Things I am grateful for

When dealing with the day to day grind of chronic illnesses and disability its easy to become lost in how hard things are and loose sight of the good things. To try and balance this I make a real effort to remind myself of the things that I am grateful for on a regular basis.

Now, I’m not saying these things totally erase the hurt caused by living with chronic illnesses and their are definitely days where its really hard to see the good in life, but when I am able to step back and remember the things that make life better it really does help.

A loving and caring fiancé who accepts me as I am

The Image shows Nicola and her fiancé sat close together and smiling. Nicola has long brown hair with a fringe covering her forehead. She has blue eyes and is wearing pale red lipstick. She has a black and grey checked shirt dress. Gareth has dark brown hair and blue eyes, he is wearing glasses with a black frame. He is wearing a blue, brown, orange and white checked shirt with dark blue jeans.
Me and My fiancé

Being in a relationship while dealing with chronic illnesses can bring many challenges, many relationships end prematurely because of the pressure of dealing with the constant health challenges. I myself have had bad relationships as a young woman where my then boyfriend was unable to deal with the realities of my needs, so I know how difficult it can be. My fiancé now is a really loving, caring and empathetic person who makes my life better in every way. We face the obstacles together and we have found many ways of making memories while trapped in a hospital bed or sitting up talking in the middle of the night. I know that its not easy for him to see me in pain and unwell but I know he loves me and is willing to take the bad with the good.

Parents who support me

I know that a lot of parents will stop supporting their children when they become adults and expect them to deal with their problems alone. I am very grateful to still live with my parents and have a safe, warm and comfortable place to live. They have made a lot of adjustments and changes to meet my ever changing needs despite the burden that it places on them. The support and love they have given me throughout my life has made me the independent and confident person that I am now and I will never stop being grateful for that.

The NHS

For those outside the UK who may not know the NHS is the UKs national health service, it is free at the point of use and it is available to everyone no matter their background, income, living situation or what condition they have. In wales we have the added bonus of free prescriptions, so any medication that is prescribed by a medical professional is provided free of charge. This is actually life saving for people like me, without free prescriptions I would genuinely struggle to afford my medication including my asthma inhalers and medication for my cluster headaches. Thanks to the NHS I can go to A&E whenever I feel the need to without worrying about any cost implications or concerns about affording care. If we didn’t have the NHS I would probably be bankrupt and unable to afford anything other than a couple of medicines each month and probably no access to doctors or hospitals due to my inability to work.

Access to good pain relief.

While I know that good pain relief should be a right and not a luxury I am acutely aware of how blessed I am to have access to good pain relief. While no amount of pain relief will eradicate the type of pain associated with chronic illnesses, decent pain control can allow a chronic illness fighter to achieve a reasonable quality of life by making pain more bearable. Because of my pain relief I can do some basic tasks for myself such as washing my hair, looking after my guinea pigs, cooking a basic meal and going to doctors appointments. There are still days where these things aren’t achievable, but without pain relief I wouldn’t be able to do any of it. Without pain relief I would definitely be housebound and likely bed bound much of the time. I will always be grateful for compassionate doctors who care about my quality of life enough to issue pain relief, and I will continue to advocate for all chronic illness patients to receive the same level of care.

My Flute

My flute has been an absolute joy these past two and a half weeks and its a really good distraction from the daily stresses of dealing with constant health admin and chronic pain. Music has given me a way to express feelings and emotions that have been hidden away for a really long time. When its just me and my flute the pain disappears for a while and my soul is set free. It gives me a focus and an outlet in a way nothing else really can.

My mobility aids

When I first started to have difficulty walking I was extremely reluctant to use any mobility aids or anything that would identify me as disabled. I wasn’t ashamed of my disabilities but I was worried that using an aid would identify me as vulnerable and make me a target for judgement or mistreatment. Eventually it got to the point where the pain was just too much and it was n longer safe to keep going without a walking aid. i started small with a folding walking stick that I could put in my bag and only use on the worst days, then i moved onto crutches and finally got a wheelchair when it was clear the pain was beyond control and I needed help to make the world accessible to me. Despite my initial reservations I am now proud to be seen with my mobility aids. I no longer worry about what other people think or if they think I’m faking. My crutches and my wheelchair are extensions of my legs. They allow me to go out into the world, they stop my home from being a prison and they make me feel safe. I know that if I’m in my wheelchair and I get a cluster headache its ok, I’m totally safe. I know that if I have my crutches I can walk a short distance safely without falling or damaging my hip even further.

