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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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July is: ⁣ - Disability Pride Month ⁣ - Juvenile A July is: ⁣
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- Juvenile Arthritis Awareness Month ⁣
- the anniversary of when I was diagnosed with autoimmune arthritis at age 19 after 9 years of symptoms ⁣
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As you can imagine, that makes me very aware of my disability via juvenile arthritis⁣
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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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There are a lot of reasons why you shouldn't doubt There are a lot of reasons why you shouldn't doubt someone's chronic illness, but this is one of them. ⁣
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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. A white text box reads "Chronic Illness Looks Different in Each Person"⁣
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This basically sums up my summer so far: Harley, a This basically sums up my summer so far: Harley, a sewing project, and my foot in a cast⁣
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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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Week 28 of 2026 Weekly A very busy week! 1️⃣ Foo Week 28 of 2026 Weekly

A very busy week!

1️⃣ Foot checkup! Walking boot is on occasionally from now until September 
2️⃣ Boston 
3️⃣ IVIG
4️⃣ Dentist 🦷 All good! 
5️⃣ Not a filter - this was the Boston area the second half of the week 
6️⃣ Physical time!

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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 in a doctor’s office
2️⃣ Looking at TD Garden, the bear statue for the Bruins, and Zakim Bridge in the background 
3️⃣ Looking at tubes coming out from under Kate’s clothes. There’s a Kindle on her stomach
4️⃣ Kate takes a mirror selfie before leaving
5️⃣ Medford Square looking like there’s a yellow filter over it
6️⃣ Kate takes a selfie in a doctor’s office

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Also, if this is how you’re finding out, I’m sorry Also, if this is how you’re finding out, I’m sorry. I’m fortunate enough to have a lot of people who care about me and this is the fastest way to tell everyone. 

Video: Kate talks to the camera while putting on makeup. There are captions. 

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Week 27 of 2026 Weekly (Delayed because last Sund Week 27 of 2026 Weekly

(Delayed because last Sunday was baaaaad)

1️⃣ Due airport difficulties, we got a few more days with Emma. Harley was THRILLED!
2️⃣ Beautiful bird/squirrel visitors
3️⃣ A beautiful Maine summer 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 Harley the golden retriever putting his front legs up on Emma’s legs to demand hugs.
2️⃣ A bird feeder and hummingbird feeder on a deck. There is a hummingbird at one and squirrel at the other.
3️⃣ A barn, a pond, and the Maine woods

#207 #MaineLife #MaineTheWay #NewEnglandSummer #IGMaine
Reminder: you can be proud of your disability comm Reminder: you can be proud of your disability community while wishing your body cooperated 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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#DisabilityPride #ChronicallyIll #InvisibleIllness #Disabled #Disability
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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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:⁣
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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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