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27 Sept 2024

Soical Life: The Real Conversation

I want to discuss the social lives of myself and other disabled or chronically ill people. 


Some genetic conditions do not cause issues into people in their early to mid-20s, and there are reasons for this, but I want to focus on the social effect. Also, accidents and illnesses happen all the time during adult lives, which has a significant impact on there social lives. Especially when there has been a lot of change in friendships between school, college, uni and work. If you have a hobby or watch a sports team. All these are different friendship groups. Also, staying in contact is more challenging if you can no longer attend your hobby group.  

Then, disabled and chronically ill people can be hard to remain friends with if you don't have understanding. There are reasons why we often cancel plans, usually at the last minute. We also ran late because the bus had a pushchair, which would move, or it took longer for medication to work before we could get out of bed.

We turn down invites because the place our friendship group wants to go is unsuitable for us. Then, people like us often stop seeing them as friends and never get invited because we slowly get forgotten. I hope that, as other disabled people read this, it becomes relatable. 

Speaking up about this is hard; it's hard to tell a whole group of friends could do something else. Especially if you don't even know your limits, finding ideas can be a problem in itself, so without a different idea, it's easier to just miss out. When energy is already low, sometimes the easy option is all you can face. 

So start by talking to your closest friend(s). Think about how you plan to meet up and explain that you have good and bad days. Just because I did something once doesn't mean it is always possible. Explain you need recovery time. Something I have done to plan meeting up with friends is to explain, if I am having a good day, let's do x; if I am struggling, let's try x; and lastly, explain you have days where you can't leave the house, but let's watch/play x and I apologise if I have to cancel. 

The first year of being disabled and chronically ill is the hardest because not only are you working out what you can and can't do, which leads to you have to add grief into the picture, and then suddenly, the weather changes and the lists get erased, and you start again. Also, I would add that if any significant improvement or worsening seems to happen in the first year, in my experience, it's important to tell your friends you need time to adjust, adapt and get your mind around it all. 

Instead, most just let themselves get erased from the group, not from choice but from exhaustion.

I believe if you explain why you want to change plans or explain you are happy to go to the pub, but you will not be drinking alcohol because of medication. There will be support; I wasn't able to do things like this for a long time, as I didn't want to be the boring one. However, 7 years ago, alcohol-free beer was hard to get, whereas most bars now do have an alcohol-free option if you are not ready to share openly yet. You will always have people who will make it harder and beg you to drink alcohol and make it a lot worse and extremely hard, and you just don't need them, people, and be ok with not keeping them friends, even when they might be the last friend you have. You need to ensure your health won't be put at risk; that type of pressure is tough to keep fighting. 

I have found my friends who are girls are worse at being supportive then my male friends. I tried to please them and push my body to 'fit in', and instead I actually realised they were just fake friends and I needed to move on. Which is hard, upsetting and you want to blame yourself. But it's not your fault, or even your disability's fault, you shouldn't put more strain on your body, while it is already under so much.

If you are in a social group, such as supporting a sports team where not everyone is your friend or you don't want everyone to know your personal business, ensure you have 1 or 2 friends who know enough information to ensure you don't get pressure into things that could affect your health. They can help make sure you have a chair, remind you about medication and ensure you get suitable food/drink. 

I am not saying it's easy, in fact, it took me years to get to a stage, where I put my health first. It was only after I did this with disabled friends, I had the courage to do it around able people. But not everyone gets the opportunity to have friendship groups of disabled people, and then end up lonely.

Even now I have not spoken to some social groups, because I don't know how they would react. No one is perfect at finding a life after something life-changing, there isn't a correct way to find a way. It is a journey and you won't always have control, you just have to do what you can do take control when thing slows down and be ready to let go when you can't hold on anymore. 

One reason people may not go back to social events is the way they don't feel involved, wheelchair users or people who need to sit down a lot, struggle to have conversations with friends if they are standing up. This leads to people like me asking themselves if is it fair for you to 'control' other people. 

Control is a strong word for asking friends to sit around a table instead of standing up, but this is how it can feel. I hope if you are disabled, you're not alone in feeling this way. The worst thing you want is all the attention, but you feel like you have to be, to enjoy the same experience. 

This is why most disabled people are friends with other disabled people, because they have that understandment. But losing friends happens a lot quicker than gaining them, and this isn't just my version, this is all the story from other disabled people. 

