11 August 2014

How I cope with Ichthyosis and working full time.

A few people with Ichthyosis and disabilities have asked me how I maintain a full time job and how I talk to my managers about my condition. So here's my employment story.

I have always wanted to work. I think working is very important. Working has helped me become more confident. Working also helps me feel valued. I also enjoy the social interaction. And it allows me to live the life I want because I earn a wage.

I've been sore for the past six weeks or so. I have been in hospital, had a full week off and days off here and there. Every morning when I wake up, my skin is in pain. It exacerbates in the shower and through the day it gets tighter on my legs, and weeps. One afternoon recently I was feeling extremely sore and told my manager that I was sore and I'd leave a little early to rest, and asked if I could take my time starting work the following day. I don't want to speak to soon but I had a half hour sleep in the next morning and didn't rush for work. I felt one thousand times better and less sore than I have done any morning (or day) these past six weeks. Here's to rest and a supportive workplace!

On perceptions

Sometimes I feel I have to prove I am not just a red face. I have to prove that I can work hard, that I am smart and educated. I am very outspoken and don’t let my appearance hold me back. I am also mindful of the perceptions of having an illness that appears the same to my colleagues every day. While my face might be the same level of redness each day, my level of pain differs from one day to the next. I might be smiling but I'm in pain. I might have been well yesterday but it's hard to walk today. I worry about the perception of sick leave – what if I feel fine one night when I see a band but wake up the next morning with awful painful infection (due to no fault of my own)? What will my colleagues that don’t know me so well think? It's hard.

My first job

My first job was a casual role at a large department store. It was a big boost to my confidence. I worked at the store for over three years while studying at university. Work was so different to school. I made many lasting friendships. I often wish I had started working in a casual job sooner.

My first job helped teach me professionalism. It was obviously a very public role and I was faced with constant questions about my illness. I grew more confident in handling these questions. I was always careful to represent the store professionally while also ensuring I was being respected.

Once I was called a “lobster” by a customer while I was in uniform. This upset me. But I was unsure about whether I was allowed to respond. The store manager and I discussed my situation. He gave me permission to tell someone that I did not want to serve them if they were rude. It was reassuring that my colleagues were willing to stand up for me.

My day job

I work as a public servant - I have done for 11 years. I have chosen this employer for many reasons including the leave conditions and diversity policy which is accommodating to my condition. I don't have any physical workplace modifications as such - except I do get a new keyboard and mouse regularly because of the germs - but I do have modifications that involve understanding and flexibility - that goes too ways. When I'm at work I put in 110%. When I'm not able to, my workplace understands.

I have access to flex time at the public service. I use this to attend scheduled hospital appointments so it doesn’t eat into my sick leave. If I wake up sore, text my manager telling them I’ll be late and take my time getting into work, and leave early if necessary – again, taking it off my flex balance. By not pushing myself to do a full day, I am looking after my health, allowing myself to rest and recover, saving me (and the workplace) sick days.

I have also been able to obtain a long term doctors certificate for a recurring illness to use for five days of sick leave a year – while it’s not additional sick leave, it means that I get an extra 5 days where I don’t have to go to the doctor to get a certificate for my recurring illness. Proudly, I only had 12 days of sick leave last year – and about 8 of those related to my skin.

I learnt that not every job is for me, even if it is office based. I knew that I couldn’t be a marine biologist or a doctor because of my skin, but I never thought an administrative office job would be challenging.

I have had roles where my health suffered. For example, I found it difficult to cope with tight service standards. I often had to take leave for hospital appointments. There were also sometimes unplanned leave when I could not work because of my illness. My absences made it difficult for my colleagues because my work would pile up. Sometimes I would be questioned about why I was taking so much leave. Those experiences brought my confidence down. My health also worsened. I had to take time out and get the support I needed.

Once I found a role that suited my interests and skills - and a bonus to have amazing managers - my health improved so much. There's a saying that if you enjoy your work you'll never feel like you're working. And my career has been that way for years now, give or take a few months.

One of the best things I have learned in my career is to be upfront about my disability. I've told my managers and colleagues what it means for me. I have also talked about my limitations and (most importantly) my strengths. I have told them that there are hospital appointments I have to attend. There will also be days where I am not well enough to come to work. They understand that.

I have made a decision to be really open about my condition and needs. I acknowledge that disclosure is optional but in my experience, disclosing my Ichthyosis (there's no choice not to!) has helped. When I get a new manager, I talk to them about my skin, what it means for me and what it means for them as a manager. I've given them medical and anecdotal evidence about my condition and invited any questions. I also let them and the team know when I'm leaving for hospital appointments. Regular hospital appointments (bi-monthly) are generally scheduled first thing in the morning or towards the end of the day so I can go there straight from home or from work.

I only take sick leave when I'm sick - because I can't afford to waste it. For many years now my sick leave used to run out and I'd use annual leave or purchased leave when I'm sick. The supportive workplace and enjoyable and suitable work has meant that I'm able to roll over my sick leave. Yay!

I've also become involved with diversity and disability initiatives in my workplace.

Freelance work

Freelance writing and speaking is work too. And I feel super busy - always. I come home from my day job and work.

I prioritise my life (in relation to work) this way:

1) My health

2) My day job

3) Every other commitment.

If I'm not well enough I say no. If I can't make a deadline outside my day job I say no. I hope editors and blogging partners understand.

I'm also mindful not to be perceived to be doing other work while I'm on sick leave from my day job. My own values dictate that I'm always seen to be doing the right thing when it comes to my day job - after all they pay me so I can do all the other fun stuff. I will do a little social media for myself at home, but generally I don't blog about big issues or write or speak for others when I'm unwell. Lately I've been organised enough to have a heap of posts batch-written and guest posts to go. So the pressure to produce blog content has subsided a little.

