Adam Fare 🖤🤍💜 Profile picture
Aug 12 18 tweets 3 min read Read on X
A day in the life of my body and disability management…

This is a “good” day, so the best-case scenario.

1/🧵
1. Wake up at 05:30-06:00
Then spend about 30 minutes rolling around in bed trying to wake my bowels up a bit (they often almost paralyse overnight for some reason).

2/🧵
2. 06:30-08:30
- Go downstairs (takes a while)
- Have my morning meds.
- Make a very strong coffee (not to wake me up but to stimulate bowels)
- Spend the next 90 minutes rolling around, massaging, and hydrating. Also trying to get my trigger fingers to un-trigger.

3/🧵
3. 08:30-10:30

Irrigation, which involved infusing 2 litres of water into my stoma, then waiting as peristalsis is instigated and it (hopefully) makes my bowels expel waste.

Then spend about 30 minutes recovering from the pain & inflammation.

4/🧵
4. 10:30-11:30

I still need another hour for my bowels to settle before eating, so this time is spent doing physio on my “good” side of my body, and other physio to keep my body strong and mitigate arthritis etc…

5/🧵
5. 11:30-12:30

Finally I can have some breakfast, which takes about 30 minutes to eat (otherwise it causes too many symptoms)… followed by 30 minutes letting it settle and the immediate bowel symptoms easing.

6/🧵
6. 12:30-14:30

Within this time I have about 1 hour of physio on my “bad” leg to do, to try and mitigate muscle wastage and other decline on it. This also causes a lot of pain, so afterwards I am basically immobile for a while so usually spend lying on the sofa.

7/🧵
7. 14:30-16:00

Making and eating lunch (yes it’s late but I can’t eat until 11:30am so haven’t got much choice).
Again, slowly eating (as well as taking a while to make thanks to mobility issues), followed by 30 minutes of symptom management after.

8/🧵
8. 16:00-17:30

Finally I can actually try to “relax” a little, and usually watch a TV programme or YouTube.
I can’t do much because the pain is still bad from my physio, and my leg is even weaker as it’s tired. So it’s static “rest”.
Also have my PM meds in this time.

9/🧵
9. 17:30-19:00

Personal hygiene (usually shower wipes as a full shower is too much for every day).
Bowel massaging to get ready for main meal, otherwise I can’t eat it.
Cooking and eating main meal.

10/🧵
10. 19:00-20:30

30 minutes of letting bowels settle, can’t do anything other than sit there in a lot of discomfort.
30 minutes of massaging and rolling on the floor to manage symptoms.
30 minutes trying to “relax” a bit.

11/🧵
11. 20:30-21:30

Evening meds.
Evening snack/food as I can’t go to bed on an empty stomach as it causes massive pain (but if I have too much then it’s also an issue… can’t win).
Another 30 minutes (at least) rolling & massaging to try and move gas so I can sleep.

12/🧵
12. 21:30-22:30

Time to actually try and “switch off” a bit before bed… though often I still need to do more massaging etc to get ready for bed.
This will usually be whilst watching TV and trying to get as comfy as possible.

13/🧵
13. 22:30

Time to go to bed and try to sleep.
Overnight I’ll wake up at least twice, and often have to spend time massaging etc to move pockets of trapped gas & managing nausea, so I can get back to sleep.

14/🧵
14. Reminder that this is a GOOD day, as in the BEST it can be.
This also doesn’t include all the pain that comes with these things, the exhaustion of it all… and on “bad” days, it’s a lot worse than this.

So yeah, this is why our lives are ruled by our conditions…

15/🧵
And if I don’t do all of this?

My irrigation doesn’t work, meaning I get bowel blockages.
My bad leg wastes away more.
My good leg get worse arthritis and tendinitis symptoms.
My core degenerates meaning I could herniate.
My symptoms are a lot worse.

So yeah… no choice.

16/16
Just to add...
This is every day.
No days off, no lie-ins, no holidays, no weekends.
And even if I'm sick (like having COVID as I did a couple of months ago), all this still needs to be done.
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More from @adamfare1996

Apr 23
Yesterday, I was at the beach for some fresh air when I got chatting to a couple who had just moved to the area.

