Kimberly Hirsh helpfully explains some truths about chronic illness and I just wanted to throw in a couple of things when it comes to spoons. I’m glad that Hirsh notes that the number of available spoons is an important issue left unaddressed in the original spoon theory; it’s something I’ve brought up, too. It’s important to add that for some physical, mental, or developmental disabilities certain tasks which societal norms might see as unitary might in fact be experienced as multiple tasks, further complicating the question of having sufficient spoons. Task-switching itself therefore can be exceedingly difficult and even has its own explanatory metaphor—splines theory—which I’ve discussed before.