Equal Shared Living

by on Monday, June 16, 2008 8:08

File this entry under: Ulcerative Colitis

This wonderful article from the New York Times about “equal shared parenting” really sums up how I like to think Mark and I have learned to manage our life.  Although we are not parents, we do have a dog, and we did have UC for many years. I think that the UC and fight with that really taught us how to become a team, and do things in life using a model of “teamwork.” There is this blend of compromise but an equality overall of who does what, when, how much, etc…But what I value the most is the shared emotional aspect. 

I guess in all the struggle with his health, we have really benefited in certain areas as a couple and as human beings.  This article really triggered this in me, made me identify with the people in the video in the sense of a couple as a “team.”   

Photo: x-mas 2006, Mark was sick and on remicade and predisone. He may have started the Humira shots in late december, I can’t recall.  This was a good holiday because we were really making peace with the reality that surgery was coming and he might be healthy again. 

% of UC patients have surgery

by on Monday, June 16, 2008 5:23

File this entry under: Ulcerative Colitis

A big question I asked before deciding to the have the surgery was “how many people with UC have to have surgery?”  Come to find out the number is higher than you’d think, I’ve heard it reported as low as 20%, and here at the UCSF Site it says estimated that 25-40% of patients will need surgery.  Read more in the excerpt below

“An estimated 25 percent to 40 percent of patients will require surgery. This may be because medications are ineffective, they become dependent on corticosteroids, they have dysplasia (early cancer) or cancer, or they develop complications of the disease, such as bleeding, rupture of the colon, or dilation of the colon. In these cases, surgery to remove the colon and rectum, called proctocolectomy, may be recommended. Unlike Crohn’s disease, which can recur after surgery, colitis is cured once the colon has been removed. However, associated diseases associated with colitis may still develop or progress after surgery. For example, primary sclerosing cholangitis, a liver condition, and Ankylosing spondylitis, an inflammation of the lower back, will still progress after surgery. Surgery is followed by one of the following:

  • Ileal Pouch Anal Anastomosis — Also called a restorative proctocolectomy, this procedure preserves part of the anus, which allows the patient to have normal bowel movements. The surgeon removes the diseased part of the colon and the inside of the rectum, leaving the outer muscles of the anus. The surgeon then creates a pouch from the end of the ileum and attaches it to the inside of the anus. Waste is stored in the pouch and passed through the anus in the usual manner. Bowel movements may be more frequent and watery than before the procedure and inflammation of the internal pouch is a possible complication. This is known as pouchitis. However, patients who have an ileoanal anastomosis do not have to wear a permanent external ileostomy pouch.

  • Ileostomy — During this surgical procedure, the surgeon creates a small opening in the abdomen, called a stoma, to which he or she attaches the end of the small intestine, called the ileum. Waste will travel through the small intestine and exit the body through the stoma, which is about the size of a quarter and is usually located in the lower right part of the abdomen near the beltline. A pouch is worn over the opening to collect waste, and the patient empties the pouch as needed.”

Image via:  Jpouch.org

J-pouch and Alcohol

by on Sunday, June 15, 2008 4:08

File this entry under: Ulcerative Colitis

One of the biggest questions I receive is if with a jpouch you can drink alcohol.  My answer is not technical just my experience. And yes, I do drink in moderation. I’m not a big drinker anyway but I do find a drink or two is fine on occasion.  If I drink my BMs pretty much go straight to liquid which makes it less appealing to want to drink. As I understand there is no difference for a person with a colon and without a colon to drink b/c the liver and stomach absorb the hooch, but I don’t understand this process.  However, be leary of dehyrdation that much i know.  Here are some thoughts from other jpouchers on drinking and jpouch:

jpouch alcohol 1

Jpouch and Alcohol Poll

Drink 4 wks after jpouch takedown

2 year old pouch and drinks of choice

All opinion based, but use your best judgment and if your body says it feels okay then a drink in moderation is likely fine.  Of coure, talk with your surgeon or GI about this before you do anything!

