If the work is pure then you have to think it could be understood. If it is not understood it doesn't mean that your work is not accessible. It doesn't worry me, but, of course, I would be pleased if people liked my work.
I have worked enough and I am happy to be touring the country speaking about living with MS to give people inspiration and motivation to help themselves.
The highlight of my childhood was making my brother laugh so hard that food came out of his nose.