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in Lifestyle &middot December 31, 2019

A Look Back at 2019

Well, we’ve (almost) made it through the year! The new year and decade are coming this week. But before I look ahead at 2020, I want to look back at 2019. It was a roller coaster of a year including travel, a death in the family, a lot of tears, and a lot of laughs. In this post, I’m going to not only look at what happened in my personal life in 2019, but also at the most popular posts of the year and why I think they were so popular.

2019 was a wild year! In this post, I'm looking back at the highs and lows in my personal life, as well as my readers' favorite posts from the year.

2019: Personal Life

January: Recovering from The Fiasco – I spent most of 2019 recovering from The Fiasco, but January was the hardest part. I did a lot of PT and OT to regain my abdominal strength (abdominal surgery of any kind is no joke!) and I still had my abdominal drain and PICC line in for half of January. I mean, when January started, I was still sleeping in my den instead of my bedroom because I couldn’t do stairs. In the second or third week of the month, I started working again. It took a long time to work my way back up to 26 hours a week, but I started, slowly but surely.

February: Continued recovery, returned to working in my office, and nominated for Most Inspiring InfluenceHer of the Year in the InfluenceHer Collective Awards – My recovery continued in February, and I was cleared to work in my office again half-way through the month. While I had the PICC line and abdominal drain, I really couldn’t go to populated places other than MGH, where I wore my Vogmask. Once the PICC line came out, I was still on oral antibiotics and anti-fungals, so I was still required to work at home for a few weeks. When the intensity of the oral medications was lowered, I could go back to the office, and I did! On the blogging front, I was nominated for the Most Inspiring InfluenceHer of the Year awards, which meant so so so much to me.

March: Finished antibiotics for The Fiasco, went to Nashville for a friend’s wedding, and my grandpa died – March was a roller coaster! I finished my antibiotics in the first week of March, which was incredibly exciting considering I had been on them for 2.5 months. That first weekend, I went to Nashville for my college roommate’s wedding. I went to undergrad in Nashville and lived there for a year after I graduated, so it will always feel like home for me. But I didn’t have much time at home after that before my grandpa took a turn for the worse. The last few years of his life, he had vascular dementia, which means that he had several large strokes and an innumerable amount of small ones, which caused dementia. He was very ill especially in the months before his death, so his death was not a surprise, but obviously it also wasn’t a happy occasion. I spent several weeks in Maine before and after his death to be with family and help my mom.

What I’ve been up to

April: HealtheVoices 2019, Easter in Maine, and met my Congresswoman, Ayanna Pressley – April was another busy month! I got to go to Dallas, Texas, for 2019’s HealtheVoices conference, which is always a great time. Then I spent Easter in Maine, which was only a few weeks after my grandpa’s death. Finally, I got to meet my congresswoman, Ayanna Pressley. That was extremely cool!

May: Finally fired my rheumatology team and started my POTS exercise protocol – One problem I dealt with as a result of The Fiasco is that my new rheumatologists didn’t want me to go back on the medications that make me a relatively functioning human. After several months of being condescended to, I finally fired them and became a patient again of my old rheumatologist, who had moved. I’m never leaving him again! That was also the month that I started my POTS exercise protocol after living with POTS for several years. The problem with rare diseases is that there generally aren’t many treatments for them, and that’s the case with POTS..

Chronically ill tips: what to do when a doctor isn’t listening to you

June: My birthday – This birthday meant a lot to me because I almost didn’t see it. This was the only “big thing” that happened during June, and after everything else that happened before it, I was more than happy about that!

July: Lots of time in Maine – July was another semi-calm month! I spent most of the month in Maine, including the week of the 4th, during which my sister came up from NYC.

August: Family reunion and spent time in my hometown – After 2 calm months, August picked things up again. The annual Mitchell family reunion is always the first Saturday in August, and it was a blast! Then, a few weeks later, I went to visit friends who were staying in my hometown. While I spend a lot of time in Maine, it’s usually in the Maine woods and not my hometown outside of Portland. In fact, other than driving through it, I hadn’t been to my hometown since my parents moved in 2012. It was great to go back!

September: Went to Ireland and went back on my infusion – The first week of September was spent in Ireland with family and friends! It was the first family vacation we had been on (other than time in Maine) since 2012, and it was in the country that means the most to my family. We had a great time! The month ended with finally going back on my Rituxan infusion. I nearly cried with joy!

