Sjogren’s Advocate
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sarahschafermd.bsky.social
Sjogren’s Advocate
@sarahschafermd.bsky.social
Medical educator, MD-patient.
I debunk Sjögrens myths.
www.sjogrensadvocate.com - I show people with Sjogren's how to use credible resources to advocate for timely diagnosis and comprehensive care for this complex, multisystem disease.
It always makes me feel better as opposed to walking, which I do three times a week for weight-bearing but causes pain and lightheadedness from POTS. It helps that I used to teach swimming and was on a swim team in high school. I’m at home in the water and don’t mind swimming outside in cold rain.
April 16, 2025 at 2:01 AM
I get too dry with a snorkel, but my main adaptation is switching strokes a lot and doing hard, kicking laps to get some of the blood out of my lower body and back up toward my brain.
April 16, 2025 at 1:59 AM
I swim daily to deal with POTS, spondylitis, pain, and Sjogren’s fatigue.
I can’t swim as far as I’d like, but I’m still making it happen!
April 13, 2025 at 3:56 AM
You might want to check out my website. Here is my latest entry:

www.sjogrensadvocate.com/simple
Sjogren's...Simplified | sjogrensadvocate
www.sjogrensadvocate.com
April 6, 2025 at 4:06 AM
At least it’s not ivermectin!
April 4, 2025 at 6:12 PM
Thank you. As an MD – patient, I work hard to help patients bridge the gap between the realities of Sjogrens vs the care they receive.
Sjogren’s is a serious systemic disease, frequently mischaracterized as a mild dryness disease.
We often need to advocate for timely diagnosis and proper care.
April 1, 2025 at 8:08 PM
🙏🙏
March 13, 2025 at 3:58 AM
I recommend the Smart Patients Sjogren's group and the diagnosis section of my website, Sjogrens' Advocate. Swollen salivary glands are a red flag, but most Sjögren's patients don't have obvious or palpable swelling.
www.sjogrensadvocate.com
Sjogren's Advocate
Sjogren's Advocate was created by an MD-patient to help patients and achieve more timely diagnosis and comprehensive Sjogren's care.
www.sjogrensadvocate.com
February 28, 2025 at 3:54 PM
Thanks, got it!
February 28, 2025 at 3:51 PM
Hi Tom. Could you repost the link to the second page, the diagnosis algorithm? All the links on our post go to the first page. This is a great resource, thank you.
February 27, 2025 at 4:56 PM
This algorithm also fits many people with Sjogrens, which has specific treatments. When can argue whether they have Sjogrens plus ME, but it’s important to diagnose, monitor and manage the specific manifestations of Sjogrens if you have it.
February 26, 2025 at 4:05 AM
Hi #Sjogrens friends, advocates & researchers! Created this starter pack so we can start some conversations here. go.bsky.app/BUT9aVB
February 4, 2025 at 4:26 AM
Reposted by Sjogren’s Advocate
Sjögren’s is systemic. Nearly universally it causes fatigue and pain & can cause interstitial lung disease, dysautonomia, gastric motility issues, liver and kidney disease and so much more. It deserves to be recognized for the serious condition it is.
Where are my fellow Sjogies & allies?
3/3
January 25, 2025 at 12:29 AM
Reposted by Sjogren’s Advocate
Let me be clear:
• Sjögren’s is NOT rare.
• Sjögren’s is NOT mild.
• Sjögren’s is NOT localized.
• Sjögren’s is NOT a nuisance condition.
• And Sjögren’s is definitely NOT “the best autoimmune disease you could have.”
2/3
January 25, 2025 at 12:29 AM
Sjogren’s is as common as rheumatoid arthritis, but massively under diagnosed and very misunderstood. It’s a terrible disease. I have dryness, but it’s not debilitating like the fatigue, dysautonomia, and pain.
January 30, 2025 at 4:50 AM