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The Words We Use

The Words We Use

What’s your first thought when someone tells you they’re sick? What if they say they’re chronically ill?

I ask this because describing such things to others is full of potholes. When someone tells me they’re sick, my first thought is “OMG, I hope it’s not contagious!” I might just take a discreet step back to put more distance between us, hoping that their virulent viral or bacterial guest can’t leap the distance between us and land on me. Should I head for the lady’s room after I shake hands with them to wash my own vigorously with soap and water?

If they say they’re chronically ill, however, my reaction is a lot different. First, I don’t automatically conclude they must be contagious. Then, I feel sad for them because it’s miserable to be feel cruddy all the time. Finally, I feel empathetic because I, too, have a chronic illness and I know exactly what it’s like. Depending on the person and how well I know them, I might even ask if I can help somehow. If nothing else, I’ll show concern and wish them well.

Words have power. That’s why when someone who has rheumatoid disease refers to themselves as “sick,” I want to take them aside for a little talk. In my understanding of everyday speech and semantics, “sick” implies acute illnesses, things like contagious colds and flu caused by viruses. I believe that even though I know the word connotes both the general and specific feeling caused by any type of illness or disease, including RD.

Instead, though, I wish my chronically ill peers would just say they have RD and be more specific about symptoms. Like this: “I have RD. It’s making my joints hurt. It’s also making me feel nauseous and foggy-headed.” They can even say they feel “sick,” if they want, but only after saying they have RD as the cause.

I know. Saying we’re “sick,” without mentioning RD is easier. We don’t always feel like explaining, or want to watch the other person’s eyes glaze over. But “sick” often pushes people who might otherwise be empathetic and compassionate away. And because RD is chronic, causing the same symptoms to crop up repeatedly, just saying we’re “sick” all the time might cause compassion fatigue in others, or worse, frank disbelief.

Living with RD is a constant challenge. I may feel “sick” sometimes because of it, but if I mention it, I usually just say that I’m not “feeling well.” Sometimes it prompts a question as to a cause, and I can answer with the actual–and non-contagious–reason.

If nothing else, maybe I’ve just educated someone about rheumatoid arthritis, increasing their understanding and, with luck, compassion.

I also don’t much like to say “my” RD when I’m talking about it. It’s not mine, after all. I don’t “own” it and I sure never asked for it. For a long time I referred–always–to it as “the” RD, as in “the RD is making my hands ache again.” I stopped that, though. It was just too hard. It sounded odd and awkward, so in the end I joined the crowd and admitted it was “my” RD.

I’ve always been a bit resentful about that, though. Rheumatoid disease isn’t my purse, or my parents, my cat, or my car. It came from seemingly nowhere and took up lodging in my body without my permission. “Mine?” Huh-uh. But I’ve finally come to accept that I’ve got a permanent guest here who’s “mine” whether I like it or not.

How do you refer to the RD you cope with every day?

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.


  • Sharon Fritz
    4 years ago

    Isn’t it RA not RD?

  • Bernie
    4 years ago

    Great article! I was diagnosed about 3 years ago. I work in a K-3 library and since my diagnosis and being on methotrexate and enbril, I do find myself backing away more when anyone (staff or student) is sick. There are also days that I think I am still in denial about this disease and wonder if it’s all just part of the aging process, but then then symptoms scream at me especially now that we are in November. One recent step that I took to face the fact that I am in the midst of this RD roller-coaster is that I just took my wedding rings that I have been wearing around my neck for the past few years to the jeweler to be resized so that I can once again wear them on my finger. My goal is to try to just stay healthy and keep moving as long as I can, but unfortunately I do see myself accomplishing less as time marches on. Maybe just writing this comment helps me face more of the reality and less of the denial.

  • Laurie
    4 years ago

    So happy to read an article that refers RA to RD! It’s about time we educate the public that RA is not just arthritis, it’s a disease that affects not only all of our joints to the point where some are disabled, but it also affects our organs and can shorten our life span as well. Reumatoid Disease is a more appropriate term that all can appreciate the difference between arthritis and disease.

  • Tich
    4 years ago

    I don’t mean to be cross; but I live in constant pain and don’t need to lectured on how to express myself. If I say that I feel sick, just take that at face value and depart. Period. No analysis. No second guessing. No disbelief. And please no theological surmising about any possibility of afterlife. Just let it be. Peace. Go wash your hands.

  • Jonathan Hunter
    4 years ago

    Nice one, Wren. I believe that we have to invent the language we need to adequately have distinctions around RD, it just doesn’t exist yet..

  • jan curtice
    4 years ago

    Oh, you are beating my drum! Being healthy is very important to me. I’ve learned that having a disease (actually I have more than one) does not make me a “sick person”. I choose to look at the disease process as having symptoms, very different than sickness. And sometimes those symptoms can be overwhelming and very vocally “talk” to me. However, they don’t make me sick. I can still be healthy and do healthy things such as eating right, exercise (my rheumy sends me to physical therapy to facilitate this), engage in hobbies, spend time with others, keep good sleep habits, etc. Do my symptoms overwhelm me at times, create flares? Of course, that is part of the disease process. BUT, I remind myself that I’m still a healthy person and I will pull through and enjoy better days. It’s interesting to see how the attitude of those around me changes when I have those rough days. Instead of saying I’m feeling sick, I tell them I’m having symptoms. This tends to draw people closer instead of pushing them away. Hugs to my fellow RA soldiers. I am grateful for having you fighting this disease beside me … thanks! =^^=

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