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in Health &middot April 27, 2016

Not All Disabilities Are Visible

Too often recently, friends or online acquaintances of mine have been accused of faking their disability. If you’ve ever been around my part of the Internet, you know that I’m disabled. I have autoimmune arthritis, fibromyalgia, anemia of chronic inflammation, and asthma. I’ve been in pain every day since 2001, and over the past 6 years, it has become moderate to severe every day. I experience pain in 54 joints. I am unable to work full-time or go to school full-time at the moment. I take 40 pills a day and 4 inhalers. I’m at Massachusetts General Hospital every single week. I’ve had 5 surgeries. But you would never know any of this by just looking at a picture of me. And I’m not alone, as you’ll learn in this post, because the vast majority of people who have disabilities have invisible ones. But because the majority of people have the idea that everyone who is disabled looks disabled, too many treat disabled people poorly. They shame them, don’t allow them to park in certain places, don’t allow them to use a wheelchair, and more. This is so beyond not okay, and it stems from the misconception that everyone who is disabled looks disabled.

Interestingly enough, the other day The Today Show did a segment yesterday on opiates and addiction after Prince’s death (because apparently he had surgery once which means maybe he overdosed according to their logic). I was already planning on this post and then I saw that. That segment made me incredibly angry because it perpetuated misconceptions about addiction and chronic pain. I’m not going to get into that again, but if you would like to learn more, check out my blog post on it (oh, and Ariana Huffington thought it was a position that should be heard and invited me to publish it on Huffington Post).

ETA: This post has also appeared on Huffington Post! You can see it here.

Not All Disabilities Are Visible (with Disability List)

 

What makes someone disabled? The definition of disabled is “incapacitated by illness or injury” or “physically or mentally impaired in a way that substantially limits activity especially in relation to employment or education.”

Everyone who is disabled looks disabled, right? Nope! As the folks at Invisible Illness Awareness Week figured out based on data from the 2002 US Census Bureau, 96% of people who live with an illness live with an invisible one, and 73% of people who live with a severe disability do not use devices like a wheelchair. This means that when you look at them, you wouldn’t know that they’re disabled. Think about how many people you see who are clearly disabled during an average week. Statistically, for every person you’ve seen who looks disabled, you’ve seen at least 4 more who are disabled but don’t look it.

[bctt tweet=”73% of people with severe disabilities don’t use a visible assistive device like a wheelchair” username=”kmitchellauthor”]

So how can you tell if someone is disabled? Often, you can’t, so if someone says that they are, you need to take them at their word. If someone looks fine but parks in disabled parking – and have a placard for it – you can’t accuse them of faking it. If someone looks fine but wants or needs a wheelchair, don’t question it.

However, we do need to make sure that people who don’t have disabled parking don’t park in those spots. They also can’t park there with their blinkers on while they wait for someone. If you believe that you should be able to park there because of a health issue, talk to your doctor. If your doctor disagrees with you, don’t park there. If your doctor agrees with you, you still need to wait until you get your placard in the mail before you park there. Anyone who parks in the disabled parking spots without a placard of plate is breaking the law.

What can you do about that? If you see someone park in the disabled parking spot without a placard, call them out on it or write down their license plate and contact the police. People parking in those spots without a placard are breaking the law pure and simple. The more they get away with it, the more they will do it. Oh, and doing this can prevent someone who needs it from going somewhere and doing something they can’t do without the parking.

Here’s a great document from the University of Massachusetts about invisible disabilities, including a disability list, although it isn’t entirely inclusive. If you have more time to delve into specific categories, check out the Social Security website’s list of impairments considered for someone’s eligibility to receive disability and the qualifications for each impairment.

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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Comments

  1. Emily of Em Busy Living says

    April 27, 2016 at 11:26 am

    I love that you share about your disabilities and physical struggles so openly. It has been eye-opening.

    (Also, I’m a total idiot and in the ‘free entry’ thing I just typed my OWN blog name. Because I did it before reading, like the smart person I am today, ha! Sorry!)

