Is it cos I’m cool…

If you believe the right wing press, being disabled or chronically ill is the latest trend. About a month ago Kathleen Stock (notable anti trans activist) wrote a piece for The Times titled ‘Why are so many young women using walking sticks?’. Her complaints about the use of mobility aids clearly chimed with Poppy Coburn, who, this month penned ‘How having a disability became cool’ in The Telegraph. Both pieces rely on the same prejudice and ignorance. Ultimately, they also support the same agenda.

Stock & Coburn both proclaim there to be more disabled people than ever before. They specify that these disabilities are mostly amorphous and hard to prove. Coburn in particular takes aim at PoTS. Both writers conveniently ignore that we have all lived through a global pandemic, which experts have long warned would be a mass disabling event. With this in mind, PoTS is particularly relevant. Covid has resulted in a huge increase in PoTS diagnoses. PoTS is one the acknowledged conditions that Covid19 can induce. I myself, was left with PoTS after contracting Covid. I was intially diagnosed with Long Covid, but Drs quickly noticed that my symptoms mirrored those of PoTS. Far from Coburn’s claim that Pots is hard to quantify and diagnose, there are actually very clear markers and tests. Tachycardia , Dizziness & Syncope, Breathlessness and Air Hunger. There are of course many more symptoms, but these are usually the red flags for PoTS. All of which can and are quantified and recorded with standard medical tests. Media like this supports the notion that chronic illnesses are so indistinct as to be easily faked. This is of course nonsense. Equating many people struggling to get a diagnosis with a condition being difficult to diagnose is absolute bullshit. This narrative increases stigma and ultimately makes accessing appropriate support harder. Which is of course, kind of the point.

The cool factor, they insist, is intrinsic to the rise in chronic illness. Coburn posits that chronic illness & disability are in fact a lifestyle. The appeal of which is fame, fortune and the easy life. Conditions like PoTS, EDS, MCAS & Fibromyalgia are, she says, used as an excuse to avoid adult responsibilities. Thus unencumbered the sick & disabled are free to pursue their chosen lifestyle. Longterm sickness is absolutely a choice to Coburn & her ilk. By her telling, there are no years of debilitating symptoms, no ever increasing medical visits, no fighting for diagnosis nor any battle for relief. Nope; one simply decides that they are chronically ill. Perhaps this is accompanied by sharing one’s experience on social media and voila, a new identity is born. Of course, everyone who has a chronic illness or disability is automatically granted vast amounts of disability benefits. Those Instagram posts always turn into large follower counts and lucrative brand deals. People share their experiences not for catharsis or in an attempt to help others. Their true motivation is profit and clout. Both of which are abundantly available. Disability is of course, very glamorous and society is famously eager to endlessly accommodate. Sickness becomes an entire identity. A victim mentality is encouraged, nay, embraced by the communities that have emerged. Thus, people seek to display their disability with customised mobility aids to up their cache. It is not unnoticed that Coburn and Stock critically align the disabled community with other marginalised groups. Just the latest ridiculous fad among the loony lefties. Life as ‘sickfluencer’ is all health updates on social media, sparkly mobility aids and raking in the PIP.

The reality of chronic illness is a far cry from Poppy’s ‘cool kids club’. Both writers focus on young women, the inference being that this a group that is not to be trusted. The misogyny echoes the bias women often face when seeking medical help. Women routinely receive subpar medical treatment. We are less likely to have our symptoms believed or investigated. Diagnosis takes far longer for women, than men. Conditions that mainly or solely affect AFAB people are not well researched. Even our access to pain relief is severely limited. Medical misogyny has been well established. The activism of women has been a pivotal factor in changing this. These articles ignore the battle that has been fought for the recognition of these conditions. There has been a rise in diagnosis of ‘invisible’ illness. This is not because people are faking, but due to wider recognition of those conditions. These conditions – and the suffering they cause – have always existed. The only difference is they are now officially accepted.

