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Surviving the stigma of invisible disabilities
Published: June 24, 2009
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Diana Harris was diagnosed with the condition in her 40s. 


By Amanda Galloway
special correspondent

Diana Harris has a lot to live for.  She is a proud mother of two girls and a blossoming artist who dabbles in watercolors and oils, while creating beautiful and eclectic bird houses and wind chimes that decorate her house near Bon Air.

You may notice the brace around her hand and wonder if she is recovering from one too many late nights at the office, typing away at the computer.  Yet, if you look closer, a small medical alert bracelet, wrapped around her watch, keys you in to a much more serious condition.

Harris, 56, has an incurable genetic condition known as Ehlers-Danlos Syndrome (EDS) that affects nearly every part of her body on a daily basis.  Aside from the braces that stabilize her hand and knee, there are no symptoms that would indicate that she has a life threatening condition.

Ehlers-Danlos Syndrome, which was named after the two European doctors who discovered it, is a genetic disorder caused by a defect in collagen, a protein that builds connective tissue.  As a result, people with EDS are highly predisposed toward dislocations, subluxations, sprains, and fractures, Harris explained.

EDS is perhaps best known for the hyper-mobility that often accompanies it, Dr. Howard Levy of John Hopkins University explained.  Such symptoms are similar to those found in contortionists, and vary in the degrees to which they affect someone with EDS.  Such hyper-mobility can lead to musculoskeletal complications, and in turn lead to chronic pain, Levy said. 

Due to the lack of public knowledge and the massive number of symptoms that accompany EDS, the condition is commonly under diagnosed or misdiagnosed.

“I was not diagnosed until I was in my forties,” Harris explained. “Before that, I was told I had MS and arthritis.  My family said I was a complainer, and I was worried I was a hypochondriac.”

After years of frustrating visits with doctors failing to understand her symptoms, Harris did her own research and presented the idea that she had EDS to her doctor.

“The doctors verified my condition and said I had Ehlers-Danlos.  It was a huge relief.  I finally knew I was not just a big complainer, but my problems finally had a name.  But at the same time, I was diagnosed with something that had no cure.  I still did not really care, because it finally had a name,” Harris said.

Since then, Harris has had more than fifteen surgeries related to EDS. It affects her allergies, her skin, her teeth and eyes, and her endocrine, gastrointestinal, musculoskeletal, and neurological systems, Virginia Family Physicians confirmed.   

Harris stresses that due to the lack of public awareness of her condition, one of her greatest joys is finding others diagnosed with EDS.  As a result, she created the Richmond-Central Virginia support group for those with EDS, which now has more than 60 members.  “We’ve become almost a family because we know and understand each other so well in a way that a completely healthy person cannot understand,” she said.

Despite the severity of EDS, it lacks the outward, physical symptoms that characterize other conditions, and many EDS sufferers deal with a stigma associated with other invisible disabilities.

Harris’ daughter, Sara, who also has EDS, fully understands the emotional conflict that accompanies diseases with no external symptoms.  While an undergraduate student at JMU, the school newspaper attacked the widespread use of handicapped parking permits by students.

“My car has a handicapped tag, and yes, I walk to it,” Sara wrote in response to the article.  “I do so proudly because I have endured years of physical therapy and several surgeries to maintain such mobility…I’ve gotten the looks, the rolling eyes.  Perfect strangers…have asked if I feel guilty parking in handicapped spots,” she wrote.  “I am not looking for pity.  I am looking for respect for myself and others with invisible disabilities.”

Diana Harris uses her daughter’s story not only as an example to fight against stereotypes of the invisibly disabled, but to help promote knowledge and understanding for EDS.

The symbol used to represent EDS in medical journals is the zebra, Harris explained.  Doctors are often taught in medical school that “when you hear hooves, think horses, not zebras.”  “Well, at one time, EDS was thought to occur in one in fifty thousand births.” Harris said, “Now, it may be as common as one in fifteen hundred.”

“My only hope is that by reaching out to the community, we can help to diagnose someone.  Maybe a mother will realize her daughter’s flexibility is not normal.  Or an adult will realize their years of suffering finally has a name,” Harris said.



