Tag Archives: disability rights

The Courage and Compromise in Accepting You Need Help

A street with a blue house and many sash windows. One has a metal sign hanging out above a street level window. The sign reads HELP. The image says ‘The Courage and Compromise in Accepting You Need Help.’

The Courage and Compromise in Accepting You Need Help

I started this blog a while back but a call from my social worker to arrange a Care review made me think. I realised how much courage it had taken to admit I needed help; mainly to myself. Then I spoke to a fellow IIH warrior who told me how hard she’d found it to finally accept help, so I wanted to share my story incase it could help someone else take that leap.

Admitting you can’t cope anymore is a tough pill to swallow, whatever the reason. It’s most likely that you’ll pluck up courage to ask for, or even agree to, help from friends and family first. It took months for me to take the help that my friends and the mums at school were offering me but this became the support network that I didn’t even know we needed then!

Taking it to the next level and formally asking for help is intimidating. How do you ask for what you really need and what do you need to compromise on? This will be different for everyone but I hope my story can help you as I went from being a fiercely independent, healthy woman to owning my vulnerability by daring to acknowledge my needs.

The path to finding your perfect carer won’t be easy and will ask you to make many compromises but it really is worth it in the end. My decisions have been guided by my family which has given me courage to brave red tape so I do recommend having support. This is my story of the ins and outs of asking for and benefitting from help in the UK.

A selfie of Joel, Myself and our boys round the table in a coffee shop. I’m wearing red sunglasses and you can only see mine and Joel's face. Youngest is warring a black graphic T-shirt and Eldest is wearing a blue galaxy scene hoodie.
The McKees – We’re able to do things together because of the help we get.

Asking For Help is easy – when it’s not for you!

In late 2014 when I was very poorly, I’d asked my GP what help was available for Joel. I was worried about him taking on all the housework, looking after the kids and house whilst working a stressful, full tIme job. My GP put me under the primary care team of nurses, OTs and other professionals. I knew an OT would be able to help me so I was ok with the idea.

Then I was told of my first ever visit from an adult social worker and became apprehensive. I didn’t know what to expect but she had a kind voice and showed genuine concern when I told her we were struggling and that I was particularly worried about Joel. As I write this now, I can see that I was projecting my guilt but at this point,in my mind, I was doing okay.

The social worker talked me through ways to support Joel, suggesting I got a cleaner using my PIP/disability benefits if I qualified for them. She talked me through these and some other benefits I should apply for. We’d kept on the cleaner we’d employed when we were both working but with my sick pay coming to an end; we’d have struggled to keep her on.

When the social worker delved into my day to day living, she realised I wasn’t being completely open about how much impact my illness had on me. In true determined Laura style, I was pushing through the pain and avoiding what was actually happening to me. However she realised this and knew that I was depleted of energy, without a charger.

Orange read background for a quote that says. “You May encounter many defeats but you must not be defeated” Maya Angelou
I had to come to terms with the fact that although I needed help, I wasn’t defeated!

So I was surprised when she told me I needed help too; I’d only asked for Joel! I was in denial that I, a 36 year old mum, needed daily care. Surely she was being over the top? But she went off to make arrangements and it dawned on me that I might be more ill than I’d let myself accept.

She’d put a care plan in place for my support, which would help Joel with those things I could no longer do. The plan was to give me care every week day for dressing and getting lunch. The outcome being, that I’d have the energy to focus on being Mummy.

Literally Leaping Through Hoops

Before you can get any of this Care or support, there’s financial and physical assessments, form filling and meetings with social workers and finance officers. Then you have to decide if you’ll use care agencies or employ someone yourself so you get someone come and explain all the ins and outs of this. To be honest, this is only the tip of the iceberg.

Your written care plan is detailed and kept on file for everyone involved in your care. The welfare benefits adviser use it to make a financial assessment as to what they contribute. Luckily I qualified for full funding with care at home as I don’t need hoists etc. It’s tough but to get this support it really is worth the compromise of strangers going into your finances.

The assessment processes have to be rigorous as you’re asking for a lot, however, it can be confusing and exhausting for you. This is where you’re support network come in as even though you get used to all the annual reviews, sending off monthly bank statements and other checks; when you’re ill this can be too much physically or mentally.

