Business Insider·4 min read·medium

I built my career by pushing through a painful chronic health issue. At 29, I'm adjusting my expectations.

I built my career by pushing through a painful chronic health issue. At 29, I'm adjusting my expectations.
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A PR business owner and doctoral student shares her struggle with balancing a high-pressure career and education while managing stage 4 endometriosis. After a health crisis forced her to adjust her expectations, she reflects on the necessity of prioritizing personal well-being over professional milestones.

Why it matters

It highlights the often-hidden challenges of chronic illness in the workplace and the societal pressure to maintain high productivity despite severe health limitations.

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The author had to redefine success after her second endometriosis surgery. Courtesy of Erica Williams At 27, I was building my PR business and in a doctoral program for business administration. Stage 4 endometriosis was making it hard to juggle both school and my clients. After my second surgery for endometriosis, I realized I needed to prioritize myself. In October 2025, Blackboard, the online platform through which I attend my doctoral program for business administration, displayed a grade I had never seen next to my name: an F. I had been working to run my new public relations business, maintain my 3.87 GPA, and manage ongoing health challenges . So, I couldn't hide my shock as I sat up in bed, looking at the unfamiliar score. I slid the laptop cursor over the grade repeatedly, as if it would magically change. I knew that it wouldn't.

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