She's So Hard: A First Time with a Trans Girl Tale (Patreon)

Dave is a male nurse, working in a unit of patients recovering from bad accidents. Many of them don't have the use of their hands, so Dave finds himself often having to go beyond his job description to keep people happy. Beth, Dave's mentor, is often the one to perform the 'duties' on male patients, to help keep them sane. Men have needs, after all.

Dave is willing to do whatever he has to do to help his patients recover. But that gets quite complicated when Quinn shows up in his ward, unable to use her arms. Quinn is a male-to-female trans girl. Like most of the ward's male patients, she has needs of her own if she's going to stay sane during her recovery.