Joel helps me with all of this palaver, printing and posting these statements, making phone calls on my behalf, reading the jargon letters that baffle me and completing all the forms for me. I had to be brave and ask him for help with this stuff early on as my condition means that I can’t understand them or retain the information I need to answer them.

A woman with long blond hair, I’m a white shirt, holding her hands on her temples as she looks at the camera with a sad, painful look on her face.
COMPROMISE or MISUNDERSTANDING?
Photo by NastyaSensei Sens on Pexels.com

Strength in The Face of Pain

Originally I employed my own carer with employer support to help with contracts, payroll etc. My first carer was a close friend’s daughter. She was just right for us and stayed for 18 months. She did some hours in the day and would pop back to help clear up after tea (she lived minutes away). The boys were much younger and were particularly fond of her.

I was still well enough to sort her time sheets and keep records, even having monthly 1-1 meetings to check how things were going. There were no issues unless she was sick, then we were stuck as we couldn’t cover her. On the odd day, friends would help as I got better at asking for help. Sadly we parted ways after a long period of sick leave we couldn’t cover.

When she left I tried a standard agency recommended by the care liaison team but I couldn’t cope with the plethora of different carers. They’d turn up at different times every day and I was finding it very confusing. I found an agency that could tailor to my needs which as they are non-medical (I don’t need to be washed or hoisted)

Two Hands in a handshake pose, A woman with manicured nails holding hands with someone else.
Accepting the help that’s offered.

Carers: Finding Your Perfect Match

It’s tricky getting the right Carers for a young(ish) mum as carer companies are normally used to assist elderly clients. There have been a few mismatches where the ladies didn’t really get me and/or my needs. I guess my slightly weird (I said slightly) sense of humour and the quirks of my rare disease that no one has heard of, can be tricky to understand.

Anyway a lovely gentle lady, let’s call her H, started just over a year ago; I knew it would work immediately. She has a calm and gentle manner and a kind face (a necessity for me). I found the cheekier side of her personality so we always have a giggle if I’m well enough! Mostly I love that her priority is to always makes sure I’m okay.

H knows what my needs are and let’s me have a chat whilst she potters, before telling me to drink my tea before it gets cold. She can be quite bossy about this 😉. H is so good at getting everything done and just gets on with the regular jobs. I don’t have to think about anything (always good] apart from ingredients for my lunchtime smoothie or family meals.

Last year, I needed someone new to take on the other days so S came into the picture. I instantly understood that she was a complete loop and loved it. We giggle our way through most days but she isn’t afraid to tell me off if needed – there’s a theme! She’s straight up and openly weird so she fits right in! Joel says all my friends are a bit weird – sorry lovelies!

A person with long red, ginger hair pulled over their face with a pair of Black Rayban Sunglasses on so it looks silly,
This is because S called me Cousin It the other day as I ended up a bit like this doing my hair! Thankfully she helped me out!
Photo by Gratisography on Pexels.com

S is clumsy but doesn’t even have to try to cause mayhem. She’ll never live down the day we went for coffee. She managed to find the only cobbles, parked right next to scaffolding, nearly tipped me down the curb and we made a hoo-hah at the cafe that was closed but looked open. We were in fits by the time we got back to the car and drove to another cafe!

S and H are the Perfect Carers for me, they get my sense of humour and always leave with a smile on their face even if they don’t arrive with one. That makes me really happy and I don’t think they know how much this means to me!

I’m very grateful to get the funding to have these wonderful Carers/friends in my life. They know I need a chat and a giggle whatever my pain levels, as I’ve got to live my life still. They know me so well, that I fight through the pain, but they know when to tell me to stop. With compromise in mind, I do know when to listen and preserve my energy for being mum.

Both ladies and some others that have moved on, have been the perfect match for me. Yes I’ve needed to compromise my expectations and learn to prioritise about what matters in the bigger picture. I’ve found what I didn’t even know I needed in these lovely ladies and they’ve become a huge part of my life and sanity and a quirky addition to our family.

Two people are holding hands with one lady holding a black, young person’s hand as though reassuring them. This is surrounded by a blue border with the Title at the top saying ‘The Courage and Compromise in Accepting You Need Help’. By Laura McKee Strength of Tears

The Courage Needed and Compromises Made

Courage -the ability to do something that frightens one; bravery or strength in the face of pain or grief.

