A field journal of chronic illness

Chronic &
Capable

Eleven people describe their conditions, what gets misunderstood, and what they wish healthcare had gotten right — in their own words.

11Entries
17Conditions named
5Anonymous submissions
Mission

Chronic illness is so often invisible — and invisibility gets mistaken for absence. Chronic & Capable exists to put that lived experience on the record, in people's own words, so it can't be talked over or explained away.

About the creator
Emma Tran

Emma Tran

Emma started Chronic & Capable after her own diagnosis with neurological Wilson's disease at 17. What began as her own story became a place for others to tell theirs — built on the belief that being heard is the first step toward being properly cared for.

In partnership with Stanford Neurology

This project began as an internship assignment from Dr. Laurice Yang, MD, MHA, FAAN — a clinical professor in Stanford's Department of Neurology and Neurological Sciences, and Emma's own neurologist.

Every entry answers the same four questions: how they'd describe the condition, what's misunderstood about it, what they'd change about care, and what they'd tell someone newly diagnosed. Some are signed. Some aren't — chronic illness is not always something people are ready to put a name to, and both belong here equally.

Start here
What is this?

A growing collection of first-person accounts from people living with chronic illness — each answering the same four questions, in their own words. It began as an internship project and has since become an ongoing archive.

How are stories verified?

Every story is submitted directly by its contributor, with their explicit permission to publish. Nothing is edited for content — only light copyedits for spelling and formatting.

Can I stay anonymous?

Yes. Contributors choose whether to sign their name and include a photo, or submit anonymously. That choice is respected exactly as given, and isn't something we ask people to reconsider.

Is this medical advice?

No. These are personal experiences, not clinical guidance. If something here resonates, bring it to a doctor — don't treat it as a diagnosis or treatment plan.

Last updated

This collection currently holds 11 entries and is updated as new stories come in — check the Instagram for the latest.

Have a condition of your own to add?

This started as ten stories, but it doesn't have to stop there. Fill this out — signed or anonymous, one condition or several — and it may be added to the collection. Everything is reviewed before anything is published.

Have a photo to include? Email it to emmat02728@gmail.com after submitting, with your name in the subject line.

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No. 01
Signed
Emma Tran

Emma Tran

Neurological Wilson's Disease
In her own words

Neurological Wilson's Disease is like your body turning against you in ways people can't always see. One day you're a normal teenager, and the next your hands don't listen, your thoughts feel slower, and everything you took for granted becomes something you have to fight for. Getting diagnosed at 17 felt like my life split into "before" and "after," and I've been learning how to live in the after ever since.

Often misunderstood

People often think Wilson's Disease is purely a liver disease, but her neurological symptoms affect how she moves, thinks, eats, and functions on a daily basis. It's not just physical — it impacts everything.

What she'd change about care

A system where people don't have to fight to be believed or to get care. With neurological conditions, symptoms can be misunderstood or dismissed, which delays diagnosis and treatment. She'd also change how expensive long-term care is — managing a chronic condition shouldn't come with constant financial stress.

Advice for the newly diagnosed

It's okay to grieve the life you thought you'd have. Getting diagnosed can feel like everything changed overnight. But this diagnosis doesn't define you — it's just something you'll learn to live with. Be patient with yourself as you adjust.

← Back toIndex Next →Anonymous
No. 02
Anonymous

Anonymous

MigraineVasovagal Syncope
In their own words

Migraine: really bad headaches that can cause ear ringing and auras that make it hard to focus and do daily activities. Mine is often triggered by loud noises, really bright and hot environments, stress, and lack of sleep. Vasovagal syncope: heart rate and blood pressure drop quickly and suddenly, causing you to be really lightheaded, dizzy, or even pass out — often triggered by heat.

Often misunderstood

Migraines are more than just a "headache." My worst episode lasted for over 6 months. It made it really difficult to focus, sleep, and do daily activities.

