Carrie Kellenberger Fibromyalgia


Living Abroad with a Chronic Illness Resource Page

(Updated January 2022 – Original post March 2016 )

If you have landed on this page, you are probably here because you’ve either read about my travels or life abroad as an expat. Maybe you’re interested in learning how I live my life abroad with chronic illness and immense health challenges?

Either way, I’m glad you’re here, and I hope I can answer questions about life with chronic illness.

A chronic illness is a health condition or disease that is long-lasting or persistent. A patient is deemed to have a chronic illness when the condition or disease lasts more than three months.

I’ve been chronically ill ‘officially’ since 2009. I’m a Canadian living in Taiwan with chronic pain related to Ankylosing Spondylitis, Fibromyalgia, IBS, PsA, and MECFS, among many other health issues that come with these diseases.

I’ve been blogging about my health journey as a permanent resident of Taiwan for well over a decade. I am an active patient leader and chronic illness advocate. My posts have, thankfully, reached millions of other chronically ill expats and travelers since I launched this site in 2007.

My Several Worlds Best of Fibromyalgia Blogs 2020 with Healthline

My Several Worlds has been listed as a Best Blog for Fibromyalgia in 2018, 2019, and 2020. I am also one of six Finalists for WEGO Health’s Lifetime Achievement Award in 2020. All that writing and hard work and event organization has paid off!

My Several Worlds – Chronic Illness Mission Statement 

Life with Chronic Illness - Carrie Kellenberger, My Several Worlds


What Happened to MeCarrie Kellenberger - Health Advocate for Ankylosing Spondylitis

I’ve been sick for as long as I can remember. I was the kid in school with the never-ending ear and throat infections. If someone had a cold, I always caught it.

Plus I am allergic to everything! Dust, pollen, feathers, grass, nickel, you name it, I reacted to it. I remember endless childhood visits to Dr. White’s office for allergy shots, ear infections, and everything else that came my way. Believe it or not, the ear infections have never left. I found out at age 38 that my ear infections are related to AS.

Despite having a weak immune system, I excelled at sports in high school, and my love for yoga, running, weightlifting and dancing didn’t end until I was 36.

I stopped doing all of those things at age 40 because I was no longer capable of doing them. Today, I can’t lift anything heavier than my cat because of the damage in my spine. It’s impossible to be on my feet for longer than 22 minutes a day.

Giving up my love for athletics is one of my biggest losses from being chronically ill. I knew in 2015 that there would be days I’d have to use a wheelchair, but I never dreamed I’d end up disabled and owning my own wheelchair.

My doctors in Canada never took my complaints about pain seriously. They always wrote it off to overexerting myself at the gym. They weren’t concerned about recurring infections and rashes or the back pain I had been experiencing since my 20s.

When I was 27, I moved to Asia. The aches and pains continued to come and go in China in 2003 and then when I moved to Taiwan in 2006.

In China, I had days when I couldn’t lift my left arm. On some days, I’d lose strength in my arms and legs and it often felt like I’d dislocated something. (I know what this feels like having dislocated both shoulders and one knee.)

During my time in China and Taiwan, my pain was bad enough that I sought assistance with non-traditional methods of pain relief, including reiki, massage, acupuncture, Traditional Chinese Medicinecupping, acupressure, bloodletting, and scraping. None of it helped, although I had some success with reiki and I believe this is because of the person who helped me. I also had success with acupressure and again, because of the person delivering the treatment. I’ve written about these experiences and linked to them.

Starting in 2007 in Taiwan, I was in and out of the hospital all the time. No one had answers for me.

A few weeks before my wedding in 2008, I had a week-long flare. I couldn’t put any weight on my left foot. It felt like shards of glass were embedded in my foot. Thankfully, our wedding day was perfect and I felt good that day.

Two months later, we were back in the hospital in Taiwan. This time both my knees swelled up and filled with fluid. I couldn’t stand or walk. My legs felt like they were going to snap in half.

At this point, doctors agreed that something was very wrong. And that’s where my journey began with life abroad as a chronically ill expat.

So that’s the short version of my story. I’ve compiled the rest in helpful links in this directory to navigate the past 12 years of being chronically ill in Asia.



How I Manage My Chronic Pain

Chronic Pain Awareness Month

Let’s Talk about Pain – Chronic Pain Awareness Month

Suggestions for people who want to help someone living with chronic pain

How to Be A Friend to Someone Living with Chronic Pain

Ten Years After Ankylosing Spondylitis Diagnosis

10 Years with Ankylosing Spondylitis (2009 to 2019)

Simplifying Life with Chronic Illness

Letting Go With Chronic Illness Doesn’t Mean Giving Up

– Simplifying Life with Chronic Illness

This article offers information on how to keep track of your energy output and how you can work on pacing to keep your pain levels manageable.

