Latest / Crohn's & Colitis Unfiltered / IBD, treatment failure and hope: Savannah’s search for remission
Transcript
- 0:02Without this diagnosis, I probably would not
- 0:04be the person I am today in terms of how understanding
- 0:09and empathetic I am towards people. Because I
- 0:12didn't grow up in a family like that. They were
- 0:15just kind of very judgmental and rash. And I'm
- 0:19very, very empathetic. And me going through what
- 0:24I did also kind of pushed me to what I wanted
- 0:26to do career -wise. I have my bachelor's in psychology
- 0:29and my master's in psychology, and I'm getting
- 0:32my doctorate in it because I want to do therapy,
- 0:35to just be that person that I needed when I was
- 0:38younger. This is Savannah, who got diagnosed
- 0:41with ulcerative colitis at age 16 in Nashville,
- 0:45Tennessee. For years, Savannah struggled to get
- 0:48her IBD under control. moving from biologic to
- 0:52biologic, until she landed in a clinical study
- 0:55for a new medication. Today, on the Colitis Unfiltered
- 0:59podcast, she's going to talk to us about what
- 1:02that looks like and what it was like to live
- 1:05with ulcerative colitis through crucial teenage
- 1:08years. My name is Frank Tabering, and Savannah,
- 1:11welcome to the show. Thank you for having me.
- 1:14So Savannah, let's go back to the beginning,
- 1:18age 16. Talk to me a little bit about what your
- 1:21first symptoms were. You know, what triggered
- 1:23you to think that something was really wrong?
- 1:25And then also how you ended up with a ulcerative
- 1:29colitis diagnosis. The first symptom is like,
- 1:33I call it the hallmark cramping. There's no other
- 1:36way to explain ulcerative colitis cramping. And
- 1:38I was sitting in Spanish class. I remember taking
- 1:41a exam and I was like, maybe I have like a stomach
- 1:45virus or maybe I'm just stressed from this test.
- 1:47And, you know, it's working me up. But it felt
- 1:49like somebody was inside my intestines and like
- 1:52doing this, if that makes sense, just like squeezing
- 1:54it out like a sponge. And I was like, this, like,
- 1:57I don't know what this is. And then like that
- 1:59kept progressing. And then within a week or two
- 2:03of that, I started seeing blood whenever I was
- 2:05going to the restroom. And then I was like, okay.
- 2:08And then again, as a, especially as a teenage
- 2:11girl, you're confused because you're going through
- 2:13changes. You're like, maybe it's my menstrual
- 2:15cycle. Maybe it's not. So I kind of ignored it.
- 2:17Well, I ignored both of those symptoms for a
- 2:19month until the biggest one of all, urgency.
- 2:24That kicked in and you can't really ignore that.
- 2:27And so at that point when I was like, okay, I
- 2:29can't go to class. I'm sitting in the restroom
- 2:31all day. I have to tell my parents. That was
- 2:34kind of where I was like, okay, I need to get
- 2:36seen. And so that's, yep. I remember like it
- 2:40was yesterday. That's the progression of how
- 2:42it worked until I had forced myself to tell my
- 2:45parents because I did not want to go to the doctor.
- 2:47You actually described it very well because I
- 2:50myself once referred to it as like claws, just
- 2:53grabbing onto your intestines and just twisting
- 2:56it relentlessly. And I'm happy there's somebody
- 2:59else out there that basically felt it exactly
- 3:01the same way, or at least that metaphor to explain
- 3:04it. And that's really what it feels like. So
- 3:06I can relate. When you said those words, it took
- 3:09me back to 2013. I was like, yep, that was the
- 3:13pain. Exactly. Okay, you told your parents. Then
- 3:16what happened next? Did you see a specialist
- 3:18right away, colonoscopy and diagnosis? Or how
- 3:21did you end up getting to the moment where you
- 3:25got the news that you had IBD? See, I grew up
- 3:28in a very rural town called Savannah, you know,
- 3:32and there wasn't any specialists. Like our top,
- 3:35like the top dog as far as medical care goes
- 3:37was like the general town surgeon. And so...
- 3:40I went to urgent care, which was kind of just
- 3:42like, you know, what's open overnight before
- 3:44I can actually see my primary. And they're like,
- 3:47all right, we're going to run some labs. We're
- 3:48going to get a stool sample and all that. And
- 3:52I was like, okay, you know, because I was like,
- 3:55they're going to hopefully figure out what it
- 3:56is maybe. Like I said, I thought it was a stomach
- 3:58virus. They weren't able to find anything. Like
- 4:01they weren't sure what it was. They're like,
- 4:02I can see things are elevated, but I don't know
- 4:04what it is. And at that point, I had to go see
- 4:07my primary. they did the same thing. Another
- 4:10round of blood work, another stool test. And
- 4:13I'm like, okay. And then I got referred to another
- 4:16doctor like, hey, they might know. And like,
- 4:19I was getting bounced doctor to doctor. And I
- 4:21was like, this is getting old. Like after the
- 4:23fourth blood draw, I was like, okay, like somebody
- 4:25figure out what's going on. Like at this point
- 4:27to bouncing doctor to doctor, I was absolutely
- 4:30miserable because at this point, my symptoms
- 4:32have been going on for at least two months. So
- 4:35you can imagine, I started losing weight at that
- 4:37point. which that was, I was like, Oh, like I
- 4:41did not expect to lose. Like the losing weight
- 4:43part, like you think isn't bad, but for me, I
- 4:46was already tiny. Didn't have an issue with my
- 4:48weight. So that was terrible. But at that point,
- 4:50the general surgeon was like, Hey, I think that
- 4:54this is probably what you have. And so he referred
- 4:57me out because he says, there's basically no
- 4:59point. There's no point of, you know, me doing
- 5:02stuff here because I don't have the kind of equipment
- 5:05to deal with that. Like, you know, basically
- 5:07it's out of his scope at that point. You need
- 5:09to get referred. And so went to Children's Hospital
- 5:12at Vanderbilt and one of their GIs there did
- 5:15an endoscopy, a colonoscopy, confirmed that I
- 5:18had colitis. It was in the moderately to severe
- 5:20range. Yeah. And then that's how it started.
