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).

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Episodes

Tuesday Sep 16, 2025

In this episode, I share what volunteering has taught me while living with Mycosis Fungoides. From the General Federation of Women’s Clubs to the Cutaneous Lymphoma Foundation, I’ve seen how giving back builds connection, skills, and visibility—but only if you protect your energy. I talk about choosing roles that lift you up, setting boundaries, and how volunteering reminds me I’m more than my illness.

Tuesday Sep 02, 2025

In this episode, I share a recent experience that was far more than “scanxiety.” After a routine check-in revealed rapidly spreading skin patches, extreme fatigue, drenching sweats, and liver numbers that tripled in four weeks, my doctor paused my treatment and ordered a PET/CT scan to see if my Mycosis Fungoides had spread internally.
I walk you through the fear that set in—fear that felt different from worry—plus what it’s like to go through the process at Duke’s Cancer Center, from prep instructions and quirky waiting room details to the barium drink, the big scanner “donut,” and even the surprising Carolina-blue ceiling panel. Most of all, I talk about how it felt to sit in that space, knowing that the results could change my life in an instant.

Tuesday Aug 19, 2025

It's been ten years since I was diagnosed with Mycosis Fungoides, and no there hasn't been a miracle cure or a neat treatment roadmap. In this episode, I open up about what a decade with a rare, chronic illness really looks like. I've learned that surviving isn't enough. You've got to find a way to live, loudly, bravely, and with purpose. And it's why I've stepped up as a voice for change.

Tuesday Aug 05, 2025

Big news, I've joined the Board of Directors for the Cutaneous Lymphoma Foundation, and in this episode, I'm sharing why that matters and what it means for patients like us. I talk abou twhy having actual patients at the table where decisions are made is critical, and how this foundation how been fighting for us since the 1990s, thanks to trailblazers like Judy Jones and Judith Shea.
I dig into what the foundation really does—connecting people to specialists who understand this rare disease, hosting educational events that actually help, and going to bta for lifesaving medications. We're also pushig for more research funding, helping patients find clinical trials, and working alongside other groups to create change.

Why Advocacy Matters - Ep. 16

Tuesday Jul 22, 2025

Tuesday Jul 22, 2025

In this episode, I break down why advocacy isn't just a buzzword. It's a lifeline for those of us living with rare diseases and chronic illness. I talk about how real change doesn't only come from big moments on Capitol Hill, it starts in the everyday: telling your story, joining forces with patient groups, challenging broken systems. I get real about how speaking up, educating others, and writing to lawmakers can actually move the needle. Advocacy isn't about being loud, it's about being relentless, informed, and united. If you've ever wondered whether your voice matters, this episode is for you. Because it absolutely does.

Tuesday Jul 08, 2025

Specialty pharmacies handle complex meds—but for patients, they often create more stress than support. In this episode, I unpack what they are, why they exist, and the real-life frustrations that come with them. From phone tag and refill delays to meds that require special handling, I share how the system often overlooks the patient experience.

Tuesday Jun 24, 2025

In this episode, I discuss the impact of chronic illness on daily life, focusing on the emotional significance of small pleasures. I share my experience with Mycosis Fungoides, a rare skin lymphoma, and how it affected my ability to enjoy something as simple as a hot bath.
After more than a year of painful patches and (finally!) eight weeks of treatment with Pegasys Interferon, my condition improved, allowing me to take a hot bath again. This simple act brought me unexpected joy and highlighted the importance of recognizing and celebrating small victories in managing chronic illness.

Tuesday Jun 10, 2025

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), like knocking out tiny tasks, getting my body moving, changing my environment, or just leaning into comfort. Most importantly, I remind you — and myself — that it’s okay to feel this way sometimes. It doesn’t mean you’re failing. Sometimes the best thing you can do is name it, honor it, and give yourself a little grace. I’d love to hear your favorite ways to deal with the mulligrubs, too — let’s keep this conversation going.

Tuesday May 27, 2025

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 healthcare, and just getting through. I share why I prefer words like “navigating,” “managing,” and “coping,” and why it’s so important for each of us to define our own experience, without feeling boxed in by someone else’s idea of strength. If you’ve ever felt weird about being called a “fighter” when you were just trying to make it through a Tuesday, you’re not alone.

Tuesday May 13, 2025

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 medications.
I also cover the challenges of budgeting with a flexible spending account (FSA), the stress of surprise medical bills, and the critical role of pharmaceutical financial assistance programs. I shed light on the often invisible financial and emotional toll chronic illness takes, offering real talk on why planning ahead matters — and why no one should have to navigate it alone. If you or someone you love is juggling rare disease costs, this candid conversation is for you.

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