What they'd change about care

A lot of the preventative medications did not work and had really bad side effects — hand tremors, GI issues, loss of appetite. Their doctor did not explain any possible side effects when prescribing, and they felt it was because they were a younger patient. Sometimes they mistook medication side effects for symptoms and worried they were getting sicker. More time to explain diagnoses and treatment options would let patients make more informed decisions about their care.

Advice for the newly diagnosed

Advocate for yourself when medications aren't working for you. Make sure you're eating and sleeping enough, since most of the time migraines don't go away on medication alone — lifestyle changes like better sleep hygiene and diet may help. Since there are so many different triggers, it can be upsetting that there's no "one cure." Take it day by day and give yourself grace. Listen to your body and adjust as needed.

← PreviousEmma Tran Next →Anonymous
No. 03
Anonymous

Anonymous

Neurological Wilson's Disease
In their own words

Absolutely debilitating.

Often misunderstood

People don't know anything about it, including providers.

What they'd change about care

More centers of excellence, or willingness to refer to one.

Advice for the newly diagnosed

Go to a center of excellence.

← PreviousAnonymous Next →Lawrence Cheung
No. 04
Signed
Lawrence Cheung

Lawrence Cheung

Herniated Disc
In his own words

I almost was unable to walk due to leg pain. I got surgery last year but still have minor pain shoot in at times.

Often misunderstood

People often thought he was lazy and made fun of how he walked.

What he'd change about care

Provide therapy before surgery.

Advice for the newly diagnosed

Immediately rest and try therapy before surgery.

← PreviousAnonymous Next →Izzy Russel
No. 05
Signed
Izzy Russel

Izzy Russel

Sleep ApneaEndometriosisCeliac
In her own words

Celiac disease is an autoimmune condition where eating gluten causes her immune system to attack her small intestine. It's much more than a food intolerance — even tiny amounts of gluten from cross-contamination can trigger an immune response, damage her intestine, interfere with nutrient absorption, and leave her dealing with severe abdominal pain, bloating, digestive issues, fatigue, and nutritional deficiencies. Because there's no medication that treats celiac disease, the only treatment is a strict gluten-free diet for life — constantly reading labels, asking questions at restaurants, and watching for cross-contamination in situations most people never have to think about.

Often misunderstood

One of the biggest misconceptions is that because she looks healthy, she must feel healthy. Sleep apnea is often thought of as a condition that only affects older or overweight people, but she was diagnosed as a young, healthy-weight adult — and untreated fatigue affects your ability to think clearly and function throughout the day. Endometriosis is often dismissed as "just bad period cramps," when in reality it's a chronic inflammatory disease that can cause debilitating pain and require surgery. Celiac disease is frequently misunderstood as a dietary preference rather than an autoimmune disease. The hardest part about all of these conditions is that they're largely invisible — just because someone doesn't look sick doesn't mean they aren't dealing with pain, fatigue, or the constant effort of managing a chronic illness.

What she'd change about care

She'd like to see providers place greater value on listening to patients, especially when they repeatedly raise concerns that don't fit the "typical" picture. Before her diagnosis, she brought up her symptoms numerous times, but they were often dismissed as her being dramatic, anxious, or having a low pain tolerance — symptoms that deserved to be investigated sooner. Earlier recognition, better education about conditions like endometriosis, sleep apnea in young adults, and celiac disease, and a greater understanding of invisible illnesses could prevent years of unnecessary suffering. No one should have to fight to be believed before they can receive the care they need.

Advice for the newly diagnosed

It's okay to feel overwhelmed at first. A chronic illness changes your daily life, and it takes time to adjust — give yourself grace while you learn what your body needs. Don't be afraid to advocate for yourself, ask questions, or seek a second opinion if something doesn't feel right. Managing these conditions can be frustrating, but a diagnosis is also the beginning of finally understanding what's happening to your body.

