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in Health &middot February 19, 2018

Seronegative Rheumatoid Arthritis Diagnosis: What I’ve Learned

It’s hard to believe that it has only been 7.5 years since I got my seronegative rheumatoid arthritis diagnosis. It feels like I’ve been diagnosed forever! But it was only in 2010 that I had that fateful doctor’s appointment. Today I want to look back at that time and share with you 10 things that I wish I had known in July 2010.

As a reminder, no two RA patients are the same. What may be true for me may not be true for you. I am not a medical professional.

10 things I wish I knew when I received my rheumatoid arthritis diagnosis, www. kate the almost great .com

Seronegative Rheumatoid Arthritis Diagnosis: What I’ve Learned

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Seronegative Rheumatoid Arthritis Diagnosis: What I’ve Learned
One
Two
Three
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Five
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Seven
Eight
Nine
Ten

One

The first medication you try might not work. Or the second. It can take years to find a treatment that you respond to because you might not respond to TNF inhibitors. So don’t pin your hopes on the first treatment you try or the second or the fifth, but don’t give up. Your doctors will do their best to help you find a treatment that works.

7 Arthritis Myths Busted: Do You Know The Truth?

Two

You can’t do everything that you used it. And that’s not the end of the world! There’s still a lot that you can do, and you’ll find new activities and people that will ensure that you still have a great life.

Tips To Make Independently Living with a Chronic Illness Easier

The chronically ill workbook, a workbook to help you better manage & understand your chronic illness, www. kate the almost great .com

Three

Some of the things you’re eating might make it worse. Test all sorts of foods to find what you react to so you can reduce your pain. Plus, this will make you eat healthier overall.

What Is Considered a Chronic Illness? And Other Chronic Illness Basics

Four

Every patient is different, which can be great and awful at the same time. Accept that what works for someone else might not work for you, but definitely crowd source medications and treatments with the amazing chronic illness community to get opinions because there are some people who will have had similar experiences to yours, if not exactly the same.

6 Tips for How To Accept a Chronic Illness

Text reads: free chronic illness symptom journal kate the almost great dot com Image is of someone writing in a notebook while sitting on a couch.

Five

It’s not a bad thing to talk about your arthritis regularly, and it’s not narcissistic, either. There are a lot of people who benefit from hearing what you have to say. Some of them will tell you immediately, some of them will tell you years later, and some you’ll only hear through other people. And that’s not to mention that some people won’t tell you at all.

But talking about it also helps you. It helps you to be able to speak truthfully about what you’re experiencing instead of holding it all in. It helps when you feel like you don’t have to hide the bad days in order for people to care about you.

9 Arthritis Products That Help My Rheumatoid Arthritis

Six

You will lose friends because they can’t accept that your life has to change or they can’t accept that your disease has nothing to do with them. You will lose friends because they can’t accept that some things they do make your life worse. And that’s fine – they’re not worth it. But there is an amazing chronic illness community (including arthritis patients) online, and their support makes things a lot easier to handle. You might lose some friends, but you will gain others.

Arthritis Diagnosis: Diagnosis Stories + The Diagnostic Process Explained

What I've learned with my rheumatoid arthritis diagnosis, www. kate the almost great .com

Seven

There will be guys who run away as soon as they hear that you have an autoimmune disease. And there will be some who think they can handle it but actually can’t. It sucks, but it happens and you will be okay. It’s a good way to weed out the guys who can’t handle important issues. But there will be some who can handle it.

Life with Chronic Illness: One Patient’s Life with 6 Illnesses

Eight

And there will also be friends who can completely handle it and who offer to help you in any way you need and who take you to the ER when you need to. Cherish them because they are awesome. They see you for who you are beyond your health, but they also don’t care if you talk about your health and don’t think that you’re being narcissistic if you do talk about it.

What You Should Know About TMJ Arthritis

Nine

You need to get established with disability services at school. Some professors will easily accommodate you, but others won’t. If you’re established with disability services and they give your professors a list of your accommodations, your professors are legally required to follow them. Some will fight it even then, but the disability services office can get involved. Having that office behind you will give you courage to stand up for yourself when it comes to getting the academic accommodations that you need.

Mental Health and Chronic Disease Management: What You Should Know

Ten

The most important thing is taking care of yourself in body and in spirit. Life can be really, really difficult with rheumatoid arthritis, physically and mentally. It can be hard to admit that you need help and it can be hard to ask for it and it can be hard to take time for yourself to take care of yourself mentally. So do what you can to take care of yourself and cut yourself some slack.

What’s In My Tool Box for Dealing with Chronic Pain

10 lessons I've learned since my rheumatoid arthritis diagnosis, www.katethealmostgreat.com
A real arthritis patients! Lessons learned since I received my rheumatoid arthritis diagnosis, www.katethealmostgreat.com
What I've learned since my RA diagnosis, katethealmostgreat.com
Arthritis diagnosis, 10 lessons I've learned since mine, katethealmostgreat.com

What do you wish you knew when you were diagnosed with your chronic illness?

Like this post? Check out:

 5 Items Every Immunosuppressed Person Needs, So You We Diagnosed with a Chronic Illness: What You Should Do Next, Dating with a Chronic Illness, Beginner’s Guide: Seronegative Rheumatoid 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. Jessica says

    May 24, 2020 at 8:02 am

    This article was amazing and uplifting. To be honest, I have read hundreds that are similar, due to the Lupus I was recently diagnosed with and now RA. And ny son has ADHD. I feel like everything you said is great advice for almost any condition! Thank you for writing this it was well said and I hope more people have access to this and remember to not give up.

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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⁣⁣.⁣⁣⁣⁣

⬛⁣⁣⁣

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⁣⁣.⁣⁣⁣⁣

⬛⁣⁣⁣

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⁣⁣.⁣⁣

⬛⁣

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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