My Bronx-grown Italian-Chilean mother raised me with the belief that if I didn’t like something about my world, I could change it. Growing up in a New Jersey suburb of Manhattan surrounded by friends from immigrant families, I witnessed firsthand how exclusion and inequity shaped my community. Beginning in high school, I became involved in advocacy for disability and indigenous rights, and later joined efforts in solidarity with the LGBTQ community and #BlackLivesMatter. Upon arriving in medical school and exchanging stories of injustice with my peers of color, I became involved in anti-oppression and LGBTQ curricular reform. Systemic Disease was borne out of that belief that we could change what we could not accept in medicine, and I am incredibly grateful to Tehreem for being my partner in this effort.