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in Lifestyle &middot 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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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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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
Week 22 of 2026 Weekly 1️⃣ Off to see my foot doc Week 22 of 2026 Weekly

1️⃣ Off to see my foot doc … and my foot is healing! Yay!
2️⃣ A very cool notification to get!
3️⃣ This is 35 🎂
4️⃣ Featuring Harley snuggles 
5️⃣ And then it was my mom’s birthday! 
6️⃣ With Harley again 

ID: 
1️⃣ Kate takes a mirror selfie 
2️⃣ a notification from WordPress saying “Receive views from 150+ counties. The United Nations has nothing on you!”
3️⃣ Kate smiles for the camera in a cafe 
4️⃣ Kate in the same outfit with Harley the golden retriever on her lap. 
5️⃣ Kate’s mom smiling in a restaurant 
6️⃣ Kate with Harley again 

#GoldenRetrieversOfInstagram #ChronicallyIll #ChronicPain #InvisibleIllness
Lifestyle Changes I Made for My Rheumatoid Arthrit Lifestyle Changes I Made for My Rheumatoid Arthritis⁣
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While these are not my treatments, they have made my life better in some ways. ⁣
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What lifestyle changes have you made, for RA or another condition?⁣
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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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A series of pictures. Each has a text box on them related to the picture. ⁣
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1️⃣ Lifestyle changes I made for my rheumatoid arthritis⁣
2️⃣ Wearing a mask⁣
3️⃣ Using a cane⁣
4️⃣ Changing my diet⁣
5️⃣ Working from home⁣
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#ChronicIllness #RheumatoidArthritis #AutoimmuneDisease #Arthritis #ChronicallyIll
What helps you mentally get through a tough time?⁣ What helps you mentally get through a tough time?⁣
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I'm struggling right now with my broken foot, which brings back a lot of tough memories. That plus being due for Rituxan and the heat starting up has made things hard. ⁣
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Here are somethings I do: ⁣
▪ Stick with my routine⁣
▪ Make recipes that I really enjoy⁣
▪ Work on embroidery projects so I can do something productive that involves stabbing fabric⁣
▪ Cut myself slack ⁣
▪ Get Harley hugs⁣
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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 and Harley the golden retriever hugging. Kate is a redheaded white woman wearing a black dress, pink sweater, and round pink glasses.⁣
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#GoldenRetrievers #RheumatoidArthritis #Fibromyalgia #POTS #SjogrensSyndrome
Week 21 of 2026 Weekly 1️⃣ First real cross-stit Week 21 of 2026 Weekly 

1️⃣ First real cross-stitch project: done! 
2️⃣ The magic machine that is hopefully healing my broken foot 
3️⃣ When your 2 refrigerated medications are delivered on the same day

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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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1️⃣ A completed cross-stitch project, which shows 2 bears walking past a lake, trees, and mountains.
2️⃣ An Exogen machine showing use 13 days in a row
3️⃣ A couple of styrofoam refridgerated containers for medication

#ChronicallyIll #CrossStitch #RheumatoidArthritis #SjogrensSyndrome #IVIG
You guessed it, I'm one of that 25%. ⁣ ⁣ May is Ar You guessed it, I'm one of that 25%. ⁣
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May is Arthritis Awareness Month. 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⁣
You only have rheumatoid arthritis if your rheumatoid factor tests positive.⁣
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As many as 25% of RA patients test negative, which is called being seronegative.⁣
katethealmostgreat
Things are tough (all over pain, heat with POTS, i Things are tough (all over pain, heat with POTS, in a walking cast waiting to see if I need my 6th foot surgery), but so am I.⁣
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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 white woman with auburn hair wearing a navy-based floral dress, green glasses, and silver Celtic knot necklace.⁣
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#RheumatoidArthritis #POTS #POTSie #AutoimmuneDisease #ChronicallyIll
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