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in Health &middot May 14, 2018

Helping Someone with RA

1 in 4 Americans have a form of arthritis and 1.5 million Americans live with rheumatoid arthritis specifically. Rheumatoid arthritis (also known as RA) is a form of autoimmune arthritis, meaning that it’s an autoimmune disease rather than wear-and-tear. This is the form of arthritis that I have, and as you guys know if you follow me on Instagram, I’ve been talking about arthritis for all of May because May is Arthritis Awareness Month. While sharing my experience living with RA, I actually got a message from someone who is the child of an RA patient and I was asked if I could write about how they could help their parent. I’m more than happy to do that because I know that there are way more than 1.5 million Americans who are affected by RA. If every RA patient has one person who cares about them, that’s a total of 3 million Americans affected by RA, and most people have way more than one person who cares. I hope that this post helps all of you who are affected by RA although you don’t have it.

All posts about arthritis

1.5 million Americans have RA (rheumatoid arthritis), and even more than that care about someone who has it. If you're one of them, have you ever wondered about how to help RA patients? I've lived with it for nearly two decades, so I'm breaking down the different ways that you can help.

How To Help Someone with RA

Seek education – It is exhausting to have to educate people all. the. time. I’ve been diagnosed with arthritis for almost 8 years and been living in pain for 17, and I still get comments like, “But you’re too young for arthritis!” and “How could you be in pain so early in life?” Not only is it tiring explaining how they’re wrong on a regular basis, but it’s emotionally painful to have to explain the truth about rheumatoid arthritis all the time. On the one hand, I want my loved ones to understand what’s happening to me. On the other hand, I don’t want to spend all my energy educating people. It means a lot to me when people have looked for information on RA on their own and makes me feel relieved. And in 2018, there are so many wonderful online resources! The Arthritis Foundation has a page explaining RA, as well as all the other forms of arthritis. The Arthritis National Research Foundation also has an explanation of RA.

Offer to help, especially in specific ways – It’s always very lovely when someone offers to help me “if I ever need it,” but I rarely take them up on it because I don’t want to impose and I don’t know how much they’re willing to help. They’re much more likely to agree to your help if you offer it in specific forms, like cleaning the kitchen, doing laundry, going to the grocery store, carrying a box, etc. Additionally, though, if someone says that they’re okay and don’t need your help, let them be. There are plenty of things we can’t do, so we might really want to do something for ourselves, especially if we’ve been through a rough time recently and weren’t able to do it. For example, I recently attended the HealtheVoices conference, and while there I rented a scooter because I’m still on crutches. This meant that I was able to do things for myself for really the first time since my surgery, including get my own meals and refill my own coffee. There were a lot of very kind people at the conference that offered to help, but some insisted on helping even when I told them that I didn’t need it. It felt very infantilizing, like what I said didn’t matter and that I couldn’t possibly know what I could and couldn’t do. Don’t be like that!

Adjust your expectations – People with RA often can’t do as much as healthy people. How different they are depends on the individual case, not only because someone might have low disease activity and someone else may have high disease activity, but also because what makes one person feel better can be what makes someone else feel worse. Now that we’ve gotten that out of the way … Basically, know that we might have to take breaks more often or be unable to attend events based on how we feel. It is never a reflection on you or an event (unless the RA patient doesn’t like you, but considering you’re reading this post, I doubt it). It will help massively if you adjust your expectations of what we can do, as we often don’t have control over how we feel and we feel bad enough for canceling plans. Additionally, keep in mind that many factors can affect how we feel, including the weather, traveling, overdoing it, etc. So if we just flew into town and you expect us to do immediately do a full day of activities, you’re going to be disappointed. In a personal example, I am always better in the morning and get worse from late afternoon on. My family knows that I am much more likely to be able to attend events in the morning than I am in the evening. We therefore try to schedule family activities earlier rather than later so there is less of a chance that I’ll have to cancel. To learn more about how our energy and pain affect the day-to-day, check out the spoon theory.

Loving someone with chronic pain

6 different ways that you can help someone who lives with RA (rheumatoid arthritis).

