Honestly the idea of someone somewhere out there getting off on my chronic pain is so soothing to me. Like, do I get off on my fibro pain or my IBS or my fatigue or my mystery gas? No, not in the slightest. These things are disabling and cause me a lot of pain and stress, I personally do not find them hot.
But, like, someone ELSE seeing my broken garbage body and thinking it's the hottest thing in the world? Love that. Amazing. You are an angel sent from heaven.
I think it comes down to how stigmatized disability and health issues are and how badly they impact my personal relationships. Even my own partner can't hide their frustration when my disabilities disable me. It's a very isolating experience that just leads to more isolation.
Someone not just being *okay* with seeing me in such a state, but actively WANTING to see me in such a state, getting off on seeing me in such a state, that's just very appealing.