Diagnosis obtained, the next step is not, as suggested, to collect disability limits and live a life leisure. To begin with, the main disability payment PIP (Adp in Scotland) is not an out of work benefit. It designed to cover the extra costs that occur due to being chronically ill and or disabled. Many people in receipt of these benefits are working. Those who do not are unable to. Claiming disability benefit is not easy. Infact, the system is designed to discourage applicants. The intial paperwork is exhaustive. Each condition, treatment, medication and medical professional seen must be detailed. Furthermore, each symptom and how they impact daily life must thoroughly described. Medical evidence is required for every claim. This process is followed by DWP assesment. These are carried out by ‘medically trained’ assesors, but that medical training is rarely relevant to the claimants being assessed. Assessments consist of being questioned about every aspect of life, often being forced to disclose the most private and distressing details to a stranger. That assessor will then decide if/what you are awarded. Unfortunately these assessors rarely accurately represent what occurred in their reports. There have been countless examples of proven lies and cases of severely ill people being denied. From there one must undertaken a stressful appeal process that often seriously impacts the claimants health. The fact the majority of people who appeal will succeed underlines the fact this system is not fit for purpose. Having been through the process, I do not believe it is possible to be falsely awarded disability benefits. The DWP’s own research put fraudulent claims at less than 1%. The people who are awarded these benefits are significantly disabled by their conditions. The hate mongering that these pieces indulge in serves only to goad the public into accepting the withdrawal of support to some of the most vulnerable members of our society.

The truth of chronic illness is much bleaker than Coburn or Stock would have you believe. There’s no choice about the constant pain, fatigue, nausea or passing out. There symptoms cannot be switched off. There’s no magic wand to improve one’s mobility or rework our genetics. It’s a continuous battle to function in a world that refuses to accommodate us. We’re not chilling at home eating lollipops. We’re stuck there, physically unable to take part in our lives. Sharing these stories online isn’t a popularity contest and I can tell you from personal experience, the odd PR product does not a rich girl make. I was actually gifted some of those ‘designer’ compression socks that Coburn mocked (value Aprox £25). They’re just compression socks that aren’t ugly. I need compression socks and if I can offer a genuine review to others I will. Being disabled doesn’t stop people having style or a personality. A pink walking stick is no different to pink glasses. No one accuses people of wearing funky glasses because poor eye sight is the latest trend. Content on this topic is usually about awareness and connection. These articles are evidence of the stigma that abounds. Information is the best tonic for ignorance. We disabled/chronically ill have to advocate for ourselves. We are forced to gather information and insist on second opinions or we suffer in silence. Debunking misinformation is essential to prevent our rights being further eroded. There is also solace to be found in shared understanding. Being too sick to partake in a social life can be very isolating. Even being the person that cancels has an impact on relationships. Finding others who understand your experience is powerful. If a very few people can parle that into a career why should that be problem? Aren’t hard work, entrepreneurship and self sufficiency hallmarks of the right?

The offending socks.

It scares me it that these vile attacks now pass for mainstream journalism. These articles are clear propaganda. They are filled with untruths and snide judgements. The agenda of these pieces is blatant. Yes, they represent another skirmish in the culture wars, but they’re also a signal. A beaming light that directs hate. The disabled and chronically ill community are the latest target of the right’s misdirection. If the populace can be convinced that immigrants, trans and disabled people are the cause of all their woes, they won’t pay attention to the elite who are in charge. Like clockwork, a few days after The Telegraph piece we get details of Reform’s planned cuts to PIP. Politicians who choose to make deeper cuts to the welfare state, sell of you public services and rile up facist thugs are not your in your corner. Neither are the minions who spread their propaganda. Don’t be fooled by it.

Why am I like this?

If you are a regular reader you will know that I have been going through a process of diagnosis related to Long Covid complications. I had hoped that I would have definitive answers by now, but alas, my body is being a dick.

When last we spoke I was awaiting tests to confirm or rule out POTS. Well, after it seemed unsafe to continue with the first part of that test, the second was scrapped. Now I have more waiting to do. The consultant will decide our next move. I’m really disappointed as I had thought we were close to diagnosis. I know the idea of hoping for positive tests might sound strange to most, but the sooner my condition is labelled, the sooner it can be treated. Being chronically involves so much limbo. Waiting to see drs, waiting for tests, waiting for treatment, waiting to see if you respond. Having someone say this is definitely the problem and here is the plan, is a huge relief.

White women wearing large glasses and a mask is looking at camera
Worn out after test fails.

In the meantime my spoonie adventures continue. Lots of pain, fatigue and dizziness are the norm. Fainting at the drop of a hat and constantly fighting to catch my breath have further restricted my activities. I spend way too much time at hospital appointments, and too little doing what I love. I’m struggling, but trying to remain even a little upbeat. On we go.