Photo by: dogwelder

Book Review: Strong at Broken Places

by on Saturday, June 14, 2008 21:28

File this entry under: Chronic Disease

I have found great solace and understanding from the incredible books by Richard M. Cohen.  Cohen has battled Multiple Sclerosis (MS), two battles with colon cancer and loss of sight, and he is still standing.  His first book is a memoir on his battles called “Blindsided: Living a Life Above Illness” (2004)   And his most current work in INCREDIBLE:

Strong at the Broken Places: Voices of Illness, A Chorus of Hope 2008

In Strong at the Broken Places he chronicles 5 individuals with 5 different chronic diseases, one of the diseases represented is Crohn’s Disease. 

I recommend both these books, especially the Strong at the Broken Places for those living with or affected by someone with chronic disease. It will blow the lid of the “secrets” that the 90 million Americans living with chronic disease face in shame and privacy. 

Photo via: Strong at the Broken Places

 

Excerpt: Preface Strong at the Broken Places by Richard M. Cohen

“These are faces of illness in America. Do not look away. The characters may surprise you, even shatter a stereotype or two. They are people, not cases, survivors, not victims. Quite simply, they are us. They carry shared resolve, a determination to survive. To flourish.

Too often the sick are seen and not heard. Listen. Their songs are soft but steady. Hear the sound of steel, the quiet toughness at the core. Pay attention. These people sing to themselves and, if we choose to listen, to us all. I, too, know sickness and have joined the chorus. We walk together as one, each with an individual identity and unique story.

My story of coping with multiple sclerosis and colon cancer was told in Blindsided. That struggle did not end. The book came and went and a weakening body took no notice. Illness kept cutting its swath. I am angry and hurting, and each day I need to relearn the lessons I had the temerity to believe I could teach. Arms and hands weaken, legs and feet falter. My vision suffers, squints revealing progressively less at any distance. Now I look to others to find the road out of the dark forest.

We, the injured, are everywhere. We are fast becoming a nation of the sick. The numbers do not lie. Chronic illness has become the silent flood, flowing slowly, steadily under our doors. We tumble in slow-motion from safe ground, twisting and struggling to survive in a cold sea of all that we once were and can be no more.

Chronic conditions attack body and spirit, assaulting the quality of our lives. Some are life-threatening. All are life-altering. Ever so slowly, moment by moment, function and sensation cease. Muscles and nerves malfunction. The body’s processes grow difficult. Our view of ourselves as normal human beings making our way in a neutral world is challenged as, in the eyes of others, we become our illnesses.

Chronic conditions do not resolve themselves. Unlike terminal illnesses, there is no high drama with these diseases. They are not sexy, and are little noticed or understood by an unknowing public that would prefer not to think about them. Those who are hit hard know the frustration of being marginalized, reduced, and pushed to the side by these chilly attitudes. We are handed a cocktail of condescension and a basket of doubts about our limitations. The crisis of confidence that follows can be contagious and soon affects every part of our being.

With chronic illness, every facet of a once-robust life is overtaken and redefined. From the ability to find and hold jobs to the capacity to build and sustain personal relationships, the facts of a sick person’s world change dramatically. The slow slide down carries us, and we lose control.

Still, we go on. We double the effort, for what is the option? Too often, we remain silent. We are a hidden population, invisible except to ourselves and those who love us. When I wrote Blindsided, I felt alienated and isolated. I now know I am not alone. Many travel the same road, and common ground lies beneath our feet.

We have so much at stake and so much to say, but it can take years of battle with our own demons to recognize the power of what we have to offer each other. Nobody will speak for us with the authority we bring to our own stories. Where so many among us find the resolve and the inner strength to rise up and keep going is a mystery to me. That we do serves as pure inspiration.

This book profiles five strong people on the front lines of illness. Each fights a different war. All are ready to share. Sometimes they hobble, even stumble, but they are extraordinary for their resolve. They will finish on their own steam according to their own terms. They, and their families, speak from the heart and tell their stories with pride.

This gang of five is not timid or shy or self-conscious about their physical flaws. They are unapologetic about their body’s weakness. They try so hard, struggling to travel well on one of life’s toughest journeys.

Hemingway had it right. If the world is not the enemy, neither is it our friend. In the end, no matter who surrounds us, we travel alone. Our friends and loved ones are there, providing an infrastructure of love and support. But courage must be drawn from within. Let the world see us as we see ourselves and have the faith to permit us do it our way.