- 5:24But basically just bouncing everywhere. I don't
- 5:27know if anyone. I mean, I'm sure other people
- 5:29have experienced that, but that was the most
- 5:30annoying part, doctor to doctor to doctor to
- 5:32doctor. And they're just like, your arms are
- 5:35bruised up from going to have to get your blood
- 5:37drawn and you're just, you're tired of it. So
- 5:40yeah. That's true. I've talked to patients who
- 5:43had similar issues getting bonds from doctor
- 5:45to doctor and they were not even living in a
- 5:47rural town. So it's definitely happening more
- 5:50than you think. Okay, so you've received the
- 5:53diagnosis finally, ulcerative colitis. Did you
- 5:57hear about this before? Was that really the first
- 5:59time you heard about this? And how did you deal
- 6:02with this mentally, getting a diagnosis that
- 6:05you have this incurable, you know, chronic illness?
- 6:08Did you do your own research? Like, how did you
- 6:11find out about what that really, really entails,
- 6:14IBD? hearing what it was and I always joke around
- 6:20with people I'm like I didn't even know how to
- 6:21spell it until I figured out I had it and so
- 6:22I'm like ulcer what like yeah I was like I didn't
- 6:25know how to enunciate or anything I was like
- 6:27I have no idea what this is because I didn't
- 6:30know anyone around me that had it and I've never
- 6:32seen it and so no I didn't I didn't know what
- 6:35it was at all and then I'm getting choked up
- 6:37a little bit because I remember you're especially
- 6:39as a teenager getting diagnosed I was a cheerleader
- 6:42I was in honor society I was I'm very type a
- 6:45and so When you're a type A person and you get
- 6:48diagnosed with a chronic illness, that is the
- 6:51worst combination on earth to tell somebody you
- 6:55need to slow down. You need to, you know, you
- 6:57can't, and I say you can't live a normal life,
- 7:00but you need to, you can't do all the things
- 7:02that you used to before until you get your health
- 7:03in check. And so I kind of, in a way, dissociated.
- 7:08And I was like in denial. And I was like, no,
- 7:11like, it's not like you're saying it's incurable,
- 7:14whatever. Like, I'll take this. I'll take these
- 7:15meds. I'll do whatever you tell me. But whatever.
- 7:18And I kept trying to live my life normally, which
- 7:20was not the probably best response because it
- 7:22prolonged a lot of my suffering between points
- 7:25of remission. And so. Yeah, but I mean, as a
- 7:2816 -year -old, I don't think you would expect
- 7:30them necessarily to slow down. Yeah, no, of course.
- 7:34So, you know, keyword meds, you mentioned this.
- 7:38Tell me a little bit about the treatments that
- 7:40you jumped on after your diagnosis and then also
- 7:44where you are at today with your colitis. I believe
- 7:49I'm enunciating these correctly. So forgive me
- 7:52if I'm not. I mean, but meslamine, obviously,
- 7:54that was the first one I tried. With prednisone,
- 7:56I hate prednisone with a passion. Just putting
- 7:59that out there. Done prednisone. I was also experiencing
- 8:03a lot of body aches. So they also said, oh, let's
- 8:06try, you know, gabapentin. That, yeah, that was
- 8:08another one. I was like, no, that did nothing
- 8:10for me. And then 6MP, mercy capipurin. And then
- 8:16it has been Antibio, Remicade, Sky Rizzy. I've
- 8:21jumped through a few. And then now I joke around
- 8:26that I'm a lab rat because I'm currently in a
- 8:27research trial for a new medication for ulcerative
- 8:30colitis. And I recently just got started on that.
- 8:33So that's very new. Okay. So you went through
- 8:37some of the biologics. Did you? So I'm assuming
- 8:41because you jumped from one to the other, they
- 8:43just didn't work, right? Or did you experience
- 8:46actual periods of remission before they failed?
- 8:49Did they fail immediately? And also, so that's
- 8:52my first part of the question. And then the second
- 8:54part is how did you actually end up in a research
- 8:57study? Well, with the meslamine, I noticed that
- 9:00my body responded to it for a little bit. I was
- 9:03good for about two years initially. Once I got
- 9:06stabilized and I was able to taper off the prednisone,
- 9:08I was like, okay, this is fine. It's working.
