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in Lifestyle · August 21, 2018

What I Wish I Knew When I Was 20

It’s hard to believe it, but I’m officially in my late twenties now that I’m 27. A lot happens to everyone in 7 years, but that is especially true between the ages of 20 and 27. When I turned 20, I was half-way through college, since then, I graduated college, became a teacher, quit my teaching job, went to grad school, started job after grad school, developed 2 new illnesses (endometriosis and POTS), and had 3 more joint surgeries. The last 7 years have been so eventful, and I’ve been thinking a lot about that recently, so I thought that today I would talk about what I wish I knew when I was 20.

Sharing what I wish I knew when I was 20. I've learned a lot in the last 7 years, and I hope that this helps you!

What I Wish I Knew When I Was 20

Take your time – You don’t have to rush at everything! Enjoy your life how it is. Of course, do your homework and hang out with your friends, but you don’t have to cram everything into every hour of every day. And you don’t have to do that just because you’re 20 and there are a finite number of days left of your time in college. Enjoy your life and try not to stress too much about not doing enough.

You don’t have to accomplish everything by age 30 – Similarly, you have plenty of time to achieve your goals. Even though I technically knew this at age 20, I didn’t really get it until a few years ago. I felt like I was a failure for not achieving so many things by the age that I thought I should have achieved them. I don’t know if this is a millennial thing or a human thing or an anxious person thing, but I felt bad about it. And I shouldn’t have! I (hopefully) have 50 more years on this earth. There’s plenty of time for me to accomplish things.

It’s okay to change your career – This one hurt – and still does – so much. SO much. If you didn’t read here back in 2014, I used to be a teacher. I got a degree in education and taught high school for a year. Now, as you might know, I’m not a healthy person. I have multiple chronic illnesses and have been in pain since 2001 due to rheumatoid arthritis. I have highly-active rheumatoid arthritis, and working 50+ hours a week is a bad idea when you have a raging autoimmune disease. I overdid it and had to quit. Again, this hurt so much and it still really hurts, especially this time of year when there’s teaching stuff all over the place. It hurt because teaching is a calling, but it’s also because I felt like I had to pick my career and stick with it forever. Logically, I knew that it didn’t work like that, but I really felt like it did. But it’s not true, as it’s more than okay to change your career, even if you don’t have a health challenge precipitate it. You don’t need to be ashamed.

Don’t be afraid to move in with your parents in your 20s – This is another thing that I felt so ashamed of but really didn’t need to, especially as living with your parents in your 20s is SO common right now. It’s common for people who aren’t dealing with health problems (including multiple surgeries) and/or grad school. So, really, don’t feel bad about yourself because you move in with your parents. It’s what’s necessary, and you’re saving so much money.

You’ll have to make lifestyle changes for your chronic illnesses – Medication (at least today’s medication) won’t do everything needed to live your best life with chronic illness, so you’ll need to make some lifestyle changes. Some foods (more than at age 20) irritate your RA. You need to go to the chiropractor every week. Keep doing yoga every day. All of these things and more are necessary for your quality of life. Research it, go through trial and error, and find what works for you and your body.

What I wish I knew when I graduated from college

10 things I've learned since I was 20, what I wish I knew when I was 20, life advice, advice for your twenties, life advice

You’ll have to stand up for yourself – No one else will stand up to professors for you. No one else will stand up for you when you get harassed when you’re alone. No one else will stand up for you when you’re in doctor’s appointments alone and the doctor suggests that nothing is wrong with you when you know there actually is. If you don’t stand up for yourself, others will walk all over you. Just make sure that you don’t explode at them – unless they really deserve it, of course.

… and others like you – You know from experience that too many people don’t believe invisibly ill people, and you also know that there are so many people out there who are invisibly ill, including yourself. Use your voice and experience to stand up for others. Use your blog and social media, go to Washington, D. C., to meet with your representatives, and speak up for others in person, too. Too few people will stand up for invisibly ill people, and even fewer will be believed.

Carve out time to read for fun – Reading makes you happy (and makes you a better writer), so make sure you find time for it. Obviously this is difficult during the school year, but when life is a bit calmer, find the time. This time won’t automatically appear, so to a certain extent, you just need to make the time. And get an audiobook app on your phone so you can listen during the school year! You’ll be happier for it.

Keep writing – And make sure that you keep writing. You won’t magically be a better writer if you don’t keep going. Blogging helps (goodness gracious does it help), but you won’t get better at writing certain elements of fiction if you don’t keep writing fiction. Not happy with your first drafts? Keep working. Keep editing. Keep. Going.

You don’t have to find your person immediately – It’s not the end of the world if you haven’t found or started dating The One yet. Don’t settle and don’t fret. You’re young and, again, you hopefully have another half-century. There’s plenty of time to find The One, and your life is great even if you don’t find The One. You don’t need a man, even if one would be nice. (Men are, after all, trash.)