Reader Comments
karrie of richmond va Jan. 18, 2011, 06:41 AM

ELLEN DAVIS, I LIVED IN THE SHREVEPORT AREA FOR MOST OF MY LIFE, AND DR. THOMAS A PRESSLY IN SHREVEPORT LA SEES MANY PATIENTS WITH EDS. HIS NUMBER IS 318-686-6967. HE IS NEXT TO WILLIS KNIGHTON NORTH HOSPITAL AND HE ALSO SEES CHILDREN AT SHRINERS HOSPITAL FOR CHILDREN. HE IS VERY GOOD AND SPENDS PLENTY OF TIME WITH EACH PATIENT. I WORKED WITH HIM FOR ALMOST FIVE YEARS AND HE SAW MY SON FOR EDS. I HOPE THIS HELPS YOU.


Lisa Bethany of Glen Allen Va Jan. 8, 2011, 07:37 PM

Oh my gosh,, it is wonderful (not really for all others) that other peopel are going through so many things that I am. Let’s see my pain management Dr. was detiremenid that I did not have EDS. Even when he received that letter from the genitict that I had standard classic EDS he would not admit that I had it. The letter stated that I needed aggresive pain management therapy. Still not good enough, needless to say we divorced each other that day. That was with him telling me that I had fibromyalgia.
If anyone knows of a good pain management doc in the Richmond area please let me know.
This coming tues. the 11th of Jan. I will be scheduling a surgery that replaces my rt. knee replacement. Not only will that be happening but in the same surgery they will be tototally restructering the knee joint. Surprise, surprise I’ve lost the strength in the joint. They will also be putting cadaver tendons in in hopes that they will last a few years for me.
I so understand what everyone is going through. Thank heavens I don’t have EDS to the extreme where it is bothering my gastrointestanal track. I do suffer from exteme acid reflux. It was also suggested that I have a cardio electrocariagram to check the valves of my heart. At 51 I am hoping that I don’t have the vascular type.
If there is anyone who would like to correspond, share doctors etc. please feel free to post and I would love to share my email address with you.
Lisa Bethany


Elizabeth Rudd of Goochland, VA Jan. 8, 2011, 01:41 PM

Hi! I have a 6yr old daughter who was diagnosed with EDS about 2 yrs ago. She has had multiple fractures,dislocatons, bladder issues and bowel issues. We are currently seeing GI doctors at UVA(who seem much better and understanding than the ones we have seen in the Richmond area). I was wondering how often does EDS cause gastro problems and what the symptoms and treatments are. My daughter has only had abou 25 bowel movements in the last year and no one knows what to do. She takes more laxatives a day than 4 adults should take and still doesn’t go. I am so glad to know there is a group of fellow edser’s in the Richmond area and look forward to learning so much more about EDS. Thanks so much!


Diane Wallace of New Kent, VA Oct. 27, 2010, 03:09 PM

Diana - I have been having troubles for about 4 yrs now and believe that I probably have EDS - do you have a physician in the Richmond area that you would recommend?


Lisa Bethany of Glen Allen Va Oct. 14, 2010, 11:59 PM

After completing reading all of the posts I am now more than ever convinced that I have this disorder. I suffer from sliding discs in my back as well as neck issues. This does not even cover my hips and shoulders as well as bi-lateral knee replacements.
I also have what they call “velvet skin”. I am expereincing ultra fast aging of my skin as well as the fragility that accompanies this disorder.
As I stated on my first post I am more than frustrated, I am depressed, angry, frustrated. I can’t seem to get the doctors to listen to me. As I said I can’t get in for genetic testing until the end of Nov.
What am I supposed to do between now (mid Oct.) and then. I am in incredible pain. I am unable to take Nsad’s because of another medical condition. I go to a pain management Dr., he does not know anything about EDS,, it seems that he won’t take the time out of is day to research it. He claims one of my other orthopedic Dr.s is to treat me,,, well that orthopedic Dr. says that the pain management Dr. is supposed to treat me for the pain associated with EDS.
WHERE CAN I GO TO GET RELIEF AND UNDERSTANDING????
As I stated before I am in the Richmond area. Can you please, please give me some guidence.
Lisa Bethany


