Just by opening with the phrase "I'm a cripple", Nancy has already set a serious tone for the reader who is now asking questions about how she is limb and why did she say this? This is her declaring her own illness, so this phrase prepares the reader to be included in a serious topic about her life. Using the word isn’t necessarily welcoming given by the harshness of the word and the fact that Nancy knows how people will react to it. "Maybe I want them to wince," she says, knowing what kind of reaction this word can cause. Although it comes off as a serious/harsh tone, there is another tone of acceptance or maybe peace in there because of this admission. "Honesty underlies my choice," Nancy reveals, which illustrates the fact that she is not
