Community Munchausen's by Internet (Malingerers, Munchies, Spoonies, etc) - Feigning Illnesses for Attention

[elliptical narcissist]

I recall screeching about a Kate Farms delivery that she couldn’t answer the door for.

Wasn't that Janiece?

 

[c6h1206]

I've seen a ton of people freak out and go to the ER because their heart rate shoots up and skips beats to the point they throw up or pass out, it's not uncommon. Usually a result of a panic attack, dehydration, anemia etc but some people are just prone to it, if there's no obvious cause the doc might call it POTS after it happens a few times.

For "treatment" the ER doctor might stick a heart monitor on them for a little while and maybe give a small dose of Ativan if it doesn't calm down, then tell you to stand up slower, drink some Gatorade and sit down if you think you're gonna faint. That's literally it. Here they don't often use the term POTS with patients because it's a scary sounding medical thing and they don't want to freak patients out with what essentially is a big nothingburger. No surprise it's popular with munchies because symptoms are easy to induce/fake/exaggerate, it can vary a ton in severity, it's often partly psychosomatic, and there's no standard treatment or "cure".



In Canada it totally depends on the doctor. Most are incredibly stingy with opiates and minor surgeries usually only warrant ibuprofen or Tylenol with codeine, but there are a few with very loose prescription pads who will give a couple hundred oxys or benzos for "fibromyalgia" and "general anxiety" diagnosed in one visit, naturally their names get passed around and it's very difficult to get into their practices, but they exist. Some doctors privately believe that it's better to keep junkies happy by rationing out some Dilaudid or whatever than have them start popping bootleg shit made from fentanyl and Tylenol. Some just don't have time to argue and will write a script for like 1 week so the drug seeker will fuck off but that is increasingly rare.

Generally, people in legitimate need are referred to pain management clinics though where the doctors are hard to bullshit and they tend to use drugs with lower potential for abuse (buprenorphine and methadone usually).

Drug possession penalties here are nothing compared to the US, they rarely arrest anyone besides major traffickers or people who have drugs on them while committing another crime. Officially it's a crime to get controlled drugs from multiple unknowing doctors but PHIPA makes this such a ballache to file a charge that I've literally never seen it happen.

they rolled out the NMS a long time ago in Ontario. This was accomplished a few things it catches people who are getting multiple scripts from multiple doctors, it caught people who were billing to multiple plans or paying out of pocket. it also tracks the CPSO # of every prescriber. CPSO used this data for the first time recently. For some reason, I think CPSO took the results down but their algorithm detected about 500 MD's who they felt were overprescribing narcotic analgesics. Only 20 were actually told you are in the wrong here and got some kind of formal caution that does not show on the public registrar and 10 got in actual trouble of some sort that actually shows in public findings. (For some reason I think CPSO took the raw data down.)

Now doctors in Ontario just won't continue to prescribe over 50 milliequivalents of morphine. It is just not done anymore they started to crack down right after CPSO published that data.

Some of the scenarios are just out of control. I do not believe naproxen and ibuprofen are enough for incision pain after a cesarian. they have people so brainwashed they think taking a Percocet after a cesarian will turn them into an addict. some of the ads run by the government of Ontario are just beyond stupid and I don't think they educate anyone.

 

[HotpieIsTheNightKing]

Amy Lee Fisher wears nappies, honestly surprised this hasn't come up sooner with any unless I missed it.

 

[WarpedTourWasFun]

I'm not sure if this is a thing in every state or just mine, but our vet actually writes out prescriptions for benzos/pain meds and we have to get it filled at CVS.
"I need to see a photo ID to fill this"
"Here you go"
"I need to see *squints* Lucky's photo ID"

 

[medicaidmunch]

She also tried and failed to get Hanger clinic to take her seriously:

apparently the “that didn’t go well” was about an orthopedic surgeon she saw

 

[Xenomorph]

Amy Lee Fisher wears nappies, honestly surprised this hasn't come up sooner with any unless I missed it.

This bitch is so annoying, I honestly wonder how her family is able to afford this munchie lifestyle.

 

[Kate Farms Shill]

Today on the Adventures of a 34-Year-Old Woman Who is Jealous of a 21-Year-Old Woman Who Died of Cystic Fibrosis, Sarah-Jean gives us a much-needed health update. Because she so often talks about things that are not her self-induced health problems.

