Holiday cruise left woman feeling permanently seasick
While Michele-Marie Roberts was enjoying a two-week dream cruise to Hawaii with her husband and two sons, she had no idea that her world would be turned upside down when she stepped on to dry land.
"I walked down the gangplank and collapsed - completely blacked out. I got the flight back home and I was staggering all over the shop.
"I was slurring my speech - on one occasion I blacked out while chopping vegetables," she recalls.
The holiday ended in January 2008 but Michele-Marie still feels as if she is on that cruise ship. She's been seasick for five years.
"It's like the disorientating feeling you get after coming off a waltzer at the fair - all the time. It's horrendous."
When it is at its worst, even lying down doesn't help, she says.
Mal de Débarquement Syndrome (MdDS), as the condition is known, is extremely rare and very little is understood about why it occurs and what can cure it. Few doctors have even heard of it.
Michele-Marie, from Berkshire, was sent for an MRI scan and tested for multiple sclerosis and a range of other disorders before she was finally diagnosed six months after her cruise, thanks to doctors at the Royal Berkshire Hospital who recognised her symptoms.
But not all sufferers are quite as lucky - many can spend years looking for a diagnosis.
Unsurprisingly, feeling sick and in motion every minute of her waking life has taken its toll. She says it ruined her marriage because she could no longer look after or home-school her two sons, who are autistic, leaving her husband to take on the role of full-time carer.
After the divorce, at the age of 49, she had to look for a job for the first time in years, despite feeling physically and mentally drained by the persistent seasickness.
She was employed for a while but the experience was too draining so she decided to set up her own business - a dating agency called Wavelength for single parents of special needs children.
"I have days when I feel sorry for myself and there are days when I wake up and I wonder if it's gone away. But then it says, 'da-da - here I am'."
There are times when the syndrome can feel particularly debilitating, such as when she feels stressed, when shopping in supermarkets and using a computer.
Strip lighting can also aggravate the feelings of rocking and swaying.
Thankfully there are activities that alleviate the symptoms too, she says, including vigorous exercise, swimming and driving. She does at least two hours of exercise every day to help her cope.
"The more motion I am in the better," she explains.
"So I love Zumba, but when I stop it looks like I've consumed all the sherry in the trifle."
But she will never go back on a boat, despite loving the sea, because of the risk that her condition could get even worse.
Michele-Marie believes that she was susceptible to Mal de Débarquement syndrome because she was a women in her 40s who suffered from migraines - something suggested by a research paper from 2009, although the link is not straightforward.
She wants other women to be aware of her story so they can decide if they could be at risk too.
The same study found that MdDS was a disorder of brain plasticity, which means that the neural pathways in the brain are unable to change in response to changes in behaviour or environment.
In particularly rough seas during the cruise, Michele-Marie says that everyone was falling over and suffering from seasickness apart from her. Yet on dry land, she is the one slurring her words and being mistaken for being drunk.
"You think you're going bonkers when you have MdDs. You feel so isolated. The doctors did tests on me and there's very little they can do," she explains.
"I feel I was predisposed to it - and other women should know about it."