- 9:10And then I had, you know, graduated high school,
- 9:12gotten to college, new stressor. I started flaring
- 9:15up again. So my body does not respond well to
- 9:18stress at all, at all. And so moving out on my
- 9:22own, going away, I started flaring up again.
- 9:25And then so I was like, okay, time to go back
- 9:29to, you know, the drawing board, figure out what
- 9:30we need to do. And then they had suggested Remicade.
- 9:34Remicade itself did nothing for me. It just it
- 9:37felt like I joke around. There's some medications
- 9:39when you have a chronic illness that feel like
- 9:41you're either just getting saline or you're taking
- 9:43a sugar pill. It doesn't do anything. And I feel
- 9:46like I'm wasting my time. And so that's how I
- 9:48felt about Remicade. Intivio, that one was a
- 9:53little bit disheartening because it worked for
- 9:56so long. I was in a period of remission for around.
- 10:00I want to say almost five years and I felt so
- 10:03normal and to feel normal is such a gift. And,
- 10:07um, I want people to understand that to feel
- 10:09normal is such a gift. And when you're flared
- 10:12up, I don't think it's not until you're flared
- 10:14up that you really realize that. And, um, but
- 10:17just one day stopped working and out of nowhere.
- 10:20And then we had recently tried Sky Rizzy and
- 10:24it just, I, it didn't work with me. And I was
- 10:27just like, Okay. You know, you know, and then
- 10:31I'm going to, I'm not going to lie at this point.
- 10:33I'm a little bit like, I'm trying to be optimistic,
- 10:35hoping that this research medication works, but
- 10:37how I got into the research trial, it was, it
- 10:42was kind of like, I don't know. It's as soon
- 10:46as that I had gotten hopeless about the Skyrizzy
- 10:49not working. I got a call from a research coordinator.
- 10:52That's, you know, luckily this place is also
- 10:54where I live now. And they're like, Hey. we're
- 10:57screening for this. You've already had a scope
- 11:00in this set amount of days. You meet all the
- 11:02criteria and you fill these medications. You
- 11:05would be a perfect fit. And it was kind of just
- 11:08a, it happened at the right moment kind of thing
- 11:10because they were about to close out the screening,
- 11:13like not, not the screening process, but they
- 11:15were about to hit out the, I guess their max
- 11:17capacity, I guess you can call it, but it might
- 11:20be called screening process. I don't know. It's
- 11:22also a little early for me. So, but yeah, it
- 11:26was just kind of, a god thing um it came in at
- 11:30the right time and i'll say this though already
- 11:33in my little time in a research trial i was not
- 11:37anticipating being at a doctor's office that
- 11:39much i thought i'd been to a doctor's office
- 11:41a lot but um it's so much stuff like and you've
- 11:44got to be so on top of it potentially for a lot
- 11:48of people that are ill with IBD, clinical study
- 11:51carries maybe a certain stigma. Oh, there's no
- 11:54certainty there. Is it something that is going
- 11:58to potentially work? Is it going to fail me right
- 12:00away? It's another medication. So tell me a little
- 12:03bit about what does this particular clinical
- 12:05study... look like and to answer your question
- 12:07yes please do go a little bit into detail because
- 12:09it's very interesting for people to to hear that
- 12:12this might not just be an infusion that you get
- 12:15every eight weeks right or a pill that you swallow
- 12:17daily yeah tell us what does it look like for
- 12:20you basically day to day okay so basically um
- 12:23before i got to that point if somebody from what
- 12:26i understand also as well if somebody had not
- 12:28done all the things that i was doing before You're
- 12:30going to have to get your scope. You're going
- 12:32to have to do baseline labs. You're going to
- 12:34have to do stool samples very, very frequently,
- 12:36which is very annoying. Because if you've been
- 12:39there, you've already done the walk of shame
- 12:42with the bag. You already know. But you have
- 12:45to do that to get in. And once you get in, I'm
- 12:49at the doctor's office currently right now every
- 12:51two weeks to do baseline labs, have my physicals,
- 12:55do another stool test, and also do a UA. Also,
- 13:00aside from just making sure you're not consuming
- 13:02drugs and alcohol because you cannot be doing
- 13:04that, you also have to be, as a woman, you have
- 13:08to make sure you're not getting pregnant, of
- 13:09course, because there are risks, you know, with
- 13:11any clinical trial that if you get pregnant,
- 13:14something might happen to the fetus. And so that's
- 13:16very valid. But you're doing that pretty frequently.
- 13:19Like my arms, I think for the last little, like
- 13:22two months, they've been consistently bruised
- 13:24because I'm getting so much blood work. And then
- 13:27as far as my day -to -day, right now it's these
- 13:31three bottles. And I have no idea what dosage
- 13:35it is. There's a 75%. It's a double -blinded
- 13:37study. And so the office doesn't know what I'm
- 13:41on. The doctor doesn't know what I'm on. Only
- 13:43whoever randomized me. And so I have three bottles.
- 13:47And I have to take one pill out of each one every
- 13:49morning. And I cannot eat four hours before.