Offer to do activities together that they are likely to be able to do – This is similar to the previous item. One way to adjust your expectations is to stop or reduce suggesting you two do things that they are not likely to be up for and to instead suggest something that they likely will be. This way, they don’t have to say no quite so often, and you can still spend time with them. It also doesn’t put so much pressure on them to have to suggest plans that they can do instead of the ones that you offer.

Take care of yourself! – This might mean physically or mentally, but essentially, don’t overwork yourself. Take breaks from helping us if you need to. Practice self-care. Basically, don’t empty yourself trying to pour into us. I always feel bad when my family spends a lot of time helping me – especially as I’ve been recovering from surgery – and I worry that I’m taking too much from them. So take care of yourself!

Get involved in arthritis organizations – It means so much to me when people get involved with arthritis organizations – like the Arthritis Foundation and Arthritis National Research Foundation – and especially when they get involved with my fundraising activities. If they ask for donations to an organization, you can donate or share. If they’re looking for people to join their Walk To Cure Arthritis team, join their team. Basically, get involved.

So someone you know was diagnosed with inflammatory arthritis

Please consider donating to my Walk To Cure Arthritis fundraiser!

What other questions do you have about arthritis and/or rheumatoid arthritis?

Like this post? Share it, and then check out these:

 My Rheumatoid Arthritis Treatment + How I Got There, 5 Items Every Immunosuppressed Person Needs, A Guide to Chronic Illness for Those Who Don’t Have One, What You Need To Know about Arthritis

Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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  2. Kate the (Almost) Great | Boston Lifestyle Blog - Why Is Rheumatoid Arthritis Hard to Diagnose? - Kate the (Almost) Great | Boston Lifestyle Blog says:
    August 7, 2018 at 6:31 am

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Weekj 26 of 2026 Weekly Scenes of a summer week Weekj 26 of 2026 Weekly 

Scenes of a summer week in Maine! So glad I work from home, which means I can work from my real home (Maine, if that wasn’t clear)

1️⃣ Lots of Harley time
2️⃣ Working from home means saving my PTO for fun things!
3️⃣ Lots of duck families (📸 my dad)
4️⃣ What a lot of my days look like - Harley and my current project (needlepoint). And, yes, I’m still in a cast.
5️⃣ Learned how to play Mahjong, which my parents love
6️⃣ Lake views on the 4th

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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1️⃣ Harley the golden retriever on a deck as seen through some plants
2️⃣ Kate takes a selfie
3️⃣ A duck with little ducklings following on a lake
4️⃣ Harley coming up to Kate. Her legs are out on an ottoman, 1 foot in a walking cast, and an in-progress needlepoint project
5️⃣ Looking down at a Mahjong table with the game set up
6️⃣ A kayak on the shore of a lake 

#MaineTheWay #MaineSummer #Needlepoint #MaineLife
Living with chronic pain is really hard. You’re wi Living with chronic pain is really hard. You’re winning every day you’re still here.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: The background image is a lake at sunset. Text reads what's above the first square and also "katethealmostgreat".⁣
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#ChronicIllness #ChronicPain #RheumatoidArthritis #Fibromyalgia #Endometriosis
I've been spending a fair amount of time at my foo I've been spending a fair amount of time at my foot surgeon's office this year, and boy has it been messing with my head. ⁣
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I spent a lot of time from 2001-2010 dealing with my left foot. Long story short, it took until this foot surgeon saw me in 2010 after fixing this foot for me to be diagnosed with rheumatoid arthritis. But I spent those 9 years going from doctor to doctor, having surgery after surgery, trying to figure out what was causing my pain and to fix it. ⁣
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Was it the tarsal coalition? Did I have another chronic health issue? Etc. ⁣
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I spent from age 10 to 19 unsure what exactly was wrong with me and in huge amounts of pain. We thought we figured it out, and then something else happened. ⁣
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We know exactly what is wrong with this foot this time around: in 2024, I got 3 stress fractures, and no one put me in a boot. They almost fully healed before breaking in 2025, and then the same thing happened in 2026. ⁣
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This is a different part of the foot than I used to deal with, but any problems with my feet and especially my left foot messes with me. While this doctor eventually fixed the problems and even got me diagnosed with RA, every time I go back to his office, I have to fight not to become 17 again. ⁣
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PTSD is a bitch.⁣
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(PS - if you want to know why I'm going back to this guy when it messes with me, it's because I don't trust anyone else to fix my foot.)⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate takes a selfie in a doctor's office. ⁣
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#PTSDAwareness #ChronicallyIll #TarsalCoalition #RheumatoidArthritis #Osteoporosis
Week 25 of #2026Weekly Happy to be in Maine for Week 25 of #2026Weekly 

