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MS4 Sarah Islam pilots her own medical care with Non-Radiographic Axial Spondyloarthritis in a system that failed to provide affirmative care. Acutely aware of homogeneity and heteronormativity in healthcare, she emphasizes the involvement of LGBTQ+ providers in gender-affirming surgery and care through the emergence of wraparound clinics. Sarah advocates for self-care and therapy, especially for her South Asian parents. She is an MS4 at Indiana University School of Medicine who recently matched to a psychiatry residency in Hennepin Healthcare and Regions. Check us out @QueerDiagnosis.com and @QueerDiagnosis on Twitter/Instagram!