Giving Lupus a Purpose

When I was 15 years old, most days followed the same schedule: wake up, go to school, a couple hours of soccer practice, a few more hours of karate class, go home, do my homework, and then off to sleep. I was the epitome of “student-athlete” and was having a rather successful competitive year; just that summer, I had traveled to Okinawa, Japan to compete in an international karate tournament, and won second place in full-contact knockdown fighting! Honestly, I was in the best shape of my life.

So when I started experiencing knee pain a few months later, there was no real concern; soccer and karate will do that to a person. But then my knees started REALLY hurting… and my hips, and my ankles, and my shoulders, and my hands. Every joint in my body ached, and I went from running and kicking to practically bed bound. I was also tired… ALL the time. I was sleeping in class, skipping sports practices for naps, and sleeping more throughout the night. On top of all of that, I was having migraines every other day and my mouth was riddled with sores, making eating very unappealing and causing me to lose weight fast. I went from very healthy and active to, well, not.

These symptoms continued building up and worsening over the span of a month, until I finally saw my pediatrician. After listing all my symptoms and drawing some blood for lab tests, I just had to wait. Those three days of waiting seemed like the longest three days of my life. Finally, the doctor asked my family to come in to discuss my results. Right then I knew, it couldn’t be good; you can share good news over the phone, but bad news is always given face-to-face. I remember how silent the drive to the doctor’s office was and how sure I was that I had cancer or something.

We sat down in the exam room and my doctor told me that my results pointed to two potential diagnoses: leukemia or lupus. All I knew was that leukemia is bad and lupus was… well I had never heard of that before, so I had no idea. My doctor drew some more blood to send to specialists for a second opinion, and again, we just had to wait. So, in those days of waiting, I filled my time with research. I tried to learn everything I could about leukemia and lupus: what treatment looked like, disease prognosis, and potentially my remaining life expectancy.

On Tuesday, October 17th, 2017, I finally received a diagnosis.

Systemic Lupus Erythematosus: an incurable autoimmune disease that causes my immune system to attack the healthy tissues in my body. This is what was causing all my pain and fatigue, and after some more testing, we found out it was attacking my kidneys as well. While this disease has no cure, it could be managed with a concoction of various medications, so I started treatment as soon as I could, and have been taking handfuls of pills every day since.

I thought that a diagnosis and treatment would give me relief, or even hope. But all I remember is feeling helpless. 

I thought that my life had been ripped away from me; I was only 15 years old and this news was going to change the rest of my life. I was an athlete with an autoimmune disease that caused severe joint pain; the one thing I loved was now just out of reach. There was nothing I could have done to prevent myself from having lupus, and there was nothing I could do to make it go away. I could take my medication and go to my appointments, but there was no guarantee that it would make anything better. The next few months blurred together as I just moved through the motions, still processing that this was my new life.

I hate to think that having lupus gives me a purpose, because I know that I could live a meaningful life without it, and I would jump at the opportunity to experience that. However, I hated the feeling of hopelessness, so I decided to give my lupus a purpose.

Near the end of 2017, my rheumatologist asked me if I wanted to join her at an advocacy opportunity: the Lupus Foundation of America’s National Lupus Advocacy Summit in Washington D.C. Here, we would meet with members of Congress to advocate for federal funding toward research, and policies to improve the lives of people with lupus. I don’t know why she thought I was qualified to do that, but she assured me that all I had to do was share my story, to tell them about my experiences living with lupus and how my diagnosis and treatment affected my life. 

After much convincing from her and my family, I agreed to give it a try, and in February 2018, I attended my first summit. This was my first time talking to other people with lupus, really sharing my story, and seeing that I could make change. I felt seen, understood, and empowered.

I continued doing more patient advocacy work by attending more Lupus Foundation of America summits and fundraisers, working with the Childhood Arthritis and Rheumatology Research Alliance, attending research conferences alongside physicians and researchers, and participating in research studies. More projects, more opportunities, and more connections eventually led me to the Young Patients’ Autoimmune Research and Empowerment Alliance.