-dreary, wet, cold morning and she has to do makeup for a wedding
-had an allergic reaction in DC, possibly to a Guinea pig. She was "kissing up on" the Guinea pig. Note, she has posted about a guinea pig allergy in the past and I have pointed out that it is an exceedingly common allergy and a good percentage of people who work in animal testing labs will develop it, but it's not a particularly dangerous one.


(this was around June 1)

-Her dates are orf, and might even be backwards, because she can't remember when she claims she got sick on this trip
-Had another day in DC where she was having extreme high heart rate (deconditioning and anxiety will do that) when she went to visit her half-sister in her wheelchair. Her numbers were "skyrock" and didn't stop until she got into AC.
-every other day since she got home she's had high heart rate and high blood pressure or high heart rate and low blood pressure. Even had a low heart rate moment.
-Didn't post on instagram until later because it was too hard and she "doesn't know the details"
-Recalls that she recently told EvilDad to come home from the casino because she was suffering from acute lack of attention (this was her "hypertension" day where she complained that her high BP levels used to be considered dangerous on a previous scale so they still should be dammit!). She claims she was just updating him so he would know, not so he would come home and take care of her. But by the time he got home she was asleep passed out.
-There's an instagram video of her heartrate jumping on a free app (that I also used just now, on me and two other adults with various degrees of overall good health). She thinks that the fact that it starts at a healthy 60 bpm and drops to the low 40s, then jumped back to 60 is something spectactular and unhealthy. In reality this app generally starts you at a near-average number and then goes up or down as it calculates your actual rate. In addition since it's a phone app and it's just "testing" the tiny changes that your finger makes on the light sensor of your phone, any small movement will throw it off drastically. Doesn't she have like 8 pulse oximeters?
-'Wednesday happened.' Poor Wednesday, never gets any love. Everything was fine on Wednesday, no symptoms that she can recall, until around 6 pm when her right ear started to clog up, a symptom of her "head tic" which is both trigeminal neuralgia and cluster migraines, but now she thinks is neither. Repeats that this is the worst problem she has. Dad wanted to take her to the hospital to get morphine "which is great, not gonna lie about it, but it just makes me high."
-Next day she watched TV all day and cried while EvilDad made her tea. Then she felt better.
-Friday she was fine until 2 pm. From 2pm until whenever she fell asleep she was in pain. She could only use Siri to call Evil Dad to ask him to make her tea. Says "hey siri, call my dad!" and then feigns surprise when Siri listens. (I don't have siri turned on, is this a thing it does?) Was crying all night , took different medications that didn't work until they did, as medicine generally ... operates? Does she expect everything to work immediately?

Oh, wait. This is another attempt to get a port since she no longer has saline, isn't it? My headache medication needs to work immediately therefore i need a port to keep accessed all the time?

-Every once in a while she gets the electricity feeling from moving too quickly and it takes forever to relax again.
-She's gonna drive herself to this wedding anyway.
-EvilDad made her more tea in her cow cup. Or is it a pig? This is not a cow. This is a pig. No wait. It's a cow. But a pig. She doesn't know.


That sub-40 IQ is starting to sound more and more true.

 

[eternal dog mongler]

If she managed to get verapamil for her head hurty disease at some point, that would explain her heart rate being all over the place.

Just taking her at face value about her reported symptoms (I'm disregarding her measured heart rate since I have no idea what she's on about there, those are actually good numbers), it actually sounds like...acute benzodiazepine withdrawal. Potentially alcohol or SSRIs. The electric shock thing stands out to me.

I'm guessing she's gone through this before and kinda half-remembers those symptoms.

 

[Erica_Kane]

Trying to get through this entire thread, checking out every link to other pages for all the cows is taking forever. Had an observation about this insta from Auntie and I'm not sure if it's been noted but it's very telling to me that security recognized her over the ER staff. Or she's just completely full of shit.
https://www.instagram.com/p/Bsi70qJBdLG/?igshid=myclx0uu29cy

There's no way unless they were going to take her to psych or she was a frequent flyer indigent person. We know she's more of the former.

I posted this before in regards to Autie's stim dancing performances, but I feel it's worth sharing again. There need to be some good side-by-side compilations.

Oh my god everything about this is amazing. Thank you for your service. I'm here for it if you ever decide to reactivate, although I can see how you wouldn't want to rewrite everything.