- 13:53And I can't eat for two hours after, of course,
- 13:55let the medication get in my system. And so I
- 13:59have no idea if I'm on all three of your placebos
- 14:01or if it's 150 milligrams, 300 milligrams or
- 14:05600 milligrams. I have no idea. Now, is it in
- 14:10my head? I hope it's not because usually you
- 14:12don't want side effects with things. But as soon
- 14:14as I started taking it within a few days, I've
- 14:17already noticed some things like a little nausea,
- 14:20a little bit of a headache that I usually don't
- 14:22get. And so I'm like. Maybe, maybe that's medication
- 14:25and maybe it's trying to do its thing and I'm
- 14:27in an adjustment period or maybe it's all in
- 14:29my head. I don't know. But either way, I mean,
- 14:32I'm, it's, it's nerve wracking because every
- 14:35morning I'm taking this and I'm like, there's
- 14:37not even 200 people across the globe that are
- 14:39waking up every morning taking this. And I don't
- 14:42know what's, I don't know all the scientific
- 14:44things. Like you can know the science behind
- 14:46Ulster class. I'm not a scientist. I don't know
- 14:48medication science. So it's scary. I don't know
- 14:51what I'm putting necessarily in my body, but
- 14:53I'm desperate for relief. So at this point, I'm
- 14:55willing to take anything, inject anything, do
- 14:58anything to feel better. And so, yeah, that's
- 15:02where we're at today. Yeah. And of course, you
- 15:05say it's pretty stressful, but you have to keep
- 15:07your stress in check because if you stress too
- 15:09much, then that's going to do harm to your body,
- 15:11you know, and that may make your symptoms worse.
- 15:13I see you said that you're pretty early into
- 15:16this study, but how are you actually? feeling?
- 15:19Do you consider yourself in a flare currently
- 15:21still? Are you sort of on the cusp? How is your
- 15:25disease treating you these days? Well, by, I
- 15:31guess you could say, a scientific measure. I
- 15:33don't know what it is across the globe, but over
- 15:36here we have our Mayo scores. That's how they
- 15:39also track how you get into the study. And my
- 15:42Mayo score out of a nine is currently an eight.
- 15:45Um, so I'm pretty flared up, um, by that measure.
- 15:48And then as far as me and my personal opinion,
- 15:51I, I'd feel like I'm, I'd feel like I'm really
- 15:55moderately to severe. I'm, I feel like I'm not
- 15:57super severe, but that's also because I've, I've
- 15:59been flaring since February. So I'm, it was way
- 16:03worse at this point. I'm going to the restroom
- 16:05sometimes seven times, maybe eight times a day.
- 16:10And I am seeing blood. However, it's not every
- 16:13single time. And so for me, that gives me hope
- 16:15because it's it was every single time. And sometimes
- 16:18it was just blood passing alone. And so to me,
- 16:22that shows me, OK, I am working towards getting
- 16:25better. And so because if I'm at the point that
- 16:29I'm seeing blood in every single stool, then
- 16:30I'm like, OK, I'm a little bit depressed. What
- 16:32like, you know, like, but I do have some hope
- 16:35because I am starting to see traces of normalcy.
- 16:38Good, good. Yeah. And we're going to come back
- 16:40to sort of. this idea of how to move forward
- 16:43into the future but before that i do want to
- 16:45go back back in time a little bit because um
- 16:48now just listening to you um several years have
- 16:52passed since your diagnosis and 16 like you said
- 16:55yourself it's a crucial age it's a crucial age
- 16:57just because of the age but then for you it was
- 17:00extra hard because you know you said you've always
- 17:03been that type a person very active and in activities,
- 17:08basically. So tell me a little bit about how
- 17:11you navigated this very crucial period in your
- 17:15life, in your very young adulthood. As somebody,
- 17:19you know, living with a crippling disease, what
- 17:21did that do to your social life? Did your friends
- 17:25understand? Were they supportive? Were you angry?
- 17:30Did you have any regrets going through that period?
- 17:32Those special teenage years, you know, what was
- 17:35that like for you? One grew up in a small town,
- 17:39very close -minded people. This is not saying
- 17:42that they're dumb. I'm just saying they're ignorant
- 17:44to a lot of things. And because they don't see
- 17:47it, they don't know. And that's how, I mean,
- 17:49that's how I feel with colitis in general. Unless
- 17:51you have it, you don't know. But I felt very
- 17:54alone because everyone I thought was my friend,
- 17:57no, I had maybe one person check up on me because
- 18:00I ended up homebound for a semester. And so I
- 18:02felt very isolated, very depressed because I
- 18:09wasn't able to go cheer my games. I wasn't able
- 18:11to go to any of my classes. And I did not have
- 18:14a very good childhood anyway. And so that was
- 18:17my escape from everything. And so I was kind
- 18:20of just surrounded by what I was already trying
- 18:24to escape. And so that was hard. And then I would
- 18:30definitely say I was angry. I was angry at my
- 18:34body. I was angry at... everyone around me, especially,
- 18:38you know, being on prednisone, you know, you're
- 18:40already irritable. But in the sense of, I was
- 18:43angry because from what I had read, you know,
- 18:46stress can sometimes play a part in, you know,
- 18:48inducing a flare. And I'm like, well, if my family
- 18:51didn't stress me out and then I probably wouldn't
- 18:53be sick right now. And you know, when you get
- 18:54diagnosed, you try to pinpoint every little thing
- 18:57that could have caused this. And like I said,
- 18:59also earlier, I was in denial. So I was kind
- 19:01of like, I was fighting this thing in my brain
- 19:04of like, this isn't really happening. And I'm
- 19:08trying to figure out what the root is because
- 19:09maybe I could try to fix it. And so I was feeling,
- 19:13it sounds like gibberish when people ask me that
- 19:16question because I've been asked that before,
- 19:18how I felt. And I felt so many different things.
