I've had to deal with it, day by day, because some days I'm fine, then the next day I could be swollen really bad, that's when I'm having my flare-ups. Have patience when people tell you (You don't look sick), just tell them to research Lupus and then they will have some knowledge on what goes on with people who have Lupus. Most likely they'll come back telling You, I'm sorry I didn't know what goes on.