#1in10Challenge – Day 2

It’s already well known competitive sports has an unhealthy culture on many levels, watch Athlete A on Netflix if you need a prime example, and we put pressure and value on people’s achievements rather than on the person themselves. I was once a competitive athlete, so I know this all firsthand. This is so dangerous and unhealthy but how does this relate to epilepsy you may ask?

Athletes set goals and their vision on that goal almost becomes tunnel vision. They look at what they need to do to be the best and achieve that goal they’ve set and that’s all they look at. So, when epilepsy comes flying in from the side vision that they don’t have it throws them for a spin. Some handle this better than others.

My mum was always supportive of my sporting career but she also kept me grounded and focused on other things so when my health went downhill and put my career on hold, I was devastated but it wasn’t the end of my world. Don’t get me wrong, I still feel jealousy every time I see a former team mate compete or win or somehow move forward in their career and I’m itching to be up there on a podium with them but I also know my life is worth more than just that.

Not everybody has the same mother that I do. Most athletes put their all into their goal and when epilepsy comes flying in for a surprise visit it genuinely feels like the end of their world. Especially if their education on epilepsy is poor.

I know my epilepsy education and I know my career is on hold. Once my epilepsy is managed, which is possible, I get to start working on my career again which gave me drive to keep working on managing my disease.

Some don’t know any better and believe their career is over, not even their career has changed paths, but that epilepsy has completely obliterated it. Devastation rightfully kicks in. How they handle that devastation is what matters.

While some just box up their trophies and medals and completely turn their back on their sport because that’s how they cope some don’t cope at all and end not only their careers but their lives as well.

While sporting culture has changes it needs to make, such as allowing athletes to widen their view and put their values in multiple areas, so does the medical system. When somebody is diagnosed with epilepsy, they need to start seeing a psychologist straight away for help processing what they’re going through and how they’re feeling. I felt devastated about my career holt but had to navigate that myself like we all do. I’m one of the lucky ones who survived that part of my life. If we were all given the aid we need to navigate such a distraught and overwhelming time in our lives more of us would be the lucky ones who survive.

To all my siblings that have lost their lives because the systems failed them when epilepsy knocked them down, I’m sorry. We must do better and for you I will.

#1in10Challenge – Day 1

Relationships of any kind take a hit when somebody involved is diagnosed with epilepsy.

Friends don’t know how to behave around you anymore, family don’t know how to support you and partners don’t know if they want to be in a romantic relationship, let alone a sexual one, with a disabled person.

You may not notice these things at first but it’s almost inevitable that at some point you’ll fall into one of these categories if you have epilepsy.

But that’s okay because better people come along and lift you up.

To help that happen here are five tips to help make relationships work when somebody involved has epilepsy.

  1. Be patient. This goes both ways, sometimes you’ll need to be patient after a seizure and sometimes you’ll need to be patient while they process the seizure.
  2. Be gentle. Again, this goes both ways as epilepsy takes a tole on the one with it AND their loved ones.
  3. Listen to the person with epilepsy’s boundaries.
  4. Understand the persons limits in social settings
  5. Know what to do if something happens

Breaking Down Epilepsy Misconceptions

  1. There are over 40 types of seizures and over 100 syndromes connected to epileptic seizures. Not all seizures are the same. Not all are convulsive (falling/shaking), some are extremely easy to miss as they appear as though the person with epilepsy is just daydreaming.
  2. Despite ancient Romans going as far as spitting on the chests of epileptic people to avoid catching the disorder, it’s not actually contagious. You can’t catch it from somebody else, it’s either something you’re born with and it presents itself when its ready or you sustain a traumatic brain injury (TBI) through an accident or secondary disease which leads to epilepsy.
  3. Epilepsy is NOT a mental illness but a confirmed neurological condition. Electroencephalography (EEG) is a monitoring method to record electrical activity of the brain. An EEG can pick up a seizure or blips of seizure activity that’s not intense enough to cause a seizure. If anxiety or depression showed up on EEG’s mine would always be going haywire but they don’t.
  4. One of my Instagram followers told me that “People think I’ll hit the deck if I see a flashing light” which is not one of their triggers. In fact photosensitivity epilepsy is one of the rarer kinds of epilepsy. With that being said, you don’t know somebody’s trigger(s) unless you ask so air on the side of caution, ask, listen and respect boundaries. Also remember photosensitivity is also a trigger for a few other conditions so it’s still a good idea to be cautious when playing around with that kind of technology.
  5. Another misconception is that epilepsy is an illness or disorder, it’s not but it is a neurological condition, neuro disease or disability.

Talking to Disabled People About Disabilities

I, and many other ill and disabled people, have been asked invasive questions by total strangers on multiple occasions. It’s ableist and uncomfortable to say the least.

 

But what about friends and family? How can they ask about our conditions without falling into the same category as those offensive strangers? Perhaps how can strangers be less offensive and invasive.

