A 45-year-old Hmong woman, Ms. T., moved to Detroit, Michigan, with her husband and daughter. Her husband is HIV-positive.

    April 23, 2024

A 45-year-old Hmong woman, Ms. T., moved to Detroit, Michigan, with her husband and daughter. Her husband is HIV-positive. Her husband was abusive, and their marriage eventually ended. A few years ago, the client was diagnosed with HIV and hepatitis C. Since her diagnosis, Ms. T. has struggled with adhering to antiretroviral therapy. Though often working as a nail technician, she has been unhoused at various times during the past five years. According to a family nurse practitioner at Health Outreach Clinic, care providers were able to help Ms. T. improve her CD4 cell count. They, however, were not aware of the full scope of her symptomology because of miscommunication. The client refused to work with an interpreter because she believes her illness has a spiritual cause and did not want to discuss the problem with another person. A Hmong translator was brought in to help the client understand her symptoms. After further testing, the client was diagnosed with stage III colon cancer when three large tumors were discovered. The first round of chemotherapy did not help, and the cancer progressed to stage IV. Since her cancer diagnosis, Ms. T. has been unable to secure housing.

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