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Try, try, and try: my porphyria fight | Sue Burell | TEDxUniversityofEastAnglia


hi I’m here today because as you

mentioned since 2008 I’ve had to do it

differently because I’ve got a medical

condition that was inherited called

acute intermittent porphyria so I was

once described by pain specialist has

been having dealt a really bad hand of

cards but that was doing the very best I

could with the hands that I’ve been

dealt and I think that this kind of my

approach to things comes from the fact

that I’m a firm believer in that if you

want to do something you can do it if

you try try and try and I don’t know if

anybody’s heard have kind of Robert the

Bruce and if first you don’t succeed

then try try trying and you might do it

was kind of something that was said

quite a bit in my family when I was

younger I also think that the difference

between success and failure is that if

you fail at something or the difference

between people who succeed is that you

will keep trying until you get there and

you don’t mind if you fail you’re going

to get where you want to be so what I

want to give you an idea of is I’ve got

a really rare medical condition and I am

one in 9,000 people

Wembley Stadium on a match day has nine

thousand people in its crowd I’m just

that one person with this condition I

really am a needle in a haystack

bro which think of not just 90,000

people not 180,000 not 270,000 not 360

but 450,000 people I’m one of only four

hundred and fifty thousand people in the

UK who was affected as severely as I am

so what is porphyria

it is a medical condition that

predominantly is inherited there are

eight different types of porphyria

classified as acute porphyria cutaneous

Porfiry’s which also affect the skin and

a mixture of both I’m just going to talk

about acute intermittent porphyria which

is the type of porphyria that I have so

I’m going to give you a very kind of

condensed insight into what the triggers

are what the symptoms are and how I’m

affected with the condition so the

differ a lot of different triggers and

once you’re triggered with the condition

an acute patient you then go on to have

more symptoms so I had genetic testing

when I was only 15 but didn’t develop

symptoms till I was age 27 so what are

these triggers they involve various

things from unsafe medications alcohol

so I can’t drink lots of other things

from stress fatigue viruses other

illnesses anything really that puts the

stress or a strain on your body can have

an impact on me so what are my symptoms

I suffered with acute pain quite a lot

of the time I’ve got pain now even

standing here in front of you all I

suffer with nausea and vomiting and any

pain medication sickness medication to

manage this there’s also the things I

get weakness I get confused at times and

when if I have a severe attack that goes

untreated I would get permanent nerve

damage that would cause paralysis and if

a series of attacks went untreated it is

life-threatening so one of the things

which I think it’s interesting to kind

of mention is I’m stood here before you

and I probably looked perfectly fine to

all of you it’s also known as an

invisible disease so really sorry to do

this but this is sort of my urine

both of these samples were taken at

exactly the same point sample a was

protected from light and put in the

freezer you can see it already has a

slightly peachy pinky hue to it but the

poor friends which are present in my

urine when exposed to light they change

color and it’s just quite a nice visible

it’s kind of sign to kind of show you

that it there there are some signs even

though you might not sort of be able to

see them so in terms of my medical

history I’ve ended up in the early

stages I used to have to go into

hospital very regularly for treatment so

every kind of four weeks than every two

weeks and I spent a lot of time going in

and out of hospital which was really

difficult I now I’m really lucky that

I’m under the National acute porphyria

service and I have an excellent medical

care of something called port cath which

is fitted under my skin which means I

can get treatments really quickly rather

than them having to use intravenous

lines on my veins on my arms which are

now quite damaged over the years of

intravenous use of medication so I saw

with pens I said regularly

I suffer with sickness but this

intravenous treatment that I have I can

now do at home and I have treatments

every seven to nine days I did an

infusion last night after the dinner

that we had here so it means that I’ve

got a lot more control of my condition I

really wanted to kind of also talk a

little bit about my sister Liz who has

one of the even more severe forms as

myself because they really struggle to

diagnose everything the early stages

because it is so rare and she was

completely paralyzed by the time of

diagnosis her and she’s been completely

paralyzed on numerous occasions and has

had to even relearn to walk had lots of

physio so I affectionately referred to

her by the Chumbawamba song from the

nineties if anyone remembers them took

something I get knocked down I get back

up again you’re never gonna keep me down

and that song really summarizes the kind

of person that she is and that has kind

of stuck with me because I’ve made about

try try and try and in my early days at

Koenig University I was 18 19 she was a

few years older than me and she was

experiencing this and I thought if she

can do that if she can relearn to walk

and deal with these challenges I really

couldn’t do anything I shouldn’t be

scared of the exams I’ve got so on my

way to my exams at university I would

sing the Jimmy Cliff song you can get it

if you really want but you must try try

and try and this badge is something that

my sister gave to me on my first

graduation and to say that I did it and

I did it good and I’ve kept it all of

these years or so I also think the

thought comes a little bit from the fact

that my family have always said that all

my mum’s always said was you know it

doesn’t matter where what you do in life

as long as you work hard I’ll always be

proud of you and I think that ethos has

stayed with me throughout my work life

and my career and academic life as well

that was always described as being

conscientious I’m trying so I now want

to talk to you a little bit about kind

of what it’s like to have

porphyria and I’m jumped ahead I’m so

sorry so I never thought as a result of

my condition I would have to change the

way that I worked from a really good

career that was developing nice

to be million redundant to then have to

go onto benefits to then own to be able

to work part-time in a self-employed

capacity I never thought that I would

have to go into a wheelchair I never

thought that I would have to have

something called a podcast I never

thought that I’d be strong enough to

access this podcast myself I never

