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in Lifestyle &middot June 26, 2020

A Day in the Life

Nearly 3 years ago (what?) I wrote a post about a day in the life of an arthritis patient. While my health hasn’t changed much since then, my life has. When I wrote that post, I was finishing up my MA. I’ve since graduated, had multiple surgeries, started a job that I’ve been in for 2 years, and grown my blog, and that’s not taking into consideration the COVID world. So I thought I would take you behind the scenes of my life now. Whether you’re curious or you’re wondering what living with chronic illnesses is like, I hope you enjoy this post!

Friendly reminder that I am not a doctor and I’m not advising you take a certain medication or supplement. I’m just sharing what I take.

Long-time chronic illness patient and blogger Kate the (Almost) Great shares what a typical day looks like from her. From when she wakes up to when she goes to sleep, she shares what her life is like

6:20-6:30 – Wake up | I get up before 6:30 on basically all week days. (On Mondays it’s closer to 6.) I do, however, have to set 4-5 alarms for this because I have a history of sleeping through 3 or even 4. I’m an extremely heavy sleeper! It takes a lot to wake me up overnight. Additionally, if I get less than 6 hours of sleep, my pain is significantly higher. My body is doing a lot at all times, and it really relies on rest.

A screenshot of alarms on Kate's phone. The times from top to bottom are 6:22, 6:24, 6:26, 6:28, and 6:30. The text reads, in order: "Wake Me Up, Tue Wed Thu Fri", "Before You Go Go, Tue Wed Thu Fri", "Don't Leave Me Hanging on Like a, Tue Wed...", "YO YO WAKE UP, Tue Wed Thu Fri" "Wake Up, Tue Wed Thu Fri", and "ARE YOU UP YET?!, Tue Wed Thu Fri".

6:30-7:30 – Ease into the day | This is the real reason why I wake up nearly 2 hours before I have to work; I really have to ease into the day. If I’m lucky, my morning stiffness only lasts around 30 minutes, but if I’m near to needing my RA infusion, it can take 2 hours. And on the really bad days, or even on the days when I sleep less than 6 hours, the stiffness never eases up. I try to give myself 30 minutes to just zone out, catch up on miscellaneous stuff on the Internet, etc. The other 30 minutes, I use to do morning blog stuff. I manually pin 5-7 pins on Pinterest, make new pins on Canva for existing posts, and promote a new blog post if I have one.

How I promote my blog posts

7:30 – Take morning medications, get ready for work | My morning medications is the time of the day when I take the most medications at once. In addition to my normal medications, I’m currently on a higher dose of steroids than usual due to my RA flare. I also take a few supplements, namely Vitamin D3; sodium chloride, because POTS requires I consume more sodium than most people; Calcium, because my endometriosis treatment makes me at a higher risk for osteoporosis; and Collagen, as my skin, hair, and nails all suffer due to my Rituxan infusion. In addition, at this time of the day, I take 1 allergy pills, my POTS pill, and some of my meds for RA (the Sulfasalazine) and fibromyalgia (Gabapentin).

I generally take my medications with sparkling water because a) I have to drink a LOT of water for POTS and b) Sulfasalazine which has the grossest medication coating I’ve ever known. I’m not exaggerating; it’s orange and chalky and when I refill my pill boxes it leaves my hands and fingers covered in orange gross-ness.

The Best Tips for Working from Home with Chronic Illness

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After taking my medications, I get ready for work. I’m working entirely from home right now because of COVID-19, but I still try to wear “real” clothes most workdays so I can get into the work mode.

When I get ready for work, I put on my makeup, take my non-pill allergy and asthma medications, and then brush my teeth. I like to do it in this order so my makeup has as long as possible to set before I put my glasses on. I don’t wear contacts any more because of dry eyes due to my RA, and glasses really mess up makeup you have on your face, mainly your nose. This is the makeup I’m wearing daily. Additionally, I’ve been having an asthma flare for the last 6-8 weeks. (Yes, I’m basically flaring in about half of my illnesses. My life is very fun at the moment.) Because of this, my pulmonologist has me taking more allergy and asthma medication because of this, as I have allergic asthma. Basically, for half of the year, my asthma is easily managed with only 2 medications. For the other half (the half with spring and summer allergies), I have to take 3 allergy medications and 1 inhaled asthma medication, not counting my albuterol inhaler. The type of asthma I have is allergic asthma.

Finally, before I start working, I also give my cat her medications. She is 18 and has a thyroid issue and chronic pain, so she gets Gabapentin in the morning, too! (She also gets a thyroid pill, which she prefers because it’s a pill in a treat instead of liquid.)