In Munchie news -- have we caught up with disablednotdefeated lately?

Spoiler: Her GFM is at $30k now, Jesus

Some of the below has been posted before, but I can't remember exactly what, and I know I have screenshots that haven't been shared here. I don't think we've talked about Dying Jessi in a while so I'm going to recap from June 15, when she was "dying."

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She doesn't say anything about what new answers or treatments she has received; she doesn't even explicitly say that she is doing any better. But just seven days after her "dying" post, she's up and meeting with a lawyer, summarizing his points in an extremely cogent and lengthy post that is, to say the least, much more than one would expect from someone "fading in and out of consciousness."
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We do learn that at least one person is onto them.

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And evidently her Medicare (edit: MedicAID) keeps getting cancelled? I don't know much about the practicalities of Medicare (dammit MedicAID) eligibility; anybody know why this would happen?

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She mostly tags vague stuff like #chronicillness and #deathpositive, and doesn't tend to go into details about what she's supposedly being treated for. View attachment 954077

The big news is that she has set up a GFM, which is currently sitting at $30,156.
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Archive: http://archive.fo/3PZzR

Spoiler: GFM screenshots

It doesn't look like the archive is grabbing the GFM updates correctly, so I'm putting them here just in case

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She's posted a bunch of dramatic stuff about her "mind and body failing," and how she's not sure she'll ever see her friends again . . . interspersed with lengthy explications on service dog training that would be far beyond the writing capabilities of someone as incapacitated as she claims to be.

July 11: desperately doctor-shopping for someone to validate her "conditions."
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She eventually enters whatever clinic in Kansas she decided on, and goes inpatient there. Seems to be a huge win for her, as they seem extremely willing to validate her delusions.
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August 29: Jessi is somehow back in California and would like you to know that body weight has absolutely no relation to malnutrition thankyouverymuch. Please note that they've actually put her on TPN!‽?? Wtfffffff

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She was supposed to be discharged, but her frail body could not survive without intravenous nutrition for even one day.

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Totally dying, you guys.

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And here's the post that prompted me to catch everyone up on Jessi. She describes her low-dose methotrexate, a common medication that's used for psoriasis and rheumatoid arthritis, as "chemo." This is the one thing that unfailingly gets me mad on the internet. Methotrexate in HIGH doses is toxic enough to be used as chemotherapy. Methotrexate in low doses is fucking child's play. As someone who sometimes interacts with a patient population treated with low-dose methotrexate, and who has had loved ones get ACTUAL chemo, I can tell you the two treatments have a WORLD of difference between them and I will never not call out this "chemo" bullshit from Munchies.

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And then, five days ago, an extremely dramatic post about how she'll need infusions every eight weeks. Oh the horror. This is totally not something that thousands of people do without even discussing it, nope.

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I had originally refrained from really posting about Jessi because I felt for her a bit -- if you go back to her earliest posts where she's tagging ptsd and anxiety, it's clear that she has some real mental health issues, and I thought she probably really bought into her own illness delusions. But scamming well meaning donors out of money so she can doctor shop around the country and claim she's doing "chemo?" Nuh-uh.

Edit: oh what the actual fuck, look at her goddamn fucking hashtags with all those "chemo hair loss" ones. Give me my fucking top hats, this is pissing me off.

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Well she's a gem I haven't been familiar with thank you! Also in most states if she was truly disabled she'd qualify for MA despite income.

It's been a bit so here we go... I got tired halfway through so please add some input on her whine fest.