My Faith

I don’t talk very much about my faith because its very personal to me and I never want anyone to feel like i am preaching at them or trying to convert them, and also because I know that a lot of what I believe doesn’t align with many who call themselves religious. Maintaining faith while dealing with chronic illnesses is challenging, I get told all the time that if I pray hard enough or I’m a good enough person then God will heal me. I get told that I just have to ‘want to be healed’. This is not what I believe. I believe that we are all valuable, that we are all special and important and that we are all perfect in Gods image and that this includes disabled and chronically unwell people. I believe that I am the way I am supposed to be. Having chronic illnesses is extremely difficult, but there are so many things in my life that I probably wouldn’t have if I never got sick. I may not have met my fiancé or talked to him the way I did, I may not have had time to rediscover my love for the flute and the joy that brings me and in all honesty I may not have such a strong faith. There are moments in my journey where I knew God was with me, where I knew miracles were happening, where I felt peace in the midst of chaos and I am so grateful for all of those. I believe God has the power to heal if chosen, but I also believe that I don’t need to be healed because I’m not broken.

My Life

There are so many more things I could list here but I over all I am just so grateful for my life. Life with chronic illnesses and constant pain is really difficult and there is no getting away from that, but the flip side is that you learn to see the joy in the tiniest moments. The cups of coffee first thing in the morning, walking down a street hand in hand, sitting on the beach eating chips or sitting on the sofa laughing at stupid TV shows. I know what it’s like to worry that life may be shorter than you imagined and that really makes me grateful for each day.

Coping with needing a mobility aid as a young woman

When I first started dealing with chronic illnesses, there were no outer signs of anything being different about me. Most of my pain was in my upper joints and abdomen and apart from the occasional wrist brace, there was no sign of the war happening under my skin.

As my illnesses started to progress and my mobility deteriorated I began finding it difficult performing day to day tasks without help. To start with, I used a folding walking stick which could be put away in a bag when I didn’t need it. Making the decision to use a walking stick was difficult. I was still in my 20s, and thought walking sticks were for older people. I left it until I physically couldn’t manage any more and then gave in and bought the nicest looking one I could. It was bright blue with silver stripes and for a while it actually helped. It made me feel more stable and despite the stares from strangers the colours made it feel more like a fun accessory. After a while it became evident that it wasn’t a practical choice though, the handle was far too hard and was causing me pain in my hands and wrists. I gave in and bought a more practical stick, a red one with a soft gel handle, but it was still foldable. The folding nature meant I could decide to “hide” the stick if I wanted to, I could put it away and pretend I didn’t need it while I was sat on the bus or in a cafe, I didn’t have to deal with the stares or the questions, I appeared to be like everyone else, and for a while I needed that.

For me, starting to use mobility aids made my disabilities feel more real. It felt like I was admitting I was broken, telling the world I needed help in a way I had never done before. Being able to choose when to show my sticks gave me the impression of control, and I clung to it.

It wasn’t long though before my mobility deteriorated further and it became clear that walking sticks were no longer enough. I needed something I could put my full weight through, something that would take the pressure off both legs. It was time for crutches. My first pair were standard NHS crutches, silver with hard handles. I told myself they were temporary and for a while I only had to use them intermittently. I actually found I didn’t mind the crutches as much, people just assumed I had an injury, they didn’t stare or point, and they didn’t make unkind comments. When my mobility continued to decline and my crutches became more of an every day need I invested in a pair of blue crutches with soft handles, making them much easier and more comfortable to use for long periods of time.

