he knewE. Tammy Kim is a writer in New York.

A few years ago, Stephan Rivera, a 31-year-old native of the Bronx, New York, consulted two doctors about his prospects for “top surgery,” a double mastectomy. “I was like, I really just want to cut them off,” he recalls. Although he was generally content—working as a teacher’s aide in a public school and living with his fiancée, Tanisha Burgess—he felt increasingly estranged from his body, especially his chest. He avoided the mirror after his morning shower; trips to the beach made him anxious. His best friend, Aiden, who had recently transitioned himself, told Rivera to seek out the Callen-Lorde Community Health Center in Manhattan.

At the time, it was becoming easier, at least in theory, for trans people to get treatment,