Alexander Nicholas

Alexander Nicholas

Steering Committee Member @ PAQ (Philly Asian and Queer)

Key Words: LGBTQIA+ community, community based organization, mental health

I: Welcome everyone to the APAMSA NHAAPI Health Issues Interview series, where we’ll be interviewing researchers, policymakers, community-based organizations, and other experts on health-related topics that affect the NHAAPI community. My name is Grant Wen and I’m the health advocacy director at APAMSA National. 

 

For this interview, I would like to welcome Alexander Nicholas from Philadelphia, Asian and Queer, also known as PAQ. PAQ is a volunteer social organization that strives to engage queer Asian and Pacific Islander folks within the Greater Philadelphia area. Through a range of advocacy, social, and supportive programming, PAQ commits to building and uniting their collective voices as queer AANHPI communities. Alexander Nicholas, pronouns they/them, is a steering committee member of PAQ and currently at a master’s program of social work at Widener University. So without further ado, let’s welcome Alexander.

My name is Alex or Alexander, and I’m a second generation Filipinx, trans masculine, non binary person. I became involved with PAQ two or three years ago. And our organization has a range of programming. I’m mostly involved with our afternoon tea and discussion groups, where we discuss various topics related to the queer NHAAPI community. Before COVID, we also had food tours, where we would all get together and go to various NHAAPI owned restaurants to support them. And currently, in COVID, we’ve moved almost completely to online at this point. We are trying to get back to in person events. We recently had a drag night. And right now we have a Discord server, facebook group, and instagram handle.

I think because of the pandemic, and the hyper visibility that the AANHPI community was suddenly facing, a lot of our topics of discussion shifted to more of dealing with our mental health and how to weather a new surge of racism against us. Because a lot of our community was based on feeling like we didn’t have visibility within the queer community, as Asians and Pacific Islanders. And so now it’s like, okay, well, we can’t really separate these identities. So how are we being affected by racism right now?

 

In addition, before the pandemic, we as an organization had been talking about trying to put together a queer AANHPI conference. And just something small, where we could have various workshops and speakers, to try to grow the community and connect with other organizations in Philly. But then COVID happened. So those plans were put on hold. But other than that, we also partner with Laneway Community Center and do our fundraising through them. And I think one of our goals j has been to start a queer AAPI Scholarship Fund.

 

Lastly, for those of you who don’t know, the Laneway Community Center is located in Center City, Philadelphia. And it is, I think, one of the older or oldest queer community centers in the city. I’m not quite sure if they’re open right now, but we also used to hold our afternoon tea and discussions there.

There have definitely been new challenges after COVID. In the past, community work was 90% in-person events, like gatherings at community centers where individuals could share food or celebrate festivals and special holidays together. But due to COVID, people couldn’t gather and don’t feel comfortable doing so. So that was a huge challenge, especially for some of our community members, as the majority of clients we serve are the elderly with limited English proficiency, and really limited knowledge and even access to internet and digital devices.

 

COVID really changed everything for our organization also. First, we couldn’t work in our office building, so we had to work from home.Second of all, we had to transition events and projects to digital platforms, and to do so, the initial steps we took were to do digital literacy programs for the seniors in the communities that we serve. I know that some of our partners called the seniors individually and gave them instructions on how to use Zoom, how to create an account, etc. And then they went into health education and even social gathering through zoom and other digital platforms. So that was really new to us. But surprisingly, they all adapted to the digital world fairly quickly. The seniors seemed to become very familiar with the platform, and they really enjoyed talking to each other. So that’s really going smoothly for now, but with things slowly transitioning back to reopening, I’m sure there’s going to be new challenges, and we will see how we can adapt to any new situations.

 

We also have been supporting local businesses since the pandemic. For example, we ordered 1000s of masks from a local Vietnamese shop. That’s one of the ways that we’re supporting the local community. We also collaborated with the local businesses in Chicago, where they helped us distribute the resources that we created, such as handouts with in-language materials and resources for local communities. 

