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Oliver’s Blog

27 November 2024

My name is Oliver Bromley. I have Neurofibromatosis Type 1, this results in the formation of mostly benign tumours forming on the nerve endings, these present as little subcutaneous bumps under the skin. Sometimes, as was the case with me, larger plexi-form tumours develop and these result in gross disfigurement. We now call this visible or facial difference.

Those with a visible or facial difference experience a lot of discrimination, curious glances, and outright abuse from others. I have experienced awful treatment because of how I look. However, I have never allowed these experiences to make me bitter, and I hope to use this platform to inspire and motivate others living with NF, to help educate the wider public about NF, and hopefully help campaign and raise much needed funds for Nerve Tumours UK.

Living with NF is incredibly hard at times. I have had multiple major and minor surgeries, especially in the last few years, this causes untold stress on my family and I. It affects my work, my mental health and is always challenging.

I wanted to share two short stories to highlight some of the challenges that people with NF and visible differences face. 

I hope to use this platform to inspire and motivate others living with NF

Story One

 

"Unfortunately, after careful consideration, we are unable to offer you a position within our organisation. We thoroughly enjoyed meeting you, and we think that although there is a very strong match between your experience and our requirements, you arrived early for your interview, and we believe that this shows very poor time management. We have therefore decided on this basis alone not to progress to the next round of the recruitment process". I took a step back, I couldn't believe what I had heard. It occurred to me on my tube ride home, that citing poor time management was clearly a convenient excuse and that the recruiter had been uncomfortable with how I look. Covert discrimination or so called micro-aggressions have been quite a common experience for me. You are told by others to "shake it off" or "be the better person." Mostly, that is sage advice, but it doesn't always take the sting out of it. 

I would like to see things improve for people with NF. Part of the problem is that as a society we have yet to normalise visible differences. There has been very little representation in the mainstream media to date, so people are curious, and they stare.

When we know better, we do better, and I am grateful for charities such as Nerve Tumours UK who are doing fantastic work to address this and challenge the stigma.

Part of the problem is that as a society we have yet to normalise visible differences

Story Two

 

"There have been complaints about you, please leave!" "Pardon?", I replied. "There have been complaints about you, you are scaring the customers, please leave!". Earlier this year, whilst an inpatient at Kings Hospital, I had grown tired of hospital food, and decided to go buy some lunch at a local eatery. I was turned away. The restaurant felt uncomfortable with my disability.

This time, my story managed to garner attention from national and international media outlets. I started appearing on TV and radio programmes and I was able to share my story, I could speak about life with NF, I could challenge the hospitality industry to do better. I was overwhelmed by the outpouring of support which I received in the form of letters and messages from all over the world. I hope we can build on this momentum and encourage people to do better, to be kind to others with NF, and encourage more allies for the community which I represent.

What can someone do when they see someone who doesn't look like them? Firstly, do not stare. This may seem obvious for some, but it still amazes me that not everyone has received that memo (as it were). I realise that most people are just curious, but it doesn't always help to be reminded on a daily basis that you look different. 

"What can someone do when they see someone who doesn't look like them? Firstly, do not stare. "

Secondly, if curious, and if appropriate, do ask questions once rapport has been established. Most people with NF are experts on their condition and who better to ask than them. Education is key. I do not think it is appropriate to go up to a stranger and ask "what happened to your eye?", but if you have established a relationship of sorts with someone, say for example a work colleage, then do ask, but only when the time is right. Sharing information is the only way we are going to get to a place where disability is normalised and the stigma is reduced. 

People often ask me how I stay so positive and motivated. Well, I can say this is because of my strong faith, which grounds me, aswell as an incredibly supportive family and support network. I am grateful to all the incredible specialists in the NHS who have supported me these last few years and to charities such as Nerve Tumours UK, who tirelessly campaign for people like me, and to everyone that's reached out with messages of hope and encouragement. If I had to pick an enduring message to everyone it would be this, "be kind".

 

Oliver's story in the News: National and International Support

Man with disfigurement was told to ‘leave’ a restaurant due to his physical appearance

"I am very grateful for all the media attention, not just because it was fun being part of such an exciting industry and meeting some renowned journalists; it was a totally surreal experience. I am particularly grateful to Isabel Ramirez at the Southwark Newspaper who first rallied to my side and advocated for me. I would also like to mention the fantastic Sarah Jane at Sky News.  All of these individuals were extremely kind to me, and took a real interest in the communities I represent. I have also had the great pleasure of being part of the PDA podcast. I hope that my story will lead to increasing acceptance and stop the injustice and discrimination towards everyone who has a visible difference."

Here are some of the links: Watch the coverage and see all the positive comments by the public:

 

Southwark News

BBC UK

Daily Mail Online

New York Post

Bored Panda 

Metro Online

Sky News

Understand Neurodiversity - PDA Dad UK

Mirror Online

Yahoo News

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