- 19:21I felt angry, confused, you know, all the things.
- 19:27And as far as the reason why I asked if I could
- 19:31drop a curse word, I remember when I had got
- 19:32back to school. because my social life, it was
- 19:35not the same because I'm like, I saw how these
- 19:37people acted whenever I was sick and I actually
- 19:40needed someone to be there. And I felt like I
- 19:41had no one. And I was in going into the last
- 19:45year of school. So I kind of just like, you know,
- 19:47chilled out, did my own thing at that point.
- 19:49And I was known as the girl with the shit disease
- 19:51because it was such a small town. And my mom
- 19:54was friends with a lot of the people be like,
- 19:56this is what she's going through. And of course
- 19:58they would tell their, their, their kids, you
- 20:00know, and those kids I went to school with and
- 20:02I was known as the girl with the shit disease.
- 20:04And so that kind of just left such a bitter taste
- 20:08in my mouth, um, about that. And I, and I, it
- 20:13sucks because people should not get bullied for
- 20:15something they can't control. And I should not
- 20:17be bitter about it all these years later. And
- 20:19I try to think, well, they're kids and, you know,
- 20:21like, you know, kids learn from their parents,
- 20:25but you know, at the time it felt like it was
- 20:27the end of the world. Because I had no social
- 20:30life at that point. Exactly. Now, nobody should
- 20:33go through that no matter what their age. Isolation
- 20:37is something that I wanted to talk about. And
- 20:39you said it yourself because of what happened,
- 20:42because of where you lived. You sort of retracted
- 20:44back into your own little bubble, into your own
- 20:46world. How did you spend your time, especially
- 20:48also being homebound for a semester? What did
- 20:52you do during those times? How did you manage
- 20:54your flares? Because there's, you know. 24 hours
- 20:58in a day it's a lot of time but you know when
- 21:00you're struggling it can sound or feel like it's
- 21:04even longer very little sleep and a lot of time
- 21:07in the bathroom for but um i um yeah um i there
- 21:13was i'm not joking i had literally pinched like
- 21:16pitched i'm trying to say the word uh but i basically
- 21:19had my own little setup i and People thought
- 21:23it was, people can think it's gross. I am OCD.
- 21:25It was clean. I promise. But my bathroom floor
- 21:27was clean. I had my pillow and I had my blanket.
- 21:29I'm like, there's no point in me leaving this
- 21:31bathroom because I was going, I remember at the
- 21:34peak, I had counted it because the doctor wanted
- 21:36me to count it up. I was going at one point almost
- 21:3940 times a day. And people that are like, that's
- 21:42not possible. It is very much possible. It might
- 21:45not, you might not be on there the same amount
- 21:47of time every time, but it's very possible. I
- 21:49was living my life in the bathroom. and living
- 21:53on very little sleep. Like I said, like I would
- 21:55just sleep in between bathroom trips and just
- 21:57lay in my bathroom floor because, and, and just
- 22:00scroll on my phone. Cause I mean, what else was
- 22:03I supposed to do? You know? Yeah. Yeah, exactly.
- 22:06I, um, always referred to as my signature white
- 22:10Ikea rug in my bathroom. That also became sort
- 22:12of a, uh, a resting ground for me when, uh, when,
- 22:16when I was in the thick of it, you're absolutely
- 22:18right. There's a, I maybe managed to crawl from
- 22:21the bathroom to the couch, but that was a distance
- 22:24of just a couple of feet. So I can very, very
- 22:27much relate to spending days like this. You mentioned
- 22:32that you were pretty angry with your body, and
- 22:36especially at 16, first of all, as a human being,
- 22:40you encounter a lot of changes in your body,
- 22:42especially as a woman, a lot of changes in your
- 22:44body. How did you eventually sort of reconnect
- 22:48with your body? Or do you still struggle with
- 22:50your body today? I'm not saying that you sort
- 22:53of gotten used to it, but how did you navigate
- 22:56this sort of body image anger that you experienced?
- 23:03I was very athletic before I got diagnosed. I
- 23:07could... I'm going to brag a little bit. I was
- 23:10a very fast runner and I'm a very short female.
- 23:12So that's something that, you know, I was very
- 23:14proud of. And I went from being able to run a
- 23:18mile in like seven and a half minutes, which
- 23:21again, I think is impressive for a short female
- 23:23to I'm barely able to walk it in 30. And also
- 23:27with the Predazone that makes you, I was on at
- 23:30one point, I think a hundred milligrams a day,
- 23:32which is. I don't think that should ever be diagnosed
- 23:36for anybody. And I was on it for over a year
- 23:38and a half, which that completely, I feel like
- 23:42that wrecked my metabolic health completely because
- 23:45I had gained over a hundred pounds, which I have
- 23:49lost 72 of. And I am so close to getting back
- 23:53to where I want to be. But I also know as a woman,
- 23:55your body changes and not everything's going
- 23:57to go back 20 or 16, but I had gained a lot of
- 24:00weight. And I also started struggling with my
- 24:03relationship with food a lot because, you know,
- 24:05you're in that fight or flight mode with prednisone.