Beginner’s guide: rheumatoid arthritis flare up

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8:00-12:00 – Work | I feel best in the morning, after my morning stiffness wears out. I get steadily worse over the course of the day, but it’s especially rough starting mid-afternoon. Because of this, I like to start working around 8 so I can be as productive as possible. Some point in the morning, I take my albuterol inhaler for the first time in the day. My pulmonologist has me taking it every 4-6 hours as needed. On good asthma flare days, I take it 2 times a day. On rougher days, it’s every 4 hours. I also try to drink at least 1 16-oz bottle of water in this time, in addition to the 12-oz can of sparkling water I use to take my medications. I need to drink a truly outrageous amount of water for POTS, but it’s more like I need to be continuously hydrated than that I just need to chug a gallon of water. I track how much water I drink with the FitBit app, as I have a FitBit for tracking my heart rate, too.

How does postural orthostatic tachycardia syndrome work?

12:00-12:30 – Lunch break, noon medications | It is SO important to take a proper break! I make a point to take a full 30-minute lunch break away from my computer every day. I also try to put my phone down for at least 10, if not 15 or 20, minutes of that break. I don’t know if it’s an anxiety disorder thing, but if I don’t get away from work and technology for even a small amount, my stress level is SO high. In this time, I generally read a book, even if it’s just a few pages.

Last Wednesday was an especially busy work day for me. I had meetings from 10:30 until 3, with only a short break around 11:30. To make sure that I could take my break, I put “Kate Lunch” in my work calendar from 11:30 to 12, and I added my manager to the invite so she was aware that I would be offline then.

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And, of course, I take my noon medications. In addition to the Gabapentin and Sulfasalazine, I’ve also been taking another sodium pill, which isn’t pictured here.

How to actually rest when you take breaks

12:30-2:00 – Work | For the purpose of this post, I’ve decided to go over a day when I finish work at 2. Depending on the day, I finish work between 2 and 4:30. On the finish-at-2 days, though, I’m generally able to do more after work, which is why I’m focusing on that right now. So after I take my lunch break, I finish my work.

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2:00-2:30 – Rest | I try not to shut off my work computer and immediately turn on my personal computer to pivot to blog work. Instead, I try to give myself a bit of a grace period. I tidy up my desk, maybe go for a short walk. In general, I try to decompress.

2:30-4:00 – Blog work | After I decompress, I try to do some blog work. Depending on where I am in my infusion cycle, I either am totally up to cram in some blog work or I need to immediately go to Netflix. I try to do the bulk of my blog work on the weekends because I feel worse as the day goes on and my priority during the week is my work-work, but with blogging, there’s always more to do. If I get a blog post 70% done over the weekend, I try to finish it on an afternoon. I might also work on scheduling more social media promotions or posts or working on my newsletter, which I try to send weekly.

4:00-5:00 – Rest | Since I’m not going to the gym these days (because COVID and also I’m spending the majority of my time in Maine right now), I’m trying to do more yoga. If the weather is nice, I might go down to the dock and read, but that’s happening less and less frequently because I can’t do temperatures over 80.

5:00-6:30 – Evening rest, dinner, dinner medications | By the end of the day, I am dead. I feel best when I’m horizontal or close to it, so usually by this time I’m lying down somewhere. I also eat dinner and then take my dinner meds. As you might have noticed, I take most of my medications after meals. That’s because a lot of my meds require eating before taking them. And I don’t know about you, but I like not having ulcers.

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6:30-9:30 – Netflix, tidy up room, journal/planner | After dinner, I continue resting by binge watching. I am currently in the middle of rewatching all of Supernatural. I also try to tidy up my room by the end of the day as having a clean room improves my anxiety. I try to also update my planner, where I track how I’m doing on my habits and update my to-do list as necessary. Finally, I also have been trying to keep a gratitude journal, where I basically note what I’m grateful for that day.

9:30-10:30 – Evening medications, night skincare routine, bedtime yoga, cat’s medications | I take my last medications of the day before going to bed, which are for fibromyalgia, RA, and allergies/asthma. I also completely my night-time skincare routine and take another dose of my inhaled asthma medication. Finally, I give my cat her Gabapentin and steroids, as well as her thyroid medication again, and I do bedtime yoga before going to sleep. This is basically some gentle, sitting-down yoga that I do on the bed to help get myself to go into sleep mode.

And then I go to sleep! That’s a day in my life.

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As you can see, chronic illness impacts most of my day. Which makes sense! After all, there’s no “off” button on a chronic illness. (I mean, in it’s the name: chronic.) When it comes to living with chronic illness, I’ve figured out what works for me over the years. And while this impacts my entire life, I’m truly not thinking about it constantly. Living with a chronic illness and chronic pain is kind of like having a flickering light in the background; you can go a while without thinking about it, but it’s still there, and it’s extremely annoying when you do think about it.

How does chronic illness impact your day-to-day?

Like this post? Check out:

The Impact of Chronic Illness on an Individual, Why You Need To Buy This Brand This Summer, How To Go Back to Work After a Long Break, What I Wish I Knew When I Was 20

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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Comments

  1. Nathalia says

    June 29, 2020 at 7:38 pm

    Wow, what a day. Thank you for the raw and honest insight into your routine.