← PreviousLawrence Cheung Next →Alexandra Lee
No. 06
Signed
Alexandra Lee

Alexandra Lee

Hypermobile Ehlers-Danlos SyndromeHip Dysplasia
In her own words

It's highly variable between patients, but for her, hEDS is like being made of old rubber bands — you can stretch it really far, but at some point it's going to break. It's a systemic condition, so she also experiences widespread chronic pain and whatever else you can imagine living in a body with faulty connective tissue. Hip dysplasia is a congenital deformity where the hip sockets don't form correctly, resulting in instability because the head of the femur isn't properly secured in the pelvis — causing pain and instability, exacerbated by her hEDS, that can lead to early arthritis and range-of-motion deficits.

Often misunderstood

People often think EDS in general is only bendy joints, but there are actually 13 different types, and not all of them cause hypermobility. hEDS is the most common type with no known gene, but the other 12 types are rare and ultra-rare and have associated collagen mutations. hEDS is a systemic condition — so much more than being "flexible."

What she'd change about care

The average age of diagnosis for hEDS is around 30 years, despite it being a genetic condition — because symptoms are so variable, and because there's no associated gene, diagnosis is made from a very specific set of clinical criteria. The system doesn't fail hEDS patients as badly as it fails those with rare EDS types: since hEDS accounts for 90% of all EDS cases globally, many providers assume their rare-type patients have hEDS too, which is dangerous. Each type requires its own treatment considerations, and some, like vascular EDS, cause extreme, life-threatening complications not seen in her type.

Advice for the newly diagnosed

Get official genetic testing to rule out the other 12 types — that's the part a lot of doctors don't bother to do, but it matters, because hEDS isn't the only type of EDS. Otherwise, it's going to be okay. For many, an hEDS diagnosis explains so much, and it can feel very validating to finally have a name for what you're experiencing. Do your physical therapy and stay active to preserve your joint health. But also don't be afraid to use mobility aids if you need them — you can still live life to the fullest.

← PreviousIzzy Russel Next →Anonymous
No. 07
Anonymous

Anonymous

Chronic PainHypermobility
In their own words

Living with daily pain and trying to manage it, having to constantly be aware of not injuring myself due to my over-flexibility and potential for injuring ligaments and muscles.

Often misunderstood

That everyone who's hypermobile is flexible — we're not always flexible, everything just bends wrong in our bodies. That chronic pain is made up in your head; I wish I could stop thinking about it and that would make it go away.

What they'd change about care

They wish physicians were more receptive to trying alternative practices or ordering further testing when persistent issues are occurring — they wish they could find better answers.

Advice for the newly diagnosed

They wish more people reached out to others about their pain — they often don't, and regret it later. Rely on your support system.

← PreviousAlexandra Lee Next →Anonymous
No. 08
Anonymous

Anonymous

GERD
In their own words

Consistent acid reflux no matter what I eat.

Often misunderstood

That if you avoid trigger foods, you should be fine.

What they'd change about care

If a person knows they've experienced acid reflux for several months in a row, doctors should automatically start testing and giving medication.

Advice for the newly diagnosed

Bug doctors until you get a clear answer and solution.

← PreviousAnonymous Next →Evan Brusky
No. 09
Signed
Evan Brusky

Evan Brusky

ADHDTic DisorderCeliac DiseaseOCD
In his own words

ADHD is a neurological disorder that impedes daily functioning via patterns of inattention, hyperactivity, and impulsive behavior. OCD is a mental health condition that causes severe distress via uncontrollable and persistent, usually repetitive, thoughts. Tic Disorder encompasses involuntary movements or sounds, including Tourette's syndrome.

Celiac Disease is a genetic and chronic autoimmune disorder in which the body reacts severely to the protein gluten — damaging the intestinal lining and preventing nutrient absorption, which can lead to iron deficiency, cancer, neurological issues, chronic diarrhea, and severe abdominal pain.

Often misunderstood

ADHD — many people try hard to hide or force it out of their lives, which takes tremendous effort; he believes it comes with burnout and anxiety at a much higher level than average. OCD — compulsions aren't done for pleasure or satisfaction; they're an unavoidable, unwanted thought that will bother you, often completely distracting you, until you satisfy it. Tic Disorder — tics are often assumed to mean yelling or random sounds, but most people with tic disorder experience motor tics involving muscle movement; his have been fully motor, and often keep him from falling asleep.