Long hospital corridor

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Something’s gotten hold of my heart…

As I have mentioned, more than once, I having been some extra health issues. Yesterday I saw my GP and she gave me some answers. Unfortunately they were neither want I expected or wanted them to be.

It seems that long covid has become permanent a more of a problem. The tachycardia and breathlessness that I have been experiencing since having covid in Oct 2020 have been significantly worse over the last few months. I am breathless after a few steps. My head spins the minute I stand up. I faint daily. My heart tries to burst out of my body and my chest hurts. All the time. In the past when I felt like this it has been related to aneamia & b12 deficiency. I have had lots of issues with really low haemoglobin and although I never get to ‘normal’ my bloods aren’t dangerously low at the moment. We did a bunch of treatment, but I didn’t feel any different. I had some more tests, kept a symptom diary and recorded my heart rate a few times a day. My GP’s conclusion is that covid has damaged my heart function.

She is fairly certain that I have some kind of heart arrhythmia or PoTS. The prospect of neither fills me with joy; PoTS in particular is very frightening. I have been referred to cardiology and more tests will ensue. I really expected these issues to be related to existing conditions. It was a shock to be presented with a possible new diagnosis. The thought of these symptoms not improving or even worsening is overwhelming. I have enough health problems. I don’t need anymore.

All of this to say two things. Covid is no joke. Even if you get through the initial illness ok, there is no telling what it will do to your body. Please don’t pretend this pandemic is over. There are still huge communities that of sick and disabled people who are high risk. Even healthy people can be really badly effected. Wear a mask, keep your distance, wash your hands! None of these things are hard to do. And, I am feeling scrambled. I don’t know how to process this new information. Physically I am a mess. I’m very apprehensive of what is to come & my head is all over the place. So, please bear with me if things get inconsistent around here.

close up of ly’s  face wearing brightly coloured mas and thick black glasses

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I don’t know where I stand…

About 7 months ago, after years many years of knee pain & a limp that had become almost permanent I had an X-ray that revealed arthritis. After even more pain & increasingly frequent falls my Dr recommend a walking stick. 

I had been experiencing pain in my right knee for years. When I first mentioned it to a Gp he put it down to a small accident I had whilst playing with my niece. I had plenty going on health wise & at the time it wasn’t a constant or severe pain, so I left it at that. The knee got progressively worse & I mentioned it a few times to various gp’s but no one was worried & it got sidelined by more immediately pressing health issues. By the time I really couldn’t ignore it anymore I had been diagnosed with fibromyalgia. The knee pain was attributed to fibro & that was pretty much that. The pain however continued to get worse. It hurt all the time, standing or sitting. It even  woke me in the night. Then came the swelling, then the limp shortly followed by the knee giving way & me falling on my arse more than once. Back to my Gp I went, but only to seek advice on what might help my knee; I believed it was fibro related. Finally, over four years later I was sent for an x-ray, which revealed significant erosion in my knee joint. I didn’t expect to have a condition like arthritis at 37 & I certainly never envisioned myself with a walking stick, but here I am.

Foot & walking stick

There are so many things I could say about the difficulties of getting a diagnosis or even investigations when you have chronic conditions. So often when medical professionals see things like fibro in your notes they will just link everything to that. When you have multiple chronic conditions  multiply the difficulty. Add to that mental health issues, being a woman, being fat, the drs who think everyone with chronic pain is drug seeking & honestly, I’m just exhausted. Yes, it could have been spotted sooner. Yes, I would probably have a better prognosis if it had, but at this stage I’m just too tired to even think about that. There isn’t anything that can done about it anyway. It is what it is. 

Unfortunately what it is is pretty shit. On a number of levels. I hate to admit it, but there’s been a real mental adjustment along with the physical. I find it really hard when people see me with the stick for the first time. I worry that they’re thinking, oh god, she has another thing wrong with her. I worry that they’re embarrassed. I worry that I’m just too much of an inconvenience. 

I hate it, but a walking stick is a blow to the self esteem. I don’t feel particularly sexy as I hobble along, so obviously I question if others will view me differently. Intellectually I know there is no weakness in disability, but emotionally I feel weaker. I feel less useful.

Less fun.

Less appealing. 

