There are numerous disabilities that aren't immediately visible.
Like spleenism, for example. You don't walk with your spleen. The spleen is an internal organ for removing all the splee from your blood. When a dude has spleenism, he has way too much splee in his bloodstream and there's nowhere for that splee to go and it just builds up in your system until you're about 90% splee and really the only way you can tell is to pop a guy on the noodle and see how much splee comes out his ears. If it's a lot, then you've found yourself a spleener. Otherwise, you've just found yourself a real pissed off dude.
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