thought that I would have to campaign

for rare diseases and research and to

condition that I have I never thought

that would have to have IVF to become a

mummy and I honestly never thought that

I might be able to become a mummy so in

terms of my work I was made redundant

but I took some time out and a retrained

to be proofread a copy editor I also

have a very small photography business

that developed more out of a hobby and I

now I’m privileged to say that I work

for the British Porfiry Association

which are volunteered for in 2009 and

now work in a part-time capacity I

really love what I do we work supporting

other patients with a condition we

helped support education and research

and I really feel that I’m actually

giving back and doing something to help

people who were experiencing what can

only be described was a terrifying time

when you’ve been newly diagnosed I also

had to go in a wheelchair after her

series of bad attacks in 2008-2009 I

couldn’t walk very far at all because of

weakness and nerve damage so I had to go

in a wheelchair and I found that really

hard mentally to do but I want you to do

things so in order to do them we did it

and I’m pleased to say that I did and

that I managed today and build my

strength back up I’m now kind of back to

full strength again so I never thought

I’d have something called a port calf

and this is a picture of the day that I

had my pata capitaine and then a few

days later I do bruise like a peach but

I thought include the pizzeria it really

wasn’t as bad as it looks so this means

that I can then have direct access to

the treatments that I need and it’s so

much less painful than with them having

to try and find veins I thought I’d

explain a little bit about what a

treatment is like so this is me my

living room creating a sterile field

because it’s got to be done in a sterile

ware and then with me cleaning the poor

area and then me once I’ve put my needle

in which is called a gripper needle

then drawing up the he margin which is

the treatment which I have every seven

to nine days and which keeps me well and

it’s black in color and my mom calls it

miracle juice because it’s kept her dude

two daughters well and then we sat in my

living room having my infusion you know

do it so I really wanted to also talk to

you a little bit about rare diseases so

I now comparing for rare diseases and

research because it’s so important as

part of the condition that I’ve got on

the 28th of this month so in only four

days is national rare disease there and

as part of the work that I do for the

charity will be helping to campaign help

with promoting that have been here

talking as well because collectively

there were more than six thousand rare

disease diseases but individually

porphyria is just one of them and most

of you in the room probably never heard

of porphyria so together we’ve got a

much stronger voice I’m also campaigning

for research because ultimately cure

will help make my life and my family’s

life so much different so I also

mentioned that never thought I’d have to

have IVF and never thought that I’d

become a mommy so in 2013 my husband and

I embarked upon what can only be

described as a positively grueling and

difficult journey to go on but we had an

amazing doctor fertility doctor and my

porphyria specialist that worked

together to develop a series of forms of

natural IVF because I can’t have any of

the normal medication routes that you

can normally have as a result of my

condition devastatingly the first

attempt of IVF failed but on our second

round of IVF I’m really pleased to say

that we the wife jumped too far

I’m so sorry I would just said that as a

result of email to access my own podcast

I can now travel and I can do things I

want which has given me the freedom to

do things like go snowboarding again go

on holiday to places like for our

honeymoon Las Vegas in America I’ve done

my treatment in tents in France and in

other places like Amsterdam so this is

just before our first and we had the

opportunity to go for an embryo transfer

and the phrase never putting all of your

eggs in one basket has never room to

true so few weeks later my husband was

ecstatic to be able to finally arouse to

the world be a baby and real very at our

12-week scan we obviously got the great

news that everything was going fine so

we were nervous throughout the pregnancy

because I’ve got a health condition we

had close monitoring but I am really

delighted to say that my little baby

daughter who was born at 5-pound 2-ounce

on the 11th of January 2017 three weeks

early and here we are as a family as

well I really am the proudest mummy in

the world I’m so lucky so I only say

that I never thought I would be on my

way

I really didn’t it was such a difficult

time to be going through and my heart

truly breaks for all of those people who

were embarking on that journey or who

were really struggling those couples

like going through things so what I

would really like to do now is do my

call to action if there is something in

life that you want to do or even that

you have to do because you’re facing

something truly on one things we’ll try

and dig deep and think you can get it if

you really want to think back to the

song which I said you can get it if you

really want but you must try even if

it’s completely unthinkable or too scary

to contemplate this belief in the

ability to succeed has fueled me through

out living with a rare disease like

acute intermittent porphyria ultimately

I’m motivated to campaign for rare

diseases and research because it isn’t

just me who’s affected there’s also my

sister and my gorgeous nephew Thomas my

beautiful daughter

Abbey who all have this gene as does my

brother

I was pictured my mom there as well with

us all we all have this gene and I’m now

compared in with the work that I do as a

charity but also selfishly for myself

because it isn’t just about me it’s

about my nephew and my beautiful

daughter I want to make sure that

they’ve got every opportunity in life

and that they don’t need to adapt in the

same way that I’ve had to follow their

dreams

not that I’d really change anything

really I am where I am and I do what I

do with the charity as a result of the

gene that I’ve been given and I really

wouldn’t be here talking to you all if

it wasn’t as a result of this poor fairy

gene I have had to do it differently as

a result of the condition but I’d like

to say that don’t be afraid to do it

differently I’ve had to and I will

continue to do so

so I’d like to say whenever you think

that you can’t run that mouth and turn

it on its head think you can think

instead as well I will pass that exam

and I will get that job that I want even

if you have to do it differently you can

get it if you really want but you must

try you’ll succeed at last thank you

very much everybody [Applause]

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