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tonya h
Tonya H.'s Lupus Story

During this Asian American & Pacific Islander Heritage Month, we want to highlight Tonya H.'s story. We thought it'd best to get some perspective on what it's like, as someone who identifies as AAPI and is living with lupus, straight from her...

Can you give a quick intro and tell us a bit about your diagnosis?
Also explain if you felt, during the period between symptoms and actual diagnosis, that you were fully heard/seen by physicians/healthcare professionals.

My name is Tonya, and I was diagnosed with lupus in 2022.
My first symptoms appeared a year earlier with inflamed lymph nodes and extreme fatigue. It wasn’t until March 2022, when my symptoms worsened, that I was rushed to the ER and admitted to the hospital. Because of my previously healthy record, the EMTs and ER doctors had a difficult time diagnosing me.

It took a large panel of doctors—including a cardiologist, oncologist, primary care physician, nephrologist, pulmonologist, and others—nearly two weeks to correctly diagnose me. During that time, I underwent multiple procedures just to keep my body from shutting down. My lungs were filled with fluid, which led to pneumonia. My heart began pumping less blood, my kidneys were leaking large amounts of protein, and my blood counts dropped drastically each day. The doctors were hesitant to prescribe steroids, fearing it might worsen my condition.

Eventually, I was moved to the ICU. By day seven, I had lost the ability to walk or speak, although I could still understand everything going on around me. After my final procedure—a colonoscopy—the doctors were still searching for answers. At that point, my body was beginning to shut down completely.

I truly applaud the entire team of doctors who worked on my case, but I also believe a lack of education around lupus delayed my treatment. Out of the entire panel, the one specialist I truly needed was a rheumatologist, and they weren’t involved early enough.

How do you see (if at all) the Asian Americans/Pacific Islanders represented in the lupus community, whether it's locally or nationally?
As I’ve become more vocal about my diagnosis, I’ve had fellow AAPI patients reach out to me through social media to share their own stories and concerns. In our culture, illness and healthcare are not commonly talked about. Being sick is sometimes seen as taboo and isn’t typically discussed openly within our communities. I believe this cultural silence contributes to the lack of shared lupus stories among AAPI individuals.

What are some ways that our chapter, and other chapters, can be more present in AAPI communities beyond AAPI Heritage Month?
If we want to raise more awareness and create a stronger lupus presence in the AAPI community, we need to show up at our large cultural gatherings—such as Lunar New Year festivals, food festivals, and other significant events like Chinese New Year. Additionally, engaging with student organizations such as the Filipino Student Association or Vietnamese Student Association at universities could help foster connection and education.