Showing posts with label Arthritis. Show all posts
Showing posts with label Arthritis. Show all posts

Friday, 28 December 2018

My Myalgic Encephalomyelitis - My M.E.


Whilst my arthritides have been better this year, due to the unusual warmer, drier weather we have experienced, the Myalgic Encephalomyelitis has been its typical pain-in-the-derrière.

Apparently, for the first time I attended the annual choral Saint Nicholas concert on my own two pins rather than in my wheelchair. And I even managed to send Christmas-cards too - and prior to the actual holidays!

But all too often I have been trapped abed, unable to experience Life. I have it fortunate, for although my condition is considered “severe”, I am not in the most severe category.

The worst 25% of severe are: trapped abed always; eyes covered in blind-folds; ears covered in noise-cancelling head-phones; drip-fed; and, unable to be touched.

M.E. is not about being tired all the time. It is not a psychiatric illness as the UK’s psycho-cabal (along with their colleagues in Holland & Denmark) would have us believe. It is a multi-systemic, neurological disease (recognised for decades as such by the WHO, currently under ICD-10 G93.3). There are 106 conditions on my health spreadsheet; 104 are connected with Myalgic Encephalomyelitis. Only three are related to sleep. Under the WHO’s ICD-10 I have conditions under sections I, IV, V, VI, VII, VIII, IX, X, XI, XII, XIII, XVIII & XIX.
































[Image description: woman in black, sitting on a park-bench, looking out at a frozen landscape. It reads:

HAVING M.E. IS LIKE SITTING ALONE ON A BENCH WATCHING AS YOUR LIFE PASSES YOU BY & WAITING TO BE ASKED TO PARTICIPATE AGAIN. ]

For me it is the slow-death of Life being sucked away long before my time is due. It is being in constant - medically unmanageable - pain. Sometimes the pain-levels are acute and I am left to suffer. It is not knowing from one day to the next what one will be capable of doing. It is the neglect by the medical establishment of patients and the disease itself. The MRC & the NHS invest almost nothing, despite there being some 250,000 people with M.E. (#pwME) in the UK. It is the failure of the MSM to investigate, nor even to accurately report stories, failing almost invariably to check the facts.

M.E. kills - slowly, torturously, ceaselessly!

This is my M.E.

Monday, 8 August 2016

Severe M.E. Day 2016


There are according to the UK's National Institute for Health & Care Excellence (N.I.C.E.) body, per their document {Chronic fatigue syndrome / myalgic encephalomyelitis (or encephalopathy): diagnosis and management: NICE guidelines [CG53] Published date: }, three categories of M.E.: mild; moderate; and, severe. I have been diagnosed by my NHS hospital consultant as suffering "severe" Myalgic Encephalomyelitis or M.E. in accordance with this classification.

I average, over the year, fourteen-and-a-half hours of sleep in every twenty-four. However, there is no pattern to my slumber. Sometimes I sleep up to twenty-two hours in a row; at other times I am insomniant. On occasions I have inverted sleep patterns: asleep during the day, awake at night. 

It is only in the past few years that I have found a pain-killer that subdues the pain to a bearable degree; but with nasty side-effects, I only take when I am climbing the walls in pain. Nonetheless, most years I experience only one or two days totally pain-free.

I keep a spreadsheet of some eighty-five major symptoms from extreme ones like temporary paralysis to more mundane ones like temporary (from a few hours up to six months) dyslexia. The vast majority of my symptoms are neurological, from: the aforementioned dyslexia; dyspraxia; dyscalculia; hypersensitivity to odours, touch, vibration and noise as well as photophobia; forgetfulness - from names of individuals I know very well, including my own, to how to cross a road safely; dyscognition; loss of vision, or control of one or more limbs - so no driving for me; muscle twitching, spasms & cramps along with pins-and-needles; fibromyalgia; poor proprioception and equilibrioception - mixed with orthostatic intolerance is a recipe for daily falls (so I sport a pendant-alarm); hypersomnia; hyperalgæsia; chronic headaches & migraines; and so on…

The hypersomnia is another way of saying I suffer chronic fatigue or C.F.S. This is a symptom of many diseases including inter alia Cancer, Lupus, Fibromyalgia (F.M.S.) and Multiple Sclerosis (M.S.).

