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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...

Chronic Doesn’t Mean Hopeless: How to Rebuild When You Feel Defeated

  Living with a chronic illness often means facing hard days without a clear end in sight. Some mornings, even getting out of bed feels like a negotiation. Other times, it's the emotional weight that knocks you flat: the grief of the life you thought you'd have, or the fear that your body will never stabilize again. But chronic doesn’t mean static. And it doesn’t mean hopeless. This guide isn’t here to sugarcoat the journey. It’s here to offer something sturdier: a framework for rebuilding when everything feels like too much—drawn from lived experience, peer coaching, and hard-earned strategies from within the chronic illness community. If you’re feeling defeated, you’re not broken. You’re just tired—and there is a path forward. Acknowledge the Chronic Illness Crash Without Collapsing Into It It’s okay to name what hurts. You don’t have to minimize your pain to be resilient. You don’t have to bounce back right away. But collapsing into helplessness doesn’t serve you eithe...

The Spoonie’s Guide to Micro-Advocacy: How to Ask for Help Without Burning Out

Advocating for yourself is hard enough when you're healthy. But when you're managing chronic illness, pain, fatigue, or brain fog? Even simple requests can feel like uphill climbs. This is where micro-advocacy comes in. It’s not about grand speeches or confrontations. It’s about asking for what you need in ways that feel sustainable—to your body, your energy, and your relationships. As a long-time chronic illness patient and peer advocate, I’ve had to rebuild my own communication habits from the ground up. I used to push through, minimize, or avoid asking altogether. Now, I teach others how to advocate gently—and effectively—without burning out in the process. This guide is for anyone who’s ever thought, "I need help, but I don’t even know how to start the conversation." You’re not alone. And there are ways to ask that protect your dignity and your energy. What Is Micro-Advocacy? Micro-advocacy is the art of asking for help in small, specific ways. It’s about...

Tracking Energy Instead of Pain: A More Empowering Metric

Intro When you live with chronic illness, pain is usually the first thing doctors ask about—and the first thing we’re told to measure. But over time, you start to realize something: pain might not be the best lens for understanding your day-to-day life. The better question might be: “What could I do today, and what did it cost me?” This article is for those of us who’ve been at this a while—who’ve got symptom logs, spreadsheets, and war stories—but still feel unseen. If you’ve ever felt like pain is only part of the picture, you’re not imagining it. Especially for conditions like lupus, ME/CFS, dysautonomia, or inflammatory arthritis, energy is often the truer signal. This isn’t theory. I’ve lived this shift—and watched it change everything from my care plans to my self-compassion. If you’re wondering how to track chronic illness symptoms in a way that actually helps, this might be your missing metric. The Problem With Pain Scores Pain scales have a role, but let’s be honest—th...

When the Labs Are Normal But You Still Feel Awful

You’re tired. You’re foggy. You’re in pain, nauseated, dizzy, or barely functional—and yet every time the lab results come back, you hear the same thing: “Everything looks fine.” If you’re living with chronic illness, this cycle is all too familiar. Normal labs can be reassuring for a doctor—but they can feel like emotional whiplash for us. Here’s the truth: just because your labs are normal doesn’t mean you’re well. And it definitely doesn’t mean you’re imagining things. This post is for the ones who are still fighting, still searching, still trying to put language to what’s happening in their bodies. If you’re poking your toe into the possibility that something is being missed, you’re in the right place. You’re not broken. You’re not alone. And you’re not crazy. If you’ve been searching for answers about chronic illness with normal lab results, this guide will help you unpack what those numbers really mean, why your symptoms still matter, and how to hold your ground when medicine...

How I Use the Placebo Effect to Quiet Annoying Symptoms (Like Itching, Buzzing, and Nausea)

  Most of us think of the placebo effect as something that only happens in clinical trials—a sugar pill that works because someone believes it will. But if you live with chronic illness, especially autoimmune or neuroinflammatory disease, the placebo effect isn’t just a research anomaly. It’s a tool. And when your body throws annoying, low-level symptoms at you—like random itching, background nausea, or buzzing skin—that tool can become surprisingly powerful. What Is the Placebo Effect Really? At its core, the placebo effect is your brain and body teaming up to create real physiological changes based on belief, expectation, and ritual. When researchers study it, they see actual shifts in brain activity, hormone release, and even immune signaling. It’s not “all in your head.” It’s what happens when your head talks your body into doing something helpful. That means we can sometimes reverse-engineer it. Why It Matters for Chronic Illness As someone who lives with multiple over...

Skincare That Works: Barrier Repair for Autoimmune Skin

If you’ve ever felt like your skin forgot how to be skin, you’re not imagining things. For people with autoimmune disease, skin issues can be persistent, mysterious, and maddening. One week your cheeks are burning and bright red. The next week your arms are flaking. Then your lips start peeling. It can feel like chasing symptoms through a revolving door. But there’s a common thread: barrier disruption . Inflammation, immune dysregulation, and systemic flares can weaken your skin’s protective barrier—the thin, invisible shield that holds moisture in and keeps irritants out. When that barrier breaks down, your skin becomes vulnerable, reactive, and harder to manage. What Is the Skin Barrier (and Why Does It Matter)? Curious about the science? Harvard Health explains how the skin barrier works and why maintaining it matters for inflammation-prone bodies. Think of your skin barrier as a brick wall: The skin cells are the bricks The lipids (oils, ceramides, fatty acids) are ...

Why I Switched to Seresto: Managing Pets When You’re Chronically Ill

Caring for pets is a joy—but also a responsibility that doesn’t pause when your health takes a hit. For those of us living with chronic illness, even small tasks like applying monthly flea prevention can become exhausting. Some days, even opening the tube feels like too much. That’s why I switched to the Seresto flea and tick collar for cats . And after three months of testing it on all three of my cats, I’m not going back. The Problem: Monthly Flea Treatments Weren’t Sustainable If you’ve ever tried to wrangle a squirmy cat while opening a tiny tube of flea medication, you already know the drill: you lose half the dose to fur displacement, your cat bolts under the couch, and you’re left wondering if any of it actually made contact with their skin. I used to dread flea med day. My hands would shake from fatigue. My hips would flare if I crouched too long. One month I forgot completely—because I was too busy recovering from an autoimmune crash. Now imagine doing that twelve times ...