It seems there is a lot of understanding meant for a disabled child, as well as understanding meant for old people. But disability and chronic illness can happen to anyone and at any age. People say we will be always friends no matter what. 

But if that person keeps 'letting you down' because they couldn't get out of bed and if they didn't reply to a message for 3 days or they had to change from going out drinking to going to a wheelchair-accessible attraction during the day, because they are in a wheelchair, and struggle with more side effects at night and can't drink alcohol due to medication. Would you still be friends, or would the friendship slowly disappear... 

I get it! I honestly understand how pissed off you could get if this would happen to you. But what people don't remember is all the things you have to change ONLY when you see that friend. That friend is grieving all the things they now can't do. 

I honestly believe it is a type of grief because in some cases it's going to be a very long different journey. With grief, you have many stages and I have been through them all many times, and it doesn't get easier. But you do eventually get to acceptance. I have been told several times, that you should accept you should fight! 

Accepting means you know what you can and can't do in the pain/health you are currently with the equipment and knowledge you have. Most disabled people are fighting, they are doing what they can, and you might not see it. 

Disabled or not everyone has battles, the problem is, it's hard to see what people are fighting. Not only have you got the mental health side (which I'm not going to talk about on this update) you can't see how hard it is for someone to give themselves a drink. It seems so easy, but you have so many steps to a simple task. 

This leads on to giving and receiving help, I will use the example again if your friend was now in a wheelchair and needed help would you do it? 

If I go out, I still have my disability, which has gotten worse over the years, which means I still need help with things, and this is another reason friends leave you because they don't want help open a door or pass you something. However, I am lucky, as I still have friends that do them things and many more but I did lose more than I kept.

I lost a lot of friends as soon as I was in a wheelchair, but slowly more and more left over the years, just because I would need a little help. 

Which was deeply hurt and I struggled with it because I couldn't do anything about it. 

People say they aren't real friends then, but I disagree, some were my friends they just didn't want to be my carer. Sometimes the line isn't simple and if you are going through this at the moment I am sorry this is harsh but some people don't like responsibility, or responsibility affects their own mental health, also it's only fair they are able to enjoy the experience as well. 

I am not saying everyone who is no longer a friend, is due to that, there are a lot of fake friends out there, and this will run a mile as soon as anything gets difficult.

This has now left me and many others in a situation where 'mum' has to come to with me if I am going to an event, which of course means I don't invite people. 

I don't need Mum around me every second if I have other support in place. I have also done some crazy things, like going on a rugby away match by coach, the coach wasn't wheelchair accessible, so I took my manual (I have a good friend to push) and I crawled (yes, like a baby) on a coach with my assistance dog and great friends Why, it was my birthday and I was with amazing friends!!! I didn't move for a week after, but the memories are worth it! 

Both me and my best friend both bring our out Mums, and assistance dogs and we still have fun. We try to be as independent as we can, including me and my power wheelchair trying to pull her and her manual wheelchair up hills. 


To ensure I have the best chance of making the planed event, I have to ensure I have planned clear days for a few days beforehand. This is so I can rest, this gives me the best chance of me having "my" normal day. I also make sure I have a few days after the event to ensure I don't let anyone else down, as I know I will be in high pain after, by resting I can lower my pain again.

Another way to ensure the event will be as pain-free as possible and ensure I do not have to miss the event. I phone to ensure the venue will be wheelchair accessible and know the plan for the day. This is, so I have time to plan, how I am how I am going to manage event or day out. Planning is most import, and a lot can be worked out with knowing what to expect.

The things which I need to plan are things to wear, such as if they are in the cold, I need thick socks due to not being able to wear shoes as this also causes extreme pain. I also need to know what to pack in my bag, there are the obvious such as medication and personal care items, but if I know it going to be a long day I pack heat packs and other aids which can ease the pain and blankets as the wind hurts my legs.

If we are inside, I will try to book a table so it is easier for me to have conversations with other people.

I didn't think it would be such a long piece but hope you have enjoyed. 


26 Sept 2024

My story

This is my personal story of living with a rare painful condition called Complex Regional Pain Syndrome. The condition in 2017 completely changed my life; I was a healthy young adult who played rugby, I was working in childcare, and was studying for a degree in sport science and coaching. Something like this can and does happen to anyone. 