Like many, if not most M.E.-sufferers I also have several co-morbidities and separate conditions, that for me together create a downwards health-spiral. Over the past two visits to see my specialist, she assesses my over-all condition as having stabilised after years of deterioration. As yet, after more than twenty years of being ill, there has been no amelioration. I remain hopeful probably despite reason!

Whilst the majority of the year I am abed in what I quaintly call my bed-cell, I have better days when I can be taken out to do essential things like shop (mostly done on-line), visit the dentist or G.P. or optician or hospital. On my really good days I like to see friends. Most winters I go to southern Spain to benefit from their much more stable and warmer climate. It does not improve my M.E. symptoms, but massively subdues my various arthritides, thus reducing pain levels.

As I stated above, I am classified as a severe sufferer of M.E. There are however some sufferers who are so ill that they are on intravenous drips, they cannot do anything for themselves at all, and they have to lie abed constantly - often with blindfolds and noise-reducing head-phones. Thankfully, I have not pejorated to that extent.


Myalgic Encephalomyelitis kills.


The slogan reads:

Myalgic Encephalomyelitis
Cover Up

"I split my clinical time
between the two illnesses
(ME & HIV),
and I can tell you
If I had to choose
between the two illnesses
I would rather have H.I.V."


As a sufferer I am never - even were I to become well again - permitted to donate blood, plasma, tissues nor organs, except for medical research in the U.K.

[Image description: screen-shot from NHS Blood and Transplant website confirming my statement]

If you read this far, thank you. Perhaps next time you encounter someone suggesting M.E. is all in the mind, a life of Riley lying in bed all day watching television, perhaps you might consider challenging their misconceptions. Cheers!

*

Over the years I have written several blog-posts on Myalgic Encephalomyelitis or ME. You can search for the articles using both those terms from the word index at the bottom of this page.
 

 

Tuesday, 13 October 2015

'Flu jabs & Myalgic Encephalomyelitis



[Note for those in USA, Myalgic Encephalomyelitis or M.E. is usually known as Chronic Fatigue Syndrome or C.F.S. in the United States.]


*

Yesterday, Action for M.E. posted on the subject of "Flu jab advice for people with M.E." The pharmacist is recommending sufferers have the jabs, but admits that there is "limited research available".

I posted in a discussion on whether to have an influenza vaccination. Herewith my contribution:

I have been advised not to have inoculations nor vaccinations, as I seem to re-act to everything. Antibiotics even are an extreme last resort for me, as I end up ill from taking them.

I possibly developed M.E. due to a routine tetanus vaccination which I did not need. Due to my very high risk of developing arthritis, I should not even have been forced to have it (a condition of the G.P. [family doctor] accepting me on his books). Not long after that, his surgery [medical practise] stopped routine jabs unless actually required medically.

Big Pharma (the pharmaceutical industry) knows that we are all different and re-act differently to medications. Whilst statistically vaccinations are "safe" for the population as a whole, there will always be sub-groups for which they, and indeed any medication, will either not work or make matters worse. My advice is to always research any new medication or treatment and seek out advice.

Also, doctors do not always know best. Years ago, a psychiatrist prescribed a drug which caused me absolute extreme testicular agony. He pooh-poohed me before looking up the medication, blushing deeply and then admitting that it was a known rare side-effect.

And what was the outcome of the discussion? Well, some folk are pro and some contra; some have had good experiences, some bad. Anecdotally this supports the assertion that we are all different physiologically.

[Image description: screen-shot of NHS information webpage on The flu jab, ©]


*


DISCLAIMER: I am NOT medically trained. If in doubt or worried, seek out professional medical advice!



Tuesday, 1 September 2015

Medical Support for the House-bound

Last week I was reminded that Trafford Healthwatch are running a survey:

Healthwatch Trafford have today launched a survey to look at how people with ME /CFS experience health services in the area.

[undated, from April 2015]


According to MeManchester:

WHO IS IT FOR?
 For anyone in England with ME or CFS, even though it says Trafford.


Please complete this questionnaire, if you are able; for, the more responses, the more the likelihood that Healthwatch can and will take action.

I fought for two years, backed by my G.P. and my hospital consultant, to get a support package off Trafford‬ PCT - who did everything they could to impede my success. As I understand it I was only the second person ever to succeed with them.

