Royal Free Charity | Volunteer ambassador showcases scleroderma poem…

Volunteer ambassador showcases scleroderma poem at parliamentary reception

Rare Disease Day 2025

Nicola Whitehill, volunteer ambassador holding her two dogs.
To mark Rare Disease Day 2025, Nicola Whitehill, our volunteer ambassador, has written a poem selected by Genetic Alliance UK to be featured at a parliamentary reception event in Westminster. 

Rare Disease Day is an annual international day that raises awareness and highlights the needs of people with rare conditions.

Nicola lives with scleroderma, a condition that affects the immune system and can cause hard, thickened areas of skin, as well as problems with muscles, bones, internal organs and blood vessels.

Her poem chronicles her journey with scleroderma, a rare autoimmune disease she was diagnosed with in 1997 at the age of 24. The poem describes her initial diagnosis and her subsequent medical journey.

Nicola Whitehill, volunteer ambassador holding her two dogs.

More Than You Can Imagine

A poem by Nicola Whitehill

In 1997 aged 24, my life as I had known it, was to become no more. 

I was told that I had a rare disease, to which there is no cure, little did I know, as to what was about to lie in store. 

My symptoms of swollen stiff fingers along with very tight skin, difficulty with swallowing, all prompted diagnostic tests to begin. 

A specialised blood test, confirmed diffuse systemic sclerosis, also known as scleroderma, along with Raynaud’s phenomenon, with little medical understanding of cause and cure, at best. 

A life expectancy of fifteen months was predicted, combined with immunosuppressant and steroids as a temporary fixative. 

The following year, I transferred my medical care to the world expert doctors at the Royal Free Hospital in London, and to this expert centre I attribute, my still being here. 

Those initial years were touch and go, with frequent chemotherapy drips, back and forth to the hospital, like a yo-yo. 

Thankfully my name was removed from the stem cell transplant list, but by now I was unable to make a fist. 

My body had become the real life tin man, and my life into the world of disability began. 

Years of immunosuppressant, chemotherapy cocktails were my norm, in an attempt to calm my autoimmune storm. 

On 1st March 2004, I achieved my dream of becoming a barrister, and, after seven years of chemotherapy, I said no more. 

Unfortunately, the disease has caused irreversible damage, making it a full time job to symptom manage. 

Prevention of a Raynaud’s episode is key, preventing gangrene, antibiotics and amputation, ultimately. 

Living with a degenerative rare disease without a cure, is character building for sure. 

Medical research is my only hope to improve what lies ahead, and, I actually do most of my #SclerodermaFreeWorld awareness hobby, whilst in my bed. 

And although I am grateful to be semi fixed’, each day is a relentless challenge, with new symptoms added to the mix. 

Rare disease patients must unite, as we all have several commonalities within our plight. 

Early diagnosis, medical expert centres, access to innovative medicines and medical research, to highlight just a few, to the rare disease patient, these are nothing new. 

I have now spent over half of my life living with this body and dream hijacker, with the best medical team and hope as my elixir. 

Living with a degenerative rare disease without a cure, is most definitely more life changing than you can imagine. 

Nicola’s poem has also been published in Genetic Alliance UK’s new anthology titled More than you can imagine: an anthology of rare experiences’ which features a collection of over 60 submissions of lived experiences from people living with a rare disease. 

Contributors range in age from 9 to 71 and come from across the UK, including individuals living with rare conditions, their families, parents, partners, siblings, children, healthcare professionals and support organisations.

Scleroderma

Scleroderma, also called systemic sclerosis, is a complex and serious rheumatic disease that affects much more than the joints and muscles. Unfortunately, many patients develop scarring and inflammation in the blood vessels, lungs, kidney, and intestinal tract. This leads to problems that can be life threatening including pulmonary fibrosis, pulmonary hypertension and renal failure.

Fortunately, research efforts have improved the outcome for patients and work led by the Royal Free London and University College London has underpinned the progress.

The Royal Free Charity has provided generous support for research, patient care and education in scleroderma. Our unit cares for well over 1,000 patients with this rare disease and is the largest centre in the UK and one of the leading centres internationally. There are strong links with research scientists at UCL and with many key clinical services at RFL including plastic surgery, cardiology, pulmonary hypertension, respiratory medicine, nephrology, dermatology and gastroenterology.