They were asking, with genuine curiosity , about my health conditions (seeing a young person using mobility aids and all that)… commenting on how…
…strong it is for me to keep going with all this going on.
Complimenting my parents for the amazing love and support they give me.
Being totally unsurprised that I can’t work, and actually shocked I did for so long.

Now I don’t usually like the “inspirational” label, but…
…at the end the man looked at me with genuine care, put his hand on my shoulder, and use that word to describe me… And actually it meant a lot, especially given what’s happening in the world at the moment.

We are constantly doubted, constantly doubt ourselves even, but…
Read 5 tweets
Feb 17
Pain scoring, and why it’s not something that works for me…

It seems simple doesn’t it, “score your pain”…. But honestly it’s so far from that.

I live with constant pain between 4-8 out of 10. But the thing is, the difference between 4 and 8 isn’t necessarily… 1/5
…what the actual pain is, that could be constant.
It’s often how my brain and body are managing, how tired I am, what else is going on, etc…

Then sometimes you add in a pain of 3, but that feels like a 10 because my body is already super stressed… 2/5
…Likewise, I could have acute pain of 8/9 but my appearance and how I “cope” is like it’s a 2 or 3.

My constant, chronic pain doesn’t get any less painful over time, either… no matter how well I seem to be “coping”.

So my “pain score”… 3/5
Read 5 tweets
Jan 6
Going to be a bit controversial here but it’s bugging me…

You won’t ever get “zero” deaths by suicide or by eating disorders (etc).

And I feel sometimes people focus so much on death avoidance that they forget to actually look at the person, and their quality of life…
If our only goal is to prevent people dying, we will fail.
We can’t lose sight of what it means to actually live (not just exist/survive).

And putting “zero” targets, pursuing them like some do… I feel it can do more harm than good.

They’re meant well, but really…
…they can end up making the individual feel like a failure.

Also, death isn’t the only harm. A life of suffering is also hugely harmful.

So yes we should try to minimise deaths, but we cannot ever let that get in the way of maximising life, and minimising ALL types of harm.
Read 4 tweets
Dec 3, 2024
People seem to be ignorant of reality... So here is the reality of what it's like for me to live as a disabled person... (A snapshot not an exhaustive list)... (Long thread)

(1/
1. The disabilities.

Believe it or not, disabilities are disabling.
This is the case regardless of societal factors, and many of the symptoms and issues can't be solved no matter how much support... A (non exhaustive) list of my issues to follow... (2/
1.1. Bowel symptoms.

You know when you've got a stomach bug and you literally feel like death, your belly is like a washing machine, nausea, pain, headaches, dehydration, not knowing what to do with yourself?

Yeah... That's my every day, not just a short term illness... (3/
Read 25 tweets
Nov 20, 2024
First Full week without any enforced "exercise" done... Conclusions so far...

1. I'm exhausted.
2. My bowels don't like it. Having to irrigate twice each day now...
3. I need to rest longer before starting again.
4. When I start again it needs to be planned carefully...
5. I don't know how the fuck I did it for so long.
6. My nutrition is fine for a NORMAL amount of exercise.
7. Exercise addiction withdrawal is very real... Physically and psychologically... It's horrible.
8. Exercise is NOT always healthy, and more is not always better.
Oh and one more thing... When you're unwell but trying to keep going, you're scared of stopping because you don't know if you'll be able to start again.
That's what I did for years whilst working.
Realising I don't need to to that any more is super hard, and allowing my body...
Read 5 tweets
Jun 12, 2024
So many of the things people advise to reduce food spending aren’t possible for everyone…

“Shop around”… not possible for people who are time poor, don’t have transport, rely on deliveries, etc…

“Use cheaper shops”… most of them are out of town, needing cars/public… 🧵
…transport which costs money.

“Select cheaper/different brands”… maybe for some but not always possible for those with ARFID or who have intolerances.

“Bulk buy”… only possible if you have the means to store the food, as well as transport it back home, also…🧵
…not possible if you’re budgeting weekly like many need to do.

“Bulk cook”… only if you can store what you’ve cooked.

“Change your diet”… lots of disability, cultural, ethical, and other factors.

Sure certain things may help certain people, but they often miss the nuances.
Read 4 tweets

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