 

Right after the pandemic hit, everyone—-but especially the communities we serve (elders with limited English proficiency)—- had been isolated at home. So we collaborated with APAMSA to create a student ambassador program for students to call seniors who felt isolated to make sure they felt supported enough to meet their physical and mental needs. Especially after the anti-Asian violence, there was a huge increase in mental health needs for the coming from the elders in our communities along with even more hesitancy in going out. We’ve received some good feedback, especially with the program that we’re doing with APAMSA. Seniors across the country appreciated the company and the conversations they had and also the students helping them process COVID information and also the vaccine.

With our community, a lot of the health issues that we were dealing with, via our organization, were mostly related to mental health and finding community and reducing isolation. The queer AANHPI community also still deals with AIDS/HIV, and especially as immigrants, there can be a language barrier to accessing services for that. And a lot of our steering committee members happen to be social workers, so we are personally very involved with trying to help with those disparities.

I would describe PAQ as very grassroots. It involves programming by and for the community. The kind of barrier to entry to becoming a steering committee member is quite low, I think, compared to other organizations, which I really like. And so when we have programming, it was very much a loop of feedback of just like, “Oh, well, I personally need community in this way. Can we work together to try to make that happen? In terms of our members, I think it’s a mix of first and second generation immigrants. Among both steering committee members and members who are not part of our steering committee, we have a wide range of NHAAPI experiences.

There has been a lot of discussion around feeling trapped and paralyzed around how to move through the world when you’re dealing with queer phobia and transphobia, and anti Asian racism. Because of the pandemic, a lot of people also moved back in with their families. Many times, members of the AAPI community will choose not to come out to their families, because it’s more important to maintain the relationship dynamic of the family. But when you’re stuck at home, it becomes harder and harder sometimes to maintain that balance. But if you go outside, you risk anti Asian violence. And a lot of people have just been struggling with that balance and trying to engage with coping skills.

Since I’m mostly involved with our afternoon tea and discussion groups, this topic of discussion has come up really frequently—-of people needing mental health support, or just community support. And being in a space where everybody has some kind of base level of similarity can really help you feel seen, even if you are talking directly about the specific struggles with COVID and anti-Asian violence.

 

There’s also definitely a shortage of therapists in general. One of the main factors of me choosing to change careers, from animation into social work, was the lack of queer therapists. And we are out there, but everybody’s rosters are always full. And so we can always use more mental health professionals, not just for the queer AANHPI community, but for the general population as well.

Depending on who you talk to, vaccine hesitancy will range within the community. I think there can be a misperception that marginalized communities are monoliths. So I think there can definitely be more work done addressing language barriers and science communication.

 

Within the community, a lot of people just don’t know the science of it. So I think that’s part of why there is some vaccine hesitancy. I think there is also some form of linguistic barrier. And unless you are connected with the medical community, or kind of in tangent with it, then it’s difficult to feel like the information is for you. But there also is the issue of Asians not being represented very well in data collected for vaccines for vaccination rates.

I think just spread the word. There is more than enough space for more members. And there’s really a lot of monthly opportunities to get involved. We have our Facebook group, a Facebook page, an Instagram page, and our mailing list is very comprehensive and covers our events as well as the communities that might be relevant.

I: Before we end this interview, I was wondering if you had any kind of major takeaways that you wanted listeners to come away with.

 

A: I think I would like listeners to remember that our mental health is also connected to our physical health. And that having a strong community and network density of your community connections can really help maintain good health.

 

I: Thank you so much, again for sharing with us! It was a pleasure to talk to you today.


Statement on Anti-LGBTQIA+ Legislation

On February 22, 2022, Governor Greg Abbott defined “gender-affirming care” as “child abuse” under Texas Family Code Sec. 261.001(1)(A)-(D) and issued an order for the Texas Department of Family and Protective Services (DFPS) to investigate these instances of “child abuse.” This order effectively criminalizes any gender-affirming care, preventing families from seeking said care and licensed professionals from providing it. Although the Honorable Judge Amy Clark Meachum issued a temporary injunction to these investigations on March 11, families trying to keep their transgender and nonbinary children safe are already feeling the impact. Many say they have been encouraged to leave the state, but more than half of Americans cannot afford even a $1,000 emergency expense, much less an interstate move. Even if they have the means, parents should never be forced into a situation to decide between their child’s safety and uprooting the family from their community. 