- 24:08You're like, I need to get resources. I need
- 24:10to eat. And you don't always need to eat. But
- 24:12I didn't understand that. My parents didn't understand
- 24:15that. And so I kind of started struggling with
- 24:18issues with binge eating a lot because of that.
- 24:22I do believe wholeheartedly that is connected
- 24:24to it because I didn't have any issues with that
- 24:26before. And thankfully, I am in a good place
- 24:29now with my relationship with food and I know
- 24:31how to manage it. But I would be lying if I said
- 24:35that I was OK with my body now, because sometimes
- 24:38I'm like, oh, my body's been through some things
- 24:40and, you know, whatever. And it ebbs and it flows.
- 24:43And but then sometimes I'm in the mirror looking
- 24:45and I see stretch marks and I'm like, I haven't
- 24:48even had kids yet. Why do I have stretch marks?
- 24:51And I should have never had these stretch marks.
- 24:54And it's not because I. It wasn't because of
- 24:57a willpower thing. In my opinion, I was just
- 25:02given this set of cards. And unfortunately, that
- 25:06caused what it did to my body. But it's day by
- 25:10day, honestly. So there's progress, though. That's
- 25:14the positive aspect of this. And I always refer
- 25:18to IBD as a blessing and a curse. And I think
- 25:22it's pretty obvious what the curse part is. For
- 25:26most people, it's the same. I'm curious to see
- 25:29for you, even though you're still kind of in
- 25:31the thick of it and you haven't really achieved
- 25:33prolonged remission, at least not recently, is
- 25:37there any blessing for you in living with IBD?
- 25:41And also, how has colitis shaped you as a person,
- 25:46has defined you as a person? I would say that
- 25:51is a really tough question. First, I'll say that.
- 25:54It's hard to see something like this as a blessing.
- 25:58Because like you just said, the curse part's
- 26:01obvious. But I would say without this diagnosis,
- 26:04I probably would not be the person I am today
- 26:07in terms of how understanding and empathetic
- 26:10I am towards people. Because I didn't grow up
- 26:14in a family like that. They were just kind of
- 26:16very judgmental and rash. And I'm very, very
- 26:20empathetic. Me going through what I did also
- 26:25kind of pushed me to what I wanted to do career
- 26:27wise. I have my bachelor's in psychology and
- 26:31my master's in psychology and I'm getting my
- 26:33doctorate in it because I want to do therapy
- 26:36to just be that person that I needed when I was
- 26:39younger. But without ulcerative colitis, I don't
- 26:41think I would have ever had the push to do that.
- 26:43And so I would say for me, that would have been
- 26:45my blessing because I don't know what I'd be
- 26:47doing right now. I have no idea. So, yeah. It's
- 26:53not uncommon that, you know, people with IBD
- 26:55or other chronic illnesses, by the way, sort
- 26:57of choose a career path that at least touches
- 27:01on one aspect of dealing with disease. I think
- 27:04mental health is very often still in these times
- 27:08forgotten. When it comes to IBD, and I feel like
- 27:12a lot of IBD patients are left to discover this
- 27:15or deal with this on their own. So great for
- 27:18you, Dad, that you're heading into that direction.
- 27:20And I'm sure you're going to be able to make
- 27:22a difference in other people's lives. You mentioned
- 27:26it. As a teen with this disease, you were isolated.
- 27:32Friendship suffered. Has or is IBD affecting
- 27:37relationships for you today? And when I say relationships,
- 27:40that's really, you know, your family, friends,
- 27:45romantic relationships. Is the disease right
- 27:49now still causing you suffering as far as relationships
- 27:52are concerned? Or has that sort of evolved into
- 27:56something at least a little bit more positive,
- 27:57a little bit more supportive? I'm definitely...
- 28:01I don't have a ton of friends, but the ones I
- 28:03do have are good ones. And that kind of goes
- 28:06off of another question you had just asked me,
- 28:09a blessing. If I never had ulcerative colitis,
- 28:12I would never got on TikTok and I would have
- 28:14never posted and I would never would have had
- 28:16the connections I have now. And so some of those
- 28:18people that I've made connections with are people
- 28:19that I talk to every day now. We have group chats
- 28:22and our little group chats are, we call it the
- 28:24IBD baddies. And so we talk every day. And so.
- 28:29the ones I do have they understand I'm more picky
- 28:32about the people I keep in my life and then as
- 28:36far as you know family I have to you know when
- 28:38you have a chronic illness sometimes you have
- 28:40to say no and set boundaries with people so there's
- 28:43unfortunately some family members that I don't
- 28:44have contact with anymore just because I notice
- 28:47hey I stay chronically worked up when I'm around
- 28:50them and that's not a reflection of me trying
- 28:54to regulate myself like if they're truly making
- 28:56me feel that way I don't need to be around them
- 28:59And then as far as romantic relationships go,
- 29:03I am married. I thankfully found somebody that
- 29:05understands me because partners in the past have
- 29:08not always understood it. And I don't expect
- 29:11them to. Like I said, if you don't have it, you
- 29:13don't know. But it kind of just fell perfect
- 29:19with him as well. I'm not saying fortunately
- 29:24as I'm glad, but his mom also has a chronic illness.
