I'd be surprised if the first words that come to mind have not been used many times before to descirbe this work: Powerful, heartbreaking, infuriating, a nuanced and needed perspective, a must read.
It is enervating that the battle for transgender people to be seen, respected, understood, fully embraced, needs to continue in the face of much prejudice and hate, but I'm glad to experience such a vital voice as Vivek's pushing the conversation 1/?