Spoiler: SOS update

We start today's SOS post on a positive note. To me this reads life is finally coming together cause maybe they will surgically insert a tube now. But notice the "mom" drop. Now she hasn't mentioned much about her parents in the years she's been on social media, no visits to them or even involvement. All of a sudden though her mom is in the picture and supportive after not existing for years? Didn't she just say a few days ago how she had zero family left? Still mentions this "abnormal finding" but won't mention what it is. Plus ending off with some normal anelise tactics of asking Instagram about an issue she can ask a doctor about. I mean she is in a hospital.
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It's weird to me that she got all dressed up to be transferred to another hospital. If she was going there and coming back to her room I would figure they would send her in a gown, especially for a test. But I'm sure they gave her the choice and she chose clothes cause she hasn't been able to do that in a while. After this she also commented on how beautiful the ambulance ride was. They must be giving her the good stuff as we haven't heard a solid complaint in a while... Just wait though...
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She mentuions this study as some point. She makes it sound like they are just looking at her genetics and doesn't mention what it was for but here mentions that everlee will be getting a blood test where they can compare genes and diagnose her with chiari without a brain scan. I am sensing the future posts about how they are all chiari warriors and the donations at that point will be endless.
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Oops. They must not have the same happy pills prescribed to her at this hospital as her complaining and negativity start to ramp up soon after they do the GES. Apparently this new hospital got her picc wet and doesn't know anything about piccs.... If a hospital doesn't know about piccs is it actually a hospital?? Complains about how they aren't running feeds... Oh but just wait.
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Now she states they had to stop the feed (you know the one they weren't giving her) because they don't have the right feed and it was making her sicker. She complains about not having a hospital gown (which she could simply ask for if she's spending the night, hospitals assume that adults know how to ask for things they want) says she's going to get sepsis because the hospital only has two stars on Google and for that reason also states it's nasty. Sounds like she feels pretty stupid for complaing about her 3 star hospital just a few days ago (most negative hospital reviews are about the long er waits or the lack of pain meds)
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Now she's worried she's actually going to get sick? I mean literally hospitals have no choice but to put patients wherever they have room. The person isn't contagious or they wouldn't put them in the same room. She acts like such a princess sometimes it gets quite annoying. She acts like there's an ogre in the next bed.

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She is allergic to everything, gunning towards getting Kate Farms not understanding that she won't be able to tolerate that either. It's much thicker than normal tube feeds which she is already having an issue with. I doubt her tube feed is tard cum free and only soy (which she complains about how she can't handle) at "her hospital" we only have a soy free version at mine that I've seen. Most are soy and casein. Some are just casein. I haven't seen just soy. If anyone has you can add to this but hospitals usually have the same narrow options to chose from.
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Her ogre of a roommate and family have given her a migraine (not just a headache) from the TV blasting and their loud talking, furthering her princess status. How dare they make her share her room with anyone. She's already threatening to leave ama. Cause logic says that she can get an hour back to her hospital, and somehow get readmitted even though they don't have a bed available. And she would be lucky to get readmitted after leaving ama since doctors on the floor and er doctors are two different breeds and usually won't listen to the girl in the Ed saying "so and so was working on my case and wasn't done yet so I need to be readmitted"
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Somehow logic sets in and she grudgingly agrees to stay another night at the second hospital in hopes that her hospital or another in the area can accept her back tomorrow otherwise she again decides her only option is to leave ama and take her chances trying to get readmitted to her room.
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I find her complaining to be the most comical of all the munchies. Did she somehow expect staying at the hospital to be akin to the Hilton complete with room service and a bell hop that compliments and coddle you at every turn? She thought she could pick her procedures and surgeries off a menu and they would just be done? If anything I'm glad this has given her a bit of a reality check.

You cannot diagnose chiari without imaging. Even on CT they want to do a MRI and confirm the herniation because a lot of chiari 'warriors' don't need intervention and it's a suprise they have anything going on.

My one boy gets ear infections so bad he might need a total ear canal ablation, so the vet sends me home with PRN tramadol all the time. Never had a problem until I had to board them for a week. I left the kennel with the whole new two-month supply of 25 tablets and they "lost it". Gee, thanks. I should have fucking known better...

In other news, Ren posted this on her GFM, which the IFers have dubbed "chronic recurrent normoglycemia".
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She also tried and failed to get Hanger clinic to take her seriously:
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I never thought I'd say this but I love this dope. She's like SJ. She thinks she can just claim any bullshit and doctors will believe her.

Isn't Hanger Clinic for orthotics and prosthetics why is she there?

 

[Mako_Spark]

Re: Good munchie books, Marc Feldman is a fantastic resource on the subject matter. I know I linked this just a few pages back but just in case anyone missed it, it's the entire book, free on archive,org - Playing Sick

I also strongly recommend 'The Death of Innocents' - it's about how multiple cases of SIDS in one family are basically always murder (unless, say, a rare genetic condition is found, and then by definition it's not SIDS) and an entrepreneurial doctor in the 70s who was trying to market 'home SIDS monitors' because he believed SIDS was linked to sleep apnea, and completely refused to see that his 'model patient' (Waneta Hoyt) was a serial child-killer who smothered all five of her children, despite the nurses who dealt with her pleading and crying with him not to let her take her babies home from the hospital, even though sure enough, when he did, they were all dead within 24 hours...