The now defunct Manchester community nursing ME/CFS‬ support team (sorry - cannot recall their actual name) visited my home, as I was and am classed as "severe" under the ‪‎NICE‬ guidelines and by my hospital consultant. They helped me audit my energy usage and suggested actions I could do to help myself. For example, I still have a chair on the stairs landing so as to take a rest part way down, rather than trying to do in one go. I still have slogans mounted in my bedroom to remind me of various actions that due to dyscognition and memory issues I frequently forget.

My consultant runs specialist ME‬ support clinics at the hospital I attend annually. Alas, due to the severity of my condition - I am for the most part housebound with occasional supported outings - I am unable to access those clinics. I am not in the "most severe" category of those on drips and so forth.

I do think more needs to be done for housebound sufferers, not just of‪ Myalgic Encephalomyelitis‬ but also Lupus‬Fibromyalgia‬Arthritis‬, etc.

Monday, 12 May 2014

International M.E. Awareness Day, 12th May 2014




Myalgic Encephalomyelitis is the official World Health Organisation (WHO) name for M.E. It means something like pain & swelling of the brain & spinal chord. There is a sort of British cabal of psychiatrists who believe, for it is a matter of faith for them despite evidence to the contrary, that it is a psychiatric problem.  Interestingly the same argument this côterie put forward for explaining M.S. way back, and so on… Thankfully neuroscience and break-throughs in bio-medical research are countering their argument.

Unfortunately, making matters complicated for researchers, very few sufferers have just M.E.; many of us suffer from multiple conditions plus co-morbities. Inter alia I have myalgic encephalomyelitis (ME), fibromyalgia (FMS), irritable bowel syndrome (IBS), Raynaud's syndrome, osteoarthritis (OA), a gout-like arthritis, … Only the latter gives visible symptoms, when I swell up like the Michelin man. Thanks for not judging by outer appearances.

For this awareness day I plan to keep a live-blog of events as they concern myself throughout the twenty-four hours. This means that the blog will be hopefully constantly, but most likely sporadically updated. So please come back from time to time.

criquaer
%)



03.27  Much earlier than is typical I am awoken from a feverish nightmare after four hours sleep. My heart-rate is very rapid. It is the sensation of being almost in an anxiety-attack. I take several deep breaths. Damp, I have to remove my bedwear, which with stiff limbs is no easy task. Then I shakily and with a great deal of pain succeed in raising my plastic beaker of water and take a gulp. Time to distract myself now from the still not fading nightmare, the slowing but yet still racing pulse and the coursing, throbbing pain.

05.12  Heart-rate has slowed, but still not back to normal. Have posted and responded to various social media (SM). So tired. Need to sleep; so going to have another attempt. Going to use some visualisations to try to assist me in going to a happy place.

05.37  I chose the wrong time to try to sleep. A downpour means my arthritic bones have gone into hyper-awareness and I am now in fairly intense pain. No matter what position I place myself in, the pressure is like a slow torture, gradually building in intensity. I just feel shattered.

05.43  A pressure head-ache has begun to throb. Heart-rate slowed down and returning to normal. Eyes are beginning to react photophobically: I have had to reduce the computer-screen's luminosity down to minimum. Shall have to stop typing now, as acute and sharp stabs of pain in my head and eyes.

09.00  Another nightmare wakes me up. This time, a regular type for someone who is mobility-impaired, I am faced with flight after flight of stairs. Whilst I rarely dream I am in my wheelchair, in this narrative my companion is so seated. Neither of us can escape where we are.

09.05 More rain: sudden increase in pain all over my body. Still feeling exhausted and in need of more sleep. I drop off quite quickly, but sleep fitfully.

11.12  Really heavy rain lashing on the roof and the windows brings me back to consciousness. Another wave of pain. I distract myself with the lovely aroma filling the room: the negative ions of summer rain. I fall back to sleep.

13.26 Awaken, stiff, achey; but headache has dissipated and level of photophobia has ameliorated - can cope with ordinary spectacles (rather than sunglasses) in my bed-cell, although still with the blind down (sorry #ConDems!).

13.52  Email my lovely contact at Altrincham JobCentre Plus, who has been kindly trying to help me extract information, even just a response from Bolton Benefit Centre. After twelve fruitless months of trying to get info, some of which is actually offered by DWP in their correspondence, from Bolton, I eventually had to follow through with a threat to involve my MP, Graham Brady, chair of the backbench 1922 Committee. He has so far succeeded in getting Bolton to contact ATOS and the DWP FOI section; but as yet no explanation as to why they refused/failed to respond to my correspondence and that of Altrincham JCP.

