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in Lifestyle &middot May 3, 2019

What I’ve Been Up To

Oh boy. So much has happened in my life in the last 2 months. In fact, this past weekend was the first one in five weeks that I was home in Boston! That’s how wild things have been. While I’ve been keeping you guys posted (kind of) on social media, I thought I would spend a post just to recap a bit. I know that it’s sometimes fun to go back to how blogging was in the ye olden days of 2013 and just recap a weekend, and I’m still not operating at full-speed/pain levels, so it seems like a fun excuse.

Breaking down what I've been up to over the last 2 months, from mid-March to late April.

Emily visited – The weekend of March 23rd, my sister came to Boston to visit! She lives in NYC now, so I don’t see her that often. Before this weekend, I hadn’t seen her in months. We hung out, our family went out to dinner at Trillium in the Seaport, and we did a brunch with a family that she used to nanny for. It was a good time!

My grandpa took a turn for the worse and then died – Sadly, literally two days after Emily returned to NYC, we got a call that my grandpa had taken a turn for the worse. I haven’t talked about this much publicly because it’s not just my story like my health is, but he lived the last few years with vascular dementia. This is a form of dementia caused by strokes. He had 2 big strokes (what we think about generally when we hear “stroke”) and an innumerable number of small strokes (TIAs). Those were so small that we wouldn’t notice when they were happening; he wouldn’t even notice, I don’t think. But there’s no cure, and while his medication did reduce the number of big strokes he had, he kept having TIAs. He was in a memory care facility for around a year and a half, and so his turn for the worse wasn’t necessarily unexpected, but it’s not something you’re ever truly prepared for.

So we got the call on Tuesday and went up to Maine to say goodbye. He died on March 31, 2019. I’m very grateful that I am able to work anywhere there is an internet connection, so I only had to take like 2 days off. Working was good for me because it was a distraction. It also felt weird to watch Netflix the day after my grandpa died, you know? Anyway, the wake and funeral weren’t until the first Thursday and Friday of April. We stayed up in Maine until April 7. It was nice to spend a week and a half up there, but obviously not nice given the reason. We had a lot of family time, including a big family movie day on Saturday, and that was nice.

I went to HealtheVoices 2019 – As I said, I got back to Boston on Sunday, April 7, spent 4 days at home, and then left for Dallas to go to HealtheVoices (a trip sponsored by Janssen FYI). I won’t fully recap that trip for you because I wrote a whole post recapping it already, but basically this is a conference for online health advocates put on by Janssen Pharmaceuticals. This was my second year going, and it’s really fun. It’s just also a lot – a solid 12 hours a day for 3 days – and I was really glad that I had a day off between when I got home and when I went back to work!

What I've Been Up To | Kate the (Almost) Great

I went to Maine for Easter – A few days after HealtheVoices, I went back up to Maine for Easter. This had been planned for months, which I was very glad about considering my grandpa’s death. We spent Saturday just hanging out and then on Sunday had a full family day. We did Easter dinner at my grandma’s, along with my mom’s brother and his family. Then, we went to my dad’s sister’s house and spent time with them. It was a very full day, especially because the drive from our house to Orono and Orrington is ~40 minutes.

Met Ayanna Pressley – After getting back from our Easter trip, I had an actually normal week, which was really nice. And then last weekend, I got to meet my congresswoman, Ayanna Pressley. She had an open house at her new Dorchester office, and my dad and I went to that. It was packed! What was really nice was that they had questions all over the office on big sheets of paper to get her constituents’ feedback. For example, one sign asked what was the preferred way to hear from her. It was really cool meeting her, even though I had a major star-struck moment.

What I've Been Up To | Kate the (Almost) Great

When we got to her office, my dad let me out of the car right at her office before he was going to go park. I got out of the car, saw her getting out of her car not that far away, and immediately panicked. I said “Nope!” and got back in the car with my dad. He parked the car (luckily not that far away), I put on lipstick and pulled myself together, and we went in. Later, when I actually met her, I was able to hold it together enough to introduce myself and ask for a picture. But just barely!

What I've Been Up To | Kate the (Almost) Great

I read a lot – Throughout all of this, I did a lot of reading. This is partially because I did a lot of traveling; I listen to audiobooks in car rides because I get motion sickness and I read in airports and on planes. It’s also because I spent a lot of time in Maine and I do a lot of reading there. I read so much that I’m now ahead of schedule to reach my reading goal for the year! (30 books) Since my sister first visited in March, I’ve read 6 books, not counting what I’m currently reading. You can check out what I read in the first quarter of the year here.

What have you been up to?

Like this post? Check out:

My Evening Routine, Fun Things To Do in Boston: A 3-Day Guide, How To Go Back to Work After a Long Break, What I Wish I Knew When I Was 20

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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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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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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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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#RheumatoidArthritis #AutoimmuneDisease #Arthritis #JuvenileArthritis #JRA
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⁣⁣.⁣⁣⁣⁣

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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!

⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣

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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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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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
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