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in Health &middot September 5, 2017

A Day in the Life of an Arthritis Patient

Something I and other arthritis patients get regularly is someone not believing that it can affect so much of your life. Now, this does depend on the person and the type of arthritis, but for a lot of us it affects every aspect of our lives. This is especially true for those who have autoimmune arthritis, like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. I’ve talked before about things a millennial with arthritis wants you to know, along with other topics about arthritis, but I thought today that I would get more specific about the ways arthritis affects my life. I hope that this will help you to understand the ways it affects our lives and, as always, if you have questions, feel free to ask them!

Did you know that inflammatory arthritis (like RA) can affect every aspect of your day? This isn't the case for some patients, but it is for others like me. I'm sharing what a day in the life of an arthritis patient is like so you understand the different parts of my life that are affected by my arthritis.

6:45 – Wake up and eat breakfast | Depending on where I am in my infusion cycle, I need anywhere from 30 minutes to 2 hours for my morning stiffness to go away. Because of this, I always get up at least an hour before I need to do things, whether that be medical appointments or work. This is also when the morning caffeine starts; I need at least 2 cups of coffee before I start feeling like a semi-functional human being due to my fatigue (which I’ll discuss in more detail later).

8:00 – Start doing things | I might leave for medical appointments, promote that day’s blog post, start working on the next blog post, or do homework. No matter what I do, I generally start doing it around 8 AM.

9:30 – Morning meds | If I haven’t taken my morning medications yet, this is the time for it. I take 4 supplements and 13 pills. They are for my arthritis, fibromyalgia, allergies, and medication side effects.

10:00 – Medical appointments, working on blog posts, or homework | This depends a lot on the day. Since I’m always better in the morning than I am in the afternoon, I schedule my appointments for the mornings and I try to be as productive as possible in the morning.

12:00 – Take a break from working, lunch, and first round of physical therapy | I generally take a break around noon. Plus, since I’m not even 3 months post-op, I’m doing physical therapy exercises twice a day. I have 6 exercises to do around noon.

12:30 – Afternoon pills, leave for school | Every day, I take 6 pills of medication around noon for my arthritis and fibromyalgia. Most days, I need my first dose of pain medications between 12 and 1. On the good days, I can make it to between 2 and 3. On the school days, I leave for school around this time. It takes me 2 bus rides and a train to get there.

1:00 – On non-school days, working on blog posts or homework. Regardless of whether or not I have school, afternoon caffeine is needed | I start working again around 1. If I have school, I’m still traveling to school around this time. I also need some afternoon caffeine or else my fatigue will make me fall asleep.

For some people, living with arthritis affects very little of their life. But for others, it affects most moments of the day. Check out how living with autoimmune arthritis affects my life in this post about a day in the life of an arthritis patient.

2:00 – On school days, class starts. On non-school days, I might need to take a nap. On both days, snacks are eaten | I’m currently taking Victorian Reading in Culture and Experimental Writing for Scholars, both of which seem pretty interesting so far. But if I don’t get some caffeine (and sometimes even if I do), I need a nap around here. It might be 30 minutes or it might be 2 hours. Fatigue is more than just “being tired.” Most times, I don’t wake up from my nap feeling significantly refreshed. I feel this deep in my bones and I have no chance of fighting it. Being in pain constantly and having my body trying to destroy itself is exhausting! Plus, one of the medications I’m on makes me hungry pretty much all the time (thanks, steroids), so afternoon snack it is.

3:30 – I need a break from class | My classes are 2-4:30ish, and I can generally make it until 3:30 before I have to take a break. Most of my classes take a break around this time, so that’s great, but if they, don’t my accommodations with Disability Services allow me to take a break if I need one. This is pretty much entirely about not being able to sit for a prolonged period of time. I need to stretch and move around and if I can’t do that, my pain massively shoots up. I’ve ended up in tears from pain because my class didn’t take a break and I kept waiting for it instead of just taking it because I’m allowed to. I’m not doing that any more; my personal rule is that if class hasn’t taken a break by 3:30, I take one.

4:30 – Leave class or, on non-school days, stop working if I haven’t already | Like I said, my classes get out around 4:30, so on the days when I have school, this is when I start making my trek home. On the days when I don’t have school, I stop working around here. Depending on how I’m feeling that day, I may have already stopped working. But between blogging and school, there’s pretty much always more work to be done.

5:30 – Get home; dinner between 5:30 and 7 | On the school days, this is about when I get home. Regardless of what went on that day, I eat dinner some time between 5:30 and 7. Depending on when I took my first dose of pain meds, I take my second between 6 and 8. Some days, I can go an hour between when the first dose wore off and when I need the second.

7:00 – Evening meds and shower | If I haven’t taken them yet, this is when I take my evening medications. There are 9 pills then, for my arthritis and fibromyalgia. If I’m feeling up to it, I shower around here, too. I try to shower every day, but showering is painful and tiring so it doesn’t always happen.

8:00 – Second round of physical therapy exercises and get ready for bed | I do my second round of physical therapy exercises around here, and there are the same 6 from earlier in the day as well as 6 other ones that I only do once a day. This is around when I start getting ready for bed because, again, fatigue is real. Just existing is exhausting.

9:00 –  Night meds and yoga | I take 5 medications around 9 for fibromyalgia, asthma, arthritis, and endometriosis. If you’ve been keeping track, I take at least 39 pills a day; more if I have nausea or anxiety issues that day. Additionally, I do a short yoga session most nights. This helps my fibromyalgia and also helps me strengthen my muscles, which helps they take care of my joints.

10:00 – Go to sleep | Depending on how much fatigue I have and (let’s be honest) what’s on TV, I go to bed some time between 9 PM and 11 PM.

Like this post? Share it by clicking on one of the buttons on the left sidebar! You should also check out these posts:

Beginner’s Guide to Seronegative Rheumatoid Arthritis, So Someone You Know Was Diagnosed with Inflammatory Arthritis, 4 More Things a Millennial with Arthritis Wants You To Know, all posts 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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  1. Ava @ My Meena Life says

    September 8, 2017 at 8:51 am

    I really like how you’ve structured this. I’ve been wanting to write a day in the life with lupus post, but I’ve had a hard time because my activities are variable. Sometimes you do a lot in one day! I’m impressed that you can attend classes and write this blog.

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    • Kate Mitchell says

      September 21, 2017 at 6:21 pm

      Thank you! Like with all illnesses, how I am can vary widely from day to day. Most of this goes out the window once my infusion runs out, which is about 3 weeks before the next 1. I generally am not able to do nearly half as much in that time.

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    October 7, 2017 at 8:27 am

    […] which depends a lot on if the T is running on time. (I talked more about my reliance on the T in my post about a day in my life.) I get motion sickness, so I can’t read a traditional book while trekking over to school, […]

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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!

⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣

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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