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in Health &middot October 10, 2018

How To Become an Advocate for Patients

Hello, friends! Apologies for the unexpected absence; as I said on social media, I dealt with a hellish stomach virus that I’m slowly but surely getting over. It took me out of commission from Thursday to about Monday, and I’m still recovering. But I’m back, and luckily had already mostly written this post before hand!

If you’re wondering how to become an advocate for patients, I really hope that this helps your journey. You don’t have to be a patient to be an advocate! You can advocate on behalf of someone else. Just remember that people who have a condition/illness/etc. speak with more authority on that condition that you do on that condition.

Whether you are a patient or you care about one, you might be interested in advocacy. In this post, patient advocate and blogger Kate the (Almost) Great shares her advocacy background and her tips for how to become an advocate for patients.

My Advocacy Background

I started getting into advocacy in 2011, a little over a year after I was diagnosed with autoimmune arthritis. I started with my circle of family and friends and shared my story and some statistics about arthritis around World Arthritis Day. I kept going like that until I started this blog in 2013, at which point I started to share my story beyond my circle and with the Internet. 

May of 2013 was also when I became aware of the Arthritis National Research Foundation. I purchased their Action Pack, which includes a t-shirt, stickers, and more. I wrote about some of the things I experienced, like someone not believing that my accessible parking placard was actually mine. All of this picked up a lot when I quit my teaching job due to my health. In the year between when I quit and when I started grad school, I mainly worked on getting into grad school, my health, and this blog. This is when I started writing a lot more dedicated health posts. This blog was (and has continued to be) my main source of advocacy.

Through my blog posts, I have actually been able to go to the Arthritis Foundation’s Advocacy Summit 3 times! This is an amazing opportunity, as you meet with the offices of your senators and representatives, and the Arthritis Foundation trains you on all of that beforehand. Through getting more involved in their advocacy program, I’ve learned so much about advocacy. This had led me to be more confident contacting my senators and representative; I’ve contacted them so much that my congressman’s chief of staff recognizes me and my name.

I have also raised thousands of dollars for the Arthritis Foundation through their Walk To Cure Arthritis. I’ve led my own team and joined my friend’s team. This is a way to raise awareness but to also concretely affect the future. In the scheme of things, it might not be much, but everything helps.

I also share a lot about my health and illnesses (not just RA!) on my social media. In my Instagram stories and Twitter, I share a lot of insights into the ways that my health impacts my life. I’m trying to do this more on my Instagram itself (especially because my followers have asked for it), but at the very least I almost always share when I get an infusion.

I share all of this basically to tell you guys that I have experience with this. Arthritis is my main advocacy focus, but I try to also work on some of my other illnesses, especially those that I’ve developed over the last few years. I’ve been doing it more seriously for 4 years, and I hope that my tips help you dip your toes in it. I’m also thinking about doing a post all about creating a blog for health/advocacy, so let me know in the comments if you’re interested in that!

Here’s my guide for how to get involved in the political system if you never have before.

How to become an advocate for patients, patient advocacy, how to be an advocate, politics, chronic illness, chronic pain

How To Become an Advocate for Patients

Education – The most important part of being an advocate is knowing what you’re talking about. Most people are more likely to listen and understand if you have facts and you have the answers to your questions. For example, when I start explaining elements of arthritis to people, they often have questions. I want to make sure that I understand what I’m talking about so I can answer them. They might about my opinion on certain laws, what the statistics are of arthritis patients, or even what they can do to help.  In all of these cases, the self-education I’ve done allows me to answer their questions, or for me to say, “I actually don’t know the answer to that, but I’ll look it up and get back to you.”

Get involved with organizations – If you’re looking to be an advocate for a specific condition or illness, look into the organizations that support them, either in your country or area. These organizations can provide you with information, specific ways to support them or the people they serve, and ways to get involved. For example, as I mentioned, I’m involved with the Arthritis Foundation and the Arthritis National Research Foundation. They both support people with arthritis, but they do it in different ways. ANRF focuses entirely on funding research, although they also offer ways to support arthritis patients and they spread information on arthritis. AF, on the other hand, advocates for arthritis patients in Washington as well as state governments, organizes large events to raise money for arthritis research, has a large amount of information on arthritis to educate people, offers ways to get involved, and more. By getting involved in both organizations, I’m able to help other patients as best I can. But also, make sure to educate yourself so you don’t worth with an organization that does shady things.

