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No. 9 – Take One Day at a Time

This is the ninth of ten things I’d like to go back and tell my newly diagnosed self about living with RA.

There’s a saying here in Texas that if you don’t like the weather, wait for an hour because it will change. RA is a lot like our weather in that regard. There have been days where I woke up feeling fine but was curled up under the covers by the afternoon. The reverse has also been true. I woke up feeling like I couldn’t crawl out of bed, but was out running errands later in the day.

Changing plans at the last minute

I sent out a Twitter question about what people felt guilty about having RA and one of the most frequent responses had to do with having to change plans at the last minute because of RA. That’s one of the ways that RA affects us beyond our physical well-being. It can degrade our relationships – not only with friends and family but with our work relationships as well.

Making plans with RA can be tough

There’s no question that the quickly changing nature of the disease can make it difficult to make plans, but putting your life on hold isn’t the answer either. At a time when you’re in the midst of a flare, it’s easy to look at your calendar and start canceling things. However, if you take care of today – get rest, do some gentle exercises, be good on your diet – it’s more than possible that you’ll be able to keep those future engagements.

How to take things one day at a time

Stay in the present

A major part of taking one day at a time is not to worry so much about what could happen that we can’t enjoy the present. When I was first diagnosed, I got hung up on the disability statistics of people with RA. It didn’t help that within a few weeks of my diagnosis, I was having my right hip replaced. And a few weeks after that, my left shoulder needed replacement surgery.

At that rate, it was easy to see myself in a wheelchair in a short amount of time. But that didn’t happen. Those surgeries, along with my later knee replacement and spinal fusion surgeries, greatly improved my life and have helped me remain active and productive.

Being honest about limitations

But having RA means that I’ve had to admit that I can’t do everything I used to. I’ve learned that I need to be realistic which is hard when I’ve spent so many years believing that I was invincible.

As an example, it exhausts me to run errands every day. It’s easier for me to group them together on a day that I know I need to be out anyway, such as for a doctor’s appointment. And if that day comes and I don’t feel I can accomplish everything – or even anything – I reschedule and do what I need to do for myself that day.

I still plan. I still look forward to things. I still (over)schedule myself. I just write that schedule in pencil knowing that on any given day, things may change.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • Lawrence 'rick' Phillips moderator
    2 years ago

    The present means everything for me with RA. I think laughing is the most important, but being present is the second.

  • Dave
    2 years ago

    Thanks Carla, Very well said! I think your advice to stay in the present is probably THE first piece of advice that I would give anyone newly diagnosed with RA. “What if” thinking is never productive and always leads us down a hard road. Worry about tomorrow is just borrowing trouble that may never happen and applying it to the “now” which interferes with my ability to cope with today’s problems and to enjoy the positives that today holds. (my wife would scold me for that long “run-on” sentence!) “Sufficient unto the day is the evil thereof.” I have read in more than one article posted here of the importance of a good attitude in dealing with RA. Nothing ruins a good attitude quicker than worry. Even those of us who have been doing battle with RA for a while need to be reminded, as you did a great job of doing to live in the present, do what we can to ward off this beast and let tomorrow take care of itself!! Thanks again!! Dave

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