14.17  I received an invitation, which I accepted, to attend a speech by Ed Miliband in Manchester this evening. I have just sent my third email trying to determine whether the venue is accessible. It seems the Labour party are not responding. However, it is a lot of effort for me to wash, dress, travel and attend such a session (I will be ill for several days afterwards) and also will cost me the best part of fifty pounds in taxi fares. I do not wish to waste my energy nor my money.

14.27  The venue IS accessible. I can go. Now I need to find WoWCampaign's Ian Jones' question suggestion and write out a question, just in case I have an opportunity.


14.51  Made it to ground floor without falling - a god job as I forgotten to put on my pendant alarm. I am about to bring in the shopping and put away the chilled stuff. The rest will have to be done another time.

15.21  In order for me to be able to move, I need to warm up my muscles in a bath. This is risky for me, as I have poor equilibrioception and no-one to help me out of the tub. Fingers crossed that today will not be one of those where I get ultra dizzy and collapse. Well, if there are no further updates, you know what has happened!!!

16.14  Eventually made the taxi-driver realise that I would need his assistance in transferring my wheelchair into his cab. Despite being cloudy in Manchester, I needed to sport sunglasses to cope with what was for my sensitive eyes too much brightness. The cab-driver was happy to chat away, so I remained chilled listening to his tales.

16.47  The taxi-driver gets me to the disabled ramp and unloads the wheel-chair; however, made no offer to help me into it. I succeeded in setting up the chair and sat down and then wheeled myself over to and down the ramp. A lovely young Manchester lass offered assistance, for which I thanked her, but declined.

17.05  The doors to the venue are opened and we all file in.

17.10  Noticing a gaggle of wheelchair- and mobility scooter-users I wheeled over to join them and in so doing think I recognise Wayne Blackburn. And indeed it was. It was great to catch up and have someone to natter with.

18.00  Ed Miliband gives us his key-note speech on the future of the NHS. He is supported by Andy Burnham, shadow health secretary. He goes straight into a Q&A session. One questioner from Liverpool, an unemployed REMPLOY worker, enquires to treatment of the disabled and the WCA (work capability assessment). Ed Miliband categorically stated that he would support those with disabilities who can work into the world of work and those were unable to work would still be supported by the state.

19.05  I have to depart, I needed the loo (wc) & meds and was fading fast. My blood pressure was dropping.

19.10  Ablutions completed and offered assistance by passers-by on entering and exiting in relation to the door (which might suggest more about toilet design than my abilities).

19.17  Taxi arrived on time and swiftly carried me home, breathless from wheeling my chair and having to speak.

19.59  I am back home and back on-line after a technical hitch - it was the wheel of doom and I could do nothing to get rid! I am breathless, shaking and suffering muscle spasms in my left arm and thighs. I need to eat, drink and take meds. then I shall back fill what has been going on.

20.51  Tucked up in bed. Now suffering tremors and muscle spasms all over. The house thermostat says it is warm on every floor. My body is not so sure! My eyes feel heavy. My heart-beat is slightly erratic from all the physical exertion.

22.44  Was trying to watch the news, but my hyperacuity, or noise-sensitivity, means I have yet another throbbing head. Going to settle down now and hope for a good night's rest.

Thanks for reading, folks. %)

UPDATE

Well, after a good ten hours sleep, uninterrupted by nightmares nor fever, I awoke to:

* a mouth-ulcer on the end of my tongue;
* eczema patches around my eyes;
* heavy, prickly eyes;
* photophobia;
* a throbbing headache;
* fingers swollen to the size of chunky sausages;
* painful breathing due to costochondritis flare-up;
* pain in my hip & lumber due to aggravating the osteoarthritis;
* ear-ache in my right ear;
* an irritatingly itchy skin-rash all over;
* cold-like or allergy symptoms to goodness knows what;
* zits around my T-zone.

I have been awake an hour and a half and as yet still have been unable to leave my bed. I have no water and am rather thirsty. Shall have to wait till body can move though.

Obviously yesterday was not a completely typical day, as I would not normally go to political meetings! But dealing with bureaucracy - not solely DWP - is pretty much a regular occurrence.

I expect to be knocked back for a couple more days yet due to having gone on that wee jaunt. Sometimes the health price is worth paying.