    Nathalia | NathaliaFit – Fitness & Wellness Blog
    http://www.nathaliafit.com

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  2. page says

    June 30, 2020 at 1:16 am

    thank you for sharing this – i loved reading it and getting to see a day through your eyes <3

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  3. Stephanie says

    June 30, 2020 at 10:41 am

    It’s always fascinating to read how chronic illness affects other bloggers, because it really looks different for all of us. I have gastroparesis, and cannot work a “normal” job, therefore I was “forced” to jump into full-time blogging nearly five years ago. For me, it’s a completely different routine, but there are definitely similarities throughout this post that I relate to thoroughly. Sending you love, fellow spoonie. You’re a BOSS.

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What helps you mentally get through a tough time?⁣ What helps you mentally get through a tough time?⁣
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I'm struggling right now with my broken foot, which brings back a lot of tough memories. That plus being due for Rituxan and the heat starting up has made things hard. ⁣
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Here are somethings I do: ⁣
▪ Stick with my routine⁣
▪ Make recipes that I really enjoy⁣
▪ Work on embroidery projects so I can do something productive that involves stabbing fabric⁣
▪ Cut myself slack ⁣
▪ Get Harley hugs⁣
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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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Week 21 of 2026 Weekly 1️⃣ First real cross-stit Week 21 of 2026 Weekly 

1️⃣ First real cross-stitch project: done! 
2️⃣ The magic machine that is hopefully healing my broken foot 
3️⃣ When your 2 refrigerated medications are delivered on the same day

⬛⁣⁣⁣⁣⁣⁣

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 A completed cross-stitch project, which shows 2 bears walking past a lake, trees, and mountains.
2️⃣ An Exogen machine showing use 13 days in a row
3️⃣ A couple of styrofoam refridgerated containers for medication

#ChronicallyIll #CrossStitch #RheumatoidArthritis #SjogrensSyndrome #IVIG
You guessed it, I'm one of that 25%. ⁣ ⁣ May is Ar You guessed it, I'm one of that 25%. ⁣
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May is Arthritis Awareness Month. Like, comment, and share to spread awareness 💖⁣
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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: Fact or Fiction? Let's Check! ⁣
Fiction⁣
You only have rheumatoid arthritis if your rheumatoid factor tests positive.⁣
Fact⁣
As many as 25% of RA patients test negative, which is called being seronegative.⁣
katethealmostgreat
Things are tough (all over pain, heat with POTS, i Things are tough (all over pain, heat with POTS, in a walking cast waiting to see if I need my 6th foot surgery), but so am I.⁣
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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. She's a white woman with auburn hair wearing a navy-based floral dress, green glasses, and silver Celtic knot necklace.⁣
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#RheumatoidArthritis #POTS #POTSie #AutoimmuneDisease #ChronicallyIll
Week 20 of #2026Weekly 1️⃣ IVIG + Kindle reading Week 20 of #2026Weekly 

1️⃣ IVIG + Kindle reading 
2️⃣ Almost done!!!!!

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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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FAQ: Have you tried [insert supplement here]? As FAQ: Have you tried [insert supplement here]?

As with all things, what’s true for me might not be true for others. I’m sure there are plenty of RA patients who do respond well to supplements; I’m just not one of them. 

Additionally, at one point, I refer to being on chemo since 2012. As always, the chemo I’m referring to is Rituxan, which is my RA treatment. I do not have cancer nor have I ever claimed to. 

Video: Kate talks to the camera. Text at the beginning reads “FAQ: Have you tried [insert supplement here]?” and other text later reads “*24” to correct when she says “symptoms for 21 years”. There are captions. 

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Unfortunately, arthritis doesn't see that you have Unfortunately, arthritis doesn't see that you have one type of arthritis and go, "Darn, guess I'll have to go to someone else."⁣
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May is Arthritis Awareness Month. Like, comment, and share to help spread awareness 💖⁣
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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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You can have several different types of arthritis. katethealmostgreat⁣
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Week 19 of #2026Weekly I’m not going to lie - my Week 19 of #2026Weekly 

I’m not going to lie - my life now focuses even more on maintaining my body. Trying to avoid foot surgery + keep my bone density up so I don’t break another bone for a while on top of all the other things I do to manage my 10+ illnesses … it’s a lot of work. I did go to actual work this week lol but my camera roll is all chronic illness stuff this week. 

1️⃣ The machine that will hopefully prevent surgery!!! Every day, I do 40 minutes of this ultrasound machine (20 min on 1 fracture, 20 min on the other) and it will speed up healing 🤞🏻🤞🏻🤞🏻 
2️⃣ Continuing my exercise routine per my endocrinologist. Up to 30 minutes of Pilates 4 days a week … and since I don’t do exercises requiring pressure on my feet, the cast comes off. 

◾ 

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I personally have rheumatoid arthritis, fibromyalg I personally have rheumatoid arthritis, fibromyalgia, and Sjögren's syndrome, which makes 3 forms of arthritis.⁣
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Like, comment, and share to spread awareness 💖 ⁣
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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: Fact or Fiction? Let's Check! ⁣
Fiction⁣
Arthritis means only 1 thing.⁣
Fact⁣
There are over 100 kinds of arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and more!⁣
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