I’m really sorry to listen to that you just’re feeling unwell in your birthday and that you just haven’t obtained any birthday needs. It’s a difficult state of affairs, however even throughout tough instances, there are individuals who care about you and need to make your day brighter. Your family members will not be conscious of your situation or might merely want a reminder. Attain out to them, and allow them to know the way a lot their well-wishes would imply to you. Birthdays are a time for help and love, and there’s nonetheless a chance to attach with those that care about you. Wishing you a day stuffed with consolation, therapeutic, and the heat of birthday blessings.