I joined Young Patients’ AREA in its very early stages. My only goal at that time was to help make information about healthcare and research accessible and exciting for young patients, and I instantly knew that Young Patients’ AREA was a group I could do that with. I have been so fulfilled by what we’ve been able to do over these last few years. I remember being a newly diagnosed patient who didn’t know how to navigate the healthcare system or research surrounding my disease. I remember feeling like my experiences were not being acknowledged and that doctors and researchers didn’t understand me. I remember how empowered I felt once I learned how to advocate for myself within healthcare and research, and saw that my voice was being heard. And I am so glad that I can now provide knowledge, encouragement, and a voice to others.

If you had told 15-year-old me that I would have a degree in communication studies and public health, working with multiple health organizations as a patient advocate, traveling to research conferences around the country, and writing blog posts to inspire other young patients to get involved… I would probably laugh in your face. But here I am. And I wouldn’t want to be doing anything else.

A light purple image with a white border and white butterfly outlines in the background. A purple medical awareness ribbon is on the left and text on the rest of the image reads "Lupus Awareness Month- May 2024".

Pancy’s Lupus Story

May marks Lupus Awareness Month! Meet Pancy, a founding council member of the Young Patients’ Autoimmune Research & Empowerment Alliance (YP AREA), who lives with lupus nephritis.

Growing Up

Growing up in a typical Jamaican household, there was reggae music every Saturday and Sunday eating the typical rice and peas with chicken or fried fish. When I moved back to Jamaica, my time was spent playing outside with my sister and cousins. Unfortunately, I feared the wildlife roaming around like goats, stray dogs, lizards, mongoose, and more. It was always so quiet because we lived in the middle of nowhere. I was not used to that because I grew up in the Bronx, and the sounds of NYC roamed the streets day and night.  Early on there were signs that something was wrong. As a toddler, I had frequent nose bleeds and achy joints. My parents considered it to be a childhood illness or something that would pass. Little did we know that was the early development of my Lupus.

The Onset of My Lupus

While living in the countryside of Jamaica,  I had my first flare-up. It consisted of a headache, butterfly rash, joint pain, hair loss, and weight loss. My sister and I had to fly back to NYC because I was unwell and school was about to start. When I returned to NYC, I did not see a doctor but my parents did notice a change in my behavior, skin, and eating habits. During that time I was lonely and sad due to the change of my environment and how my body felt overall.

On October 9, 2011, I was in a mock trial during my free period, and I was feeling some discomfort and fatigue. The trial had ended, but I could not seem to get up. My legs wouldn’t move. I could only move my upper body. The ‘jury’ had called my teacher over to help me. He had a look of concern on his face.  I wasn’t my usual energetic self. Mr. K ended up taking me to the nurse’s office where my dad picked me up and we went to Montefiore Children’s Hospital, where I was diagnosed with Lupus and pneumonia. There were a number of tests being done, such as bloodwork, chest x-rays, and urine samples, you name it, I did it. Spending almost a month in the hospital trying to recover, my family visited me almost every day which gave me a sense of normalcy. My 11-year-old brain thought the medication would be temporary. But I was wrong. 

Lupus is a disease that occurs when your immune system attacks your organs. Honestly, I still do not know how they diagnosed me with Lupus assuming that I had most of the symptoms, within 2-3 days that is the conclusion they came up with. The butterfly rash on my face had to be the number one indicator of my Lupus diagnosis. Although I was in the hospital I still enjoyed the meals and the arts and crafts that were supplied. There were a few depressing moments where I would get emotional and burst into tears because I was all by myself. Having Lupus at 11 years old was exhausting for my mental health. At 24, there are ways to look at it differently: I see it as an opportunity to possibly help others through education and my own experiences. Having Lupus reminds me to focus on the good days. 

An over-the-shoulder view of a person holding an IV bag.

Living in NYC again, I am currently an author. I write about Lupus and I am a member/participant of many autoimmune disease projects. I became a member of YP AREA because my rheumatologist thought that being a part of the council would be great for me, as I have a lot of insight. My day job is a PCA/HHA. I spend my days taking care of geriatric patients. My interest in writing about my experience with Lupus began when I was 14. I participated in a few trials at the hospital and that is how I became a patient partner. My experiences have led to me contributing to an article about mental health and Lupus and also the importance of having doctors who are People of Color. Overall, there were many ups and downs in my Lupus journey however they led me to many wonderful people and experiences that would make me forever grateful.