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    • Kate Mitchell says

      May 3, 2016 at 5:02 pm

      Thank you! I know that not everyone feels as comfortable being so open, but there are still a lot of people who live with the same health issues I do, so I hope I can make their lives better.

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Trackbacks

  1. 8 Ways To Help Arthritis Sufferers | Kate the (Almost) Great says:
    May 9, 2016 at 8:00 am

    […] a Millennial with Arthritis Wants You To Know So Someone You Know What Diagnosed with Arthritis Not All Disabilities Are Visible We Need To Talk About […]

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  2. Kate the (Almost) Great | Boston Lifestyle Blog - Everyday Ableism - Kate the (Almost) Great | Boston Lifestyle Blog says:
    January 23, 2017 at 8:01 am

    […] Believing that someone is faking needing a wheelchair because they can walk – Not everyone who uses a wheelchair is unable to walk. For many people (including myself), I use one because I can’t walk more than short-ish distances, meaning 1 mile at a time on not-awful days and less than 0.5 miles on awful days. If I go to a museum, I to use need a wheelchair because I can’t handle walking all over the museum. This is the case for many, and the extent to which someone can walk depends on their personal health. In fact, 73% of people with a severe disability do not use an assistive device like a wheelchair. […]

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  3. Kate the (Almost) Great | Boston Lifestyle Blog - A Letter to the Mom Who Yelled at Me on the Bus for My Disability - Kate the (Almost) Great | Boston Lifestyle Blog says:
    July 28, 2017 at 7:01 am

    […] I was trying to explain was 96% of people with disability don’t use an assistive device, like a wheelchair or a cane. You can’t expect everyone who is disabled to “look” […]

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  4. Kate the (Almost) Great | Boston Lifestyle Blog - Examples of Ableist Language | Kate the (Almost) Great, Boston Lifestyle says:
    October 7, 2017 at 6:06 pm

    […] Being angry because someone who parks in a handicapped spot (and has a disabled placard) can walk. – I have talked a LOT about how there are invisible disabilities, so I won’t restate that here. One thing I will say is that I can walk and “look” fine (depending on how closely you look) but am very much not fine. See: Not All Disabilities Are Visible […]

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Can we talk about fatigue for a sec? ⁣⁣⁣ ⁣ Fatigue Can we talk about fatigue for a sec? ⁣⁣⁣
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Fatigue is so much more than being tired. It's sleeping 10 hours at night and then struggling to stay awake during the day. It's trouble focusing because, even though you just had 3 cups of coffee, you're thinking about sleep. It's needing to factor rest in during the day because you have plans at night. ⁣⁣⁣
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It's a lot. ⁣⁣⁣⁣
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It's no secret that I have multiple chronic illnesses. But did you know that all of them - all 11+ of them - have fatigue as a symptom? Sometimes the fatigue is worse than the pain and, uh, I live with a lot of pain.⁣⁣
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This picture was taken when I was super anemic and waiting for 4 iron infusions. Now, months later, I can see it. And I also don't know how I got through the months of that anemia. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣.⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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ID: Kate takes a selfie. She's a redheaded white woman wearing a gray sweater and pink glasses.⁣
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#ChronicallyIll #RheumatoidArthritis #Fibromyalgia #Endometriosis #POTS
This week had EVERYTHING 1️⃣ Cross-stitch during This week had EVERYTHING

1️⃣ Cross-stitch during virtual mass 
2️⃣ Tuesday featured a 90-minute meeting during work and then an hour advocacy work call after my day job (both were good!)
3️⃣ Wednesday started at my foot doctor’s office and I left in a walking boot. Hopefully these 3 fractured bones will heal correctly this time 🤞🏻
4️⃣ Thursday started back at MGH for my annual neurology appointment + foot CT scan
5️⃣ Then I went up to Maine … 
6️⃣ to celebrate my grandma’s 85th birthday! 

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.

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IDs: 
1️⃣ In the foreground is an in-progress cross-stitch piece. The background shows an open laptop streaming Catholic mass.
2️⃣ Kate takes a selfie. She’s a white woman with auburn hair and green glasses.
3️⃣ Kate takes a selfie in a doctor’s office. 
4️⃣ Kate takes a selfie in a car.
5️⃣ Kate takes a selfie snuggling with a golden retriever.
6️⃣ Kate and her cousins stand with their grandmother in front of a sign saying "Happy Birthday." 

