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Hi RainbowB76
Welcome to the community. I’m very pleased that you have posted here.
Like you, I am also someone with pre-existing chronic illness/disability who has had the additional challenge of cancer.
Everyones cancer journey is unique to them as an individual, but for chronically ill people who need interventions for cancer, those interventions could potentially be more difficult just because their fitness baseline is lower to begin with. I’m thinking of potential issues such as fatigue, poor immunity, pain thresholds, resilience to the side effects of medication, stress management, ability to be able to engage with rehabilitation, etc
I would advise that you make a point of ensuring that your cancer care team and any rehabilitation professionals are aware of your other health conditions/disabilities, as unfortunately health care staff don’t always seem to have the time to thoroughly read and digest people’s full medical records. It maybe that rehab and support services, (assuming that you need or have access to them), will need to be adjusted to better suit your other circumstances.
In some ways I think that my experience of disability/chronic illness prior to getting cancer actually helped me to deal with the cancer diagnosis/interventions/rehabilitation because I had already acquired some relevant skills, such as ‘planning and pacing’. Unlike many of the other people I was with on the oncology ward I had already had prior cause to deal with issues of my own mortality and limited functional abilities.
I hope that you will feel comfortable continuing to post on this community. Personally, I don’t think it is helpful or appropriate for any of us to try to construct a hierarchy of disabilities/conditions. None of us really know what it is like to be in the shoes of another. Someone’s internal sense of ‘well-being’ or ‘quality of life’ is not necessarily obvious, and making assumptions about it is a potentially risky road to go down.
I would also like to clarify about the classification of cancer under the Equality Act 2010. The Act defines a disabled person as being a person who has:- “a physical or mental impairment that has a substantial and long term adverse effect on his or her ability to carry out normal day to day activities”. In addition, some people are automatically deemed to be disabled and will not have to meet the definition of disability, as the Act classifies people with certain impairments as being automatically deemed disabled and thus protected by the Act.
The Act states that a person who has cancer, HIV infection or multiple sclerosis (MS) is a disabled person. This means people with such impairments are effectively covered from the point of diagnosis and do not need to show that the effects of the cancer, HIV infection or MS have a substantial and long term adverse effect on their ability to carry out normal day to day activities.
Wishing all the best for the challenges you have ahead,
Jean
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