I have been in these people’s faces for years, brazen enough to ask the questions others would be too polite to touch. That was allowed, and so far, we are still talking.

I admire each of these people and am proud to call them my friends. ” – Richard M. Cohen

Why you should maybe BLOG your story #1

by on Saturday, June 14, 2008 7:15

File this entry under: Ulcerative Colitis

Why are we asking for others to blog their story?  Because of the response we’ve gotten from others in similiar situations.  Not only helping others, but it helps us heal as well – I guess giving back to the community makes you feel good!

In March 2008 a 19 year old male, Adam posted on jpouch.org, we responded to his question which you can see the full thread here, Adam’s Encouraging Post.  But it was what Adam responded with that made us realize that telling your story can really help others:

Adam’s Encouraging Post stated : “Megan– you have no idea how much I appreciate you replying first..I would check out all your photos and information if I already havn’t done so atleast 10 times already. Out of the hundreds of doctors and nurses and information they give out to you, all of the posts on this forum, and all websites I could ever find…your photos and information helped me out and eased my mind the most!
I sat in the hotel room before my my first surgery and went through all of it over and over again..I said yes to my prom date and eased the minds of my parents by showing the pictures and information to them and the quick progess Mark made. I know many people have benefited from your Flickr and it inspired me to do my own. I have documented up to this point and after my 2nd step I plan on setting one up hoping it will help someone the way yours helped me. Thank you!”

You see, part of the reason we photographed and told Mark’s story was because we didn’t have a resource like this one to read before surgery, and it was what we would have liked so that things weren’t so unknown or fearfully based from the unknown.

Photo by: Sean dreilinger

Colon Club Colondar

by on Friday, June 13, 2008 4:04

File this entry under: Ulcerative Colitis

A great gift to bring awareness is the Colon Club Cancer Awareness Colondar. A beautiful calendar full of survivors and their stories. 

CD and UC Interview for a Cure

by on Friday, June 13, 2008 4:01

File this entry under: Ulcerative Colitis

Check out another inspiration, see Kristen talk about brining UC/CD awareness through a walk to raise money and awareness:  Live Interview about CD and UC

Advocacy and grassroots are the only way to bring awareness to these diseases!

Gut Superbug and link to Colitis?

by on Tuesday, June 10, 2008 16:59

File this entry under: Ulcerative Colitis

Have you heard about the Gut SuperBug that is increasing in cases in hospitals and nursing homes?  According to this article ” The germ, resistant to some antibiotics, has become a regular menace in hospitals and nursing homes. The study found it played a role in nearly 300,000 hospitalizations in 2005, more than double the number in 2000. The infection, Clostridium difficile, is found in the colon and can cause diarrhea and a more serious intestinal condition known as colitis (my emphasis). It is spread by spores in feces. But the spores are difficult to kill with most conventional household cleaners or antibacterial soap.”

It will be helpful when research is able to identify “triggers” of IBD, should help advance the knowledge about the diseases.

Call for Stories, Blogs, Links, Photos

by on Monday, June 9, 2008 22:12

File this entry under: living with j pouch

In an attempt to make this blog as informative and helpful to a diverse group of j pouchers in all stages (temp ileo, perm ileo, no surgery yet, any stage welcome), we are asking that you send us your stories, links to your blogs, photos, links to photos, etc…We’d love to connect our network to others around so that when others visit our site they can have input from diverse people! 

We are especially hopeful that we can provide the female perspective on this blog – if you are a female, and have or will document your surgery journey with photos, please consider allowing us to link or share your journey on this site.  As you can tell right now we represent the male journey (which is excellent), however, we need the females represented as well! 

What we’ve learned by sharing this story of Mark and support for Mark is helping others is the best way to heal and cope.  If your story, blog, photos, etc.. can help another individual whether a stranger or a family/friend we encourage you to share. 

We want this to be a positive resource so that both you and your loved ones can vist and hear stories that fit your situations. Send us a comment or send an email to mdhilton@gmail.com

 

Photo by: Sidereal

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