- 29:28grown up his entire life knowing what that's
- 29:30like so I didn't have to over explain him like
- 29:34to him like hey this is some days I'm not going
- 29:36to be okay he knew spoon theory and just described
- 29:40it to me like hey this is what it is right and
- 29:43I'm like exactly he's like okay well if you need
- 29:45me to do this so you can get a shower let me
- 29:48know and so he is a blessing so much um I ended
- 29:53up very lucky because I would have not known.
- 29:57I truly believe no one else would have been fit
- 29:59for me because he understands me through and
- 30:02through. So there you go. See, blessings. And
- 30:05that's great. You mentioned a few in just this
- 30:08answer. And that's great. Now, the only thing
- 30:10we need for you is prolonged remission. And hopefully
- 30:13it will happen. You mentioned TikTok. And I'm
- 30:18just super curious to know how you actually ended
- 30:20up there. Jumping on social media is one thing,
- 30:23but actively talking about a disease that a lot
- 30:27of people in your life have referred to as a
- 30:29shit disease. This, by the way, could easily
- 30:32scare somebody to talk about this openly. Yet
- 30:34in your case, for some reason, it fueled you
- 30:36to go out there and open up about it. How did
- 30:40that come to be? Where did you find that courage
- 30:42or that drive to say, I'm going to go on social
- 30:44media, I'm going to put myself out there and
- 30:46I'm going to talk about what I'm experiencing?
- 30:49Well, and I was just telling somebody this this
- 30:51morning when I was talking to them. I was like,
- 30:54this sounds so weird for me to say because they're
- 30:58like they they kind of get we were, you know,
- 30:59FaceTiming and they're like, what do you mean?
- 31:02I was like, I think I was meant to go through
- 31:04this current flare. And they're like, what are
- 31:06you talking about? And I was like, because I
- 31:08would post very vaguely. Oh, I don't feel good.
- 31:11Sometimes you have these things happen with chronic
- 31:13illness, whatever. But. seeing how I was flared
- 31:16up last summer and then I was in a period where
- 31:19I was fine for a few months and then I got sick
- 31:21so quickly back to back I think it just set something
- 31:25off into me where I was like this is ridiculous
- 31:27and I'm tired and I don't have anyone to really
- 31:29talk to about it you know outside of my circle
- 31:31and I was like I'm just going to be all open
- 31:34with it because I cannot be the only person that
- 31:36feels this way I cannot be the only person that's
- 31:38like I'm so exhausted because I have spent today
- 31:42getting seven sits baths because my tail hurts
- 31:44or I have to go pick up diapers because you know
- 31:48at this point like I don't know if I'm gonna
- 31:49have an accident going on on myself at the grocery
- 31:51store and so I was trying to take away some of
- 31:55that one I was trying to use it as an outlet
- 31:59for myself but also try to reach somebody else
- 32:01because I'm like if I'm feeling like this surely
- 32:04there's someone else that's feeling like this
- 32:06I cannot be the only person and so I don't think
- 32:11unless I had flared up this time that I would
- 32:13have ever had the courage to be like, you know
- 32:14what? We're going full out with it. I guess that
- 32:16just that peak of like, this is honestly, I'm
- 32:19going to be truthful. The beginning of the flare,
- 32:22I would say was one of the worst up to the other
- 32:25time that I was like talking about where I had
- 32:27went to the bathroom up to 40 times a day. This
- 32:29is probably second to that. Like this has been
- 32:31a pretty bad flare. So that's, that's how I got
- 32:34started on there. And then like, I didn't expect
- 32:37people to relate to it so much and, and get inboxes
- 32:42like, Hey, I don't have ulcerative colitis, but
- 32:44my son does. And this helps me understand him
- 32:46better. Or, Hey, I have ulcerative colitis too.
- 32:49Does certain safe foods work for you? And, and
- 32:52that's where the group chat also developed out
- 32:54of this current flare. And so I didn't expect
- 32:57people to take to it. Now, do I get comments
- 33:00and trolls sometimes? yeah I had my first one
- 33:03happen the other day and I made a whole response
- 33:05video on on that and um and then even with that
- 33:09with me being upset people were still like hey
- 33:10everything you said I relate to that was very
- 33:12deep it had me tearing up and so at this point
- 33:16I'm like now I'm not going to shut up about it
- 33:18because obviously it helps people and it it gives
- 33:21them somebody to relate to if they don't have
- 33:23anyone else if they're stuck in a small town
- 33:24and nobody understands them so It's a growing
- 33:28community, the online IBD community. And I think,
- 33:32you know, people like you are driving sort of
- 33:34that direction forward and it's helping a lot
- 33:39of people. And I always say, if somebody messages
- 33:42you with a question and you give an answer, you
- 33:46give some advice and they thank you for it and
- 33:48it makes a difference, then it's worth it. It's
- 33:51all worth it in the end. So that's great to see.