 

Step one is showing from the start that you have respect for their option to decline answering. Just because they know you doesn’t mean they’re ready to share every little detail with you. This can be done by opening the conversation with “I’m going to ask you a question about your health, but I respect that you may not want to answer. I take full accountability if I overstep here.”

 

Try to know what you can before asking. For example, I’m epileptic so if you want to know what kind of seizure I have try to know the common types so you can ask “do you have tonic-clonic seizures or absence? What does that mean?”

Everyone is different when it comes to how open they are to questions and educating so self-education, even the tiniest bit, can really help and shows you genuinely want to learn for the right reasons. This will make the person more likely to open up rather than take the approach of making you educate yourself entirely.

 

Don’t start with an apology. “Sorry I don’t know much but can you please explain [insert topic].” There’s no need. We don’t expect you to know everything, sometimes doctors don’t know everything, so we certainly don’t expect you to know everything.

Instead try “hopefully this isn’t too much to answer but or can you tell me where I can find out more.”

 

Remember it’s not our responsibility to educate you on everything.

 

Be confident but not overconfident. If you’re shy and stammering because you’re scared to ask, you’re probably going to frustrate the patient. Come in overconfident and you’re going to annoy the person in question. You’re just talking to a fellow human so treat them as such.

 

Sometimes one of my friends who asks a lot of questions will come in shy and I just want him to spit it out and start to worry it’s going to be offensive but most of the time he asks me the same way he asks me what I want for lunch and it makes it a comfortable environment for the conversation which makes it much easier to answer his questions. What also helps is he has a lot of patience as I try to find the right way to answer the question.

For example, he frustrated me by asking me to lift each leg one at a time and stared at me. Big no. This made me frustrated and uncomfortable. Turns out he wanted to ask how I can move (albeit with limited motion) my leg with functional limb weakness. Once I had the question, I could actually have a conversation, without being a science experiment, and give him the answer he was looking for. However, it wasn’t until the next day that I had the perfect answer which was okay with him because he genuinely wanted to know.

In case you’re now also wondering how it works; the wires that tell me my leg is there, that I can feel it and that it has strength to stand on are mis-wired so the messages from my brain aren’t getting through but weak signals from the wires telling to move it occasionally get through.

 

This one is especially important when talking to strangers or friends/family that have only just been diagnosed or started new treatment; “Please tell me to leave/change topic if this is too much” or “I know somebody else who appears to be in a similar situation, do you mind if I ask a question.”

 

I leave you with the most important note of all, don’t make assumptions or ask blunt questions like “what’s wrong with your face?”. This is incredibly disrespectful and falls under ableist micro-aggressions. I’ve had plenty of people, friends, family, acquaintances and strangers ask blunt questions (“what’s wrong with you now?” “why do you look like that” “what did you do this time?” “why are you so skinny?” “why have you gained so much weight?” “why aren’t you eating?” etc.) and it often triggers me to go non-verbal with my autism because I feel so disrespected and unsafe.

 

Be kind, open, respectful and ready to look up resources given to you and you should be just fine.

The Community History of: Epilepsy

Today we’re having a history lesson. I’m super passionate about the history of my people in all aspects, even if it hasn’t been very well recorded over the years due to the shame the abled world has pushed onto us.

 

The point of this history lesson is to stop people from laughing at the expense of those with epilepsy.

 

Epilepsy has been affecting people at least since the beginning of recorded history.

 

Ancient history believed epilepsy to be a spiritual condition.

The world’s oldest description of an epileptic seizure from the language use by ancient Mesopotamia, Akkadian, text and was written around 2000 B.C. The person described in the text was diagnosed as being under the influence of a moon God and underwent an exorcism.

 

Ancient Greeks saw epilepsy as a form of spiritual possession also but associated it with genius and divine instead. Epilepsy appears throughout Greek Mythology and is also commonly associated with the moon.

 

Ancient Rome didn’t share pottery with people with epilepsy in an attempt to avoid catching epilepsy. People would also spit on the chests of people with epilepsy to avoid being affected as they believed epilepsy was contagious.

 

In 1780 B.C., The Code of Hammurabi lists that slaves may be returned for if the slave were to have seizures in the first three months of ownership. The code also dictates that a person with epilepsy couldn’t marry or testify in court.

 

During the fifth century B.C. of classical Greek a physician, Hippocrates, rejected the idea of epilepsy being a spiritual related disease. He proposed that epilepsy was not divine but a medically treatable problem. Instead of referring to it as the ‘sacred disease’, as was common practice at the time, he decided to call it the ‘great disease’ instead. This decision gave rise to the modern but now outdated term ‘grand mal’ for tonic-clonic seizures. Despite his work of great detail, his view was not accepted at the time and people continued believing epilepsy was of a spiritual, usually negative, nature.

