In this episode of On One Condition, Sylvain talks to Niamh Foster about the ischaemic stroke she had at just 26 years old, a stroke caused by a blood clot blocking blood flow to part of her brain. Niamh describes the middle-of-the-night onset she initially put down to stress, the drooping face and slurred speech that finally sent her to hospital, and the ten transient ischaemic attacks (TIAs), or mini-strokes, that had quietly warned her for weeks beforehand, mistaken at the time for migraines. Doctors eventually traced the cause to a two-centimetre hole in her heart — a patent foramen ovale (PFO) that many people are born with and never notice, unless, like Niamh, it lets a clot travel straight to the brain. She talks openly about relearning to speak through aphasia and dysarthria, the frustration of losing words she knew perfectly well, and the fourteen months off work that felt like watching her life pause while everyone else's carried on. That period also led her somewhere new: from a career in fashion into a job supporting fellow stroke survivors at the Stroke Association, now contributing to the very Life After Stroke group she once attended as a patient. This episode is about diagnostic delay, the science of neuroplasticity, and finding purpose on the other side of a life-changing event. The song that Niamh chose is I'm Still Standing by Elton John.
Andrew is the father of Diego, who was diagnosed with peroxisome biogenesis disorder (PBD), a rare and potentially devastating genetic condition affecting an organelle found in every cell of the body. Andrew shares the emotional reality of receiving a diagnosis when doctors could not tell his family what the future would look like, and that there were no treatments available. But alongside the uncertainty came a determination to understand the disease and do something about it. What began with Andrew learning how to read scientific papers and reaching out to researchers eventually led him to leave his career and work full-time to build an ecosystem around peroxisome research. The conversation goes beyond Diego's story. Andrew explains why the peroxisome has historically received far less attention and funding than other areas of biology, and why changing that requires more than scientific discovery. Ultimately, this is a story about turning an incredibly difficult diagnosis into purpose, while never losing sight of the child and family at the heart of it. Andrew chose the song Un Poco Loco by Anthony Gonzalez and Gael García Bernal.
Katie's journey with hypoparathyroidism began unexpectedly, following surgery for thyroid cancer in her twenties. What followed was a profound period of uncertainty, brain fog, fatigue and loss of independence, during which Katie often had to become her own advocate while struggling with the very symptoms that made advocacy difficult. Her story is also one of resilience, community and partnership. She describes how family and friends helped her through some of her darkest moments, how a clinical trial became a turning point in her treatment journey, and how working alongside her physician, the patient community, pharmaceutical companies and the FDA ultimately helped bring a treatment to patients. Most importantly, Katie reflects on what it means to have your voice heard when living with a rare or chronic condition. Her message to everyone working with patients is beautifully simple: patients need to feel heard, understood and believed. The song that Katie chose is The Cure by Little Mix.
Monica shares her extraordinary journey through years of unexplained pain, repeated misdiagnoses, and a 20-month diagnostic odyssey that ultimately led to confirming that her symptoms were real, and that she was suffering from Craniocervical Instability (CCI), Chiari malformation, tethered cord syndrome and Ehlers-Danlos syndrome (EDS). What begins as a story of a healthcare system that repeatedly failed to recognise a rare condition becomes a powerful conversation about resilience, advocacy and finding purpose through adversity. Monica speaks openly about losing her health, career and identity, while also explaining how she reclaimed control by becoming an advocate for rare disease patients. She discusses the realities of navigating insurance denials, undergoing an eight-hour neurosurgical procedure, living with permanent disability, and why she is passionate about improving awareness of the relationship between connective tissue disorders and menopause. Throughout the conversation, Monica demonstrates remarkable optimism, showing how writing, visualization techniques and advocacy have transformed one of the darkest periods of her life into a mission to help others feel seen, believed and less alone. The song that Monica chose is Man in the Mirror by Michael Jackson.
Janee lives with Ebstein's Anomaly, a rare congenital heart defect that has shaped every stage of her life. Diagnosed at birth and undergoing open-heart surgery at just seven years old, Janee shares the physical realities of living with arrhythmias, repeated hospital admissions, and the possibility of needing a heart transplant in the future. Yet throughout our conversation, what stands out most is not the medical complexity, but her remarkable resilience and positivity. Janee reflects openly on growing up feeling different, hiding her surgical scar, and believing she had to keep her condition to herself. She explains how finding the congenital heart disease (CHD) community transformed her self-confidence, helping her realise she was not alone. That journey eventually inspired her to create The Heart Connection, a non-profit supporting adults living with congenital heart disease through practical care packages and a growing community of understanding. This episode explores identity, belonging, fear, hope, and the extraordinary impact of finding people who truly understand your experience. Janee's warmth, honesty and determination shine throughout, making this an inspiring conversation about turning personal challenges into support for others. The song that Janee chose is I Lived by OneRepublic.