Do you think about grace when you get dressed in the morning? Has rising from your armchair to move into another room involved much thought beyond `I’m getting a cup of tea now’? Have you considered the role dignity plays in your moves? Over the last 5 years I certainly have.

Enjoying an outing today are we? This was a question I was asked when at my local garden centre recently. One small comment but one huge indictment on society’s perceptions of disability. The guy seemed nice enough, displaying well-maintained teeth in his wide, jovial smile, just another customer like me. Unlike me, he wasn’t in a wheelchair, and neither was my companion, who didn’t get asked if she was enjoying a nice day out.

On a ranking of awful things to say to someone this barely makes a mark in the thoughtful-to-heinous greetings scale but two things bothered me about this question:

Acquiring the symptoms of a progressive condition takes some getting used to but why do so many of us feel the need to cloak these changes in an ugly cape of lies (to ourselves and others), excuses and denial? Why do we cling to the old normalcy so frantically? And what harm are we doing to ourselves in the process?.