Celiac Disease — often mischaracterized as a "gluten allergy," when it's actually autoimmune and far more sensitive: even microscopic gluten can seriously affect someone with celiac. It's lifelong and causes long-term organ damage, yet many people with celiac still don't follow a proper diet to prevent those consequences.

What he'd change about care

ADHD has fairly good support in his opinion, but testing and assessment costs are severely high and that financial burden should be reduced. For OCD, the system relies primarily on medication; increased access to behavioral therapies like Exposure and Response Prevention would help many people. For Tic Disorder, teaching providers to screen for ADHD and OCD alongside tic symptoms would catch conditions that often go undiagnosed together.

Celiac Disease needs major reform — it's one of the most underdiagnosed conditions in the U.S., with roughly 1 in 141 Americans affected and around 83% of cases undiagnosed, largely because most healthcare workers are improperly educated about it. Celiac has been shown to cause conditions like amplified musculoskeletal pain syndrome, osteoporosis, and cancer; providers often treat those downstream conditions without ever recognizing celiac as the cause. Deeper evaluation and better medical education are needed.

Advice for the newly diagnosed

ADHD — find a medication that works for you, build methods to stay focused when you need to, and don't be afraid to ask for help. OCD — find people who support and understand your condition; if you want to improve, look for a therapist who specializes in ERP, and don't feel ashamed of your impulses. Tic Disorder — manage your stress to avoid worsening tics, get plenty of sleep, and look into Comprehensive Behavioral Intervention for Tics if you need it; never feel ashamed of your tics.

Celiac Disease — mental health comes first; it can be overwhelming to be diagnosed with something this complex, so find help and support where you need it. Follow a strict, proper diet always — people around you, even other people with celiac, won't always take it seriously, but don't give in to that pressure. Look for gluten-free alternatives (there's almost always one that's just as good, if not better), and check labels every time, since GF products can lose that label with no warning. It will take work, but this is something you'll have forever, so make it a positive part of your life.

← PreviousAnonymous Next →Anonymous
No. 10
Anonymous

Anonymous

ScoliosisEndometriosis
In their own words

Scoliosis: curvature of the spine. Endometriosis: irregular growth of tissue in the uterus, leading to irregular and painful menstrual cycles.

Often misunderstood

With scoliosis, people think you have to look uneven or irregular, when in reality even severe cases can be unnoticeable. With endometriosis, people believe it immediately means you're infertile, or that you're unable to have sex.

What they'd change about care

More frequent checkups for scoliosis patients to make sure the condition doesn't get worse, and more resources and research for endometriosis patients — especially young girls who may have the condition.

Advice for the newly diagnosed

Scoliosis: don't let others make you feel bad about your condition — all bodies are beautiful. Endometriosis: keep fighting for treatment, and stay strong. There will always be good days and bad days.

← PreviousEvan Brusky Next →Miranda De Vicente
No. 11
Signed
Miranda De Vicente

Miranda De Vicente

Lupus
In her own words

Lupus is quite literally your own body attacking itself. You can have a wide range of symptoms, and they come and go in flares. It's difficult to diagnose since everyone's symptoms are different. Most days she has a lot of body pain, skin, and nerve issues — she even lost her hair at one point. At theme parks, she's sometimes gotten dirty looks for using a wheelchair when her flares get really bad. It took many years to get properly diagnosed, but she's glad she did — she now feels validated and can manage her symptoms in the best way possible.

Often misunderstood

Doctors often mistake lupus symptoms for other diseases, and can be very invalidating when she's trying to describe what she's experiencing. People often think her symptoms are constant — that's not the case. People also tend to think she's weak because of her diagnosis. That isn't the case either.