#CrossStitch #ChronicPain #ChronicallyIll #InvisibleIllness
My face comes with subtitles, so .. ⁣ ⁣ ⬛⁣⁣⁣⁣⁣ ⁣ I My face comes with subtitles, so .. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣.⁣
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ID: Kate drinks coffee giving side eye. White text box reads "My Face When Someone Says 'You Shouldn't Need a Cane At Your Age'" ⁣
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#ChronicPain #ChronicallyIll #RheumatoidArthritis #PosturalOrthostaticTachycardiaSyndrome #Fibromyalgia
There's beauty everywhere, not just in the Maine w There's beauty everywhere, not just in the Maine woods. (Shocking to me, I know.) ⁣⁣⁣
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There's beauty in little things, medium things. There's beauty in ordinary things. ⁣⁣⁣
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In the first cup of coffee of the day with the sun shining into the kitchen. ⁣⁣⁣
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In a completed checklist.⁣
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In a freshly cleaned house. ⁣⁣⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣.⁣
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ID: A beautiful lake and a mossy bank. ⁣
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#MaineLife #207 #MaineLiving #IGNewEngland #Vacationland
Weeks 15 of 2026 Weekly Just trying to get throug Weeks 15 of 2026 Weekly

Just trying to get through!

1️⃣ IVIG time
2️⃣ I got a hair cut last week and then I looked nice at one point!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.

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⁣⁣⁣⁣⁣⁣1️⃣ Looking at Kate’s lap. There’s a pump with tubes attached that go under Kate’s shirt.
2️⃣ Kate takes a selfie. She’s a white woman with auburn hair wearing a navy dress with flowers, a silver Celtic knot necklace, and green glasses. 

#ChronicallyIll #RheumatoidArthritis #SjogrensSyndrome #Fibromyalgia #IVIG
FAQ: What Is Subtalar Fusion Surgery? Background FAQ: What Is Subtalar Fusion Surgery? 

Background: I have tarsal coalition and rheumatoid arthritis and had subtalar fusion in my left foot in 2009 and in my right in 2018. While this was started because of the tarsal coalitions, it is a surgery that can help rheumatoid arthritis, too. 

Video: Kate talks to the camera. There are captions. A black text box at the binning reads “FAQ: What Is Subtalar Fusion Surgery?”. 

#TarsalCoalition #RheumatoidArthritis #SubtalarFusion #AutoimmuneDisease
There will be times when you do everything you can There will be times when you do everything you can to feel better and it won't work. That's not a failing on your part.⁣⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣.⁣
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Weeks 13 and 14 of 2026 Weekly Had some rough pai Weeks 13 and 14 of 2026 Weekly

Had some rough pain days in here so I didn’t do a lot and I combined the weeks in 1 post!

1️⃣ Hematology appointment 
2️⃣ PCP, after which an x-ray showed stress fractures in 3 bones 
3️⃣ Tea and cross-stitching

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.

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1️⃣ Looking at Kate’s lap. There’s a medical bracelet on her wrist and a Kindle on her lap.
2️⃣ Kate takes a selfie in a doctor’s office. She’s a white woman with auburn hair wearing a black t-shirt, silver Celtic knot necklace, apricot mask, and green glasses.
3️⃣ Looking at a table on which is an orchid, an in-progress cross-stitch project, and a mug of tea.

#ChronicallyIll #RheumatoidArthritis #CrossStitcher #DisabledAndCute
Background: I have tarsal coalitions and rheumatoi Background: I have tarsal coalitions and rheumatoid arthritis in both of my feet, and I’ve had resection surgery and subtalar fusion surgeries. I am not a medical professional and am sharing my experience! 

Video: Kate talks to the camera. There are captions. Text reads at the beginning “FAQ: What Was the Recovery from Tarsal Coalition Surgeries Like?”. 

#TarsalCoalition #RheumatoidArthritis #ChronicPain
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