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Welcome to Patient Empowerment Pulse: Your Guide to Becoming Your Own Best Advocate

  Check out our storefront for self-advocacy tools and consultations. Or leave us a tip to show your support. Welcome to Patient Empowerment Pulse: Real-Life Wisdom from a Professional Patient Who I Am Welcome to Patient Empowerment Pulse, a blog built on the hard-won wisdom of someone who’s lived both sides of the healthcare divide. I’m Joanna, and this is more than just a health blog—it’s a survival guide for anyone trying to navigate chronic illness, complicated care teams, and a medical system that often feels like it’s working against you. I didn’t set out to become a professional patient. I trained for a career in culinary arts. But life had other plans. Over the years, I was diagnosed with lupus, Sjögren’s syndrome, spondylitic arthritis, inflammatory-onset diabetes, and a growing list of related conditions. That’s when I discovered that all my professional training didn’t fully prepare me for what it means to actually live this every day. This blog is where I share the str...

All the Things I Thought Were Normal Before Diagnosis: Signs of Undiagnosed Chronic Illness


Before I was diagnosed with chronic illness, I thought everyone was just pushing through pain, fatigue, and strange symptoms. I thought brain fog was part of adulthood, that unpredictable digestion was just bad luck, that waking up tired every day was something no one talked about because it made you seem weak.

This story isn’t unique. It’s the quiet reality for millions of people living with undiagnosed chronic illness. And if you’re reading this thinking, "Wait... isn’t that normal?" — maybe this article is for you.

I Thought It Was Just Me Being Lazy

For years, I planned my days around energy crashes I couldn’t explain. I needed rest breaks after tasks that others seemed to breeze through—grocery shopping, cleaning, even taking a shower. I kept quiet about it because I didn’t want to seem weak or self-indulgent. I told myself I just lacked discipline.

But the truth was, I was experiencing a level of fatigue that went beyond being tired. It was cellular. Debilitating. Disproportionate to my activity. And it was a symptom, not a flaw.

Fatigue is hard to explain if you’ve never felt the kind that doesn’t go away after sleep. I used to tell myself I was just lazy or unmotivated. I blamed myself for struggling to keep up with friends, for needing naps, for canceling plans.

But it wasn’t laziness. It was a medical condition.

And once I had language for it, I was able to stop blaming my character for something caused by my immune system.

I Thought Everyone Had "Bad Digestion"

It got to the point where I had memorized the nearest bathrooms everywhere I went. I turned down invitations that involved food or long drives. I had internal rules about when and what to eat, not because of a diet—but because I was trying to avoid a mystery punishment from my own body.

Doctors told me it was just stress. Or IBS. Or "female hormones." I stopped asking.

It took years to connect the dots between my GI symptoms and broader systemic inflammation. But once I did, I could finally start building a plan—not just a coping strategy.

I thought it was normal to feel bloated after eating or to live with constant gastrointestinal discomfort. I thought it was common to swing between constipation and diarrhea, to live with stomach cramps, and to feel like food was both essential and dangerous. I thought gasping awake at 2am with nausea was just anxiety.

Turns out, my body had been screaming for help for years. I just didn’t know how to listen.

I Thought the Pain Was Just From Sleeping Funny

Neck pain, shoulder stiffness, hip aches—I always had an explanation. I carried stress in my shoulders. I must have twisted wrong. I slept weird. I blamed my mattress, my posture, anything I could point to.

But the pain was daily, widespread, and persistent. And it wasn’t normal. It was inflammatory pain. It was neurological dysfunction. It was the physical toll of an undiagnosed medical condition.

I Thought Everyone Felt Like This

That was the hardest part. I genuinely believed everyone else was dealing with the same struggles, but just doing a better job of hiding it.

I thought they were better at managing pain. Better at focusing. Better at showing up.

And I wondered what was wrong with me that I couldn’t keep up.

Diagnosis Didn’t Fix Everything—But It Changed Everything

Validation in chronic illness care is underrated. Being told, "Yes, this is real," is more powerful than most people realize. It opened the door to community forums, evidence-based strategies, and care teams who didn’t treat me like I was exaggerating.

It also helped me set boundaries. Before diagnosis, I said yes to things I couldn’t manage because I didn’t feel entitled to rest. After diagnosis, I started saying no—not out of defeat, but out of self-respect.

Chronic illness didn’t disappear. But the shame did.

When I finally got a diagnosis, I didn’t magically feel better. But I did stop gaslighting myself. I stopped believing I was weak. I stopped apologizing for needing rest, support, or adaptations.

Diagnosis didn’t cure me. But it gave me language. It gave me tools. It gave me community.

If This Sounds Familiar...

You are not overreacting. You are not being dramatic. You are not broken.

You might just be undiagnosed.

And that possibility deserves care, curiosity, and support—not shame.

Final Thought: Awareness Isn’t About Pity

Many of us—especially women, neurodivergent folks, and people from marginalized communities—are taught to distrust our own perception of pain. We’re told we’re exaggerating, hormonal, anxious, dramatic. So we bury our symptoms under silence and smile.

This article isn’t here to diagnose you. It’s here to remind you that if something feels off, you deserve to explore it with support and care. Your body’s signals matter. And while Google can’t give you a full answer, dismissing your symptoms outright doesn’t serve you either.

This article isn’t meant to alarm you or lead to self-diagnosis spirals. It’s meant to offer resonance and reflection.

So many of us normalize symptoms because we were never taught to question them. Because the world celebrates "pushing through." Because it’s easier to believe we’re weak than to admit something deeper might be going on.

But you deserve answers. You deserve care. You deserve to feel at home in your body.

If you’re in that in-between space—not sure what’s going on, but sure something isn’t right—you are not alone.


Looking for ways to start the conversation with your doctor? Explore our symptom tracking tools and advocacy guides at: ko-fi.com/patientempowermentpulse

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