October: Went to a benefit for Brigham and Women’s NICU and went to Nashville for a friend’s wedding – October felt especially busy. At the beginning of the month, my family went to a benefit for Brigham and Women’s NICU, an event organized by family friends. My sister babysat for their twins for years, and they spent time in the NICU when they were born. It was also a great excuse to dress up! The month ended with another trip to Nashville for another friend’s wedding.

November: Thanksgiving in NYC – The biggest thing that happened in November is that we spent Thanksgiving in NYC. Now, we didn’t do the stereotypical Thanksgiving-in-NYC activities. We spent it in Brooklyn, didn’t go to the parade, didn’t even eat a traditional Thanksgiving meal, you get it. My sister lives in NYC and it was just easier for us and our friends to meet there.

December: Spent a week in Maine for Christmas – Compared to last December, this one has been extremely calm! The biggest thing is that we spent last week in Maine. Christmas Eve was for my dad’s family, we did Christmas Day at our house with my grandma, and on Friday, we did Christmas with my mom’s family. It was great!

Boston lifestyle blogger Kate the (Almost) Great shares the most popular blog posts in 2019.

2019: Most Popular Blog Posts

These posts are not the most popular ones published in 2019, but the ones overall that my readers liked the most. This means that there are some published even as far back as 2016! It’s also a great example of how many bloggers get their traffic from posts published over time. There are plenty that weren’t this popular when I first published them, but that have had a long-lasting impact on my traffic.

10 Things I Wish I Knew When I Received My Rheumatoid Arthritis Diagnosis – This post was published in February 2018, but it really took off in 2019. Month after month, it has been one of the most popular posts, if not the most popular.

My Biggest Fear Realized – This post explains The Fiasco, and I think it is so popular because, as the title sort of explains, it’s something that many immunocompromised patients are afraid of. Read at your own risk!

POTS and Heat Intolerance – The thing about rare diseases like POTS is that there isn’t nearly as much information out there as there is for more common illnesses, which leads people to blogs like mine. I wrote this at the end of summer 2018 and it made the rounds for most of summer 2019.

What Does Endometriosis Feel Like? – This is another post that was published in 2018 that took off in 2019. In this post, I explain, well, what endometriosis can feel like. Many doctors unfortunately dismiss endometriosis pain as just “bad” period pain … even though that is the most common endometriosis symptom. By explaining this and other endometriosis symptoms, I hoped when writing this that it would empower patients to bring up their symptoms with their doctor(s).

Loving Someone with Chronic Pain – I wrote this post in January 2016, and it has been a consistent popular post ever since then.

Chronically Ill Tips: What To Do When a Doctor Isn’t Listening to You – This post was partially written to air my frustrations after yet another medical team dismissed my symptoms. Unfortunately, this is not an uncommon experience, so it really resonated with my readers.

Accepting Your Body with Chronic Illness – I wrote this post because I wanted to encourage chronic pain patients to love themselves now and not wait until they were “better.” You deserve to love yourself now! I also wrote it because you can’t make the changes you need to make if you don’t accept that you’re living with a chronic illness. It has been a popular post ever since it went up in 2016!

Fun Things To Do in Boston: A 3-Day Guide – I honestly have no idea why this post is so much more popular than my other Boston posts! I have written more than 10 over the years, but this one has been the most popular one since I published it in 2018.

Beginner’s Guide: Seronegative Rheumatoid Arthritis – I think this post stands out from most of my RA posts because it’s about seronegative RA. “Seronegative” just means that you test negative to inflammation blood tests, and it makes up a small population of RA patients. I’m one of them! It’s a weird condition because I have inflammation in multiple joints, which we know from imaging, but I test negative. Since not as many patients are seronegative, there aren’t as many resources out there as there are for seropositive patients.

Most Popular Books of the 21st Century – Honestly, it makes me sad that my book posts aren’t super popular because I love writing them! But I am happy to see one make this top-10 list. It’s pretty much what it sounds like: a list of the most popular books published in the 21st century. You know that several Harry Potter books make that list!

What did 2019 look like for you?

Like this post? Check out:

1,000 Blog Posts!, What Should I Blog About?, Setting Up a Blog for the New Year

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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  1. P.J. says

    January 9, 2020 at 10:31 am

    Sounds like a very packed 2019 and it’s good things seem to be trending in a positive direction for you! Though I haven’t been often, I’ve loved my trips to Maine. I’d like to get back eventually, especially up the coast and to Acadia.

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Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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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: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
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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IDs:
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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ID: ⁣
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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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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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🤞🏻

⬛⁣⁣⁣⁣⁣⁣⁣⁣

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
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