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Ella’s Story

08 October 2024

My name is Ella, and I am 20 years old, studying for a BSc in Accounting and Finance at Anglia Ruskin University (ARU). Living with Neurofibromatosis Type One (NF1) is a unique challenge each and every day. As I come to the end of my second year, I wanted to share my personal experiences of dealing with NF1 at university: covering the hurdles of disclosing my condition to lecturers and other university staff members, the challenges of making new friends, learning to be independent, and the struggle of getting to lectures.

Reflections on University Life

 

Looking back over my time at university, I have encountered a number of significant challenges, many of which were directly related to my medical conditions, particularly NF. Living with NF alongside other health issues has often had a profound effect on my ability to engage with university life in the same way as my peers. Unfortunately, one of the biggest obstacles I faced was the lack of understanding from some lecturers and university staff regarding how my condition impacts my health, daily routines, and academic performance. At times, I found it incredibly difficult to approach lecturers and explain my situation. There seemed to be a general lack of awareness and knowledge about NF and the broader implications it can have, not just physically but emotionally and cognitively.

"There seemed to be a general lack of awareness and knowledge about NF and the broader implications it can have, not just physically but emotionally and cognitively."

Throughout my academic journey, I experienced moments where I felt unsupported and misunderstood. In some cases, requests for help were met with indifference or confusion, which left me feeling incredibly isolated. This is a common experience for many students with disabilities and it highlights a broader issue within higher education, a gap between policy and practice. While many universities have policies in place to support disabled students, the practical implementation of these policies can vary greatly depending on individual staff members and departments.

Thankfully, there were also moments of real support, particularly from my Disability Officer. Their role was instrumental in helping me navigate the system and access the help I needed. With their support, I was able to obtain exam accommodations, deadline extensions, and liaise more effectively with academic staff. The contrast between my initial struggles and the support I eventually received shows just how important it is to have advocates within the university who truly understand disability and are committed to inclusion.

Ella's Campus

That said, I still feel strongly that more must be done in terms of disability awareness and anti-discrimination training across all university departments. It is not enough for only the disability services team to be informed. Lecturers, tutors, administrative staff, and academic supervisors all play vital roles in a student’s educational experience. Proper training on disability issues should be mandatory and ongoing, not optional or occasional. Only then can we begin to create a university environment where students with health conditions or disabilities do not have to fight for understanding and fairness.

 

Over the past few months, my experience has taken a more positive turn, especially as I worked on my Undergraduate Major Project. During this time, I received a much higher level of support from my academic supervisor, Big shout to Dr Lewis who has been incredible and has given me emotional support. I was granted an extension, which allowed me the time I needed to complete my work without jeopardising my health. Dr Leiws also made time for additional meetings, offering guidance and reassurance that helped me stay motivated and focused. This level of support made a huge difference to my confidence and ability to manage a large and demanding piece of work.

Ella's Campus

One particular challenge I faced during this period was the occasional restriction of access to university resources, such as online journals and digital libraries. These disruptions, although often technical or administrative in nature, had a real impact on my ability to conduct effective research. For students like myself who may already be dealing with health-related stressors, such issues can create additional barriers and make an already demanding process even more difficult. Ensuring reliable and uninterrupted access to academic resources is essential, especially for students working under tight deadlines or specific health constraints.

I also experienced instances of harassment and bullying from fellow students. These encounters were incredibly distressing and had a significant impact on my mental health and sense of belonging within the university community. At times, I was subjected to insensitive comments, exclusion from group activities, and subtle forms of mockery relating to my condition and the academic adjustments I received. What made these experiences even more painful was the feeling that I could not always speak out or seek help without fear of being dismissed or not taken seriously. It is important to recognise that bullying and harassment do not always appear as obvious acts of aggression. They can be subtle, persistent, and deeply damaging. Universities must foster a culture where respect, empathy and inclusion are prioritised, and where students feel safe and supported in reporting any form of discrimination or mistreatment. Addressing this issue requires not only clear policies but also proactive education and awareness initiatives that challenge stigma and promote genuine understanding.