All the while I’m telling myself what nonsense that is. That I know better than to indulge in such ableist thinking. Then I think if I, a disabled person am having these thoughts, then others certainly are & that’s not a productive thought process. I’ve already experienced how ignorant the world can be. How many people will still push past me or not offer me a seat. I’ve learned that places who bill themselves as accessible, just aren’t (and my mobility is still so much better than a lot of people’s). The weird thing is, I think the kind folk are almost harder to take. Every time someone offers to let me skip them in a long queue or asks if I need help, I feel utterly exposed. I’m grateful for the seats & the consideration, but I still feel very vulnerable about needing them. I’ve put so much stock in the power of being independent & capable that another level of disability is a struggle to accept. Yet, writing those words feel very indulgent. How dare I ‘woe is me’ when things could be a millions times harder, as I know they are for millions more if people. I know some of this linked to my mental health issues. There are familiar themes here; shame, guilt & a big helping of get over it. I suspect though, that maybe these feelings are pretty common for those dealing with disability. Thoughts & feelings aside, life is just a bit harder. For me & I’m sure for those around me. I’m slower & more limited. I can’t go anywhere without checking a dozen things beforehand. I’m grumpier & less reliable. Spontaneity is out, relentless checking is in. I hurt more. I need more rest & assistance. I find everything exhausting. I sound like an absolute joy to be around, right?


Finally, there is the stress. All of the above is stressful. Everyday tasks, trying to do something fun, the future are stressful. Attempting to manage all the stress, is stressful! 

I realise this is all sounding very negative & I don’t want to be that person, but I do want to talk about it. I’d like there to more of a conversation about chronic illness & disability. I’m sure some of this will get easier. Some of it won’t & I’ll have to adjust. Spoonie life is nothing if not challenging. The opportunity to spill my guts definitely makes it a little bit easier. 

All things must pass….

Last week I finally got an appointment with the pain specialist I have been waiting see. I had pinned my hopes on this Dr having some answers for me. He did. Unfortunately it wasn’t a diagnosis I wanted. 

My new consultant is convinced that I have Fibromyalgia.  As you may know I have been living with chronic illness for some time. I have a number of debilitating digestive tract issues. I also have problems maintaining a healthy haemoglobin level, which causes a raft of symptoms ranging from fatigue to angina attacks. Along with these known conditions I have increasingly had mystery symptoms. Pains with no definable cause, intensification of pain resulting from my health issues, continual sleep disturbance despite taking really quite strong sleeping pills, confusion , memory loss & needing to pee constantly. Add that to my existing physical symptoms & PTSD and you begin to get picture of what I’m dealing with. 

Pain in particular has been taking over my life. It limits almost everything. I can’t make plans, my social life has contracted & working outside the home is impossible. Even keeping up with housework is a mammoth task. I needed help. I was clinging to the idea that someone would find a problem that could be fixed. That I’d be offered surgery or medication of some crazy treatment, at the end of which I would reclaim some of my life. I knew that my diagnosed problems wouldn’t go away, but I held out hope that these newer cryptic concerns would be cured. Sadly, that is not to be. 

There is some relief in having someone say this is what’s wrong with you. I am glad not to have been patronised or had my mental health blamed again. I just wish the outlook was a bit sunnier. Since Thursday I have been adjusting to the fact that my pain is never going away. My current condition is likely to be my continuous one. I’ve had to read up on fibromyalgia & prepare myself for all it may mean. I have also been confronted with the new knowledge that pregnancy, which was never going to be straightforward is hugely impacted by fibro. This has been a big blow. I’ve wanted to be pregnant for a very long time. Knowing that I will most likely struggle to enjoy the experience is a punch in the gut. 

So, accepting this new diagnosis is a process. However, I am by no means defeated. I will start a new medication tomorrow. It’s likely to be a rough ride as it is harsh on the stomach, but the pain relief it can offer is worth trying for. I’ve already been referred to various groups & medical professionals. I’m doing my own research; I am open to anything. Expect to join me on a journey of experimentation with pain management techniques. 

I refuse to be beaten by this. Which is not to say I won’t bitch or wallow sometimes. I’m not superwoman. I accept my body will always place limitations on me. I also acknowledge that I am nowhere near to being at peace with that. I’m angry and sad, but not defeated. I have a very clear picture of the things I need to be happy. It’s just a case of working out how to achieve them within the confines of my illness. Let’s face it, I’ve been playing with a bad hand for a while, but I can bluff my way to a win.