Compromise – a settlement of differences by mutual concessions; an agreement reached by adjustment of conflicting or opposing claims, principles etc.

When I realised our little McKee bubble was near bursting point I had to take a great leap of faith… Facing the frightening prospect that this was our life for the near future, meant we needed to accept help! When I was brave enough to face up to this fact, the offers of help from friends, family and our community was humbling.

In every act of asking for help I’ve had to make some kind of compromise; usually with the differences between my head and my heart. Logically I knew that we needed the support but as a perfectionist, it’s so hard to pass power to someone else; knowing that no one else will do it your way. I’ve learnt so much about myself through this, even when it’s tough!

For me the hardest part of accepting help in a long term situation is grieving for the way you do things and relinquishing control. It comes with waves of relief but a nagging doubt that it isn’t the right thing to do. However hard it is to let someone else sort your wardrobe or take charge of your medication etc. it’s right for you and your family

Who knew that the day I was visited by my first social worker that I’d be saying any of this. My denial of my need for care took a while to ease but as soon as I understood that having the help alleviates the pressure on all four of us, the compromises were worth it. We’ve gained so much by letting others help us get through this.

So this is my opportunity to thank all of our friends and family for everything they’ve done to help us over the past 5 and a half years. Of course we couldn’t have managed without the care I’ve received from the pros so I can’t forget to share my gratitude for everyone who’s cleaned our loos, swept the floor and fed the cat on their way.

Yes, accepting help meant I didn’t spend as much time with the boys when another mum picked them up from school and that the kids shirts don’t get washed in time for ironing day every week. I hate not being able to make my own lunch and the not choosing my own knickers thing is just weird; but in the end it means that I’m able to be the best mum I can!

So we appreciate every kind word, every helping hand and every ounce of your belief in us. I cannot express how much it means that we get the help we do to give Joel a bit of a break and the kids one less thing to do. That help that allows me to conserve my energy and means that we get more time for fun stuff and more opportunities to spend time together.

So I’ll be sending positive energies when the social worker visits in September so that she understands that despite some improvements through surgery, I’m still in constant pain however much I try and hide it. But my main reason for writing this post was to let other chronic illness warriors know to take the hand that offers you help! – just do it!

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Happy Anniversary! 😧

This week is the 1 year anniversary of my sick leave starting. I’m signed off until the end of June but it’s highly possible that I may have only just had my first operation for the iih. My GP doesn’t realistically think I’ll be working for the next 12 months at least! I can’t really believe it’s got to this to be honest; that it would take me 9 months to get the right diagnosis, let alone any treatment (please refer back to my first posts for the full story)! I will never give up on fighting the pain every day; getting the right treatment for my conditions; pushing for others with the same conditions to get the best care they can, raising awareness of migraine and iih and hoping for equal rights for all!

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As a teacher I’m in a union, thankfully I’ve always been sensible enough to pay my membership fee-just in case; I never thought I would need union legal advice regarding disability rights, long term sickness support and even legal team representation for the possibility that I may have to take early ill health retirement at 37 years old!!!!
After a 3 year bout of low daily pain and occasional migraines; 2012 started with a week long migraine and the frequency of my migraines increased. They would come crashing in to spoil my family’s weekend every couple of weeks, but I was sure I was getting on top of them and managing it with the altered medication and regular visits to my GP. This sounds like a post stress-letdown migraine doesn’t it fellow migraineurs? If you don’t know what this is click here.

http://migraine.com/blog/let-down-migraines/

But I was working in a tiny rural school with a class of 17/18 children; I had the best teaching assistant in the world (I am biased as she’s one of the best friends I could ever wish for) and I worked 3 days a week! I was the happiest I had been in a school for a long time and I had the smallest work load I had possibly ever had. I don’t think stress caused my migraines, but I have recently come to the realisation that I fought for nearly 6 years through daily pain, using my sheer stubbornness, adrenalin and spending a great deal of money at the cranial osteopath! Stress didn’t cause my migraines but my migraines did lead me in to a vicious circle of stress!
I started a pain diary and quickly realised there seemed to be a link to my menstrual cycle (hey tmi-sorry!) My GP started trying me with migraine abortive meds, to take when a migraine started, as well as increasing the amitriptyline I was on as a preventative, along with pregabilin! At first I thought the triptan medications worked but I think they just made me sleepy and they didn’t ever take the pain away. Then we moved house, I got appointed a new role in a new school and with the increased stress I actually started having LESS migraines! I was deemed fit for work and hardly suffered all summer, apart from after painting and decorating in the two tiniest and most awkward spaces in the house. 🎨
Well, September arrived, our house decorating was almost finished and I threw myself into my new job. I loved the challenge of working with a very different dynamic of both staff and children and, although there were stressful issues and situations, I thought I’d found The school and The role for me!
BUT My migraines started invading our weekends again and by November they were almost every weekend and none of the migraine abortive meds helped me in any way. (There are too many to list here)