- 33:56As we sort of get to the end here, I would love
- 33:59to pick your brain a little bit. And the key
- 34:01word is advice, especially as someone who was
- 34:07missing a very strong support from, let's say,
- 34:11family and friends when you went through the
- 34:13thick of it. What piece of advice would you have
- 34:16for people, again, family or friends, who are
- 34:20trying to support somebody with IBD, who are
- 34:23loving somebody with IBD? Stop trying to offer
- 34:27remedies because that's a big one. Because I
- 34:31promise every herbal tea, every detox, every
- 34:33juice that you think, we've already looked at
- 34:36and tried. And if it worked, we would have been
- 34:38cured. And so I've tried all that. Basically,
- 34:42the best piece of advice is to just be there.
- 34:45Understand that it's not that we're wanting to
- 34:49be flaky. Some days we can do all the things
- 34:53and other days we can't. But basically just be
- 34:56there. Just sometimes let us just sometimes we
- 34:59don't want advice. We just wanted to vent about
- 35:01how we're feeling because we don't get that.
- 35:04You know, a lot of people don't get that. And
- 35:06so just to just listen. And and like I said,
- 35:09just don't try to play doctor. That gets on my
- 35:11nerves so bad. I hate when people are like, well,
- 35:14I researched this and my friend's great aunt
- 35:17did this and she was fine. I'm like, well, that's
- 35:19great for her. You know, whatever. But. And then
- 35:22just honestly, chronically ill people already
- 35:26feel like a burden a lot of the time. So I would
- 35:29also say check in with them because a lot of
- 35:32the times they're not going to want to tell you
- 35:33if they're feeling bad. I try to check on everybody,
- 35:35but I'll be honest, I don't want people to try
- 35:37to check on me because I feel like I'm bothering
- 35:38them. And so, or I don't want to make it known
- 35:42all the time. So that's something I still struggle
- 35:44with is just trying to communicate when I don't
- 35:46feel good. And so just checking in on them as
- 35:48well. Not imposing yourself when they are not
- 35:53in the mood. You know, I always say, when we
- 35:56feel better, we will come to you, right? When
- 36:00we want to talk, to chat, when we need social
- 36:02interaction, we will reach out. And that's a
- 36:05tough one for people sometimes to respect because
- 36:09they feel the need or guilt or they'll feel regret
- 36:13if they don't do anything or don't do enough.
- 36:17Patience, sit back and let them come to you.
- 36:20I think that's a good one to compliment what
- 36:22you've just said. Knowing what you know now,
- 36:26having experienced what you have experienced,
- 36:28if you could go back in time and speak to your
- 36:33younger self, you could speak to that 16 -year
- 36:36-old girl who got diagnosed with ulcerative colitis,
- 36:39what would you tell her? I think first I would
- 36:43just sit with her for a second. Just let her
- 36:47kind of just, you know, just sit with her in
- 36:50it because she had no one to sit with her in
- 36:52it. And so that would be the first thing. And
- 36:55then outside of that, just letting her know,
- 36:59one, that she's going to do great things with
- 37:01her life, regardless if she has this. It isn't
- 37:05the end of the world, even though it feels like
- 37:06it. And most importantly, that she has to learn
- 37:09how to say no. I wish I would have learned that
- 37:12sooner because. I was in a way such a people
- 37:17pleaser and you cannot be a people pleaser when
- 37:19you have this. You have to learn how to say no.
- 37:22And so that's something I wish I would have learned
- 37:24earlier. So outside of just trying to comfort
- 37:26her, be like, say no, you're not a bad person.
- 37:29And your value ultimately as well. This is another
- 37:32thing because I struggled with this for a long
- 37:35time. If you cannot do all the things that you
- 37:38normally do and you have to stay in the bathroom
- 37:40and you're just... By definition, not a productive
- 37:44member at the time of society. That does not
- 37:47change your value. And you are still worthy.
- 37:52You're still worthy. of sound advice and a message
- 37:58of hope, a message of positivity. And that is
- 38:00exactly how I like to end these episodes. We
- 38:03need more hope and positivity in the world of
- 38:05IBD. So Savannah, thank you so much for taking
- 38:07your time and speaking to me and also sharing
- 38:09your story. I wish you nothing but the best in
- 38:12your clinical study. And I'm also very happy
- 38:15that you found your purpose as far as your career
- 38:17is concerned, because like I mentioned before,
- 38:18I think you're going to... Help a lot of people,
- 38:21potentially not just with IBD, but people who
- 38:23are struggling with other chronic illnesses.
- 38:25And also, it's great that you keep raising awareness.
- 38:28So keep doing all of this. And my final wish
- 38:31for you is that hopefully you won't really have
- 38:33to experience many more days with 40 trips to
- 38:36the toilet and sleeping on the bathroom floor.
- 38:40So good luck with your IBD and everything. And
- 38:43thanks so much again for being here with us today.
- 38:46Thank you. That's it for today's episode of Kaleidos
- 38:50Unfiltered. I'm Frank Tabering, and if this hit
- 38:53home or hit your gut, do us a favor. Subscribe
- 38:57to the show and follow us at Kaleidos Unfiltered
- 39:00on YouTube, Substack, Instagram, Threads, TikTok,
- 39:03and Reddit. We'll see you soon for more inspiring
- 39:06stories from the bathroom floor.