
One of the biggest challenges I find with an invisible disorder like PKU is nobody ever sees the inner turmoil. My battle with PKU is completely down to me. Some days it feels like I’m floating in space, alone. This journey is mine to take, and I take it solo. Some days I feel like I’m at war; me against the world. I must plan, fight and defend continually, just to stay in control of my destiny. It’s exhausting, but I can’t stop. Yet on the outside, I appear like any other ‘regular’ guy going about his daily life.
PKU is like a ‘monster’ that lives inside of me. It’s like having a personal devil willing me to fail, forever in the background chipping away at me. I can keep ‘him’ quiet and locked away in a cage, but only if I eat the right foods and stick to the PKU diet. If I deviate from the diet, even the slightest bit, his voice starts to get louder. ‘He’ uses distracting tactics, stopping me from creating my meal plans or batch cooking; making me reach for the wrong foods. Eventually, escaping from his cage, ‘he’ takes control. Once he is in control, I am out of control and at the bottom of what I call the ‘PKU spiral’.
This is the lowest point that PKU brings me down to and it’s a lonely place to be. Sometimes I have the strength to react quickly and fight back straight away. If I eat nothing but low protein foods for 24 – 48 hours, I can block him out. But if I can’t, it takes a huge amount of energy, especially when I am already struggling with fatigue. If you can imagine a Nasa space shuttle launch, that is how I would describe the energy needed to shove ‘him’ back in his cage.

The ‘monster’ has been in charge of the steering wheel for more of my life than I have! And ‘he’ believes he should still be driving. ‘He’ doesn’t want me to succeed and ‘his’ voice is in my ear, tempting me when I am at my weakest. Once you have been off diet, he always has leverage against you and ‘he’ will use it against you!
Only in recent years have I understood how much PKU has had control over me. More than I had ever realised. The impact on my life has been far greater than I had ever given it credit for. I have spent much of my adult life ignoring the fact I have PKU. I had just put it in a box in the back of my mind and shut it away. I have only recently realised this ‘monster’ has been running things for most of my adult years. Now at 46, I am starting to regain control of my life.
It has been about a year since I discovered I hadn’t been in the driving seat all this time. The truth was ‘he’ had been out of his cage for two decades now, and this meant it was going to take a lot of effort to get him back in again and even more to keep him there!
Life with high Phe (Phenylalanine) levels, combined with stress and high-pressured situations are dangerous territory for a PKUer to walk in. In these situations, I find I am prone to acting irrationally, leading to very poor decision making. Worse still, if I need to make big decisions quickly I will run for the hills and hide because I can’t cope with the situation.
High Phe levels seem to cause a complete breakdown in my capability to quickly assess and deal with intense situations. My natural reaction is to go into fight-or-flight mode. Looking back through my life, the fight-or-flight mode explains so many of my struggles.
As an upper junior (year 5-6 now), I was an angry child. The real me was terrible at standing up for myself. I was hopeless at standing my ground. However, during this period of primary school, I was always fighting. Often over the silliest things. As I reflect now, I can see that I had zero tolerance. Someone simply calling me names would very quickly have me wildly swinging for them!I would often find myself looking for an excuse to fight. If I was feeling irritable, I would scour the playground looking for somebody who was picking on someone else, and then I would start on them. It was as if I had no control over my emotions. The anger just came out of its own accord. I do question now, if this was the first time I had experienced ‘the monster’ taking the wheel off me?

One day during my final year in primary, I had gotten myself into a blind rage with a kid who was always deliberately winding me up. I snapped and got into a big fight with him. Not only did I hurt him, but I accidentally hit the teacher when he was trying to break us up. Fortunately, the teacher understood that I had caught him purely by accident, but the incident really did scare the hell out of me!
It was at this point, I realised I couldn’t go through my life fighting. I had become frightened of myself and so I suppressed my anger, making flight my new default reaction. I went the other way and just absorbed anything that was thrown at me. I managed to get through secondary school without getting into a single fight. I did take a few hits from kids at school, but I just sucked it up and walked away! I guess you could say I grew myself a thick skin.
As my Phe levels get higher, I’ve learnt the thick skin I’ve developed seems to get thinner. When it can’t absorb anymore, I go into flight mode. I learnt to control which way I would go; to fight or to fly, because I’d become scared of what damage I could do as I grew bigger and stronger; hence, I always chose to fly. Sometimes, flying instead of fighting your corner is the wrong thing to do. Sometimes you need to stand up for yourself. But I can’t.

If you ask anyone who knows me, they will tell you I am a kind, caring and gentle person. When my PKU isn’t under control, it smothers me and my ability to think rationally. It will heighten my sensitivity to my surroundings, noises, conversations and distract me; keeping me from focusing on what I am trying to achieve. When it is not under control, it influences my decisions and stops me from being the real me. I have no choice but to fight my war, for every hour of every day, for the rest of my life. There are people working hard to provide us with new treatments; who knows, maybe even in the future, a cure! A cure would banish ‘the monster’ from my life forever, and that would be amazing. But every new treatment will at least make the cage stronger. It will make his voice quieter. Increasing the chances of me being in control of my destiny and reaching my full potential in life. This is my dream and no doubt a dream I share with everyone who struggles to live with PKU.
Images courtesy of Specna Arms, Lil Artsy & Rodnae Productions



























