The Fine, But Not Fine Podcast

The Fine, But Not Fine Podcast

Fine, But Not Fine is a podcast for anyone navigating the messy, frustrating, and often invisible challenges of rare diseases, chronic illness, and the healthcare system. Hosted by Kelly Paul, who has lived with Mycosis Fungoides (a rare form of Cutaneous T-Cell Lymphoma) since 2015, this podcast dives into the real-life struggles of managing an incurable condition while still trying to live a full, meaningful life. Resources: Cutaneous Lymphoma Foundation (https://www.clfoundation.org), International Society for Cutaneous Lymphoma (https://cutaneouslymphoma.org), Lymphoma Research Foundation (lymphoma.org), National Organization for Rare Diseases (rarediseases.org).

Episodes

June 10, 2025 7 mins

I’m talking about something I call the “mulligrubs” — that weird, heavy feeling when you’re not exactly miserable, but definitely not great either. You know, when everything just feels off. I dive into some of the reasons we can land in a mulligrub state, like brain chemistry, crummy weather, chronic illness, and plain old mental overload. I also share a few strategies that help me shake it off (or at least soften it)...

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In this episode of Fine, But Not Fine, I’m digging into the words we use to describe people living with chronic or incurable illnesses — terms like “warrior,” “fighter,” and “survivor.” While I know these words are meant to inspire and uplift, they often don’t reflect what daily life with a chronic illness actually feels like. Most days aren’t epic battles — they’re routines filled with managing symptoms, navigating h...

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Living with a rare disease isn’t just a medical battle — it’s a financial one too. In this episode, I open up about the hidden costs of managing Mycosis Fungoides, a rare form of cutaneous T-cell lymphoma. I share how, even with insurance, I pay more than $3,500 a year out-of-pocket for prescriptions and specialist visits — not counting additional expenses like dental care, vision needs, and over-the-counter medicatio...

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Today’s episode is a letter to the version of me who had just been diagnosed. She was scared, overwhelmed, Googling way too much, and had no idea what the next year—let alone the rest of her life— was going to be like. Whether you’re newly diagnosed yourself or supporting someone who is, I hope this gives you some grounding and comfort. Because if I could go back, this is what I’d say. 

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I had no idea how complex medication management was until I had a chronic and rare disease. In this episode, I talk about medication management: keeping track of doses, dealing with pharmacies, ensuring you have the right supplies, and the craziness of the side effects lists.

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Ever wondered how to deal with misguided advice and intrusive questions from well-meaning people when dealing with a serious or chronic illness? In this episode, I outline strategies for rejecting bad advice and setting boundaries while maintaining kindness.

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In this episode, I talk about Prior Authorization, what it is, how it works, how insurers use it, and why it is a major hurdle to medical care for rare and chronic disease. I also share my personal experience with prior authorization denials, including how I had to escalate one to the North Carolina Insurance Commissioner.

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In this episode of Fine, But Not Fine, I’m sharing my journey with Narrowband UVB light therapy—how I started, how I adapted, and how I made it work for me.

At first, this treatment meant driving to my doctor’s office three times a week, juggling appointment scheduling, and reshaping my daily routine around it. But after a year, I transitioned to a home light unit—a total game-changer that gave me flexib...

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March 5, 2025 16 mins

In this episode of Fine, But Not Fine, I’m diving into the complicated relationship between body image and chronic illness, sharing my experience living with Mycosis Fungoides, a rare form of Cutaneous T-Cell Lymphoma. I talk about the emotional toll of having a visible condition, the moment I decided to stop hiding my skin, and the ongoing struggle between acceptance and self-love. I also share how exercise has helpe...

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February 26, 2025 15 mins

In this episode of Fine, But Not Fine, we tackle one of the most critical aspects of managing a rare disease: finding the right doctor. If you’ve ever left an appointment feeling unheard or dismissed, you’re not alone. Not all doctors are created equal, and building the right medical team takes effort.

I share my personal experiences—from a dermatologist who completely ignored my concerns to the doctor w...

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In this episode of Fine, But Not Fine, we dive into one of the biggest dilemmas for people with rare and chronic illnesses: Should you tell your employer about your diagnosis?

 

I share my personal experience with disclosure—why I chose to be open about my rare disease, how my work culture made that decision easier, and the benefits and challenges I faced. But this decision isn’t one-size-f...

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February 13, 2025 12 mins

Mycosis Fungoides—it sounds rare because it is. In this episode, I break down what this disease actually is, how it affects the body, and what it’s like to live with a cancer most people have never heard of. I’ll share my diagnosis journey, the symptoms that led me here, and the challenges of navigating treatment options for a condition that doesn’t have a one-size-fits-all approach. Whether you’re newly diagnosed, know someone wit...

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February 13, 2025 6 mins

Living with a rare disease isn’t just about medical appointments and treatments—it’s about navigating a world that doesn’t always understand what you’re going through. In this first episode, I share my story, why I started this podcast, and what Fine, But Not Fine is all about.

We’ll talk about the realities of life with a rare disease, from insurance battles to career challenges, and why saying “I’m fine” doesn’t always mean we ar...

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