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I started spending more time and A LOT more money at the cranial osteopath, I cut back down on the alcohol and I’d already spent years eliminating foods and other common triggers. My new GP suggested I tried drinking alcohol again over Christmas; it didn’t take me long to decide to take up that prescription, and I had a sherry, champagne and piña colada fuelled festive season and only one migraine/hangover!!!

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Then the weekend of the 19th January came and 😰 I knew it was a bad attack! This wasn’t going away quickly so I spent the weekend (yes, another ****** weekend, as Joel, my husband would say) but this beast wasn’t budging so I had to phone in sick for Monday and Tuesday. I ‘pulled myself together’ and got myself to work on Wednesday but I’m not sure how I drove those winding country lanes now. I was shaking like a leaf, I felt faint and everything felt like I was on a boat! I got to my classroom and sat on a table and told myself the spinning would stop if I just breathed through it. I thought I was winning, until a colleague popped their head round the door to see how I was and I burst into tears! I had to admit defeat and went to find my boss: she asked if I could stay until cover arrived and then told me to stay home for the rest of the week. Somehow I managed to stand up and greet 30 four and five year olds and converse with their parents, without passing out, waiting an hour in a noisy, artificially lit classroom. Finally, I got to my car in a daze and sat there shaking until I felt safe enough to drive myself home again!
That was January the 22nd. Exactly a year ago as I’m writing this blog. Days turned into weeks, weeks turned into months and every time I thought I was making progress, another attack would hit. One day my fantastic boss rang and said we needed a more formal meeting; a level 2 sickness meeting. At the time I was suffering severely with hyperacusis and couldn’t bear to even be in the same room as a boiling kettle so we agreed to meet in the local church hall.
http://www.hyperacusis.net/hyperacusis/what+is+hyperacusis/

She couldn’t have been any nicer, although I was very anxious beforehand and I was worrying about getting home again as we talked. I gave her my medical certificate, we agreed that she would phone me weekly and that she would request an occupational health interview over the phone. Then I had to rest whilst the world stopped spinning and I stopped shaking. We followed procedure and both of us felt sure that I would be back to work before the next level 2 meeting, as we put it into our diary. I really couldn’t ask for a better boss.
However; the next hurdle-My occupational health interview left me in tears. I was told that I couldn’t possibly be off work for 4/5 months with ‘just a headache’ and that ‘there must be another reason’.

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I was being convinced by someone that I hadn’t met, that because my voice sounded monotonous, I must be depressed! If you have been following my blog, you may have gathered by now that I am brutally honest; if I was depressed, I would have told the drs and my employer that I was depressed. I was being told that depression was causing my migraines. I’ve suffered depression in the past and I was absolutely certain that I wasn’t depressed. I was being dealt with a supposed health professional who was a) diagnosing me when she shouldn’t have been and b) showing a complete lack of understanding of migraines. She was a prime example of why we need awareness groups such as the awesome Facebook group Mission Migraine and the advocacy support from charities, such as the Migraine Trust.

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She told me that I should just go back in and see how it goes! When I was finally allowed to speak I told her that I couldn’t walk for more than 10 minutes without bringing on intense head pain, dizziness and nausea. I couldn’t travel In a car for more than 15 minutes without the world spinning out on me and that the noise of cars driving past sounding like jet planes made me so dizzy I was nearly sick! She eventually conceded that I was in no fit state to return to work and that we would review the situation in six weeks.
The point of an occupational review is to identify fitness for work and recommend reasonable adjustments-and this is where migraine charities can be really helpful. Migraine is ranked among the top 20 disabilities (World Health Organisation 2001 report). “Severe migraine attacks are classified by the World Health Organisation as among the most disabling illnesses, comparable to dementia, quadriplegia and active psychosis.” (Shapiro & Goadsby, Cephalalgia, September 2007.)
My second occupational health call went much better and when I received the report it said my condition should be classed as a disability. This was the first I’d heard of it and I was understandably upset. However, as always, one of my migraine friends was on the other end of the phone and she gave me the first of many of her talking to’s! (I know I’ve said it before, lots, but I’m so lucky to have found these amazing friends who pull me through the dark days). This is when I started researching advocacy and this site gave me valuable information.