Wednesday, 31 July 2013

Save Trafford General Hospital!




On 5th July I was thrilled and felt extremely privileged to attend the NHS' 65th birthday celebration at Trafford (née Park) General Hospital, which is often referred to as the birth-place of our wonderful National Health Service as it was the very first hospital to join.

On arrival the strains of New Orleans' jazz vibrated up and down the parade of shops and through the milling crowd. Below is a photo of the Mark Rodger Manchester Jazz band playing below and in front of the hospital's signage.





I happily signed the birthday card; although with my arthritis, I had difficulty gripping even the oversized marker-pen as can be seen in the photo below.




I made new pals in an amiable couple Jenny & Andrew, himself a wheelie, and who both do volunteer work for WoWpetition. In the photo below, Jenny proudly displays her placard which reads:

HAPPY 65th BIRTHDAY
I [heart icon]
NHS



There was a point at which the several hundred folk there assembled were asked to hold hands and form a human chain in a public demonstration of our admiration of our NHS. Alas, as I was holding hands, I could not take a photo of the action!

After the mark of respect and solidarity, we were manœuvred into positions for a march of protest past the front of the hospital and towards a local park. Various unions as well as the public were involved, including Unite and in the photo below, members of Unison holding up a very large banner. I realise the photo has a slightly odd perspective; but remember, I am in a wheelchair!



Once in the park there was a festival atmosphere with stalls, a stage from whence bands played and also from which various speeches were delivered.

I was also there in my capacity as a volunteer for and on behalf of WoWpetition. The photo below is of our team of helpers and supporters, including inter alia myself on the left followed by Reverend Paul, Jenny and Andrew.



So why am I just now telling you of an event that occurred almost a month ago? Well, unfortunately our protest fell on deaf ears and shortly afterwards Jeremy Hunt ruled that Trafford General Hospital could be downgraded.

However, not to be beaten the Save Trafford General campaign fights on. The flier at the top of this blog-post reads:

Extraordinary
Public Meeting

 6pm, Wednesday 31st July

        Town Hall, Talbot Road, Stretford, Manchester M32 0TH

TRAFFORD Council are holding an extraordinary meeting to decide whether to apply for a Judicial Review of the Health Secretary’s decision to close A&E and other services at Trafford General Hospital.
The public are invited to give their views – you can register to speak by 5.00 pm on July 30. Email democratic.services@trafford.gov.uk.

Stand up and speak up
for your local hospital -
and your local NHS!



My comment would be: if you don't fight for it, you lose it! I hope some of you may be able to attend.

Tuesday, 31 July 2012

Judgmentalism of Invalids


Screaming. I awake to incessant screaming. But before I can work out the source, I am inundated by excruciating pain all over and throughout my whole body. It is then that it dawns upon me that it is me in agony and that the screams are mine. Except there is no external noise. Like the pain, the sound is internal. I open my eyes. It is still night-time: I can see the amber hue of the streetlight seeping around the edges of the window-blind. I try to lift my head to see the clock, but to no avail. I attempt to stretch out my arm and hand in order to bring the clock to my line of sight, but they will not move either. Gradually I try out various parts of my body to the accompaniment of rising panic, the never-ending pain and the continued screaming. I realise I am totally paralysed, save for my eyes. "So this is death", I think. I remain thus for a couple of days: occasionally lapsing into restless and fitful sleep; only aware of the passing of time due to the changing light conditions within my bedroom. Death. And I am in Hell, and hence the constant torture with no prospect of escape.


[Image description: photo of the manuscript image Hortus Deliciarum - Höhle (Hell) by Herrad von Lansberg, c.1180; folk being tortured in various manners by dæmons.]

It transpired I had caught a virus, a viral form of arthritis, giving me polyarthritis. Unfortunately, this proceeded to ignite my genetic disposition to osteoarthritis. In the fifteen years since that attack, arthritis of one kind or another now effects my left hip (with deferred pain into my right hip); lower spine; knees; ankles, feet and toes; wrists, hands and fingers. I am naturally of a fairly slim build, but there are days on which I swell up to look like a miniature version of the Michelin Man (inflated in all the wrong places!). However I can laugh about the effect these days with those that see me this way.


[Image description: black & white outline drawing of the Michelin man.]

