Spankees with serious health problems

I've been noodling over a story with a spankee who has significant medical problems. Kelly Dawson wrote one years ago (not on LSF) about a young woman with Tourette's Syndrome. Rachel Burns wrote a great but poorly edited, series (Have a Heart) with a grave, congenital heart condition that causes her to miss many classes, and rack up many 'incomplete' grades. She is highly intelligent, but her record doesn't show it. She is sent to a private school (w CP) mostly for post-senior year high schoolers who need to pull up their grades to get into college. The person in charge of her CP doesn't know she has the heart condition.
I'm hoping to find (1)similar stories about spankees with medical conditions ... and/or (2) medical conditions that could lead a behaved young miss to appear naughty, disobedient or disrespectful... etc.

ADHD might do it, or simply high intelligence - a high IQ could lead to a student appearing bored and inattentive, answering questions before the teacher's finished asking them, correcting the teacher on minor points and so on.

I agree with @myrkassi - ADHD is a good one because there are ways to cope with it without it being so severe a medical condition. I have ADHD and there are *plenty* of times I could have worked harder, better, ect. but didn’t because I wasn’t taking good enough care of myself. It seems unfair to me to punish someone who’s physically/mentally incapable - but then again, this is all fiction so… doesn’t super matter.

True story if a bit off topic. A friend of mum and dad's at university in the 1970s suffered with haemophilia and was unspankable in a world where nearly everyone was spanked
He died in contaminated blood scandal so I don't remember him very well but by all accounts he was a real brat.
His sister felt their dad's slipper frequently. I'm surprised that she didn't get mad that when they were partners in crime she walloped and he wasn't.
All she ever said was he suffered much more pain each time he bumped himself.

I'm sure there's a story in that household.

I've tried Googling this topic, but all it comes up with are studies showing spanking is bad for children's brains, or that spanking therapy can help relieve stress in adults - nothing about how someone with a medical condition can safely experience a spanking. It seems to be a subject that opponents of 'ableism' have overlooked!