 

Evil spirits were blamed in majority of the world until at least the 17th century.

 

In the 18th and early 19th centuries people with epilepsy were labelled as insane and locked in asylums with incredibly poor treatment. Around 1825 Jean-Martin Charcot found people with epilepsy side by side with the criminally insane in Pitié-Salpêtrière University Hospital, the birthplace of modern neurology. Until the late 1800’s, people with epilepsy were often incarcerated as ‘criminally insane’ despite some stigma easing in Europe and North America due to beliefs shifting from psychiatry to neurology.

 

In 1956, 18 US states provided for the sterilisation of people with epilepsy on eugenic grounds.

 

Organisations like Epilepsy Queensland Inc. were only founded in 1969. The Kemp family were inspired to found EQI due to their son with epilepsy being fired repeatedly on discriminatory grounds. This discrimination was commonplace with no anti-discrimination laws in place.

 

Until the 1970’s it was still legal in the United States to deny people with epilepsy entry to public places such as restaurants, theatres, recreational centres, etc.

 

In the United Kingdom, a law prohibiting people with epilepsy from marrying at all was repealed in 1970.

Before 1971 in the UK, epilepsy was grounds for marriage annulment despite the common vow “in sickness and in health”. To this day in India and China, epilepsy can justify denial of marriage and it primarily targets women in a further act of discrimination.

People with epilepsy in the United States were forbidden to marry in 17 states until 1980.

 

In a 1987 ruling, the United States Supreme Court ruled that “a review of the history of epilepsy provides a salient example that fear, rather than the handicap itself, is the major impetus for discrimination against the people with handicaps.”

 

As late as the second half of the 20th century, in Tanzania and parts of Africa, epilepsy was associated with possession by evil spirits, witchcraft, or poisoning and was believed to be contagious.

 

Today stigma can interfere with timely access to healthcare, early diagnosis, which is extremely important, and treatment.

The negative perceptions of epilepsy among medical professionals and structural discrimination resulting from stigma can impair the service utilization, particularly when there is scarcity of resources for treatment, rehabilitation and research.

In south India, for instance, parents of children with epilepsy tended to isolate themselves from others in their social network.

Around the world a young child with epilepsy may be refused continued access to education because social attitudes in educational institutions are prejudicial and discriminatory. I personally was denied access to continued education during my time in hospital and home care while in high school.

 

While some countries have laws in place where people with epilepsy can obtain a licence after a certain period, typically a year, of being seizure free, people of India simply can’t get a licence.

 

Insurance cover to people with epilepsy in India are issued at disadvantageous rate and are denied benefits in the event of accidents and/or death occurring due to epilepsy.

 

People with epilepsy find it harder to find a stable job as uneducated employers will often find a way around anti-discrimination laws that may be in place, some countries don’t even have these laws, to not employ the potential worker who is fully qualified for the job. If they find a job they may be refused advancement in their role or be treated differently by their employer and peers for having epilepsy.

 

Another obstacle faced worldwide, especially in rural areas, is lack of access to comprehensive epilepsy centres. In 2017 somebody presenting to a rural area hospital was left by doctors and nurses to experience seizures a publicly accessible space outside of the hospital because they believed she was faking for attention when, in reality, they were not accurately educated.

In this same rural area I was personally told that I shouldn’t be an activist because people with epilepsy live perfectly fine lives, so there was no need for what I do.

 

Todays media is just as harmful as the real world.

 

While Grey’s Anatomy is a progressive show that educates as its team learns, in 2005 the show used terms like “fish out of water” to describe somebody having a seizure. This is harmful and hurtful language that is dangerous to use in major mainstream media in modern times.

 

Even more recently a study of Twitter with authors from Dalhousie University in Canada found that of 10,662 tweets containing the word “seizure” collected during a single week in April of 2011, 41% were considered to be derogatory in nature.

 

People still video people having seizures unpermitted to mock the people being recorded. People with epilepsy are constantly the butt of generic, offensive, overly used jokes that have stuck around years upon years.

 

In 2019 after actor, dancer and philanthropist Cameron Boyce died, people acknowledged his death by posting videos of them poorly imitating seizures as the #CameronBoyceChallenge.

 

In 2020 the #SeizureChallenge rose to fame in mainstream media when people used social media platform TikTok to post videos of themselves faking seizures. In the background of the majority of these videos was a song from musician Juice Wrld who died after a seizure that was brought on from drug use. His death made headlines worldwide and this was people’s way of acknowledging that during their already offensive ‘challenge’.

 

Negative stereotypes of people with epilepsy have been so ingrained into society that many with epilepsy accept them. We also sit by silently when things like these TikTok videos arise. I hope by speaking about our own experiences and taking ownership and pride of our history we can change these habits and feel empowered to make change, even if the only change we make is amongst our friends and family.