Lisa Bethany of Glen Allen Va Oct. 14, 2010, 11:38 PM

Ohh, heavens, please help! I have had 4 surgeris on my shoulders. I’m looking (not really) to another sugery on my right shoulder. My Dr. is wanting to go into the capsule, thighten things up again and place a new tendon or ligament in it,
I have had 3 docs who have stated after all my surgeries ( 6 on my right knee, 2 on my left. all of which have resulted in replacements) that I have EDS.
I am going to a group of self contained docs. All orthopedics and 1 pain management specialtist. They are ping ponging me back and forth from one to the other. No one wants to take responisbility of treatining me. I live in incredible pain, my pain management doc says my shoulder doc is treating for the EDS. My shoulder doc says he can’t treat the pain because I go to the pain management doc. oH BY THE WAY I am not able to get into the docs at MCV to test for the EDS until late Nov.,, we are going on to 3 months now.
The docs don’t want to treat untill it is definitively diagnosed. Never mind all the dislocations, my sliding disc in my back, my sliding hips and shoulders and the pain that is involved. JUST LEAVE MY OUT HERE HANGING OUT TO DRY!!
Where do I go to get help,, can you please steer me in the right directions. I feel as though I’m losing my mind!!!!!!!!
I’m sorry that I’ve rambled on, I have 5 docs that are passing me off on each other, no one wants to take responsibility!
Lisa Bethany,, Richmond VA.


C. Leonard of Virginia Sep. 22, 2010, 08:16 PM

Do you have local meetings or is it all done online?


adria hogan of midlothian va Jul. 14, 2010, 09:47 PM

Diana- Thank you for your tireless efforts to educate people. I would like to learn more- my son was “accidentally diagnosed” as a result of an accident. please email me back.

thanks!


jean stoia of urbana, illinois Apr. 13, 2010, 05:32 PM

Hello Diana,

I just came across this article (April 12, 2010) and saw your smiling face.  I have EDS III.

I was sitting at the computer crying because I just found out my femur is fractured and I’m wondering about the rest of my bones.  There are so many things that keep going wrong and the global pain is horrible.  I’m in the process of applying for disability and finding it exhausting.

I’d be very interested in joining your support group even though I live far away.  Would that be possible?

Please let me know.

Thanks so much.

Jean Stoia
flwriter@sbcglobal.net
217-367-3537
Urbana, IL   61802


Ellen Davis of Near Texarkana Texas Feb. 21, 2010, 02:26 PM

I would love to talk with you directly and possibly meet. I need help. Who local do you see?
I am 37 and not being anorexic they a local geneticist told me I dont have ehlers anymore. Too fat and too old to have it.

The genetict there though achondraplasia was a better fit. (dwarfism ? I have Marf skeletal) 

Wow..I cant get over the relief at seeing someone in this area.. You are real.

The university team is failing to understand my feelings about arbitrary diagnosis changes without proof. But they dont realise hypermobile EDS does not have one.

They are constantly making me defend my EDS diagnosis at every visit they are stuck on the label. Strange they wont check with the diagnosis geneticist.

In spite of this they dont feel EDS is real. I had a doc specialist say you cant have ED you are a girl.

The gene review by Dr Levy about EDS was deemed of no significance. No journals from EDNF about pain, fatigue, or roles like of the genetics were accepted as valid.

Do to inadequate coordination and communication among different specialists I am being given inconsistent diagnosees and no continuity of care. They just have their own labels they are stuck playing with.
They deny journals link my symptoms to eds and were angered when I provided one.

Medline has a great abstract from the american journal of medical genetics called natural history and manifestations of the hypermobile type ehlers danlos syndrome..

It too was ignored. Just like me, belittled, repremanded, and labeled psychological. No evidence for EDS no real pain, no fatigue, no neck instability, nothing.. POOF

Attempts at removing select faculty from case have failed..


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