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in Health &middot October 28, 2015

An Open Letter to Selena Gomez

Dear Selena Gomez

Dear Selena Gomez,

Thank you for speaking out about your lupus. I know that took a lot of bravery because you know that this diagnosis will affect how people will see you, especially given the nature of your industry. You had to watch people say you were in rehab for addiction of some kind when you were going through chemotherapy. I know what that chemotherapy is like, although not in high doses in a concentrated period of time like you did. As much as I love my infusions because they make me feel better, they’re not fun. Besides, I can tell people what I’m going through and they get it. You had to suffer and let the world talk about you as just another young celebrity who was in rehab.

[bctt tweet=”Thank you, @selenagomez, for speaking out about your lupus! Other people with #rheum diseases are grateful.”]

I’m sorry that you have to deal with people writing headlines about how you’re dying because your chemo didn’t “cure” you. (I’m not going to link to it because I don’t want to give them the views, but the headline is from In Touch.) You worked so hard to be in remission, and I’m sure that the last thing you wanted was for tabloids to use the fact that you have an incurable autoimmune disease to boost sales. Being in remission is incredible, and you went through a lot to get there. The fact that tabloids are saying that you’re dying and your chemo didn’t work because you’re in remission and not permanently better must be so difficult. You shared a personal matter with the world – probably so people would stop thinking that you went to rehab – and it’s being turned around in thrown in your face. You deal with enough as someone with lupus, let alone with the fact that you’re a celebrity and a pop star. You shouldn’t have to deal with this, too.

Please know, Selena, that there are a lot of people out there rooting for you. I’ve always been kind of neutral about you, but between the lupus reveal and your new album – it’s seriously amazing – I’m officially a fan. And the spoonie community is a very supportive one. Even if you aren’t able to actively participate, know that it is there and is full of people who support and care for each other. This applies to the rheum community, too. You can find us on Twitter and social media in general by using hashtags like #rheum (psst – I also wrote a whole post about resources for people with arthritis and other rheumatic diseases and conditions).

Finally, I want to address something. I know that you have a lot going on and you are under no obligation to do this, but it would mean a lot if you could work to raise the profile of lupus and other rheumatic diseases. Just by explaining that you have it and what it is has done a lot. But there is still room for improvement. For example, people might come to the conclusion that it is easy for patients to go into remission, but that’s not necessarily the case. You, a pop star, were able to afford the time and money it takes for the kind of treatment you had. But that’s not easily available for the average patient, and it might not work for them, either. The last thing any of us want are more misconceptions because the average person doesn’t know a lot about rheumatic diseases.

I don’t mean to add more to your to-do list. With a new album to promote as well as award season coming up, I’m sure you have a lot on your plate. But I just wanted to take a minute to acknowledge the incredibly brave and incredibly important thing you did by announcing your diagnosis. Thank you for doing that. It meant a lot to me, and I’m sure it did to a lot of other rheum patients, as well.

Sincerely,

Kate Mitchell, rheumatoid arthritis and fibromyalgia patient, writer, and grad student

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. Jordyn says

    October 28, 2015 at 4:27 pm

    This is such a sweet letter. Like you I’ve always been pretty neutral when it comes to Selena but I think of her as such an inspiration. Now I’m on Team Selena all the way! (:

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  2. Emily of Em Busy Living says

    October 29, 2015 at 9:25 pm

    I love this! I’ve always really liked Selena after having to do a design project in school on a pop culture magazine (I chose her, knew nothing about her, and ended up loving her!) She just seems so sincere and unfazed by the madness of being a celebrity. I feel she’ll continue to do well through the stress of the media all over her illness.

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  1. Friday Five: Blogger Love v.36 | orangeowldiaries says:
    October 30, 2015 at 9:54 am

    […] Dear Selena Gomez (an open letter) by Kate the (almost) Great.  I’m sure you’ve all heard of Selena’s coming out of her struggle with Lupus, and in this open letter Kate is able to connect with the star on a similar level.  I just think this was a great post and I wish both Kate and Selena the best. […]

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  2. October Blogging Traffic Report says:
    November 9, 2015 at 8:00 am

    […] Dear Selena Gomez […]

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SHARING YOUR HEALTH EXPERIENCES PUBLICLY⁣⁣⁣ ⁣ I sh SHARING YOUR HEALTH EXPERIENCES PUBLICLY⁣⁣⁣
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I share my personal health experiences online, which I find it somewhat easy to do because I've been talking publicly - albeit to a smaller audience - since my health problems started in 2001. ⁣⁣⁣
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If you share something online, you need to be prepared for people to ask questions or argue with you. Should they? No. Will that stop them? Also do. ⁣
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That's one of the reasons that talking online about what can be trauma is not easy or for everyone. That's why it's important to practice self-care and to consciously think about what you want to share online before you do it. ⁣⁣⁣
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For example, I generally only talk publicly about a health situation once it has passed, especially if it's an emergency. I also make sure that I'm in a good place mentally before I talk about it. That way, I don't share things I'll regret sharing publicly later. It also helps me be less anxious about sharing these details.⁣⁣⁣
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And I don't share everything! There's lot of stuff that I haven't talked about not only online but with people in real life. It might seem like I share everything I've experienced, but I don't. ⁣
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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: Kate works on a laptop offscreen. She's a redheaded white woman wearing a beige-and-navy striped sweater, silver Claddagh necklace, and pink glasses.⁣
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#ChronicallyIll #RheumatoidArthritis #ChronicPain #Endometriosis #SjogrensSyndrome
Week 18 of 2026 Weekly 1️⃣ Cross-stitch and IVIG Week 18 of 2026 Weekly 

1️⃣ Cross-stitch and IVIG 
2️⃣ Another trip to the foot doctor. We’re officially in Try To Avoid My 6th Foot Surgery mode 🤞🏻 
3️⃣ At least there were lilacs?