What she'd change about care

She'd want specialists and doctors to carry a certain level of empathy — she believes many lack this. She'd make it easier to access information on chronic conditions, including how to find specialists. For lupus specifically, she'd want a specific test that could determine whether a person has it or not.

Advice for the newly diagnosed

Take your time to process your diagnosis — learning you have a chronic disease can be very difficult. Be brave and speak up for yourself, easier said than done as that is. Find a good rheumatologist who will listen to you. And know that the people who are good for you will stick around and help you through the tough times.

← PreviousAnonymous Back to →Index
Shareables

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No. 01 · Wilson's Disease
This diagnosis doesn't define you — it's just something you'll learn to live with.
Emma Tran@chronicandcapable_
No. 02 · Migraine
My worst migraine episode lasted over six months.
Anonymous@chronicandcapable_
No. 03 · Wilson's Disease
Absolutely debilitating.
Anonymous@chronicandcapable_
No. 04 · Herniated Disc
People often thought I was lazy and made fun of how I walked.
Lawrence Cheung@chronicandcapable_
No. 05 · Sleep Apnea, Endo, Celiac
Just because someone doesn't look sick doesn't mean they aren't dealing with pain.
Izzy Russel@chronicandcapable_
No. 06 · hEDS, Hip Dysplasia
hEDS is like being made of old rubber bands.
Alexandra Lee@chronicandcapable_
No. 07 · Chronic Pain, Hypermobility
Chronic pain is made up in your head? I wish thinking could make it go away.
Anonymous@chronicandcapable_
No. 08 · GERD
Bug doctors until you get a clear answer and solution.
Anonymous@chronicandcapable_
No. 09 · ADHD, Tic, Celiac, OCD
Don't ever feel ashamed of your tics.
Evan Brusky@chronicandcapable_
No. 10 · Scoliosis, Endometriosis
All bodies are beautiful.
Anonymous@chronicandcapable_
No. 11 · Lupus
Lupus is quite literally your own body attacking itself.
Miranda De Vicente@chronicandcapable_
Resources

Support & further reading

Not a substitute for medical care — a starting point. These organizations specialize in the conditions represented in this collection.

Wilson's Disease
Wilson Disease Association
wilsondisease.org
EDS (rare genetic subtypes)
Collagen Advocacy Network
collagenadvocacynetwork.org
Hip Dysplasia
International Hip Dysplasia Institute
hipdysplasia.org
Celiac Disease
Celiac Disease Foundation
celiac.org
Lupus
Lupus Foundation of America
lupus.org
Endometriosis
Endometriosis Foundation of America
endofound.org
ADHD
CHADD
chadd.org
Tic Disorder / Tourette's
Tourette Association of America
tourette.org
Migraine
American Migraine Foundation
americanmigrainefoundation.org
Chronic Pain & Hypermobility
American Chronic Pain Association
theacpa.org
Sleep Apnea
Sleep Education (AASM)
sleepeducation.org
GERD
About GERD (IFFGD)
aboutgerd.org
Glossary

Terms that come up

A few words used across these entries that might not be familiar to every reader.

Spoonie
Slang from "Spoon Theory"
A way chronically ill people describe having a limited daily supply of energy to budget across tasks.
Flare / Flare-up
Symptom episode
A period when a chronic condition's symptoms suddenly worsen, often unpredictably.
Invisible illness
Not outwardly visible
A condition that isn't obvious to others, which can make it harder for a person to be believed or accommodated.
Autoimmune disease
Immune system turns inward
A condition where the immune system mistakenly attacks the body's own healthy tissue.
Comorbidity
Co-occurring condition
Having more than one chronic condition at the same time, which is common rather than unusual.
Rheumatologist
Specialist physician
A doctor who treats autoimmune and joint conditions, such as lupus or Ehlers-Danlos syndrome.
ERP
Exposure and Response Prevention
A therapy specifically used to treat OCD, referenced in Evan's entry.
Center of excellence
Specialized care hub
A medical center with deep, focused expertise in a specific rare condition — referenced for Wilson's disease.

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