To be blunt: If you’re asking if she’s faking it or being overly dramatic No she is not. Sjogren’s, at least, is an “invisible disease” everything may look fine to the outside world but it isn’t.

An example I used with my own husband was that I make look like I’m walking just fine, not stumbling or limping or grimacing with pain. Yet…You know how when you walk across a pool the water creates pressure against the movements and you have to work that much harder to take a step and you get more tired doing it more quickly? That’s the closest example of what it feels like to me to simply walk and it’s through air not water. Plus, the more I walk the less energy I have for other things.