Complex Regional Pain Syndrome (CRPS) often happens after an injury or operation; however, sometimes the pain has no apparent reason. CPRS is long term excruciating painful condition that usually affects limbs; but, in a few cases, it has been found as internal as well. It typically starts in one part of a limb and can spread to the rest of the body; an old name of the condition is Reflex Sympathetic Dystrophy (RSD). 

CRPS is rated 42/50 on The McGill Pain Index, which is, therefore, higher than amputation of a toe or finger without antithetic which 40/50 and fibromyalgia which is ranked at 30/50 this condition is also highly painful. 

CRPS feels like the affected area(s) is on fire or feels like ice, my CRPS feels as my affected areas are burning in an ice bath during the winter, if there is a wind or if its rain and weather is warm, they burn, like a fire that cannot be put out. It also feels rats are climbing up the areas and I have itchy skin rashes. If I itch the area, it causes extreme pain, so it is hard to relive the tingling.

CRPS is more than the extreme pain and the changes your life, due to the illness, I can blackout daily and pass out regular. Just a light touch, a blow of wind or change of air pressure often trigger pain that isn't matched with the action. I also have a very low immune system, and I have to deal with compaction from medication and lack of sleep due to the pain.

My story started in September 2017, when I hurt my ankle. I went to my local A&E, and they found I had no broken bones, but due to the swelling, they give me an aircast walking boot and sent a referral for the fracture clinic for a follow up in around 3 weeks.

They believed in 3 weeks it should have started to heal. However, the pain was getting worst, and at my appointment, I was still unable to move my ankle or toes. The doctor sent me for an MRI, but this came back clear. So, they sent me to physio.
The physio was confused as my foot was not moving or reacting the way she expected for a bad sprain.

 So, they asked my doctor for a CT scan. By now it around February, in the time waiting for the scan I was still working with the physio’s, and the pain was getting worst and worst. I was trying to do anything to take my mind of the pain, I had loads of rugby injuries over the years, and this felt different but could not understand why. I kept pushing myself in physio, as I was blaming myself that I have done something wrong.

On 7th March I got the results of the CT scan, and they found that my bones were wasting away. They had also spoken to another larger hospital in London with all my results and asked for some advice. 

They told me I have Complex Regional Pain Syndrome, and I will have to see another doctor and physio at a London hospital, they then removed the aircast boot, at that point I was told I will have to hop, and use a wheelchair for long journeys. This meant I was signed off sick from work, I started to need extra help from family, friends and social care team including getting support put into the house.

This complexly shocked me. I had never heard of the condition, so I did some researched but being careful where I got my information from. I found the Facebook groups had the best support and talking to others with the condition, gave me the best knowledge. It took months to get the appointment for the London hospital. Once it came through, I was told I would need weekly physio, and there was still hope that I could live a pain-free life.

The physio started after a few weeks, the first physio session began very well, and I learnt a lot of meditation and some gradually some gentle movements, however, I was really struggling and felt sick with pain by the end but the thought of being pain free helped to get me through the long hour. 

 A week later they increased the difficulty, the pain was too intense, and I passed out. This happened in the next two seasons as well. During the third session, I was told physio is not suitable into I have had better control of the pain, so I was asked to be seen by another doctor so I could discuss a spinal cord stimulator (SCS). I waited months for the appointment, and my pain was getting worse and spreading up my leg, by the time I got an appointment the pain was in my whole left leg and most of my left arm.

I was then told I was not suitable as the SCS. As I was told, SCS is if you have pain in one limb. They said to me there was nothing else they could do, I was prescribed pregabalin, tramadol and paracetamol and then discharged. I felt I was given up on, I felt abounded, I know without physio the pain would get worst and I was stuck with a horrible disease.

Then 18 months after, I asked my doctor if I could see another pain team as by now I had CRPS in all four limb; unable to touch my feet on the floor or hold items in my hand, my back and neck was in terrible pain and my sleep was disturbed as the pain was so high. I want to ask if they could control the pain better or give me any other suggestions. At the appointment was given a prescription for a pain patch, and it does help a little. My typical pain levels are now around an 8 and have not ever been under 7, but a few days a week my pain is a 9. I have levels of 10 during the over the whole week this is when I black out or pass out.