The one thing I found difficult with crutches was that I couldn’t hide them, I couldn’t just put them in my bag “in case I need them later”, I had to use them the entire time I was out and at times I felt like a fraud. Even though I was in constant pain, and even though I almost fell a few times because my leg couldn’t take my weight, I didn’t feel “disabled enough” to use walking aids full time. I felt like I was being weak or over exaggerating. The truth was I just hadn’t come to terms with my level of need yet, I was still stuck in the “its not that bad” phase. I’ve always expected too much of myself, I always expected myself to cope with the pain without help. I realise now that I was being unfair to myself and to my body and that I probably should have started using mobility aids much sooner. Once I got comfortable using them, my crutches opened the world up to me, I could walk further, keep mobile on high pain days, protect myself from falls and maintain my independence. When I first started using mobility aids, I worried that it would make me appear vulnerable and that would lead to people taking advantage, but instead making my disability visible meant that other people became more aware of my needs, people didn’t judge me for using the front seats on the bus, people gave up spaces for me in cafes and trains, people held doors open and helped with bags. I got to see the best side of humanity, and it made me feel hope for the world.


Eventually , about a year or two before the pandemic, I began using wheelchairs on longer days out or on bad days. I usually borrowed them from the customer service office where ever I was, but when the pandemic happened most places stopped offering this service. I realised how much I had been relying on this service and after a few months of internal debate, I finally took the leap and got my own wheelchair. It’s nothing fancy and I will probably need to upgrade to an electric one in the future, but its made the world accessible when I would otherwise be trapped inside. I mainly use it for days out as walking more than a short distance is painful even with crutches, but I have also used it for medical appointments on really bad days. Without the wheelchair I would have had to cancel those appointments as I physically wouldn’t of been able to walk. I have had amazing experiences with my family that were only possible because of the wheelchair. I was apprehensive about getting it, I didn’t know if I was disabled enough, I didn’t know if people would judge me, I didn’t know if it would even be used, but now I view it as freedom. I didn’t want to admit how badly I needed it, I didn’t want to admit how bad my health was getting, but it opens a whole world that would other wise be impossible to get to. It keeps me safe, it gives me peace of mind, and I am so grateful that I made that leap.

How playing the flute helps me cope with my chronic illnesses .

Since I began playing the flute in December 2020 it has had a profound effect on both my physical and mental wellbeing. I have always loved music but I never could have imagined the impact playing my own instrument would have .

I have always been someone who struggles having nothing to spend my physical and mental energy on. Before I became too unwell, I could do an 8 mile walk without breaking a sweat and would think nothing of walking to the nearest town. I did well in school and college despite worsening pain and took pride in working hard. When I had to give up university due to my Crohn’s disease and needing surgery it hit me really hard. When it later became apparent that I wouldn’t be able to work or complete my studies that hit me even harder and I began to struggle with feeling like I wasn’t achieving anything,

When the pandemic hit and I had to begin shielding that feeling intensified. All of a sudden I couldn’t do anything for myself, I couldn’t go to the doctors unless someone took me, I couldn’t go get a coffee or pick up my own prescription and it really intensified the feelings of helplessness and being trapped at home.

In December 2020 my fiancé surprised me with a beautiful Yamaha flute for my birthday . He knew that I had lessons as a child and that I had always wanted a flute of my own. From the moment I played my first note I knew that instrument would change my life.

In the beginning it was just nice to have something to do. I would spend around half an hour a day practising and learning each note and then I would need to rest. It took a lot of energy to sustain the notes and hold the flute up. Over time I noticed I was building strength and starting to be able to hold the notes for longer and hold the flute up for a few minutes at a time. Eventually I was able to start practising for longer and it became a staple part of my day.

It was at this point I started to notice how much happier I was feeling. I was less restless, I was feeling more fulfilled and I felt like my brain was being exercised more than it had in years. The flute had given me something to focus on, something I didn’t know I needed until that moment.

Since then it has become so much more than an instrument, it gives me an outlet for my emotions, it gives me back the voice i lost years ago. Playing the flute is one of the few things I actually do just for enjoyment rather than because I feel like I have to. The feeling of freedom when I play is such a huge release, for the time that I play I forget about all the stress in my life truly relax. Additionally I feel like I’m achieving something for the first time in years, every time I learn a new concerto or perfect the next technique it gives me a huge mental boost.