 Pacing for Pain Management

Life limitations with fibromyalgia and MECFS

Living Within The Limitations of Fibromyalgia

Art For Arthritis and Art for Chronic Illness

Art Therapy for Chronic Pain and Chronic Illness 

October 12 is World Arthritis Day

World Arthritis Day 2020 – A New Diagnosis

BELIEVE US: Invisible Disabilities Awareness Week - Carrie Kellenberger

Read my 2019 entry for Invisible Disabilities Week here.

BELIEVE US: Invisible Illness Awareness Week

 Finding Health and Wellness in Taiwan

Health Directory for Taiwan - My Several Worlds

70 Facts About My Chronic Illness You Might Not Know

Learning About Invisible Disabilities with Carrie 

Treatment at National Taiwan University Hospital

Healthcare in Taiwan and Patient Safety

Treatment for AS and Fibromyalgia at Taipei Veteran’s Hospital

Traveling and Chronic Illness

Chronic Fatigue Syndrome (ME) – I Am One of the Millions Missing

Surviving the Holidays with Chronic Illness

Living Passionately with Chronic Illness My Several Worlds

Alternative Treatments in Taipei

A series of blog posts about the different types of alternative therapies I’ve tried since 2009.

2007 – Cupping

2007 – Scraping

2013 – Treating Ankylosing Spondylitis with Traditional Chinese Medicine

This was not my first time seeking out help from a TCM doctor. I was treated in China in 2003. I gave up on TCM completely in 2014 after throwing up for eight months straight on herbal teas and powdered TCM. Guess what happened next? All that throwing up ramped up my stomach issues.

2016Acupressure – Jin Shin Jyutsu

Alternative Treatments to Chronic Illness: Do They Work?

This article was written in response to yet another woman reaching out to tell me a certain diet would cure me. I have no time for people who make health suggestions to me when they can’t even pronounce what I have. Everyone is different! What works for you might not work for me. I am an understanding person, but I am not patient at all with people who advise me and have no idea what they’re talking about. Ginger, curcumin, and juicing are not going to cure me.



  • Claire

    It must be so challenging to navigate a healthcare system in another country Carrie. I think you have done so amazingly well given how stressful it must be.

    • Carrie Kellenberger

      It’s very challenging, but it has also pushed me with my Chinese. The only time I can’t use Chinese is if I’ve got a migraine. I’m not even capable of speaking if that’s happening. My husband is a good advocate. He doesn’t speak Chinese but my medical team knows me well and he knows everything, so he’ll push if I can’t.

  • Alison Hayes

    Carrie – thank you so much for sharing!
    Chronic conditions aren’t easy and it sounds like you’ve been pretty thorough in your explorations. I am 100% with you on the impatience in terms of expectations from others with suggestions. You are the expert in your body, and nobody else(doctors included) have the right to tell you what you NEED to do next(doctors working with you as a teammate is utterly appropriate). Sounds like you have found your balance and know what to do for yourself, which is excellent – I hope that you continue to find ways to live your best life while managing your condition!

    • Carrie Kellenberger

      Thank you, Alison! I always love hearing from you, by the way. I think my doc has decided I’m a bit of a bully. I’m the patient that he doesn’t like to see coming, but he has also freely admitted he doesn’t have another patient like me and he’s impressed with the research I bring in. At least he listens and does what I ask him to do. I’ve found a great doc for this stage of my life for sure.

  • Shruti Chopra

    Hi Carrie… this may sound strange but it was helpful to read about your journey. I felt I could relate to you despite things being different for me. I have had many people ask me why would I not go back to London as my healthcare would mainly be free – but the waiting lists, the inflated costs of medicines and supplements are a huge put off. But most importantly, in Mumbai, I can go see any doctor I wish to without having to go through a chain of referrals. And hospitals here provide me with the best of facilities but we somehow have created a notion that Asian countries may not be as good in healthcare as the west is. But I really do disagree.

    But coming back to reading about your journey – I do like how you’ve listed your treatments which I look forward to reading more about and educating myself on them. I’ve heard a lot about cupping but never experienced it so that’ll probably be my first go-to!

    Thank you for all this information and being so open.