What do you wish you knew when you were 20?

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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. Kate the (Almost) Great | Boston Lifestyle Blog - Did I Meet My Blog Traffic Goals in August? | Kate the (Almost) Great says:
    September 4, 2018 at 6:32 am

    […] The posts that I wrote as a part of this are Why Is Rheumatoid Arthritis Hard To Diagnose?, Most Popular Books Published in 2018 (So Far), 6 Reasons Why You Should Start Blogging, Is Chronic Illness a Disability?, and What I Wish I Knew When I Was 20. […]

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Some things I've done for this so far:⁣ ▪ Gett Some things I've done for this so far:⁣
▪ Getting professional haircuts on a regular basis⁣
▪ Got a Kindle and therefore reading more⁣
▪ Making bread regularly, even though I'm bad at it ⁣
▪ Doing my best to keep houseplants alive⁣
▪ Regularly looking for more recipes to try making and not relying on the ones I already have⁣
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I’m Kate, a chronic illness patient and advocate. Follow me for more content for chronic illness patients and their loved ones!⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣ID: Screenshots of thread posts written by Kate Mitchell | Kate the (Almost) Great with the username katethealmostgreat. ⁣⁣The background is dark teal. All text is here, with one paragraph per image:⁣
"I realized recently that, big picture, this is the best my health has been since I got sick. When I got my infection in 2018 that impacted my whole body until 2023, I wasn’t diagnosed with one of my illnesses and 3 of my diagnosed ones weren’t controlled to the level they are now.⁣
So this year my quasi-resolution is being nice to myself and focusing more on thriving than existing. Because I can, for the first time maybe ever, thinking about thriving *and* existing."⁣
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#AlmostGreatLife #AlmostGreatHealth #ChronicallyIll #SpoonieLife #ChronicallyAwesome #InvisibleIllness #ButYouDontLookSick #LivingWithIntention #Disability #Disabled #Spoonie
Some housekeeping! 1) I am not sponsored. 2) These Some housekeeping! 1) I am not sponsored. 2) These were recommended by my foot surgeon. When you have RA affecting most joints and tarsal coalitions, good sneakers are essential. 

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Video: 3 pairs of HOKA sneakers on wood floor. Kate’s hand picks up one and tosses it out of view. White text reads “My Hoka system” and there are captions in a black box. 

#AlmostGreatLife #TarsalCoalition #RheumatoidDisease #RheumatoidArthritis
In July 2025, it will have been 15 years since my In July 2025, it will have been 15 years since my RA diagnosis. Here's how I've changed since then!⁣
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(And I'm not talking about how my health has changed!)⁣
▪ I trust myself and my instincts a LOT more⁣
▪ I understand my body's limitations AND the best ways o get around them to have the life I want⁣
▪ I love using mobility aids as they make my life a lot better⁣
▪ I cook and bake a lot more⁣
▪ Work-life balance is not an option for me: it's a requirement⁣
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How have you changed since your diagnosis?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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ID: Kate sits at a desk with her head in her hand. On her desk are notebooks and pens. She is a brunette white woman wearing an olive dress, gray stone necklace, and round tortoiseshell glasses. ⁣
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#AlmostGreatHealth #RheumatoidArthritis #arthritis #SpoonieLife #healthblogger #autoimmune #autoimmunedisease #chronicallyill #healthblog #chronicallyill #disability #disabled #invisibleillness #DisabledAndCute #spoonielife #RheumatoidDisease
Week 18 of #2025Weekly ⁣ ⁣ This week was prima Week 18 of #2025Weekly ⁣
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This week was primarily about getting things set and wrapped up before a heavy appointment week, including my infusion, next week. ⁣
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1️⃣ Meal prepping (the finished product of this salad has a lot more ingredients, including protein, but it doesn’t looks as aesthetically pleasing once they’re in there) ⁣
2️⃣ Started the week at the doctor and with a cortisone shot in my knee. He was very impressed with me and I had to point out that when you start your cortisone shots with some in your ankle area - which has a lot more stuff in it and requires being done under x-ray) your knee is truly nothing.⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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1️⃣ Cut up vegetables in a clear glass container⁣
2️⃣ Kate takes a selfie in a doctor's office. She's a brunette white woman wearing a green t-shirt, blue mask, round tortoiseshell glasses, and silver Claddagh necklace.⁣
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#AlmostGreatHealth #AlmostGreatLife #ChronicallyIll #InvisibleIllness #RheumatoidArthritis #RheumatoidDisease #Rheum #Arthritis #ArthritisAwareness #AutoimmuneDisease #Autoimmune #SpoonieLife
Drop your suggestions in the comments _______ Drop your suggestions in the comments 

