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Surviving the stigma of invisible disabilities
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Diana Harris was diagnosed with the condition in her 40s. 




Published: June 24, 2009

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.



(17) CommentsEmail This Article

Reader Comments
by 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!


by 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


by 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..


by Diana Harris of Richmond, Va Sep. 30, 2009, 11:46 AM

Bjoern, thank you for the reference to the article on traveling it was a VERy helpful though it is true I most likely will never be fortunate enough to go on safari. My sister-in-law did and the pictures were incredible! I need to save up $$ and energy at this point to be able to travel at all! :)
Bjoern, how is the healthcare there for those with EDS? I am starting to feel as if many doctors here would prefer not to treat me or those with EDS as the results are often not what they hoped for and poor end results do not help their reputations! I was told that by a PT about some orthopedic and other types of groups which is sad they would prefer to offer us no help or hope!this has only occurred over the past year or so.I am very lucky to have found a knee doctor who doesn’t seem afraid of me, tells me the truth and will try and help me.  What is it like for those of you in other places?
Barb, thanks for the great pieces on POTS and dental care. I have found personally it to be true that POTS - at least the fainting part of it-does or at least can improves as you age! I used to be bad enough to qualify for the NIH POTs study but I rarely passout now! Yah! Other autonomic issues can still plague you as you age, however!
Barb, that is terrible about your sweet sons’ bones! Should my Sara get tested also-probably, yes? I have only been tested once myself and was told by the DEXA doc I’d be ok IF I remained on estrogen! Well, guess I should get tested again then!I’m off estrogen and it’s been at least 10 years- no! I forgot- they do it at NIH I think!
There are certain tests that we all need to be sure and have regularly- the DEXA scan, the echo once a year, our endocrine levels as we’re more prone to those problems, our vitamin D and B12 levels, C, arthritis also happens prematurely and can wreck havoc on our joints as well! What other tests can ya’l think of? I’ve drawn a blank !
Take care all and if you live in areas of no support- support groups, or just very little understanding, either go to the EDNF cite, the CEDA list online which is a very supportive group of people, start something in your area, or just keep talking here for as long as they let us!:) We all need support and answers, my friends!
Take care all! Oh, and Barb thanks for the compliment even if I am not exactly worthy of it!
Have a good day and be gentle to you body!
Diana :)


by Anita of Maine Sep. 29, 2009, 02:22 PM

Thank you for doing such a wonderful article. I hope as the word about EDS spreads around more lives will be saved. I inherited the deadly form of EDS and am grateful to all those who are willing to share their EDS journey with others.

Anita
Vascular, Ehlers-Danlos Syndrome


by Bjoern of Cape town Sep. 5, 2009, 04:57 AM

In reply to SJ Rodgers comment above. You mentioned patient travel. I found a great article related to travel called safaris for the disabled. Allthough it is focused on afrian safaris for disabled people I still feel it has some good pointers which are useful for anyone with disabilities who are planning to travel.

Rgds, Bjoern


by Barb Talbott of Richmond, VA Sep. 2, 2009, 04:04 AM

Just to throw a few other related issues out there:

- Folks with EDS need to have a bone density test (DEXA).  My sons and I get tested as soon as we found out we should.  While my bone density’s fine, both my 20- and 16-yr-old boys have full-blown Osteoporosis.

- Dysautonomias, like Postural Orthostatic Tachycardic Syndrome (POTS) see http://www.dinet.org/index.htm, are not uncommon in EDS folks, esp. teens.

- “Postural Orthostatic Tachycardia Syndrome Dental Treatment Considerations” http://jada.ada.org/cgi/content/full/137/4/488 is a GREAT article that addresses both POTS and EDS and how it may affect dental treatment.  This would be a wise resource to pass on to your dentist/oral surgeon.

Diana’s my EDS Heroine!


by Diana Harris of Richmond,Va Aug. 4, 2009, 10:33 PM

PS…. please ignore the picture! I do not look like that…..although I have gained a tremendous amount of weight in the last few years because my endocrine system has shut down.
Diana :)


by Diana Harris of Richmond,Va Aug. 4, 2009, 10:31 PM

Hi Everyone!
I had no idea that people were able to and had commented on the article until the reporter told me!! I’m sorry that I haven’t been here til now.

Joyce,  thank you so very very much for your kind words! You are so sweet. Ithink that your words were a little bit overstated but they are appreciated never-the-less! :)

Everything that Joyce said about EDS and suggested is right on target! In fact, I have been to all the doctors she mentioned, including the ones at The Chiari Institute on Long Island.

Another source of good information is Dr. Howard Levy who used to work under Dr. Clair Francomano at the NIH. He is now at Johns Hopkins in Baltimore also, not far from Clair’s office. If you look under www.genereviews.com (I believe that is correct) for an article by him on EDS, hypermobility type, etc… you should be albe to find what is an excellent article. Although he states it is about hypermobility type, he also discusses Classical quite a bit and even Vascular some. It is definately an article to share with your doctors.

Speaking of your doctors, sometimes the best we can hope for, unfortunately, is finding a local doctor who may not be an expert on EDS, but who does care enough to learn about it, refer you to the proper people, takes every opportunity he/she gets to read, research and learn more about it and makes sure that you gets the best help he can find for you.

Thank you for reading this article. I wanted to try and spread the information, the word about EDS to a few more families—AND DOCTORS_ and to help anyone who may have either undiagosed pain-probably along with other disorders also, or may have received an incorrect diagnosis. For most people with EDS, they receive quite a few wrong ones before receiving the correct one. Often times, doctors seem to have to eliminate other things first.

Sorry for rattling on so. As Joyce said, EDNF is a good site to find information and talk with others. I believe there is also a place to search for doctors there.
If you do a good search, you will find other good sites also like the CEDA.org site which is an internet discussion group out of Canada run by a wonderful, knowledgable EDSer and it is open to all.
Keep looking til you find someone who know about EDS, has the correct information, and treats you medically correctly…and also emotionally with care! Sounds corny but it’s important I think to be taken seriously which we often are not.
Take care all and if I can ever help, please let me know.
Thanks for reading!
Diana Harris


by SJ Rodgers of Oregon Jul. 22, 2009, 05:59 PM

Carol, I also live in Eugene. I agree with you that it is difficult to find knowledgeable local doctors who respect EDS and related conditions. If you would like some help, please let me know. Maybe we can trade email addresses or chat on the phone.


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