    • Carrie Kellenberger

      Hi Shruti,

      I’m so late replying to my comments. My computer has died a long, painful death this summer and I’ve just bought a new one. What a difference! I can see comments again! LOL. Perhaps you, more than anyone, gets my reasoning for this decision. I’m the same. It didn’t make sense to go back for the exact same reasons. I think healthcare in Asia is superior to healthcare in North America – certainly it is better than the US. Taiwan’s Universal Healthcare System ensures that everyone has access to health care and dental care. The US and Canada could learn a lot from our system here. I look forward to your cupping experience! It wasn’t for me! 🙂

  • Sheryl

    I love this resource page and short sharing, Carrie. Yes Taiwan is indeed your home 🙂 I love that there’s another spoonie who ‘clicks’ that isn’t too far away from where I am! 😀

  • Katie Clark

    That must have been so scary to have just been diagnosed with a serious chronic illness and not having insurance! From what I’ve read in your other posts, it seems like you’ve had very good care. Do you have insurance through your family business or is Taiwan different in how they cover medical costs?

    • Carrie Kellenberger

      Taiwan’s health care system is one of the best in the world. We have a universal health care system. Employers cover 75% and you pay the other 25%. The amount you pay is based on the amount you earn here. 96% of the population is covered and this it’s all synced, so you get automatic access to see doctors and specialists all over the island. You don’t need to wait for referrals. If you know you need to see a cardiologist, for example, you can book right in with one online and you might wait a week at the most for your appointment. Your entrance fee to a doctor is approximately $5US the day of your appointment and that includes your prescription meds that are covered under Taiwan’s NIH program. This also covers dentist visits, so you can go twice per year and pay $5 and get your teeth cleaned and checked.

      When I’ve had to get MRIs, I spend around $25 per test. That’s extra. When my mother in law came to visit and she thought she broke her wrist, we took her to ER and they treated and bandaged her up to the tune of $20US with no insurance.

      The care I get here is excellent. The problem I’ve run into is that the new line of meds for AS (anti TNF blockers) are not covered under health insurance unless you meet government criteria. You must have the genetic marker. I don’t have the genetic marker, but research in the past five years shows that a great number of AS patients don’t have the genetic marker, so this is where the system is flawed. I’ve been through all the AS meds that are offered through the NIH here. They are no longer effective for me, which is why the disease progressed and I landed in a wheelchair. So now I’m paying out of pocket for Enbrel, which is approximately $1,200US a month for my injections. This med has kept me out of my wheelchair. I’m managing fibro and MECFS on my own since standard meds don’t seem to be effective. In the past decade, we’ve learned I’m allergic to a lot of meds. I’m also allergic to Enbrel, but the side effects (skin rashes and headaches) aren’t as bad as the side effects I was getting on other meds. We just do our best to make it work. It’s good to know I can get in to see a specialist at any time and there are virtually no wait times for procedures. Even blood work is processed within an hour of taking it. My results are delivered during my appointments or I can view my results on my phone through the Taiwan Health app.

  • Klyn Elsbury

    This made me tear up multiple times. I admire your strength and fortitude to persevere on the days it felt like nobody was listening to you. So beautiful and it inspires me in more ways than one.

  • Sabine Kazich

    Hello Carrie, i really enjoyed your writings! Thank you.
    I am wondering whether you might be able to judge if a single, middle aged ( 59) woman, retired on ill health with a smallish pension with ME/CFS would be able to build a new life, especially social life in Taiwan or neighboring countries? I am originally from Germany, currently living in the UK, and the isolation and disconnect resulting from chronic disability is adding to the loss of life quality. I am well researched and learned the best way of looking after myself, so do not require care yet, but often housebound. I have many interests, am an ex creative academic ( product designer and designer maker, metalsmith) i just miss good company. The only drug i take is LDN, which buy from a chemist in Scotland who mail worldwide. Anyway, i hope you dont mind me asking. No worries if you d rather not comment. All the best, Sabine

    • Carrie Kellenberger

      Hi Sabine. Thank you so much for stopping by and for your comment.

      I’m not a medical expert, but I can comment from my own perspective being a 46 year old woman living in Taiwan. It’s possible depending on how much mobility you have. Most cities here are not really accessible. Streets are hard to navigate, accessibility exits and entrances are hard to access, buildings go up so there are always stairs to worry about, and venues can be hard to access because they’re rarely on a first floor or they’re not set up for disabled patrons. I find it really hard and have written about it in this post:

      I’m mostly housebound due to the things mentioned above, and my illness is severe enough that I find it very hard to socialize with more than a few people at a time. That said, there is a thriving expat community here, the living is cheap, the healthcare (if you are not in need of serious monthly medical attention) is quite decent and you’d have easy and fast access to doctors and testing, plus Taiwan itself is gorgeous. Feel free to reach out if you’d like to move to email instead.

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