I'm very happy for you, especially entering the VA health care system as you are. I restarted my transition almost 3 years ago with the VA and the support has been nothing short of sensational. As far a the distance to the hospital, I understand, I was 1 1/2 hours away and it was a pain at times. Check with your providers and see if you can schedule telehealth visits. They send you an email link to access your appointment, and it's the next best thing to being there. I've found the Ipad works better than a laptop or phone for some unknown reason. Congratulations and best wishes, by the way I'm closing in on 68 and consider myself fortunate that I found the VA supports the LGBT.