Create a platform for yourself – By creating a platform for your voice, your message can reach so many people. My platform is this blog as well as my social media accounts. By growing this blog – and especially, in my case, writing about topics other than health – I’m able to reach so many more people than if I was an average person on social media. That’s not to say that you won’t be able to reach people if you have a small number of followers, if you only blog about health concerns, or if you don’t have public social media accounts. You will simply be able to reach more people by growing your platform.

Build relationships – You want to build relationships with other advocates, organizations, and more. These relationships can serve a variety of purposes. 1) Relationships with other advocates can help support you in your own advocacy. You can learn from each other, support each other in your endeavors, introduce each other to other connections, and provide emotional support for each other during difficult times. 2) As mentioned above, organizations can be super helpful for advocacy. Building relationships with these organizations can provide your advocacy with some guidance, more opportunities, and meeting more people.

Try not to compare yourself to others – This is easier said than done, but it’s important. No one else can do exactly what you’re doing. Even if they’re advocating for the same condition, running similar online platforms, or working with the same organizations, no one else is you. So there’s no point in comparing yourself to others! Get inspired by others, learn from others, build relationships with others, but don’t compare yourself to them.

Identify your goals for your advocacy – How will you know if you’re doing a “good” job? Like with most aspects of life, you’ll never know if you’re succeeding if you don’t have a goal that you’re looking for. I suggest setting a goal for a period of time, such as a week or a month if you have a busy season, or a year if you don’t have specific things coming up in your advocacy. Maybe your goal is that you’ll email or call your senators every month about a certain issue, or that you want to get x law passed in your state. Setting goals helps you figure out if you’re doing a “good” job and gives your advocacy more direction.

Prepare yourself to get out of your comfort zone – If you’re an introvert like me, advocacy can involve getting you out of your comfort zone! You’ll need to accept that some elements of advocacy can make you uncomfortable. For a lot of things, there are certain alternatives, such as emailing your senator instead of calling. And you can ease yourself into advocacy! You don’t need to go from zero to one hundred in the span of a month or a year. But I haven’t met anyone yet who hasn’t gotten out of their comfort zone even once over the course of their advocacy.

Don’t lose hope – The thing about advocacy is that it isn’t easy. There will be a lot of people who don’t agree with you or who have other things that take up your time. Sometimes it will feel like you’re not doing anything or that your work doesn’t matter. So it’s important to keep your chin up when it comes to bad or negative days or weeks – and you’re allowed to have them! The important thing is that you keep going and you keep advocating for your cause. Your work does matter to the people you’re advocating for, even if they don’t know that you exist.

Practice self-care – And it’s important to take care of yourself first and foremost. You won’t be any good to patients if you’re doing poorly physically and mentally, and that’s especially true if you’re also a patient. Take care of yourself. Self-care can look like doing things that you enjoy, but it can also look like taking a break when you need one or not participating in an event if it will mean pulling yourself in too many different directions. It’s okay to take a break, and it’s so important when you’re doing advocacy.

10 Simple Self-Care Methods That Will Improve Your Life

What advice do you have for someone interested in becoming an advocate for patients?

Like this post? Check out:

We Need To Talk about Ableism, Is Chronic Illness a Disability?, Chronically Ill Tips: Preparing for Medical Appointments, Why You Should Try Meditation

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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I don’t know the exact date of my RA diagnosis, bu I don’t know the exact date of my RA diagnosis, but this is from right around then in July 2010. ⁣
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When I was diagnosed, I had been having symptoms for 9 years. ⁣
- 9 years of foot pain (partially from tarsal coalition)⁣
- Arthritic damage in said food⁣
- Carpal tunnel off and on for several years⁣
- And more⁣
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I was finally diagnosed because I woke up one morning and was unable to open my jaw more than 8 mm. It turned out that I had horrible arthritic damage to my TMJs, which got me off the waiting list at MGH rheumatology. I left that appointment with an autoimmune arthritis diagnosis. ⁣
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The fact that July is not only my diagnosis anniversary but also Juvenile Arthritis Awareness Month has always seemed right. I may not have been diagnosed with JA, but given the amount of arthritis I had along with my many years of symptoms, it's generally accepted that I had it. ⁣
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This year marks 16 years since diagnosis and this fall marks 25 years since my symptoms started. It's pretty weird that so much time has already passed!⁣
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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 at 19 at Fenway Park for a Red Sox game. ⁣
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#RheumatoidArthritis #AutoimmuneDisease #Arthritis #JuvenileArthritis #JRA
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
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