"It is my sincere belief that universities must do more to create spaces where all students feel seen, heard, and valued."

I have learnt the value of exercise, particularly walking for good mental health. I have found some parks and natural reserve spots which help me destress.

 

In reflecting on my entire university journey, I feel a mixture of pride, frustration, and hope. I am proud of what I have achieved, particularly in the face of considerable adversity. I am frustrated by the lack of consistent understanding and support that still exists within academic institutions. But I am also hopeful. I Hope that by speaking out, sharing experiences, and advocating for change, future students with NF and other medical conditions will find a more inclusive, supportive, and understanding environment.

It is my sincere belief that universities must do more to create spaces where all students feel seen, heard, and valued. Disability awareness training, improved communication, and a culture of genuine empathy are not just nice to have, they are essential! They are essential. With the right support, students with disabilities can thrive academically and personally. I hope that my journey can be part of the ongoing conversation that leads to real and lasting change within higher education.

 


 

Reflections On University Life 24.10.2025

Living with Neurofibromatosis Type One (NF1) is a unique challenge each and every day.

One of the earliest and most daunting tasks was deciding when and how to tell my lecturers about my condition each semester. As many people with NF1, NF2-SWN, and Schwannomatosis know, these conditions are not well-known, and I was apprehensive about how they might react or whether they would understand the implications it has on my daily life. I worried about being seen as different or needing special treatment. However, I knew that to receive the necessary accommodations, I had to be upfront.


Approaching lecturers with this information required a lot of courage. I decided to speak to my lecturers after my lessons were over and everyone had gone because I wanted it to be private and for them to understand how NF1 might affect my academic performance. Most (though not all) of my lecturers were understanding and supportive, which alleviated some of
my fears. Nevertheless, the process was emotionally exhausting, and there were times when I questioned whether I should even mention it at all.

I knew that to receive the necessary accommodations, I had to be upfront.

I believe that within the first few weeks of starting university, it is vital that you speak to your disability team, as they are very welcoming and supportive. They want you to succeed at university, have a great time, and graduate with a degree. They have put support in place, as well as the Disabled Students' Allowance (DSA), which will help me throughout my studies. I can go to my Disability Officer at university at any time, for example, when I’m having issues with lecturers who are not very understanding of medical conditions, and she will contact them. They may never reply to her, but you have to at least try to get the help you need. My university experience with Neurofibromatosis has been a rollercoaster of challenges and victories. While there were numerous obstacles, each one taught me valuable lessons about resilience, self- advocacy, and the importance of a supportive community.

"It's okay to seek help, be honest about your needs, and, most importantly, believe in your ability to succeed despite the hurdles."

DSA is an allowance (not a loan) to help disabled students throughout university by supplying technology and support. As I am physically and mentally disabled and can’t walk far, they make sure I have a supportive chair and a computer with built-in features to help me record lectures when I am not well. Disclosing my condition to lecturers was a very significant milestone in my journey through life. Living with NF1 at university has not been easy, but it has shaped me into a stronger, more determined individual. For anyone facing similar challenges, remember that it's okay to seek help, be honest about your needs, and, most importantly, believe in your ability to succeed despite the hurdles.

Masterclasses in NF: Ophthalmologic Findings & Orthopic Eye Examination in NF1 and NF2-Related Schwannomatosis

Ophthalmologic Findings & Orthopic Eye Examination in NF1 and NF2-Related Schwannomatosis

Prof. Dr. Berthold Pemp

OT Sabine Koinig

Masterclasses in NF: Plexiform Neurofibromas in NF1 - General Course and Neuroradiology

Plexiform Neurofibromas in NF1 - General Course and Neuroradiology

Assoc. Prof. Dr. Gregor Kasprian

Dr. Hector Salvador, MD

Masterclasses in NF: The Patients’ Perspective: A Masterclass on NF Care Held by NF Patients

Masterclasses in NF: Treatment Strategies for Vestibular Schwannomas: When to Treat? How to Treat?

Treatment Strategies for Vestibular Schwannomas: When to Treat? How to Treat?

