![]() Breathing was such a trial, her skin would turn blue. The Moehligs adopted Samantha from her homeless birth parents, tending the baby through fetal alcohol syndrome. “But it seems like the new normal for us now. “That’s not what you expect,” he said of his child’s passage from female to male, and the ripples this sent through the family. Once he gained sobriety, Ron had assumed that his days would follow a predictable middle-class trajectory. Recovering alcoholics, Ron and Kathie met 27 years ago in a 12-step meeting. “God has plans for everybody, and this is how it develops.” Sam’s double mastectomy was “the next step in our family as our family grows and gets closer,” said Ron, 62, a service adviser for a local automobile dealership. More counseling followed, as well as hormone blockers, testosterone shots and constant talks with his parents, Kathie and Ron, and his sister, Jacq. His suicidal thoughts eased when a psychiatrist suggested that Sam might be experiencing “gender dysphoria,” the intense sense that someone’s body and sexual identity are in conflict. Sam’s surgery came after years of anguish and depression. ![]() ![]() (Moehlig Family Photos / San Diego Union-Tribune) On the right, Sam, about five-years-ago during his first trip to buy boy clothes. Even at five-years-old, Sam, on the left, dressed like a boy and wore a “Prince Phillip” from “Seeping Beauty” costume during a Disney-themed cruise.
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