Here’s a few things about disability: disabling conditions can be variable, intermittent, and invisible to others. This means that not only do you, an observer, not know for sure if someone has a disability, but it also means they might not know. It’s incredibly easy to gaslight yourself in the culture we live in – you feel tired because you’re lazy, or that pain is just weakness leaving your body, etc etc.
I am diagnosed (genetic test and all, for you weirdos demanding doctor notes) with a condition like this. My brother, mom, and paternal grandfather almost certainly have/had it as well. I’m the only one actually diagnosed, because it resulted in an acute injury (arm paralysis) that forced me to to get it checked out, and I lucked out in getting referred to a neurologist who was familiar with the condition.
Before that diagnosis, I had decades of symptoms. I assumed most of them were a) laziness, or b) normal body problems, because that’s how it works in my local culture (and given it’s genetic, they were pretty normal body problems in my family). That type of thinking led me not only into damage I could have avoided, but it nearly got me killed at least once because my internal sense of body calibration was so off (I went hiking when I was severely anemic, because I brushed off the fatigue as mere laziness).
My granddad, and now my mom, were miserable in their old age. The disability didn’t prevent them from working, it just made them hard to deal with when they worked, and physically and mentally broken after they retired. I don’t want that to be my future.
I say all this because it’s really easy for me to imagine being driven to making life choices by a combination of undiagnosed health issues and masculinity aspirations that could come off as outright bizarrre to an outside viewer. And I wouldn’t be able to explain them very well in that case, because I would probably feel a lot of defensiveness and shame.
Not everyone understands themselves well. Self understanding doesn’t seem to be part of either traditional masculinity or femininity, and I don’t think it needs to be gendered, but I do feel like it should be considered a more important aspect of adulthood.