http://www.migrainetrust.org/employment-advocacy

But I work in a rural school, with a small budget: how do I avoid light and noise triggers? Can I turn the children off? Can they afford to change the strip lighting. What if I have attacks triggered by perfume etc? The guidance is great and can be achieved by big companies but how can a primary school find a space for me to recover when a migraine starts? How can they offer me to work from home? I can’t expect this and my triggers appear to be ones that cannot be controlled anyway. If I go out I wear ear plugs, tinted glasses and sea bands to reduce the amount of stress on my body but they have limited capacity to help really. As soon as a place gets more than a few people in, my head wants to spontaneously combust, and that’s just with adults!!!
When I was diagnosed with iih I also researched their advice which is very similar, as the two conditions have many cross-over features.

http://www.iih.org.uk/index.php?option=com_content&view=article&id=8

This brings me on to a current topic of discussion, advice and giving support amongst my migraine friends who do work for big companies. Companies that can follow reasonable adjustment advice and have HR departments that can advise on how best to accommodate someone with disabilities and how to make work accessible to them, in whatever way they can. They can afford for people to work from home; they can provide seating to support backs and necks (common link with headaches and migraines); provide flexible working hours and quiet areas for their staff to recover after taking abortive medication, and many, many other things. Yet, many of my friends are fighting battles to retain their jobs or to get new ones that fit their needs within the same company. Why? When so much money is lost to the economy due to migraine, why are there still companies who put people through hell when all they do is try their absolute hardest to continue to work through migraines and battle through their days off recovering.

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This is no life for anyone to lead and no one should have to! I believe this shows where the damage is done by people who pull a sickie, saying they have a migraine when they don’t! This is when people who say a migraine is ‘just a headache’ becomes so frustrating; This is where not looking sick becomes a problem for so many, who have friends and family that don’t believe them! This is when ‘how to pretend you have a migraine’ instructions on the web cause outrage! Migraine is not a choice. Migraine is massively misunderstood and this is why we need to stop the stigma! Share your story to raise awareness and educate others!

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This is where campaigns to raise awareness of rare diseases, such as iih, become so important. Most of my friends, family and colleagues had never heard of iih until I was diagnosed. Many health care professionals haven’t heard of it. My GP has never treated anyone with it. My local neurologists refuse to accept that it can be present in people who do not have papileodema (swollen optic discs). We need to raise money for these rare diseases so that more research, such as that into the operation that I need, or in keeping local medical professionals up to date with the latest research becomes crucial. If you can spare a small donation for iih uk for rare diseases day on the 28th February, then please use the details below:

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So, I’m fighting both chronic migraine and iih and I know I have a roller coaster ride over the next 12 months. By luck (and definite lack of care from my HR department) I have discovered I now have a 6 month window In which to apply for medical retirement. I have to hope the operation I need will be approved by the nhs and soon but it’s looking unlikely that I’ll be back to work at the end of June isn’t it? I never thought I’d be in this position; my application for a personal assistant for 7 hours a week has been approved but the way my evenings are going now, it’s looking like I’m going to have to request evening support as well. There are appointments and operations heading my way. I’m now receiving employment support benefits (hoping for them to agree to back date after my HR didn’t send me the right forms) but I’m still waiting to hear about my personal independence payment that I applied for in September. I am lucky to have a supportive boss, who, although she didn’t know about the 6 month cut off either, has been and will, continue to be an amazing support and communicate with Joel through the coming months! I have a weekend away with my husband to look forward to; cunningly planned to be near my newest little ‘sister’, who helps me every day with messages, FaceTime calls and sending me cards and gifts even though she is so, so poorly herself! And of course, there is more fun and laughter to be had with my friends; making me stronger and braver by showing me love, kindness and loyalty.

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