Advancing disability rights and leadership globally®

From the US to Ireland with Hydrocephalus

View this article as it appears in the AWAY journal (PDF).

Lindsey, a white woman in her 20s or 30s, sits on a rock formation next to a calm sea and soft gray sky. She wears a long blue sweater and hat and smiles at the camera.
Lindsey at the Giant’s Causeway, a UNESCO World Heritage Site in County Antrim, Northern Ireland

My first experience with international exchange was as a child when my  family in the United States hosted students from Belfast, Ireland through the Project Children program. Staying in touch with one of our visitors throughout the years had always left the lingering desire to explore my Irish roots and travel in the opposite direction, but the trip  was never a forgone conclusion.

My Chronic Health Condition

I was born with Hydrocephalus which is a neurological condition that causes an abnormal fluid build up in the brain that can be fatal if untreated. The Hydrocephalus experience varies greatly from person to person but the most common treatment is a surgically implanted device called a shunt. There is no known cure. At the time I began pursuing international education after college, I had 6 total brain surgeries, all during childhood, all emergencies. 

Lindsey stands outdoors wearing black graduation cap and gown, with a blue stole around her neck. Behind her is a wide gray building with reflecting pool/water fountain and green lawn. The sun shines through overcast sky.
Lindsey celebrating graduation day from the MSc Equality Studies Programme at University College Dublin.

The idea of leaving my support system elicited many doubts. Could I get my medications? How could I afford it? Who would help me if I got sick? Over time I would come to see these questions as starting points rather than disqualifications. 

A series of small steps made  an impossible international move suddenly seem manageable. I started as a resident student during my undergraduate studies. In time I took trains and planes independently, went to doctors’ appointments alone, and did a post graduate service program out of state. These deceivingly minor accomplishments built on one another and, eventually, a chance conversation with someone visiting New York from Ireland was the push I needed to start researching programs, and it wasn’t long before I found a match.

The Equality Studies Programme at University College Dublin (UCD) was a unique combination of everything I enjoyed, wanted to learn about, and hoped to pursue as a career. I was immediately sold and on the path to Dublin. 

From Non-starters to Starting Points

A key part of my research was taking the time to reflect on my personal parameters for going abroad. I needed certain medical facilities. I only spoke English and I didn’t feel comfortable translating my needs, especially in an emergency. I had a deadline to finish my degree to keep my teaching license, and I also wanted to complete school before aging out of my parents’ health insurance plan. 

Lindsey, wearing a coat and scarf, leans over a low fence, holding a container of food in one hand, and allowing one of two gray-brown donkeys to eat from her other hand. Lindsey looks over her shoulder to smile at the camera.
Feeding donkeys while traveling the Ring of Kerry in County Kerry, Ireland.

Managing my disability while abroad became a degree program on top of my masters. As a disabled non-EU student, I found applications, immigration, student loans, and travel processes fraught with institutionalized barriers. I had to source new doctors, navigate the immigration system, and do all of this on top of finishing grad school and also trying to immerse myself in a new culture. Honestly at times it felt impossible – and realistically, it was. Spoon Theory really helped me to understand why. I only had so much of myself to give on any day. I was familiar with the saying “you can’t pour from an empty bucket” and it’s incredibly accurate. 

However, I was well connected with pre-departure support like my local UCD Global Centre in New York and eventually the UCD Access and Lifelong Learning Office, as well as resources from the NCDE that were incredibly useful at all stages of my exchange. I consulted directly with my medical team but had also contacted Spina Bifida Hydrocephalus Ireland to better understand the local culture as it relates not only to my condition but disability as a whole. Lastly, I was supported by my connection to the international Lasallian education network, a global collection of educational centers advancing the mission of St. John Baptist De La Salle to bring a quality education to those at risk of exclusion. Lasallians welcomed me to Ireland and continued to step in as a local “family” at all stages of my time abroad.

Lindsey speaks into a microphone in a conference room in front of a screen displaying a colorful presentation and MIUSA logo. A sign language interpreter nearby stands, signing as Lindsey speaks. A woman wearing a gray head scarf and dress listens, seated at a small table.
Presenting at a National Clearinghouse on Disability and Exchange event

My key reasonable accommodations included  receiving lecture slides in advance, recording my classes, and flexible deadlines. Part of my disability involves chronic pain and trouble sleeping, which can make following extended lectures difficult. Being able to review the content and really take my time with comprehension made a huge difference. 

The Unthinkable Becomes Thinkable

After completing my graduate school program, I continued living and working in Ireland on the 1G stayback visa which coincided with the COVID lockdowns.  My worst case scenario – “what if I need brain surgery while abroad” – became significantly amplified. Now, it was “what if I need brain surgery during a global pandemic, in a lockdown, under significant travel restrictions.” And ultimately it became my reality. After over 15 years of being surgery free I was glad to have  taken the time to really, truly, plan for how I would successfully navigate falling ill abroad. My  worst-case scenario really was incredibly manageable. 

Selfie of Lindsey smiling into the camera, wearing a large orange scarf and green sweater and hair braid draped over one shoulder. In the distance behind her is a dark sea from which high green-capped cliffs emerge.
A visit to the Cliffs of Moher in County Clare.

This is where I had the opportunity to really reflect on my experience with invisible disability. Nobody would ever know it’s there unless I said something– and I often want to scream it. Despite having a chronic illness, I had never used reasonable accommodations in school or work unless it was related to surgery. Going abroad was the first time I asked myself, why would I only set myself up for success during the worst case scenario of being in the hospital? The day-to-day matters just as much.   

The time and energy I dedicated to going abroad has made an incredible impact on me! I focused my thesis project on disabled international students in Ireland, my advocacy led to more healthcare options for internationals with disabilities, and I have found a career in inclusive international exchange. I  look forward to contributing to a future where Disabled students can just be abroad and enjoy the program they’re enrolled in without having to focus any extra energy ensuring  it is accessible for them.

How a Sunflower Promotes Accessible Air Travel

Lindsey stands smiling at camera in a well-lit building, one hand resting on a cane, the other hand giving thumbs up. Around her neck is a green lanyard with sunflower badge. Next to her is a sign that reads “Not every disability is visible - some are hidden.”

Some people with disabilities may require reasonable accommodations when they travel. Disclosing a disability can be challenging, and this is often amplified when a person’s disability is not visible. The Hidden Disabilities Sunflower program was created as a tool used during air travel for individuals to discreetly and voluntarily communicate to airport staff that they have a disability. By wearing the sunflower lanyard, you let others know that you might need specific assistance, understanding or just more time.

According to the program, the sunflower symbol was chosen as it is visible from a distance and suggests positivity and strength while being a joyful image. Visit the website to read stories of other travelers, find places that support people with non-visible disabilities, and locate participating partners where you can get a free sunflower lanyard to support you in your travels. More than 240 airports around the world have signed on to provide support for travelers with non-apparent disabilities through this program!

This article is part of the AWAY Journal – People with Non-Apparent Disabilities Abroad Issue.

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