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in Health &middot September 21, 2016

What It’s Like To Live with Pain for 15 Years

As I talk about a lot on this blog as well as my social media, I live with rheumatoid arthritis and fibromyalgia. I’ve been in pain for 15 full years – this fall begins the beginning of the 16th – and I’m only 25. Because of everything that I’ve dealt with and that I continue to deal with, my life is in many ways completely different from the other 25-year-olds that I’ve met. In fact, my life is completely different from every health person’s. If you were wondering what living in chronic pain is like – either because you’re curious or you know someone who lives with it – hopefully this post will help you understand a bit better!

What It's Like To Live with Pain for 15 Years

My normal is not the normal of a “regular” twenty-five-year-old young adult. I can’t work full-time or go to school full-time, and I’ve stopped setting most of my career goals after having to quit my job teaching in Nashville. I need to spend a lot of time resting and I tend to spend my day off in the middle of the week at medical appointments. Twice in the last month my chiropractor has had to put ribs back into place because they are determined to be where they aren’t supposed to be. It is unusual for me to do events at night, and I binge watch a lot of shows because I spend a lot of time on the couch. I can’t drink because of the medications I’m on – and I take 35 pills a day, a low-dose of chemo on Sundays, and have chemo infusions once every fourth months. To be fair, I’m an extreme case (diagnosed 9 years after I started having symptoms), but still. This is what it’s like to live with pain for 15 years.

You find out that there a lot of people out there who lose all filter once they’re filled with curiosity and (what they believe is) necessary righteousness and quickly become awful. They think that they know best because someone looks “fine” – even though they’re not – and yell or make snide remarks because you parked in a handicapped spot. Or if I or a friend of mine asks someone to move from the handicapped spot on the subway, they want to know why they should or what’s wrong with me before they do it.

The places I Uber to the most include the hospital where 90% of my doctors are, the location of another doc, and my house. In that order. I spend so much time at medical appointments that it’s not even funny. I see a primary care physician, rheumatologist, occupational therapist, chiropractor, GI, knee doctor, and more. A few weeks ago, I had 3 medical appointments in 1 day. And while that’s a lot, it isn’t the most I’ve had.

I spend a lot of mental energy trying to figure out the balance between doing too much and not doing enough. That’s the hard thing about my particular health issues. For my fibromyalgia, I have to move a certain amount every day or I hurt more. For my arthritis, I need to keep my muscles strong (or at least not weak) so that they can support my joints. Also, as I’m sure you’ve heard, motion is lotion! An object at rest stays at rest. If I want my joints to be as good as they can be, I need to keep them moving. Of course, given pretty much all of my joints are affected by arthritis, this can be difficult. Walking regularly might help my back, but my knees and hips usually aren’t happy with it.

What It's Like To Live with Pain for 15 Years

I’ve forgotten what it feels like for my overall pain to be below a 4/10. I’ve been in high pain for so long and, again, so many of my joints are affected that it’s rare for most of my joints to be below a 5/10, let alone a 4. And even though some parts of my body might be a 2 or a 3, they’re usually overshadowed by the other parts that are at a 6 or a 7.

And I hate the “out of 10” pain scale. It’s such an inaccurate measure of how I feel, but I also struggle to put my pain into words in general, and the out of 10 scale is something that other people can understand. A much better scale is from the amazing Hyperbole and a Half, which you can check out here. Seriously – it is a much better scale.

I get really excited when I meet someone who has a chronic illness that is similar to mine. Oh wow! Someone gets what I’m talking about! I can talk about my health without freaking them out! Honestly, this is the best because so many people get freaked out by my stories, even the ones that only kind of talk about my health. I could be like, “So I was having a chemo hangover, and someone was eating fish next to me. That’s bad enough, but then they …[etc. etc.]” and even if the entire point is about the kind of fish they were eating, the person I’m talking to latches on to the chemo hangover part of it. They get really distressed, and I’m like, “I understand that this can freak you out because you’re not familiar with it, but this is a regular part of my life and your concern and fascination is freaking me out. Can we talk about something else now?” But if I tell that same story to someone who has similar health issues to me, they don’t even bat an eye at the chemo hangover side of things. Plus, the online support from people who have similar health issues is wonderful, but it’s nothing compared to meeting someone in person who gets things.

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. Emily of Em Busy Living says

    September 21, 2016 at 9:32 pm

    Thank you for being so open and sharing all of this so honestly. I cannot imagine what it would be like to feel this pain every single day.

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    • Kate Mitchell says

      October 5, 2016 at 4:57 pm

      You’re welcome! I hope that sharing this will help people understand life for people with chronic pain.

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  2. Sarah @ Back to Carolina says

    January 13, 2017 at 9:13 am

    3 appointments in one day, Kate. Geeze. I couldn’t do it.
    I am with you on hating the pain scale out of 10. It’s like, well, I have had nonstop pain in my shoulder for 2 years that’s slowly getting worse, so I don’t notice it until I try to use my arm. And my husband drove me to the appointment, so maybe I would feel worse if I drove myself (or had 3 in one day!), but I slept poorly, so I feel pain more accutely… So, what is it?!
    You are an inspiration!

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Trackbacks

  1. Kate the (Almost) Great | Boston Lifestyle Blog - 4 Questions To Ask Before Traveling with Chronic Health Problems says:
    February 6, 2017 at 8:01 am

    […] case you’re wondering where I’m coming from on this: I’ve been in pain for over 15 years, and for the first 9 we thought it was “just” a bad ankle due to a genetic condition. I […]

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    Reply
  2. Kate the (Almost) Great | Boston Lifestyle Blog - What You Need To Know about Arthritis - Kate the (Almost) Great | Boston Lifestyle Blog says:
    October 12, 2017 at 8:00 am

    […] you want to learn more about my personal story, check out these posts: What It’s Like To Live with Pain for 15 Years  and Year 14 of Pain (my medical history up to October […]

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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🤞🏻

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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 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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