 

Texas is one of several examples of recent anti-trans and anti-queer legislation denying individuals the right to exist in their authentic gender and sexual identity. Similar bills have been passed or are under consideration in Arizona, Indiana, Tennessee, Kansas, Kentucky, Utah, Alaska, Idaho, and New Hampshire. In Florida, the Parental Rights in Education Bill – better known as the “Don’t Say Gay” Bill – seeks to outlaw all discussions on LGBTQIA+ content in kindergarten through third grade and restrict discussions in other grade levels to content deemed “appropriate.” It also requires educators to inform parents about LGBTQIA+ youth’s identities, “outing” the student even without their consent. This bill has passed in the Florida House (February 24) and Senate (March 8) and currently awaiting Governor DeSantis’ signature.

 

Last year, the Asian Pacific American Medical Students Association (APAMSA) released a statement of solidarity with the trans community and a call to action following anti-trans legislation in Arkansas and other states. Not even one year later, new anti-trans and anti-queer legislation continue to target a vulnerable population. Withholding or delaying gender-affirming care can lead to significant psychosocial distress and is not a neutral option. Nearly 1 in 5 LGBTQ youth and 1 in 3 trans or nonbinary youth attempt suicide in a given year, with discrimination – both individual and political – as a strong risk factor. 

 

In contrast, studies show that gender-affirming care can reduce emotional distress, improve their sense of well-being and reduce the risk of suicide. Numerous professional societies, including the American Medical Association, the American Psychological Association, the American Psychiatric Association, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Endocrine Society, espouse the efficacy of gender-affirming care for trans youth and adults.

 

The effects of anti-trans and anti-queer legislation are also felt keenly in our AANHPI communities. The Trevor Project, a non-profit addressing suicide prevention in LGBTQ youth, alone cared for approximately 9,000 AAPI LGBTQ individuals in 2020. Compounded by cultural and religious stigmas against discussing sex and sexuality, AANHPI youth are significantly less likely to disclose their LGBTQIA+ identity to their parents than the youth of other racial/ethnic backgrounds. They are also much more likely to experience feelings of isolation in predominantly white LGBTQIA+ spaces. 

 

Because anti-trans and anti-queer legislation like those in Texas and Florida particularly harm LGBTQIA+ youth, including those of AANHPI identity, APAMSA stands firmly against these discriminatory bills. We also support in solidarity with the Medical Student Pride Alliance (MSPA) and the broader LGBTQIA+ community.

 

As part of APAMSA’s mission to promote the health of the AANHPI community, we urge our members to take action in support of our LGBTQIA+ friends, colleagues, and patients. At our institutions, we can advocate for education on gender-affirming care and increased recruitment and retention of trans and gender-diverse students and faculty. In research, we can investigate understudied issues at the intersection of AANHPI and LGBTQIA+ identities. On a policy level, we can push for local, regional, and federal policies that recognize trans rights as human rights. We must also acknowledge that the ongoing injustice and discrimination against trans and nonbinary individuals do not exist in a vacuum; it coincides with numerous attempts to restrict access to abortion care and discussion of race and racism in schools. 

 

APAMSA reaffirms its opposition to discriminatory policies that undermine the health of marginalized individuals in AANHPI communities and beyond.

 

In solidarity,

Your APAMSA National Board

For further inquiries regarding APAMSA’s commitment to LGBTQIA+ issues, please contact Patrick Munar Ancheta, LGBTQIA+ Director, at lgbtqia@apamsa.org.

 

For general advocacy inquiries, please contact Daniel Pham, Advocacy Vice-President, at advocacy@apamsa.org.



Internal Medicine Bootcamp

Date: March 26, 2022 3:00 PM Eastern Time (US and Canada)

REGISTER HERE: https://bit.ly/3Hy8ozq

Hoping for an IM refresher before sub-I or intern year? Join us for an Internal Medicine Bootcamp hosted by residents from Yale on March 26th from 3-5pm EST (12-2PM PST)! They will be covering all the high yield topics you will need to be successful in your intern year, including approach to DVT, decompensated cirrhosis, GI bleed, acid base disturbances, calling consults, running a code, and more.