I resumed my career for three months, before another bout saw me finish work permanently - although I did not know this at the time.
Since starting my last job, I had been constantly tired; but found that I did not recover at weekends or even after holidays. By the end of the week I would be limping and having to drag my leg. I was a tad scared, for I had known several folk up to that point who had experienced similar problems and they had all been diagnosed with Multiple Sclerosis (MS). After some tests I was relieved to discover I did not have MS. It transpired I have the neurological condition ME, or Myalgic Encephalomyelitis, sometimes inappropriately and incorrectly referred to as Chronic fatigue Syndrome/CFS.
All in all, I suffer from some eighty (not eighteen) conditions and/or serious symptoms. I have to keep a spreadsheet to keep track of them. These fluctuate: some with the time of year; some with the weather; some from doing activity; some from lack of activity. No two days are the same. I never know what admixture I will awaken to nor how any day will pan out.
The amount of sleep (and I am not talking about the kind of restful slumber that leaves one feeling refreshed; but rather the kind that is fitful and leaves one feeling drained); the amount of sleep I average each night has increased from twelve hours, ten years ago or so, to fourteen-and-a-half hours currently. Unfortunately, there is no pattern to my sleeping. I cannot even always predict when my body might decide it needs to rest. One specialist has described my need to sleep as “narcoleptic”.
My mobility over time has also reduced dramatically. Over sixty percent of the time I am bed-bound. On really good days I can walk with sticks and a companion. In-between times I sometimes can use a mobility-scooter and sometimes a wheelchair I propel myself, though more often I have to be pushed. I can rarely climb stairs, so more usually have to crawl up them.
My current main consultant has forbidden me from swimming and recently also from walking more than one hundred metres at a time. Furthermore I can no longer do yoga, tai chi, ærobics, cycling, gym, hiking and especially dance.
I have lost my ability to read for periods of between two months and a year. I have developed dyslexia. I have difficulties concentrating and frequently forget what I am doing. In my previous home I was advised to have the gas cooker cut off to prevent me from burning down the house! At the moment I have care-workers to supervise my culinary exploits.
Blood tests, x-rays, CT scans, MRI scans, monitors, examinations. Specialist to specialist. There is nothing much that can be done for me. Though my current GP and consultant are doing their best for me, I know, and I appreciate their efforts. I have tried all sorts of drugs off-licence and am willing to try others. I have offered to go on any trials or experimental treatments and have done so in writing not just orally. I should dearly love to retrieve my old life: to work again; to socialise whenever I wanted; to dance. To dance again.
Most days I have to decide between eating or washing as I do not have the energy for both. For someone who was very OCD, not cleaning is a personal nightmare. Not eating has worse ramifications.
Fourteen years ago I was retired on the advice of my then specialists and the occupational health team of my (large) employer. No-one in the know expects me to work again, well bar some miracle-cure or wonder-drug.
Apparently the Government thinks that only about thirty percent of those that were on incapacity benefit (IB) should actually be on it. So I and just about every other disabled person I know lives in constant dread of the brown envelope that advises us we are going to be re-assessed. I have no issue with the authorities checking that benefits are still needed. I have no issue with the Government trying to encourage folk to work if they can. Unfortunately the system they have is not fit for purpose. Their independent adviser publicly stated that the system is not working in all areas of the country. Tens of thousands of folk are having to appeal and many are winning. In the past, twice I gave up my right to some benefits because I was too unwell to appeal. When I finally did succeed I was awarded the highest of three rates, which rather demonstrates that I really ought to have been awarded the lowers rates previously, as my condition deteriorated gradually. I imagine that really sick folk are just giving up and so many do not bother to appeal.
There is also a separate benefit called disability living allowance. It is not an out-of-work benefit (although the right-wing media and even Government ministers conflate it with IB which is an out-of-work benefit), but rather is meant to compensate the disabled person for the extra costs involved in doing activities that non-disabled folk take for granted. For example, were I to meet a friend in the city centre it would cost me the best part of £30 in taxi fares rather than £5 to use the tram (inaccessible to me). Many disabled folk cannot prepare their own meals so have to purchase ready-made foodstuffs, which are more expensive. And so on...


[Image description: black cab or hackney carriage.]

