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in Health, Lifestyle &middot August 8, 2016

Working for Your Dreams if You Have Health Issues

If you were to ask my family, ex-boyfriends, and friends what my worst quality is, they would probably say that I can be extremely stubborn. Now, I’m also self-aware enough that I know that about myself and I can acknowledge when I’m being stubborn and that I should probably change what I’m doing. But my stubbornness can also help me because it means that I don’t give up on my goals. This is especially helpful when it comes to my health issues trying to get between me and my dreams. If you find yourself in a place where your health is threatening your goals, take my advice on how you can still achieve them.

Living with Arthritis: My Goals for a Positive And Happy Life

Working for Your Dreams with Health Issues

Step 1: Choose Attainable Goals – The most important thing is keeping your limitations in mind. I don’t mean that you shouldn’t set goals that you might not be able to achieve; it’s just a matter of recognizing how your health affects things. For example, it’s not feasible for me to write and publish a book a year right now. I’m still going to write and publish as long as I can, but I recognize that trying to write that much isn’t feasible with where my health is right now.

Step 2: Create a Plan – As Antoine de Saint-Exupery famously said, “A goal without a plan is just a wish.” How can you expect to accomplish a goal without a plan to ensure that it’s going to happen? For example, my goal is to be traditionally published. My plan involves writing a book, the editing process, getting feedback on the book, reaching out to agents, etc. (By the way, my actual plan is much more detailed, but that is for another day.) If you want to accomplish your dreams, you need to make concrete plans for it, and you need to act on them .

A Goal without a Plan Is Just a Wish

Step 3: Keep Working Through the Ups & Downs – Succeeding at anything is never straight success. If you really, truly want it, though, it’s worth it. It might take a lot longer than you expect or your health takes a turn in a bad direction for a little bit or whatever, so you need to be patient with yourself and keep your health from keeping you down for good. Working for your dreams isn’t easy for anyone, let alone someone like us who have to deal with our own bodies on top of everything.

Step 4: Identify Problems & Deal with Them (including identifying if a goal isn’t attainable after all) – The unfortunate thing is that your goal might not be attainable, whether that’s because it never was attainable or because of things that happen in your life after you’ve set it. For example, my junior year of college, I was trying to get Aureole finally published after finishing the first draft 3 years earlier. I was finishing the drafting process to get it published before my birthday in June when I partially dislocated my hand. (I kid you not, this happened on April 1 when I was brushing my hair because that’s why my life is like.) It was the end of the semester, I was in 3 literature courses that required me to write at least 5 essays before the end of the semester, plus 2 exams, plus other projects and normal homework, and on top of it all I was trying to finish editing my first novel. My hand ended up in a splint, basically a removable cast, plus in physical therapy, and every single medical professional I saw told me that I needed to rest my hand as much as possible.

There was absolutely no way I was going to get Aureole finished by June 5. So I pushed the timeline back. I didn’t give up entirely, but I knew that if I was going to get it published at all and have proper use of my hand, I wasn’t going to be able to publish Aureole on time and do it the justice it deserved. It was more important to me that I adjust my timeline, my plan, and my expectations than it was for me to finish editing and publish it by June. I didn’t give up on my lifelong dream; I just acknowledged that it was more important to me to publish it later and edit it more than it was for me to publish it earlier.

5 Steps for Achieving Your Dreams if You Have Health Issues

[bctt tweet=”5 steps to help you achieve your dreams if you have health issues” username=”kmitchellauthor”]

Step 5: Set New Goals as Necessary – Maybe you have to change your goal and start over again, or maybe you’ve achieved it so it’s time to go on to the next one. Regardless, once you reach that point, you repeat steps 1-4 over again when you have that new goal. If your dream is a big one, it might be a good idea to set several smaller once to help you along. For example, if you want to be a Hollywood actor, maybe you start with becoming a better one in your home town and trying to get roles in small productions before your make the goal to move to California. But no matter what your goals are, as long as you keep working and don’t let your health get you down, you’ll hopefully be set to achieve your dreams.

What are your tips for achieving your goals with health issues?

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. Sarah @ Back to Carolina says

    October 18, 2017 at 4:14 pm

    I couldn’t agree more! I also used to take on too much at once.
    Now I keep a paper planner because a simple “to do” list on my phone isn’t enough. I have to keep a list of the steps. And then sometimes steps within steps and schedule those for certain days (staying flexible). Those little horizontal post-its are great because you can move things around on a paper calendar without all the scratching!
    Something overwhelming like getting a house ready to go on the market it a lot easier when I identify all the different steps (painting, organizing, donating, decorating, and on and on) and break it down into like finding places to donate things (not everything can go to Goodwill!), delegating, breaking down each room for a certain week to clear out.

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  1. How To Achieve Your Goals - Kate the (Almost) Great says:
    November 3, 2024 at 4:51 pm

    […] 26 Things about Me because I’m 26 Today, How You Can Keep Growing As a Person, Memories of Christmases Past, Working for Your Dreams if You Have Health Issues […]

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  2. Tips for Working from Home | Kate the (Almost) Great, Boston Lifestyle says:
    January 2, 2026 at 2:38 pm

    […] What To Do If You’ve Wrecked Your New Year’s Resolution, How You Can Keep Growing as a Person, Working for Your Dreams if You Have Health Issues […]

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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:⁣
"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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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!

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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 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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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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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
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