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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 down at Kate’s lap. Tubes are coming out of her shirt. She’s working on a cross stitch.
2️⃣ Kate takes a selfie in a doctor’s office. She’s wearing a lilac mask.
3️⃣ A lilac bush

#IVIG #CrossStitching #ChronicIllness #ChronicallyIll #InvisibleIllness
FAQ: Have I Tried Yoga for My Pain? This is a se FAQ: Have I Tried Yoga for My Pain? 

This is a series where I answer questions I frequently get about my rheumatoid arthritis. I am not a medical professional and this is not medical advice - just saying the truth about my body in particular. 

Video: Kate speaks to camera. There are captions. A black text box reads “FAQ: Have I Tried Yoga for My Pain?” 

#RheumatoidArthritis #AutoimmuneArthritis #Arthritis #ArthritisAwarenessMonth
May is Arthritis Awareness Month, which is the per May is Arthritis Awareness Month, which is the perfect time to remind people of these facts. Here's today's fact.⁣
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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 only affects people as they age.⁣
Fact⁣
Arthritis can affect anyone at any age, including kids as young as 3.⁣
katethealmostgreat⁣
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#ArthritisAwareness #Arthritis #RheumatoidDisease #RheumatoidArthritis #ArthritisAwarenessMonth
I’ve been on IVIG since September. So what does su I’ve been on IVIG since September. So what does success look like? ⁣
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*This is all just for me and my case!*⁣
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1️⃣ I haven't gotten sick at all since I started, not even a cold. ⁣
2️⃣ My lungs are clear of any ground glass opacities, which was what pushed us over to finally doing IVIG regularly. ⁣
3️⃣ We feel better about saying that I don't have any infections. Because symptoms are often signs of the body fighting an infection, we couldn't always trust that I wasn't sick because I didn't have symptoms. ⁣
4️⃣ Because of all of this, we're increasing my next Rituxan dose! This will mean better RA symptoms and hopefully no new illnesses for a few years.⁣
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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 bunch of IVIG supplies, including a pump. ⁣
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#ChronicallyIll #ChronicIllness #ChronicPain #AutoimmuneDisease #Autoimmune
Week 17 of 2026 Weekly 1️⃣ Making some real progr Week 17 of 2026 Weekly

1️⃣ Making some real progress with this cross stitch
2️⃣ Walking casts have multiple uses, including holding down your mat! (Don’t worry - I only did broken-foot-compatible things) 

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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 An in-progress cross stitch. You can see that Kate stitched 2 bears.
3️⃣ A walking cast lies on a black yoga mat 

#CrossStitching #CrossStitcher #RheumatoidArthritis #Osteoporosis #LoopsAndThreads
Can we talk about fatigue for a sec? ⁣⁣⁣ ⁣ Fatigue Can we talk about fatigue for a sec? ⁣⁣⁣
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Fatigue is so much more than being tired. It's sleeping 10 hours at night and then struggling to stay awake during the day. It's trouble focusing because, even though you just had 3 cups of coffee, you're thinking about sleep. It's needing to factor rest in during the day because you have plans at night. ⁣⁣⁣
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It's a lot. ⁣⁣⁣⁣
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It's no secret that I have multiple chronic illnesses. But did you know that all of them - all 11+ of them - have fatigue as a symptom? Sometimes the fatigue is worse than the pain and, uh, I live with a lot of pain.⁣⁣
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This picture was taken when I was super anemic and waiting for 4 iron infusions. Now, months later, I can see it. And I also don't know how I got through the months of that anemia. ⁣
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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 redheaded white woman wearing a gray sweater and pink glasses.⁣
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#ChronicallyIll #RheumatoidArthritis #Fibromyalgia #Endometriosis #POTS
Week 16 of 2026 This week had EVERYTHING 1️⃣ Cr Week 16 of 2026 

This week had EVERYTHING

1️⃣ Cross-stitch during virtual mass 
2️⃣ Tuesday featured a 90-minute meeting during work and then an hour advocacy work call after my day job (both were good!)
3️⃣ Wednesday started at my foot doctor’s office and I left in a walking boot. Hopefully these 3 fractured bones will heal correctly this time 🤞🏻
4️⃣ Thursday started back at MGH for my annual neurology appointment + foot CT scan
5️⃣ Then I went up to Maine … 
6️⃣ to celebrate my grandma’s 85th birthday! 

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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 In the foreground is an in-progress cross-stitch piece. The background shows an open laptop streaming Catholic mass.
2️⃣ Kate takes a selfie. She’s a white woman with auburn hair and green glasses.
3️⃣ Kate takes a selfie in a doctor’s office. 
4️⃣ Kate takes a selfie in a car.
5️⃣ Kate takes a selfie snuggling with a golden retriever.
6️⃣ Kate and her cousins stand with their grandmother in front of a sign saying "Happy Birthday." 

#CrossStitch #ChronicPain #ChronicallyIll #InvisibleIllness
My face comes with subtitles, so .. ⁣ ⁣ ⬛⁣⁣⁣⁣⁣ ⁣ I My face comes with subtitles, so .. ⁣
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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 drinks coffee giving side eye. White text box reads "My Face When Someone Says 'You Shouldn't Need a Cane At Your Age'" ⁣
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#ChronicPain #ChronicallyIll #RheumatoidArthritis #PosturalOrthostaticTachycardiaSyndrome #Fibromyalgia
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