The nicest thing is that playing the flute has actually given me physical benefits too, its helping with my asthma as its working out my lungs and keeping them clear and its strengthening my shoulders, wrists, hands and fingers. It is also improving the dexterity in my hands and fingers by keeping them moving and stretching, and its essentially acting as physiotherapy by stretching muscles that I don’t really use in day to day life.

A cover of Think of Me from Phantom Of the Opera

If you would like to see more of my flute playing journey please visit my instagram @thejoyofflute or TikTok at the same handle.

What not to say to a chronic illness patient

When talking to someone who is sick and in pain it’s only natural to want to comfort them and lighten their burden but sometimes it can be hard to know the best thing to say. Many of the things you would say to someone with a temporary illness or injury aren’t helpful to someone with a longer term illness or disability and it may even make them uncomfortable. As someone with many chronic illnesses who has dealt with chronic pain since a young age I regularly come across people who genuinely want to make me feel supported and cared for, but end up saying things that are unhelpful and even hurtful. With this in mind I want to share some of the things that are best avoided and where applicable suggest alternatives.

1 – “ Get well soon “
The reality of chronic illnesses is that they don’t go away, people with a chronic condition will have that condition for the remainder of their lives and will likely have some level of symptoms on a daily basis.
While well meaning, telling someone to get well soon when their illness is permanent can come across as though you don’t understand the nature of their condition or even as though you don’t believe that they are really that sick.
Where appropriate it may be better to say something like “I hope you get some respite from your symptoms” or “ is there anything I could do to help you cope with the symptoms “

2 “You don’t look sick”
Many chronic illnesses and disabilities are invisible, this means that it is difficult or even impossible to tell someone is sick or disabled just from looking at them. Although you might be hoping to boost their spirits, telling someone they don’t look sick may make them feel like you don’t believe them. Many disabled or chronically unwell people have experienced mistreatment such as being sworn at, denied access to an accessibility need or accused of lying all on the basis of how they look. If someone tells you they have a disability or illness or that they have an access need please don’t question them just because they look “ok”. If you want to give them a compliment it’s much better to make it unrelated to their illnesses such as “I like the way you’ve done your hair” etc.

3 “ You just need to….”
When someone is unwell and struggling its natural to want to fix it and make things easier for them. The problem with chronic illnesses is that very often there isn’t anything you can do. This doesn’t stop people from trying and most chronic illness sufferers have heard a never ending list of “ you just need to… “, this can include exercise, sleep, eating, drinking, medication etc.. while well meaning these things are unlikely to help and constantly needing to explain this is exhausting. Personally I would much rather have someone ask me if there’s anything they can do that would make my day easier such as feeding my animals for me or helping me dry my hair.

4 “ Someone I know has the same illness as you and they can work/walk/cope without meds /etc”
The symptoms and impacts of chronic illnesses can often be very different from one person to another. For example, one person with Crohn’s disease may be able to eat whatever they like, work a full time job and still have the energy to go out and have fun on the weekends. Another person with Crohns may be unable to eat and need to be tube fed or have a full liquid diet, or they may be unable to work due to the level of pain or sickness they experience and they may be too fatigued to perform basic tasks such as cooking a meal so going out for fun is out of the question. For this reason, comparisons are really unhelpful in chronic illnesses and may make someone feel judged or misunderstood,

5 “ Don’t eat that.. “ Or “ You should eat more”
Many chronic illnesses can cause issues with eating, the person may be experiencing symptoms that make eating difficult such as nausea and stomach pain, or they may have a hard time making healthy meals due to fatigue or joint pain, or they may be on a restrictive diet to help treat their illness. Growing up I was seriously underweight and constantly dealt with people telling me to eat more or judging the type of food I was eating. When I got diagnosed with coeliac disease and switched to a gluten free diet people would comment on how the food looked or smelled or tell me to eat a “little bit “ of something that contained gluten because they thought I was restricting too much. This advise was dangerous and made me feel judged and alone. Unless someone is eating something they’re allergic to, its better not to make comments about their diet as you may not know why they are eating a certain way. Instead, offer to cook for them and allow them to choose what they would like, if someone is too sick to cook they may appreciate a good meal from someone who can cook. Don’t pressure them though, sometimes the prospect of eating is just too painful.