I've been careful to balance my day job with my freelance work, advising the media department of any publications I feature in, talking to my manager about my goals inside and outside my day job and also talking through situations where there may be a conflict of interest. I've familiarised myself with social media policies and public comment policies - and am mindful of these in everything I do. However I still have a voice - most recently attending a protest to save ABC Ramp Up - I was I interviewed on the news but made careful decisions about what I answered in relation to the protest and the importance of disability media and also government policies. It can be tricky.

On discrimination

I need to be careful what I write about here - but there has been times when I've felt very uncomfortable with peoples' reactions when they meet me. For quite some time I was 'the face' of my building, in a very internally public role. I never had overt reactions, but living with a facial difference for my whole life has meant I'm good at reading expressions and recoiling body language. I always go to shake peoples' hands and look them in the eye and haven't been afraid of leading a discussion or speaking in front of a workplace audience. One woman told me she couldn’t handle looking like me, but I laughed that one off and turned the example around and used it in a skit in my community TV work.

The times I have felt uncomfortable have been met with wonderful support from managers and peers after I've spoken up. As I said earlier, I'm fortunate to work somewhere with a diversity policy.

Balancing it all

I make lists, schedule hospital appointments in my calendar and try to prepare food for the week on a Sunday. I am a big believer in eating well to be kind to my skin, boost immune system and maintain energy so I take home made lunches to work - so I know what I'm eating. The slow cooker gets a lot of use in winter!


Changing Faces' What Success Looks Like initiative has got some great resources about talking to your employer about your facial difference - which can apply for all types of disabilities I think. It also has some tips for employers when interviewing and working with people with facial differences.

The National Disability Recruitment Coordinator and Australian Network on Disability are also great organisations who support employees with a disability and their employers.

Top three tips

Look for employers who are supportive of diversity.

Choose a job that suits your health. Consider the pressures, the shifts, the type of work. Go part time if needed.

Be upfront about your disability. Disclosure is optional but it can also lead to better support and understanding from your employer.


I'd like to acknowledge just how hard it can for people with disabilities and chronic illnesses to get into the workforce. The physical and attitudinal barriers are astoundingly disappointing and there's a distinct lack of opportunity. There is still bigotry and fear around disability. I really hope the barriers to employment are lifted in my lifetime.

Tell me: have you experienced barriers to employment? How do you talk to your managers and colleagues about your disability or illness? Are you confident to?



  1. Outstanding article Carly. I love your style

  2. your blog has been really encouraging to read as I have recently lost my job and I don't believe my boss was 100% upfront and honest as to why she didn't renew my contract. :)

  3. Great post. I agree completely, having a supportive workplace with whom you feel comfortable talking with about why you may need time off etc makes such a difference. I have had one or two jobs in the past that were not supportive with mental illness and it made going to work even harder. Now I am lucky enough to be employed with a great company and my boss could not be more understanding when I need time off for doctors appointments, or if I am not going great. It makes it so much easier when you know you aren't being judged and instead will be supported.

  4. I wish more people felt this way about working - not just those with long term conditions but those without too. I've always worked either part time through education or full time afterwards and its so rewarding. I've had the last 15months off work to be a full time mum to my son who has EHK but I'm just starting back working part time now. I love your blog posts

  5. I have bipolar II and GAD (generalised anxiety disorder). I find because my illness is not visible (and because it is a mental illness with a lot of stigma attached), that workplaces are not always tolerant of my health and wellbeing needs. I find it really difficult to be open with my more recent managers because of bad experiences in the past. As a rule, I don’t tell people in the workplace that I have bipolar or anxiety because people have this preconceived idea about bipolar and expect behaviours that I don’t have (like manic phases). They also don’t understand that sometimes I can do a task without anxiety and sometimes I can’t. They also don’t understand that I can be a confident public speaker and not be anxious about that, but that doing some other seemingly minor task makes me ridiculously anxious. Not to mention in my profession, having a mental illness sort of seems quite ironic. I know I need to tackle the stigma and it might help if I was more open but I just don’t have the spoons for that (I’m assuming you know about spoon theory?). Sometimes it is all I can do just to get to work each day. I also don’t cope with full time or permanent part time work. I can do it for a month or so and then I just burn out. I want to work. I really want to be in my line of work. I really want to contribute but sometimes I just feel like I can’t and that no one in their right mind would employ me if they knew how many sick days I might need (I never know that myself until the day I just can’t do it anymore or I am overcome with anxiety). I don’t want to be ‘the crazy one’. I don’t want to bring more stigma on other people with a mental illness because of my own unreliability etc. And I feel like I am unreliable because of the episodic nature of my illness. Sorry, this has all just come rushing out and it is complex and difficult to justify/explain. So much of my self worth is tied up in being able to work, in what I *do*. I do a lot that doesn’t bring in an income and I can work that around my illness. But a normal 9-5 job? I can’t do it. Even part time is hard. My best jobs have been casual but there isn’t a lot of work available in my profession for casual or freelance workers. Self employment is an option but I don’t have the funds to establish that at the moment. Sorry for blurting this all out but it is a really big issue for me and your post has made me think about how bad I feel because I can’t work the way I want to. I am SO SO glad for you that you have supportive managers and coworkers. I hope it stays that way for you forever.


  6. Your blog is good and post informations is very usefull .

  7. I miss my public service leave and flex time!! They were great when I was going through having IBS and anxiety...


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