Decades later another 'multiple SIDS = murder" case was tried, and the DA on that case became fascinated by references to this other family in old files... could she still be alive? It becomes a page-turner as he starts an investigation, gathers all the evidence, and finally gets the mother to admit she killed all the children. The husband apparently never suspected a thing. She lived for the attention of the ambulance calls and the funerals. It's an indictment of 'science' (the doctor was completed blinded by his growing fame and fortune as his home monitors became popular, and he was hailed as the man who would one day cure SIDS... when actually his apnea theory, which was completely incorrect, sadly set the cause back twenty-five years.)

"One is SIDS, two is very suspicious, three is murder.' MbP doesn't get much more serious than actually killing your children for attention. It's a disturbing but can't-put-it-down read.

 

[Toohottotrot]

In other news, Ren posted this on her GFM, which the IFers have dubbed "chronic recurrent normoglycemia".
View attachment 959364

She also tried and failed to get Hanger clinic to take her seriously:
View attachment 959375

I never thought I'd say this but I love this dope. She's like SJ. She thinks she can just claim any bullshit and doctors will believe her.

Isn't Hanger Clinic for orthotics and prosthetics why is she there?

them being shit is normal maybe she wants wacjaqs pink duck walk?

 

[Mako_Spark]

I've seen a ton of people freak out and go to the ER because their heart rate shoots up and skips beats to the point they throw up or pass out, it's not uncommon. Usually a result of a panic attack, dehydration, anemia etc but some people are just prone to it, if there's no obvious cause the doc might call it POTS after it happens a few times.

powerlevelling, but eh... I've had three surgeries for tachycardia and my resting heart rate is still 100-110. This is a major improvement over pre-surgery and not considered a cause of concern by my doctors - I just obviously have big red writing in my files saying 'no stimulants' and I'm told to keep my heart rate below 180 when I exercise.

I see these girls claiming 'life-threatening tachycardia' because their pulse was briefly above 120 while they walked around Target or whatever... my 'upright and walking' pulse is around 145, and again, my very qualified cardiologists don't think this is anything but an inconvenience that requires a little caution and common sense to manage.

(In the early days I fainted many times, was terrified I was having a heart attack etc... but my resting pulse then was close to 150, that's a medical problem for an otherwise healthy person in their early 20s... 'OMG I'm walking around and my pulse is 120 I could die from this tachycardia' is a complete joke. )

 

[shuppet]

Is The Dale Tribe a known MBP suspect? They've always been in my recs with videos about having a type 1 diabetic kid, and the clickbaity titles and descriptions caught my attention to some degree ("TYPE 1 DIABETIC HAS LOW BLOOD SUGAR AND WE GO TO A CONVENIENCE STORE AND BUY A BOTTLE OF JUICE" whoa stop the presses) but type 1 diabetes is pretty much impossible to fake, so I ignored them.

Now they're in my recs with the other kids who aren't diabetic getting munchie classics like POTS and a bunch of service dog stuff though, so I have to wonder

 

[large_farva]

I also strongly recommend 'The Death of Innocents' - it's about how multiple cases of SIDS in one family are basically always murder (unless, say, a rare genetic condition is found, and then by definition it's not SIDS) and an entrepreneurial doctor in the 70s who was trying to market 'home SIDS monitors' because he believed SIDS was linked to sleep apnea, and completely refused to see that his 'model patient' (Waneta Hoyt) was a serial child-killer who smothered all five of her children, despite the nurses who dealt with her pleading and crying with him not to let her take her babies home from the hospital, even though sure enough, when he did, they were all dead within 24 hours...

Decades later another 'multiple SIDS = murder" case was tried, and the DA on that case became fascinated by references to this other family in old files... could she still be alive? It becomes a page-turner as he starts an investigation, gathers all the evidence, and finally gets the mother to admit she killed all the children. The husband apparently never suspected a thing. She lived for the attention of the ambulance calls and the funerals. It's an indictment of 'science' (the doctor was completed blinded by his growing fame and fortune as his home monitors became popular, and he was hailed as the man who would one day cure SIDS... when actually his apnea theory, which was completely incorrect, sadly set the cause back twenty-five years.)

