I get it "out of the way" with my doctors right away as sometimes it makes me act weird and I want to be able to say, "courtesy of my lovely stepmother" or some other shorthand that they'll understand immediately. I can't urinate on demand, for example, or empty my bladder and "organizing" that so everyone understands and I don't have to feel guilty or at "fault" or asked to "just try" and idiot things like that helps.