6 “ Just be positive”

While a positive attitude and approach to life with chronic illnesses can help some people to cope with the difficulties of living with health issues, it is not possible or healthy for people to be positive all of the time. Living with illness or disability is complicated and often involves difficult decisions and long nights. It’s natural for anyone to have hard days or days where they just feel fed up and that’s even more true when going through hard times. If someone tells you they’re sick or having a bad day, its much better to listen to how they feel and try to validate their feelings by acknowledging the challenges they face.

7 “Stop being lazy”

Many people with chronic illnesses suffer with fatigue, this is extreme tiredness beyond normal levels and it can’t be fixed by a good nights sleep. Fatigue makes even simple tasks extremely difficult as it feels like you’re wading through water with every movement. Couple this with other common symptoms like nausea or pain and its easy to see how someone with chronic illnesses can find even the most basic chores can become impossible never mind holding down a job or keeping up with constant housework. If you see someone resting please don’t assume they’re being lazy, they may be fighting an internal battle that you just can’t imagine.

8 “ There’s no such thing as a permanent illness”

It might seem hard to believe but this is something I hear at least once a week. I understand it can be hard to accept that it’s possible to get sick one day and then never get better but unfortunately i happens all the time and often with very little warning. If someone tells you that their illness is permanent or that they wont get better, please treat them with kindness and acceptance. Many chronic illness fighters have to advocate for themselves every day when trying to get the correct treatments or getting their access needs met. The last thing they need is to feel like their family or friends don’t believe them.

9 “There are others worse off than you”

This is something I encounter all too often. While its good to be grateful for the good things in life and to acknowledge the blessings and privileges we enjoy, its also totally fine to be upset, mad, scared etc about the things that aren’t going well or the things we can no longer do. When someone is confiding in you about a difficult time in their lives or explaining how their illnesses or disabilities impact them, telling them “there are others worse off” can make them feel dismissed and as though they are being judged for how they feel. I always explain it like this – if you’re in A&E with a broken leg, and there is someone next to you with two broken legs, does that mean that your single broken leg doesn’t hurt? Pain is relative and it is unique to the person experiencing it. I am in constant excruciating pain, I have to inject myself with chemicals and it really hurts and a simple virus could end my life. All of that stuff is scary and difficult and it is both totally normal and completely valid for me to express that difficulty and having those feelings validated by the people who love me makes me feel much less alone.

10 Just stop thinking about it / Talking about it

Countless people have told me to stop thinking about my illness, going as far as telling me to pretend it doesn’t exist. While I understand that the concept of forgetting about your illnesses for a while may seem nice, its not always that easy. Many people with chronic illnesses have constant symptoms such as pain, nausea or fatigue which demand attention and it can be impossible to just ignore them. For others, ignoring their illnesses may actually be dangerous, they may have symptoms that need careful monitoring or they may need to be vigilant about what they eat and how it is prepared, or they may need to take regular treatments. Even if its not impossible or dangerous,telling someone to forget their illnesses or stop talking about their symptoms sends the message that you aren’t really there for them. It makes it clear that you aren’t interested in their difficulties and may not be supportive of their physical or emotional needs. Many people with chronic illnesses have experienced being shunned by society or accused of attention seeking, even of making things up. There are few places people with chronic illnesses can be truly open about their symptoms, so please don’t make them feel like they have to hide it when they’re with you.

11 Your spouse must be amazing to stay with you

It’s never ok to make assumptions about someone’s relationship no matter what the circumstances, some of us are blessed enough to have other halves who are kind, compassionate and treat us with love and respect, but that isn’t always the case. Many people with chronic illnesses have stressful relationships with their partners and even their wider family. It’s not uncommon for chronic illnesses to cause arguments within a relationship even when the people in it love each other dearly. Apart from that, disabled and chronically unwell people have just as much right to be loved as everyone else and we bring a lot to our relationships, relationships take hard work and dedication from both parties and cannot survive without give and take on both sides. I always say I’m blessed to have my fiance, he’s amazing, he’s kind, honest, respectful, compassionate, considerate and takes excellent care of me, but I know he feels just as blessed to have me, and that’s just how relationships should be.