"One is SIDS, two is very suspicious, three is murder.' MbP doesn't get much more serious than actually killing your children for attention. It's a disturbing but can't-put-it-down read.

Unless there's more than one book about Waneta Hoyt, the title of that one (sitting on my desk right now) is Goodbye My Little Ones

 

[Casket Base]

A tweet making the rounds through munchie/spoonie twitter:

Some context for the tweet:

Spoiler

She has a legit, obvious condition that puts her in a wheelchair but she has the full cognition to be an OTT dangerhair posting selfies from the ER so she's not completely out of place here. I'm sure the munchies are envious of her real disability. (She doesn't say but I'm gonna go out on a limb and guess one of the palsies?)

Just loling at the hashtag "disabled people are hot" I mean, I guess they can be but calling oneself hot is a bit much.

She doesn't like to mention what her condition is even though she puts herself out there on social media and in the public eye as a "sit-down comedian". I would sympathize with a more private person.

Hell, she's the face of a company, of course people want to know more about her.

TL;DR Author is proper disabled but cognitively uninhibited, chooses to be an OTT dangerhair

She's not interesting enough outside of her condition to warrant following her escapades but she is the type of person that twitter munchies use to validate their behavior, so I thought it would fit here. Also lol @ thinking the word r.etard is "villifying".

 

[LetThemEatCake]

Colour me skeptical about anyone who feels well enough to takes selfies in a hospital bed, let alone wants people to see them in that state. Sick people don't tend to have the energy or interest, people in real pain wouldn't be even thinking of it. The moment I see anyone doing this, I begin to suspect they are a complete and utter fraud or a pathological attention seeker.

Having had to attend the odd emergency appointment in massive amounts of pain and nausea, and having at odd times had to accompany relatives who had been injured, you've got a lot more on your mind that checking out your angles in your front camera.

 

[FlipFlopFlap]

Diaryofamunchiekid is in hospital. She totally doesn't want to be there and is totally there for a reason that isn't Munchausen's.

Because, despite the fact that she has Munchausen's, whenever she's 'ill' it's completely genuine.

 

[Ellesse_warrior]

A tweet making the rounds through munchie/spoonie twitter:

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Some context for the tweet:

Spoiler

She has a legit, obvious condition that puts her in a wheelchair but she has the full cognition to be an OTT dangerhair posting selfies from the ER so she's not completely out of place here. I'm sure the munchies are envious of her real disability. (She doesn't say but I'm gonna go out on a limb and guess one of the palsies?)
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Just loling at the hashtag "disabled people are hot" I mean, I guess they can be but calling oneself hot is a bit much.

She doesn't like to mention what her condition is even though she puts herself out there on social media and in the public eye as a "sit-down comedian". I would sympathize with a more private person.
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Hell, she's the face of a company, of course people want to know more about her.

TL;DR Author is proper disabled but cognitively uninhibited, chooses to be an OTT dangerhair

She's not interesting enough outside of her condition to warrant following her escapades but she is the type of person that twitter munchies use to validate their behavior, so I thought it would fit here. Also lol @ thinking the word r.etard is "villifying".

If she's a comedian she kind of needs to have a strong social media presence, it's how they get gigs and fans. I wouldn't necessarily lump her in with the rest of our chronic illness zebras. There's lots of pretty famous disabled comedians too, Francesca Martinez has cerebral palsey, Adam Hills only has one leg and Alex Brooker has a deformed baby hand

 

[IFnative]

There's lots of pretty famous disabled comedians too, Francesca Martinez has cerebral palsey, Adam Hills only has one leg and Alex Brooker has a deformed baby hand

Josh Blue has cerebral palsy too.

 

[Casket Base]

If she's a comedian she kind of needs to have a strong social media presence, it's how they get gigs and fans. I wouldn't necessarily lump her in with the rest of our chronic illness zebras. There's lots of pretty famous disabled comedians too, Francesca Martinez has cerebral palsey, Adam Hills only has one leg and Alex Brooker has a deformed baby hand

It was more that she should expect questions from strangers because of her SM but I do agree that she doesn't quite check all the usual boxes. I mostly went on about her for context, and because munchies like Kayleigh/Ophelia love her. Still think the ER selfie is a bit OTT though.