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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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I personally have rheumatoid arthritis, fibromyalg I personally have rheumatoid arthritis, fibromyalgia, and Sjögren's syndrome, which makes 3 forms of arthritis.⁣
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May is Arthritis Awareness Month, which is the perfect time to remind people of these facts. Here's today's fact.⁣
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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⁣
Arthritis means only 1 thing.⁣
Fact⁣
There are over 100 kinds of arthritis, including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and more!⁣
katethealmostgreat⁣
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#ArthritisAwareness #RheumatoidArthritis #Fibromyalgia #SjogrensSyndrome #Arthritis
SHARING YOUR HEALTH EXPERIENCES PUBLICLY⁣⁣⁣ ⁣ I sh SHARING YOUR HEALTH EXPERIENCES PUBLICLY⁣⁣⁣
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I share my personal health experiences online, which I find it somewhat easy to do because I've been talking publicly - albeit to a smaller audience - since my health problems started in 2001. ⁣⁣⁣
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If you share something online, you need to be prepared for people to ask questions or argue with you. Should they? No. Will that stop them? Also do. ⁣
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That's one of the reasons that talking online about what can be trauma is not easy or for everyone. That's why it's important to practice self-care and to consciously think about what you want to share online before you do it. ⁣⁣⁣
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For example, I generally only talk publicly about a health situation once it has passed, especially if it's an emergency. I also make sure that I'm in a good place mentally before I talk about it. That way, I don't share things I'll regret sharing publicly later. It also helps me be less anxious about sharing these details.⁣⁣⁣
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And I don't share everything! There's lot of stuff that I haven't talked about not only online but with people in real life. It might seem like I share everything I've experienced, but I don't. ⁣
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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: Kate works on a laptop offscreen. She's a redheaded white woman wearing a beige-and-navy striped sweater, silver Claddagh necklace, and pink glasses.⁣
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#ChronicallyIll #RheumatoidArthritis #ChronicPain #Endometriosis #SjogrensSyndrome
Week 18 of 2026 Weekly 1️⃣ Cross-stitch and IVIG Week 18 of 2026 Weekly 

1️⃣ Cross-stitch and IVIG 
2️⃣ Another trip to the foot doctor. We’re officially in Try To Avoid My 6th Foot Surgery mode 🤞🏻 
3️⃣ At least there were lilacs?

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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 down at Kate’s lap. Tubes are coming out of her shirt. She’s working on a cross stitch.
2️⃣ Kate takes a selfie in a doctor’s office. She’s wearing a lilac mask.
3️⃣ A lilac bush

#IVIG #CrossStitching #ChronicIllness #ChronicallyIll #InvisibleIllness
FAQ: Have I Tried Yoga for My Pain? This is a se FAQ: Have I Tried Yoga for My Pain? 

This is a series where I answer questions I frequently get about my rheumatoid arthritis. I am not a medical professional and this is not medical advice - just saying the truth about my body in particular. 

Video: Kate speaks to camera. There are captions. A black text box reads “FAQ: Have I Tried Yoga for My Pain?” 

#RheumatoidArthritis #AutoimmuneArthritis #Arthritis #ArthritisAwarenessMonth
May is Arthritis Awareness Month, which is the per May is Arthritis Awareness Month, which is the perfect time to remind people of these facts. Here's today's fact.⁣
⁣
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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⬛⁣
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ID: Fact or Fiction? Let's Check! ⁣
Fiction⁣
Arthritis only affects people as they age.⁣
Fact⁣
Arthritis can affect anyone at any age, including kids as young as 3.⁣
katethealmostgreat⁣
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#ArthritisAwareness #Arthritis #RheumatoidDisease #RheumatoidArthritis #ArthritisAwarenessMonth
I’ve been on IVIG since September. So what does su I’ve been on IVIG since September. So what does success look like? ⁣
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*This is all just for me and my case!*⁣
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1️⃣ I haven't gotten sick at all since I started, not even a cold. ⁣
2️⃣ My lungs are clear of any ground glass opacities, which was what pushed us over to finally doing IVIG regularly. ⁣
3️⃣ We feel better about saying that I don't have any infections. Because symptoms are often signs of the body fighting an infection, we couldn't always trust that I wasn't sick because I didn't have symptoms. ⁣
4️⃣ Because of all of this, we're increasing my next Rituxan dose! This will mean better RA symptoms and hopefully no new illnesses for a few years.⁣
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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 bunch of IVIG supplies, including a pump. ⁣
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#ChronicallyIll #ChronicIllness #ChronicPain #AutoimmuneDisease #Autoimmune
Week 17 of 2026 Weekly 1️⃣ Making some real progr Week 17 of 2026 Weekly

1️⃣ Making some real progress with this cross stitch
2️⃣ Walking casts have multiple uses, including holding down your mat! (Don’t worry - I only did broken-foot-compatible things) 

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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 An in-progress cross stitch. You can see that Kate stitched 2 bears.
3️⃣ A walking cast lies on a black yoga mat 

#CrossStitching #CrossStitcher #RheumatoidArthritis #Osteoporosis #LoopsAndThreads
Can we talk about fatigue for a sec? ⁣⁣⁣ ⁣ Fatigue Can we talk about fatigue for a sec? ⁣⁣⁣
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Fatigue is so much more than being tired. It's sleeping 10 hours at night and then struggling to stay awake during the day. It's trouble focusing because, even though you just had 3 cups of coffee, you're thinking about sleep. It's needing to factor rest in during the day because you have plans at night. ⁣⁣⁣
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It's a lot. ⁣⁣⁣⁣
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It's no secret that I have multiple chronic illnesses. But did you know that all of them - all 11+ of them - have fatigue as a symptom? Sometimes the fatigue is worse than the pain and, uh, I live with a lot of pain.⁣⁣
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This picture was taken when I was super anemic and waiting for 4 iron infusions. Now, months later, I can see it. And I also don't know how I got through the months of that anemia. ⁣
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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 redheaded white woman wearing a gray sweater and pink glasses.⁣
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#ChronicallyIll #RheumatoidArthritis #Fibromyalgia #Endometriosis #POTS
Week 16 of 2026 This week had EVERYTHING 1️⃣ Cr Week 16 of 2026 

This week had EVERYTHING

1️⃣ Cross-stitch during virtual mass 
2️⃣ Tuesday featured a 90-minute meeting during work and then an hour advocacy work call after my day job (both were good!)
3️⃣ Wednesday started at my foot doctor’s office and I left in a walking boot. Hopefully these 3 fractured bones will heal correctly this time 🤞🏻
4️⃣ Thursday started back at MGH for my annual neurology appointment + foot CT scan
5️⃣ Then I went up to Maine … 
6️⃣ to celebrate my grandma’s 85th birthday! 

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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 In the foreground is an in-progress cross-stitch piece. The background shows an open laptop streaming Catholic mass.
2️⃣ Kate takes a selfie. She’s a white woman with auburn hair and green glasses.
3️⃣ Kate takes a selfie in a doctor’s office. 
4️⃣ Kate takes a selfie in a car.
5️⃣ Kate takes a selfie snuggling with a golden retriever.
6️⃣ Kate and her cousins stand with their grandmother in front of a sign saying "Happy Birthday." 

#CrossStitch #ChronicPain #ChronicallyIll #InvisibleIllness
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