Happy to be in Maine for a few weeks! I didn’t get up to a lot, so another week of very few pictures

1️⃣ IVIG 
2️⃣ Lots of beautiful birds have been coming to my mom’s bird feeder!

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs: 
1️⃣ Looking at Kate’s lap. Tubes are coming out from under her shirt and there’s a Kindle
2️⃣ Birds arriving at a bird feeder as seen through a window

#ChronicallyIll #InvisibleIllness #ChronicPain #IVIG
What do you have to do every day for your chronic What do you have to do every day for your chronic illnesses? ⁣
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For context, I have rheumatoid arthritis, fibromyalgia, endometriosis, POTS, heart disease, osteoporosis, and more. ⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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Things I Do Every Day for My Chronic Illnesses⁣
Take pills at least 4 times a day⁣
Don’t eat gluten, dairy, corn, soy, or eggs⁣
Sleep 7+ hours a night⁣
Consume 80-100 grams of protein, 120 mg of calcium, 5-10 grams of sodium⁣
Wear a mask whenever I leave the house⁣
Do pilates 4+ days a week⁣
Work from home⁣
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#ChronicallyIll #InvisibleIllness #RheumatoidArthritis #Fibromyalgia
Filmed this back in April (hence the sweater) but Filmed this back in April (hence the sweater) but it applies to whenever I have appointments! 

Video: Kate talks to the camera while holding a purse. She holds up individual items mentioned in the video before putting them in the bag. There are captions. 

#ChronicallyIll #RheumatoidArthritis #Osteoporosis #ChronicPain
There are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
Weeks 23 and 24 of 2026 Weekly! The last two wee Weeks 23 and 24 of 2026 Weekly! 

The last two weeks were prepping for my infusion, having/recovering from my infusion, and getting caught up after. This meant things were very busy but also I don’t have a lot to show for them. 

1️⃣ New glasses! I really like having multiple pairs so I can switch them as I want.
2️⃣ One of my current projects. I got this standing hoop for my birthday and I’m working on an alphabet (uppercase and lower, although I’m still working on the lower) with extra floss.
3️⃣ Infusion time! I got my higher dose so hopefully my symptoms improve a lot in the upcoming weeks🤞🏻

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣

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IDs: 
1️⃣ Kate takes a selfie. Her new glasses are thin silver circles
2️⃣ An in-progress cross-stitched alphabet in a special hoop stand that Kate is sitting on.
3️⃣ Kate takes a selfie in an infusion chair.

#ChronicallyIll #RheumatoidArthritis #AutoimmuneDisease #CrossStitcher
Week 22 of 2026 Weekly 1️⃣ Off to see my foot doc Week 22 of 2026 Weekly

1️⃣ Off to see my foot doc … and my foot is healing! Yay!
2️⃣ A very cool notification to get!
3️⃣ This is 35 🎂
4️⃣ Featuring Harley snuggles 
5️⃣ And then it was my mom’s birthday! 
6️⃣ With Harley again 

ID: 
1️⃣ Kate takes a mirror selfie 
2️⃣ a notification from WordPress saying “Receive views from 150+ counties. The United Nations has nothing on you!”
3️⃣ Kate smiles for the camera in a cafe 
4️⃣ Kate in the same outfit with Harley the golden retriever on her lap. 
5️⃣ Kate’s mom smiling in a restaurant 
6️⃣ Kate with Harley again 

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