 

Michel Kalamarides MD

Masterclasses in NF: Management Of Plexiform Neurofibromatosis in NF1- Rianne Oosterbrink, Justus L Groen, Karine Lascelles

Masterclasses in NF1: 1.Management Of Plexiform Neurofibromatosis in NF1

Rianne Oosterbrink MD

Justus L Groen MD

Karine Lascelles MD

Masterclasses in NF: Constitutional Mismatch Repair Deficiency Syndrome as Differential Diagnosis to NF1/Legius Syndrome - Prof. Dr. Katharina Wimmer

Constitutional Mismatch Repair Deficiency Syndrome as Differential Diagnosis to NF1/Legius Syndrome

Prof. Dr. Katharina Wimmer, Medical University of Innsbruck

Masterclasses in NF: Rare NF1-Associated Tumors in Adults - Eric Legius & Prof. Ellen Denayer

Masterclasses in NF: Rare NF1-Associated Tumors in Adults

Eric Legius, MD, PhD, University Hospital Leuven

Prof. Ellen Denayer, University Hospital Leuven

Masterclasses in NF: Optimising Hearing Outcomes in NF2-Related Schwannomatosis - Simon Freeman

Masterclasses in NF: Optimising Hearing Outcomes in NF2-Related Schwannomatosis

Simon Freeman, MPhil FRCS, Manchester Royal Infirmary and Salford Royal Hospital

Masterclasses in NF: NF1 Dermatological Manifestations - Pierre Wolkenstein, Laura Fertitta & Sirkku Peltonen

Masterclasses in NF: NF1 Dermatological Manifestations

Pierre Wolkenstein, MD, PhD, Hopital Henri-Mondor, Paris, France

Laura Fertitta, MD, Hôpital Universitaire Henri Mondor

Sirkku Peltonen, MD, PhD, University of Gothenberg, Sweden

Masterclasses in NF: Breast Cancer in NF1 - Gareth Evans

Masterclasses in NF: Breast Cancer in NF1

Gareth Evans, MD, University of Manchester, UK

Masterclasses in NF: Pain in Non-NF2-Related Schwannomatosis - David Pang

Masterclasses in NF: Pain in Non-NF2-Related Schwannomatosis

David Pang, MD, ChB. Guys and St Thomas' Hospital NHS Trust, London

Masterclasses in NF: Distinguishing Non-NF2-Related from NF2-Related Schwannomatosis - Clinical and Genetic Approaches - Said Farschtschi

Masterclasses in NF: Distinguishing Non-NF2-Related from NF2-Related Schwannomatosis - Clinical and Genetic Approaches

Said Farschtschi, MD, University Medical Center, Hamburg-Eppendorf, Germany

Masterclasses in NF: NF1 Pre-Implantation Genetic Diagnosis - Eric Legius & Prof. Ellen Denayer

Masterclasses in NF: NF1 Pre-Implantation Genetic Diagnosis

Eric Legius, MD, PHD, University Hospital of Leuven, Belgium

Prof. Ellen Denayer, University Hospital of Leuven, Belgium

NF2 Working Together: from a tentative diagnosis and beyond

Understanding the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

NF1 Working Together Part 2: from a tentative diagnosis and beyond

Understanding the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

NF1 Working Together Part 1: from a tentative diagnosis and beyond

Understanding  the impact that a tentative diagnosis has on a parent. Information and access to the existing NTUK and Specialist Nerve Tumours medical and non medical care network.

Masterclasses in NF: Surgery in NF2 - Michel Kalamarides & Andrew King

Masterclasses in NF: Surgery in NF2

Michel Kalamarides, MD, PhD, Hôpital Pitié-Salpêtrière, Paris, France

Prof Andrew King, MBBS FRCS FRCS(SN), Salford Royal Hospital, Manchester, United Kingdom. Member of the MAB of Nerve Tumours UK

Masterclasses in NF: Cognition and Behaviour in NF1: Phenotype and Treatment Approaches - Shruti Garg, Andre Rietman

Masterclasses in NF: Cognition and Behaviour in NF1: Phenotype and Treatment Approaches