Internal Medicine Bootcamp

Date: March 26, 2022 3:00 PM Eastern Time (US and Canada)

REGISTER HERE: https://bit.ly/3Hy8ozq

Hoping for an IM refresher before sub-I or intern year? Join us for an Internal Medicine Bootcamp hosted by residents from Yale on March 26th from 3-5pm EST (12-2PM PST)! They will be covering all the high yield topics you will need to be successful in your intern year, including approach to DVT, decompensated cirrhosis, GI bleed, acid base disturbances, calling consults, running a code, and more.


Eric Kim, Rapid Response Director

Network Director

Hi everyone! My name is Eric Kim, and I am currently completing an MSc in Bioethics at Harvard Medical School. I will be returning for my 5th year at NYU Grossman School of Medicine and plan to apply into Internal Medicine. I served as a Region II Director from 2019 to 2021, as well as the Rapid Response Director from 2022 to 2023. I am excited and honored to continue serving as the Rapid Response Director for this coming term!


Ashley Tam, Social Media Co-Director

Network Director

Hello! My name is Ashley Tam and I’m a third year medical student at Oregon Health & Science University. As a child of immigrants I was constantly surrounded by Chinese culture and traditions, but it wasn’t until undergrad when I was surrounded by AANHPI peers and I realized how important that was to me. After being a Director for the 2023 National Conference, I’m really excited to continue working with APAMSA! When not running around for rotations I like to play phone games, bake Chinese pastries, watch anime, and try out new restaurants.


Ming Lin, Region VI Co-Director

Network Director

Hi everyone! My name is Ming Lin, a second year medical student at the Medical College of Wisconsin. I was born in Zhaoqing, China, sprouted in Minnetonka, MN, and completed my prior higher education in Boston, MA. I graduated from undergrad in 2014 at Tufts University and subsequently completed a master’s in 2018 at Boston University School of Medicine. Very excited and honored to be a part of the APAMSA family. I look forward to working together to elevate AANHPI voices. We are stronger together!


Karen Qi, Mental Health Director

Network Director

Hello! My name is Karen Qi, and I’m excited to serve as APAMSA’s Mental Health Director this year! I grew up in the Bay Area, went to college at Rice University, then worked in adolescent mental health research for a couple of years in DC. Currently, I’m a medical student at Hopkins. Outside of school, I’ve been involved in research on Baltimore’s history of deinstitutionalization, MedChi (Maryland’s physician society), and Bamboo Sprouts (a student organization that helps connect Asian adoptees with their cultural backgrounds). In my free time, I love to dance, collect records, and snowboard!


Zheng Hong Tang, Director of Organized Medicine

Network Director

Hi! My name is Zheng Hong Tan and I am a 6th year MD/PhD student at the Ohio State University College of Medicine. I was born and raised in Singapore and came to Columbus, OH for college and never left! In my free time, I like to backpack and eat and explore new food places – so much so that I actually did my initial filter of med school applications wayyy back based on the food that is available!


Jonathan Weng, Membership Co-Vice President

Network Director

​​My name is Jonathan Weng, and I am an MS3 at NYU Grossman School of Medicine. I grew up in the Midwest as a child of Taiwanese immigrants, and the tension of living in the narrow space between “Asian” and “American” bruised my bicultural self-identity as an incomplete member of either. Finding a niche as a leader in the AANHPI community during my undergraduate years facilitated my discovery of the beauty in each culture and compelled me to embrace the peculiar opportunity of simultaneously indulging in both. More recently, my experiences as a Regional Director and Membership Vice President have afforded me the rewarding opportunity of collaborating with AANHPI students and leaders in medicine across the nation who have a similar heart and mind for bettering AANHPI health. Outside of medicine, some of my interests include music, basketball, and theology. I look forward to working with and learning from each of you as we seek to understand, appreciate, and leverage the gift of our cultural identities in the context of medicine!