1.) The young sick person looks around them, and sees their healthier peers excelling where they falter, ultimately, likely to surpass them in many or most ways.

2.) The young sick person looks around them, and sees that their life has already been irrevocably damaged or altered by their illness. They will never have lived a normal life, come the end of it.

3.) The young sick person looks around them, and often cannot find solace, comfort, company, understanding, or even a belief in their problems. This exclusion renders them unreachable, and they are left to fend for themselves. 6 months...12 months...waiting for a single hour of a doctor's time, to be rescheduled twice, perhaps finally to be told to "come back if it gets any worse".

4.) Four is the number of items in my list.