So occupational health say I am incapable of work (not just the job I did). Various medical personnel, including doctors and specialist consultants say I am incapable of work (not just the job I did). Even the Government thinks large numbers of disabled folk will never work. Despite all this, with no medical expertise, with no occupational health expertise, with no evidence, without even knowledge of one’s personal circumstances, some of the public, and especially the right-wing media, insist that I am capable of doing some work. Those in this category always back up their assertions with everyone knows someone who is cheating the system. Well, if they do know someone, surely it is their civic duty, as they are so keen to save taxes, to report the alleged fraudster. There is a Government hotline for this very purpose. Interestingly some ninety-seven percent of the so-called cheats have been found to be genuine claimants.
I, along with many other disabled folk, have paid high levels of National Insurance (NI) in the past, along with our taxes. The State took the money promising to support us if one’s health deteriorated or one found oneself in straitened circumstances, i.e no money on which to survive. But even those who have not paid tax and/or NI, ought to receive assistance in a civilised society.
The politics of envy is divisive and cruel. It’s about time politicians grew up and behaved like the exemplars they are supposed to be. It’s about time individuals grew up and educated themselves. Judgmentalism is not pretty and it certainly is invalid.

Thursday, 10 May 2012

Genetic Discrimination

As a queer man, I have been subject to bullying, abuse and discrimination on the basis of my sexual orientation or perhaps my honesty and openness about same.

As a disabled person, I have been, and still am, subject to abuse and discrimination on the basis of my disabilities and ill-health.

But have I been discriminated against on the basis of my genetic heritage?



(Image description: model of DNA by Zephyris)

Arguably, the answer is yes, insofar as genes are at least partially responsible for some of my disability and probably mainly responsible for my sexual proclivities. For example: all four of my grandparents suffer/ed from arthritis, as do both parents, all my aunts and my uncle, and one of my two siblings. It was therefore highly likely I too would develop arthritis at some point. However, in my case, it was a viral form of the condition that set off my genetic propensity. So environment had some influence. Nonetheless, my genes are responsible for that predisposition and ultimate development of arthritis. The condition is sufficiently serious to mean I am disabled by it. I am discriminated against because of my disability. And thus I have been discriminated against due to my genes. One could use a similar train of thought to argue genetic discrimination via sexual orientation prejudice.

Accepting that 'genetic discrimination' has effectively occurred, what does the term actually mean from a legal perspective? Well, ah, this is where matters become thorny. There is no legal definition in the UK; although the USA has the 2008 Genetic Information Nondiscrimination Act (GINA). This latter addresses bias in the areas of health insurance and employment, but not life assurance (insurance). Over here in Blighty many disabled folk have difficulties obtaining health or travel insurance. However, it is possible to obtain, with some forensic hunting and the willingness to pay a hefty premium, or, alternatively, excluding all conditions from which one suffered heretofore. In fact, there is no legal definition in the UK. An interesting article on the UK Human Rights Blog (Should we outlaw genetic discrimination?) concludes that:

"A separate prohibition on genetic discrimination
 [their bold type and ellipsis] is probably never going to be viable. The potential for genetic discrimination is impossibly wide. It is relevant to every  commercial transaction where one party has an economic interest in the future health of the other party, such as the granting of mortgages or commercial loans. But it also extends to non-economic relationships wherever there is an interest in explaining or predicting an individual’s current or future health, such as adoption, child custody, personal injury law, or where future behaviour is important, such as in the fields of education or criminal law."

The 1997 film Gattaca (Gattaca) showcased a world where one's DNA decided one's place in society and what future, if any, one might have. Parents had embryos screened for genetic abnormalities. One's proclivities or interests were irrelevant in this world. If Beethoven, Einstein or Hawkings (all of whom had/have a disability of one kind or another) had been born into such a world, they would not have been permitted to pursue the careers they did, but condemned to a life of drudgery in dead-end jobs - and that is only if their parents were not to have had their embryos destroyed due to the potential for disability.

Embryonic screening is a whole other incipient nightmare obviously very closely interrelated to genetic discrimination. At the moment the UK's Human Fertilisation & Embryo Authority (HFEA) (HFEA) bans most screening; but gradually, its regulation of exceptions has been extending. In the future, will screening and thus embryonic destruction be permitted for: skin colour; eye-colour; gender; any potential disability; sexual orientation; criminal potential;...?

The present situation in Britain is an admixture of ad hoc rules and regulations and limited laws. As the technology develops and genetic knowledge expands, a thorough investigation and public debate of the ethical issues and legal implications needs to be undertaken.

Sooner rather than later, before the Gattacan dystopian future is upon us.