Living with NF1: Stories of Strength from Joan and Charis


Two young women face the challenges of Neurofibromatosis Type 1 with courage, compassion, and quiet resilience.


Real-life stories of two young women living with Neurofibromatosis Type 1 (NF1). Discover their struggles, strengths, and what makes them unforgettable.


What Is NF1?

Neurofibromatosis Type 1 (NF1) is a relatively rare genetic condition that causes tumors to grow along nerves, often in the spinal column or brain. Though the tumors are usually benign, they can sometimes be cancerous or lead to significant complications, especially when they interfere with vital functions like vision or movement.

In my years working with students, I’ve had the privilege of knowing a few remarkable young women who lived with NF1. Their journeys, though different, were marked by determination, dignity, and deep kindness.


Joan’s Story: Quiet Courage and Big Dreams

Joan is someone I’ve known since birth—her family is connected to a dear friend of mine. She and her twin sister Janie were both born with NF1.

At age 9, a tumor attached itself to Joan’s optic nerve, ultimately resulting in the loss of her vision on one side and removal of the eye. Since then, academic tasks—especially reading and writing—have been visually exhausting. With no depth perception and no diagnosis of a specific learning disability (though one may have existed), she managed to graduate from high school without ever receiving special education support.

Now in her early twenties, Joan is a new mother and recently married. During her pregnancy, the NF1 flared—resulting in the growth of new tumors, one of which lies near her spine and cannot be removed. It causes intense, jolting pain if bumped or touched. Yet you’d likely never know she suffers; she is extremely private and rarely speaks of her challenges.

Joan dreams of a future in the medical field. Once her daughter becomes more independent, she hopes to train for a nursing role so she can care for people the way she wished someone had cared for her during those frightening childhood years.

She is one of my heroes.


Charis’ Story: Steady Spirit, Creative Soul

Charis was a middle school student I taught, and the firstborn of a devoutly Christian family. Among her siblings, she was the only one diagnosed with NF1. Like her sisters, Charis was diligent and had a wonderful attitude, but she stood out for her creativity and strength of mind.

NF1 made some things harder—particularly moving math facts into long-term memory. There were days she was simply too exhausted to concentrate, especially when tumors were active in her brain. At one point, she withdrew from school to undergo medical treatment and later returned, showing both physical and emotional resilience.

I had the opportunity to teach Charis’ younger sisters briefly, and the entire family left a lasting impression on me. When they moved away just as Charis began high school, I lost track of them, but I still remember their kindness, faith, and strength.


Quiet Heroes Among Us

Both Joan and Charis remind me that courage doesn’t always roar. Sometimes, it looks like showing up for school on a hard day, raising a baby despite chronic pain, or quietly dreaming of helping others—even while still healing yourself.

NF1 presents real, daily challenges. But these young women faced them with grace, humility, and grit that continue to inspire me long after our paths crossed.


If you know someone with NF1 or another invisible condition, take a moment to recognize their strength. And if you’re an educator, mentor, or friend walking alongside them, never underestimate the power of your steady support.

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