My thoughts these days go to the medical professionals who, despite the pressures and stress they’re facing, are putting in the effort and time to understand our struggles, take them seriously, and try to help to the best of their ability, sometimes even beyond. All medical professionals should be like this; I’m glad there’s at least some who are.
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I’d suggest that if you can, explain to those who are concerned what the cause is, don’t say anything if people don’t react to it at all, but tell them off when they’re being mean. Gagging will often elicit a strong reaction from people around you, I don’t think there’s any changing that. But why anyone would be mean about that is beyond me. Then again, people can be horrible, so what do I know. I hope you find more people who accommodate you and don’t laugh at you or mock you for your disability.