Living with a Lupus patient requires patience and understanding of their symptoms. We have a tendency to think that they cannot be THAT fatigue, that they should get up and do more to combat the fatigue. The truth is, Lupus patients are truly and chronically fatigued. They are not pretending, nor are they trying to get out of doing things - they are fatigued. Most of all, they wish that they were not so fatigued!