Before all this happened I was living a perfect normal life, I was playing rugby for a good team; going to the gym and working in childcare. Along with studying, sport, fitness and coaching at university to help In a career change.
I also was weeks away from invited trials for a professional rugby team. 

I enjoyed watching live rugby, going out with friends but playing rugby took alot of my time up, which I committed to. With work and studying fitting in when it could. 

As a baby I was diagnosed with Noonans syndrome and Congenital pulmonary valve stenosis both had little effect on my life and I found ways to manage my struggles / symptoms. 

As I got older I was diagnosed with dyslexia and dyspraxia and found things challenging but this was pick up at college, so I was left behind at school. 

College is when I found the best of my education I made big improvement once I had the support put into place, there was talks for ADHD and autism but as I had many coping strategies (without knowing) I didn’t bother the doctors.

At school my pass grades were low and in college I got an A in Childcare. Things were looking good. 

As I started having other health issues,  the traits of my Autism and ADHD become 'worst' as all my routine and coping strategies were gone, I have a really good GP that refered me for a an assessment, in the report to confirm I have ADHD with autism traits and waiting for a report on Autism.

In the past few years I have had many more conditions confirmed some I have always had and not been confirmed but would of had anyway, such as ADHD, Autism, Ehlers–Danlos syndromes. Others which are likely be due to CRPS or the lifestyle which I know have.

The full list is: 
Thoracic Scoliosis Feb 21
Hypothyroidism Dec 20
Functional Oropharyngeal Dysphagia Nov 20
Malnutrition Aug 20
Functional Neurological Disorder/ Conversion disorder March 20
Thoracic Scoliosis Feb 20
Hypermobility Oct 19
Irlen Syndrome Aug 19
ADHD June 19
Selective Mutism June 19
Hyperalgesia Syndrome June 19
Allodynia syndrome June 19
Chronic Tension Headache June 19
Chronic Widespread Pain Syndrome June 19
Central Sensitisation Syndrome June 19
Urinary Urge Incontinence Jan 19
Pernicious Anemia (B12) June 19
Gastro-Intestinal Dysfunction June 19
Dysphagia Feb 19
Chronic Constipation Feb 18
Complex regional pain syndrome (CRPS) / Reflex sympathetic dystrophy (RSD) Jan 18
Eczema Dec 17
Dyslexia Oct 17
Dyspraxia Oct 2017
Menorrhagia Sep 2016
Asthma Dec 2013
Hay fever Apr 01
Learning Difficulties 00
Congenital pulmonary valve stenosis 00
Noonan’s syndrome PTPN11 Feb 0
Autism (waiting assessment)
Can't find the dates: 
Postural Orthostatic Tachycardia Syndrome - POTS
Ehlers–Danlos syndromes
Chronic Fatigue Syndrome / ME
Irritable Bowel Syndrome
Restless Leg Syndrome
Osteoporosis
Iron anaemia 

However, I was not going to let these chronic illnesses beat me or change who I am. So, I deal with all my conditions practically. Firstly, each time my illness has spread/ developeds I have looked at what help do I need to daily life, and what help would I need to do an activity and how it would be possible.

This is easier said then done, and it took a long time time get to this stage. I have also had to make some accept that I can't do some stuff. Something no matter how much you put your mind to it, it's not going to happen! What I mean by that is with my current health, with the current technology (which I can access/afford) and the current situation/environment what is possible. That isn't saying it will never be possible, if 1 of the 3 factors change then it might be achievable in the future. 

The problem is alot of people like to say anything is possible, just put your mind to it..... However there might be a person reading that, that have spent months, even years learning it's okay that you can't do everything.  

I also alot of care and support with personal needs, due to the lack of movement in my hands and unable to use my legs as well as other difficulties

But at each hurdle, I have made an acceptance of fact what has happened! It's important to stick to facts and not opinions. From then found out what support or equipment that are available to make it easier or how to make things possible. 

A wheelchair is 1 aid that no one wants to have, some people need a wheelchair, just to get out of bed and others need a wheelchair to go on days out, each reason is fully valid. 

Why people often choose a wheelchair as a last resort, and often we avoid going out of the house is because the way we are treated. Often I'm not spoken to, they will talk directly to whoever I am with, even happens at medical appointments. If they do talk to me, they talk as I don't understand them, or they don't believe/listen to what I'm saying. Into who ever is with me interrupts and repeats what I say. 

This is the first part, and I am currently working on the second part.