Young and Invisible

Being a Juvenile with an Invisible Chronic Illness


AiArthritis Voices 360 Full Episode 65

Air Date: September 5, 2021

In this episode, Katie and Deb - both persons living with AiArthritis diseases - discuss being a young person suffering from a chronic illness. This episode discusses the challenges of being "Young and Invisible". From what being a "juveillive" may mean - and the age range that term can cover. To being younger and dealing with being in pain while managing a chronic illness you and your parents/caregivers are still trying to figure out for themselves.

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Show Notes


00:53 - Katie welcomes listeners.

01:16 - Today’s topic is about being young and diagnosed with an invisible illness, as well as the importance of differentiating between the different types of AiArthritis diseases.

01:31 - Katie is joined by Deb, a recurring co-host who was diagnosed with RA at age 15.

02:05 - Katie was also diagnosed as a juvenile with JIA (juvenile idiopathic arthritis).

02:52 - Both Katie and Deb were treated by an adult rheumatologist because pediatric rheumatologists are very rare if they are available in your community at all.

03:20 - Deb and Katie share their respective diagnosis stories.

09:56 - It can be difficult for juveniles to get peer support because most people assume arthritis only affects elderly people.

11:07 - Friends sometimes stop inviting patients to participate in activities because they don’t understand the physical limitations of people with AiArthritis.

12:25 - Juvenile arthritis patients may find it difficult to continue activities they had previously enjoyed because of pain and fatigue.

14:48 - We want to hear from our listeners: If you were diagnosed as a young person, are you still using the same diagnosis? 

15:12 - Stills Disease Awareness Day is coming soon.

15:24 - Stills Disease is actually an umbrella term that encompasses Systemic Juvenile Idiopathic Arthritis and Adult Stills Disease (the difference being whether you were diagnosed before or after age 16).

17:55 - Katie was diagnosed with JRA, but she generally refers to her disease as simply RA or arthritis since becoming an adult.

19:27 - Getting an accurate diagnosis can take many years because doctors don’t believe the patient or symptoms are not obvious or the symptoms do not match any one specific diagnosis readily.

24:01 - Early intervention is critical if the patient is ever going to achieve remission, so identifying the appropriate screening tools and making sure all AiArthritis patients receive them is very important.

25:56 - Especially in very young children, persistent parents are critical to getting an accurate diagnosis and early intervention.

29:37 - Patients living with AiArthritis diseases sometimes feel like they are just waiting for their condition to deteriorate.

30:06 - New medications for AiArthritis hitting the market provide hope for all patients to improve.

33:16 - With regard to changing medications, having surgeries, or any other therapeutic decisions, it’s important that the patient be emotionally ready to proceed.

35:50 - Shared Decision Making between patients and rheumatologists helps ensure that patients are comfortable with the therapeutic choices being made for their care.

37:22 - To continue this conversation, join us in the Facebook group for the talk show.

37:28 - You can also find us on all social media platforms @IFAiArthritis.

38:43 - You can also find any of our previous podcast episodes at aiarthritis.org/talkshow or on any podcast platform.

39:04 - Or message us via social media or email us at podcast@aiarthritis.org.




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Pull up your seat at the table

Now it's YOUR TURN to join the conversation!

What do you think about this episode?

We want to know what you think! By continuing the conversation with your opinions and perspectives - we all get a better understanding of the problems facing our community.  Better yet, through these conversations we can start working and developing solutions.


We mean it when say 360. Not only do we want your input anytime and anywhere, but we also are eager to see where the conversation will take us. So please, "pull up a seat at the table" and let's start talking!


Email us at podcast@aiarthritis.org, message us on social media (find us by searching for @IFAiArthritis)

Continue the conversation in our own AiArthritis Voices 360 Talk Show Group!

Pull up a seat and join the conversation on the topic from today and past episodes. You may even get an opportunity to talk directly with the co-hosts and any episode guests!

The AiArthritis Voices Program

Our AiArthritis Voices 360 Talk Show is just a piece of larger program - the AiArthritis Voices Program.


AiArthritis Voices is our program where people living with AiArthritis diseases and other stakeholders who we need 'at the table' to solve problems that impact education, advocacy, and research sign up to have a voice in our initiatives.


If you want to get more involved, and see more of the opportunities we have for you (and all stakeholders) please check out the AiArthritis Voices Program. Unite with others around the world to talk, learn, and connect. 

Join AiArthritis Voices

Your Co-Hosts & Guests: Who is at the table this episode?

Deb Constien

Deb has been living with Rheumatoid Arthritis for three decades and while she has experienced disability from it, she never lets her disease dominate how powerful her voice can be. 


She has been a key Representative (high level volunteer) for our organization for several years and often takes a leadership role in many programs and mission initiatives, including attending meetings as the voice of the organization. She is also a Platinum Ambassador at the Arthritis Foundation, as well as various other nonprofits, and has formerly and currently used her voice as a Patient Research Partner (Wisconsin Research and Education Network (WREN), OMERACT, Arthritis Power through CreakyJoints and more). She has represented her state of Wisconsin on Capitol Hill and at a local multiples times, and most recently was a key player in helping to pass step therapy legislation in her state.

Katie Simons

Diagnosed with Juvenile Rheumatoid Arthritis (now called Juvenile Idiopathic Arthritis) at age 12 and recently found a new home at AiArthritis as Senior Program & Communications Manager. She earned a Masters of Public Administration, nonprofit management concentration, from Oakland University in Rochester, Michigan.

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