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Video: the view of a sun setting over a lake as seen through the trees. Upbeat music plays. Top text reads “How To Deal with Unsolicited Advice”. Then a series of messages pop up. The are: 
“Sorry, my mom said I can’t do that”

“Didn’t you hear? The new pope said that was heresy.” (Ideal if you’re not Catholic)

“I have to wait until mercury isn’t in retrograde, and it’s always in retrograde”

“My psychic said that will kill me”

#AlmostGreatHealth #ChronicallyIll #ChronicIllnessHumor #ChronicPainHumor #InvisiblyIll
Having decades-long health problems sometimes mean Having decades-long health problems sometimes means coming across something in your health history that you completely forgot about⁣
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I’m Kate, a chronic illness patient and advocate. Follow me for more content for chronic illness patients and their loved ones!⁣
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⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣ID: Screenshot of a thread post written by Kate Mitchell | Kate the (Almost) Great with the username katethealmostgreat. ⁣⁣The background is dark teal. All text is what’s above the first black square.⁣⁣⁣
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#AlmostGreatHealth #rheumatoidarthritis #arthritis #spoonielife #healthblogger #autoimmune #autoimmunedisease #chronicallyill #healthblog #dysautonomia #fibro #fibromyalgia #endo #chronicallyill #disability #disabled #invisibleillness #spoonielife #healthblogger
Here are some ways I practice self care, aka talki Here are some ways I practice self care, aka talking care of myself AND who I am as a person separate from illness⁣
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This is my Wonderful Things jar. Every day, I write down something wonderful or good that happened that day. ⁣
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I know it looks like I'm forcing Harley to sit like this, but he was making this face before I put my arm around him. Dog snuggle time is the best!⁣
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I got a Kindle this year and it has been amazing. It's so much easier on my body than lugging around books and it makes borrowing from the library a lot easier.⁣
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Yes, I share this all the time, but filling my pill boxes every 3 weeks make it so I stick with all of my medications. But the self-care part of this is that I don't have to take the time to refill a box every single week.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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IDs: ⁣
1️⃣ A glass jar on a desk with a lot of multi-color post-its inside⁣
2️⃣ Kate has her face in a golden retriever who is slumped onto her. They're in a teal room with a red rug. Kate is a brunette white woman wearing red pants and a gray sweater.⁣
3️⃣ A Kindle on dark mode in Kate's lap⁣
4️⃣ 3 open pill cases on a yellow bedspread ⁣
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#AlmostGreatHealth #AlmostGreatLife #SelfCare #ChronicallyIll #ChronicallyAwesome #SpoonieLife #Spoonie #ChronicLife #ButYouDontLookSick #InvisibleIllness #MentalHealthMatters #RetrieversOfInstagram #Readers #Kindle #WonderfulThings #GratitudePractice
What I Bring To the Doctor _______ Video: a pa What I Bring To the Doctor 

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Video: a pan of an exam room. White text reads “What I Bring To the Doctor ” and the “1. Planner/notebook
2. List of current medications 
3. Notes on my biggest concerns and questions 
4. My kindle for wait time” 
The intro to Maroon 5’s Priceless plays. 

#AlmostGreatHealth #ChronicIllness #ChronicPain #RheumatoidArthritis #SjogrensSyndrome #Fibromyalgia #Endometriosis
💃🏼 Week 17 of #2025Weekly 💃🏼⁣
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1️⃣ She’s married!! ⁣
2️⃣ She married the best person in the world for her!!!!!⁣
3️⃣ I got dressed up! ⁣
4️⃣ The reality of doing fun things with chronic illness and pain is that then you have to recover from the fun things. It took … a while. One million percent worth it, but this is why I don’t do big events on a regular basis. ⁣
5️⃣ And then I had to be a person again for an appointment!⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 7+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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1️⃣ Kate stands hugging Emmie. They're both white woman. Emmie is in a wedding dress and Kate is in a red dress and wearing round tortiseshell glasses.⁣
2️⃣ Kate and Emmie stand next to Matt, Emmie's husband. He is a white man.⁣
3️⃣ Kate takes a mirror selfie. she's in the same red dress but now also wears a jean jacket and holds a cane and mask.⁣
4️⃣ Kate takes a selfie while giving a thumbs up. She looks tired. She's now wearing a pink flowery dress. ⁣
5️⃣ Kate takes a mirror selfie. She's wearing black shorts, a gray shirt, a jean jacket, a blue mask, and black aviator sunglasses. She has a bag over her shoulder and holds a cane.⁣
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#AlmostGreatHealth #AlmostGreatLife #ChronicallyIll #InvisibleIllness #SpoonieLife #RheumatoidArthritis #RheumatoidDisease #Autoimmune #ButYouDontLookSick #AutoimmuneDisease #SpoonieLife #InvisibleIllness #DisabledAndCute
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