Dr Shruti Garg, MBBS, MRCPsych, MMedSci, PhD, Royal Manchester Children’s Hospital, United Kingdom. Member of the MAB of Nerve Tumours UK

Andre Rietman, PhD, Erasmus University Medical Center, Rotterdam, Netherlands

Masterclasses in NF: Emotional Challenges in NF1, NF2 and Schwannomatosis - Susie Henley, Thomas Pletschko & Verena Rosenmayr

Masterclasses in NF: Emotional Challenges in NF1, NF2 and Schwannomatosis

Susie Henley, DClinPsy, PhD, Guy’s and St Thomas’ NHS Foundation Trust, London UK

Thomas Pletschko, PhD, Medical University of Vienna, Austria

Verena Rosenmayr, Clinical Psychologist, Medical University of Vienna, Austria

Masterclasses in NF: NF1 Pediatric Management - Rianne Oostenbrink

Masterclasses in NF: NF1 Pediatric Management

Rianne Oostenbrink, MD, PhD, Erasmus University Medical Center, Rotterdam, Netherlands

Masterclasses in NF: Associated Glioma in Children - the Optic Pathway and Beyond - Amedeo Azizi

Masterclasses in NF: Associated Glioma in Children - the Optic Pathway and Beyond

Amedeo Azizi, MD, PhD, Head of the Paediatric Neurofibromatosis Program and Paediatric Neuro-Oncology Program, Medical University of Vienna, Austria

Masterclasses in NF: NF1 Orthopedic Manifestations - Eric Legius and Christophe Glorion

Masterclasses in NF: NF1 Orthopedic Manifestations

Eric Legius, MD, PhD. Head of Clinical Genetics Department of the University Hospital Leuven, Belgium

Christophe Glorion, MD, PhD, Department of Paediatric Orthopedic and Traumatologic Surgery, Hopital Necker-Enfants Malades, Paris, France. 

Masterclasses in NF: NF1 Malignant Peripheral Nerve Sheath Tumours - Rosalie Ferner and Viktor-Felix Mautner

Masterclasses in NF: NF1 Malignant Peripheral Nerve Sheath Tumours

Prof Rosalie Ferner, Consultant Neurologist and Lead Clinician for Neurofibromatosis, Guy's and St. Thomas' NHS Foundation Trust, London. Member of the MAB of Nerve Tumours UK and Trustee of Nerve Tumours UK

Viktor-Felix Mautner, MD, PhD. University Medical Centre in Hamburg-Eppendorf, Germany. Head of NF Outpatient Department

Masterclasses in NF - Neurofibromatosis Type 1: Cutaneous Neurofibromas - Pierre Wolkenstein and Sirkku Peltonen

Masterclasses in NF - Neurofibromatosis Type 1: Cutaneous Neurofibromas

Pierre Wolkenstein, MD, PhD. Hopital Henri-Mondor, Paris, France. Head of the Department of Dermatology

Sirkku Peltonen MD, PhD. University of Gothenberg, Sweden. Professor of Dermatology

INFER (International NF Educational Resources) is a series of online educational lectures for medical professionals by leading neurofibromatosis experts. The Masterclasses take place online approximately once a month, each on a different topic, and include real-time interaction between the expert presenter and the participants. The presentations are conducted in English, with real-time audio interpretation available in 6 additional languages: French, German, Italian, Portuguese, Russian, and Spanish. A recording of each INFER masterclass is then be made available online in each language for those who could not attend an event. INFER is an initiative of Children’s Tumor Foundation Europe, supported by an educational grant from AstraZeneca. https://ctfeurope.org/research/masterclasses-in-nf

BPNA Keynote Lecture - Prof Rosalie Ferner - Neurofibromatosis 1 in the 21st Century

‘Neurofibromatosis 1 in the 21st Century’

Keynote Lecture at the 48th British Paediatric Neurology Association Annual Scientific Meeting on 21st January 2022

Prof Rosalie Ferner, Consultant Neurologist and Lead Clinician for Neurofibromatosis, Guy's and St. Thomas' NHS Foundation Trust, London. Member of the MAB of Nerve Tumours UK and Trustee of Nerve Tumours UK