Latest / Crohn's & Colitis Unfiltered / Ulcerative colitis, resilience and research: Maria’s refusal to give up
Transcript
- 0:03For me it's just like focusing on the things
- 0:05that are like in my control right like I you
- 0:09know I can't necessarily do all the things that
- 0:11I could do before but I can go take a walk I
- 0:15can you know go swimming I can do yoga which
- 0:18is is great in so many ways and I think just
- 0:21like keeping my focus on the things that I can
- 0:25do today makes a really big difference because
- 0:28I think it just helps me and my mind from thinking
- 0:31about all of the things that could go or are
- 0:33going wrong. This is Maria, who got diagnosed
- 0:37with ulcerative colitis at age 23 in Raleigh,
- 0:41North Carolina. When Maria was told that she
- 0:44had exhausted all possible treatment options
- 0:46and that surgery might be the best way to treat
- 0:50her IBD, she decided to go a different direction
- 0:53and find a clinical trial. Today, on the Colitis
- 0:57Unfiltered podcast. She's going to tell us all
- 1:00about that and how she's doing with her ulcerative
- 1:03colitis. My name is Frank Tabering and Maria,
- 1:06welcome to the show. Thank you so much for having
- 1:08me. And thank you so much for talking to me about
- 1:10your IBD journey. I just mentioned it started
- 1:13at age 23. And my standard first question is,
- 1:17tell me a little bit about how it all began for
- 1:21you. What were your first symptoms? What prompted
- 1:23you to seek medical care? Where did it all begin
- 1:28for you? Yeah, I think that's a great question
- 1:30because the journey can look so different for
- 1:33everybody. I think for me, I... started seeing
- 1:36blood in my stool. And at first I just kind of
- 1:39brushed it off like, oh, you know, I'm just stressed
- 1:42as if that's like a reasonable response to stress,
- 1:45but that's fine. And I brushed it off for probably
- 1:47several months until I got like very, very sick.
- 1:51I was, you know, struggling to stay awake. I
- 1:53couldn't drive anymore. Just so, so sick. And
- 1:55finally. said, okay, it's time to go see someone
- 1:58about this. I was very lucky in that I was able
- 2:02to get scheduled for a colonoscopy very quickly.
- 2:04I got my diagnosis very quickly. I know that's
- 2:07not a standard experience by any means. I'm assuming
- 2:10you sat in an office, a doctor's office, and
- 2:13he or she told you you have ulcerative colitis.
- 2:17As far as you can remember, what were the first
- 2:19thoughts and emotions that went through your
- 2:22head? Had you heard of IBD before? A completely
- 2:26new word. And how did you process that information?
- 2:30So my doctor actually came in after my colonoscopy
- 2:33while I was in the post -op area, like still
- 2:36kind of waking up from the anesthesia and said,
- 2:38hey, you have this diagnosis. I'm going to prescribe
- 2:41these pills. Pick them up on your way home. Don't
- 2:43eat salads for a few days. And left. And that
- 2:46was it. And so I, in my mind, I didn't realize
- 2:51it was a chronic condition. I had never heard
- 2:53of it before. And his reaction to me felt like
- 2:56very casual. So I didn't really think anything
- 2:58of it. I picked up my medication on the way home
- 3:00and just kind of like went about my business
- 3:03and, you know, started looking into it a little
- 3:05bit more, started reading about it. And I got
- 3:08very scared. I think, you know, you see a lot
- 3:11of horror stories when you first start Googling
- 3:14anything. So it was very scary at the beginning
- 3:17until, you know, I started to find more people
- 3:19that had. the same or similar diagnosis and just
- 3:23kind of found a little bit more community and
- 3:26also found a different specialist. And it, yeah,
- 3:28became a bit easier after that. How did you navigate
- 3:32life mentally, but also physically in the weeks,
- 3:38months following your diagnosis? Yeah, I'll be
- 3:42honest. It was very tough. Physically, I was
- 3:45bedbound. I just... Didn't have the stamina to
- 3:48get up and do much of anything. I had taken time
- 3:52off of work as well. Mentally, also very challenging.
- 3:56I didn't know anyone that had the diagnosis.
- 3:59And when you Google it, you know, all of the
- 4:03outcomes that you see are like really serious.
- 4:07You know, people get really, really sick. I started
- 4:09reading about people and their ostomies, etc.
- 4:12It was really challenging. I think. The number
- 4:15one thing that made it a little bit easier was
- 4:18just having people to lean on and like a good
- 4:21community. And in sharing a little bit about
- 4:23my experience, I found friends who also had IBD
- 4:26that just never spoke of it. So we were kind
- 4:28of able to lean on each other that way. And it
- 4:30was really helpful. During that time, you said.
- 4:33You got prescribed some pills to start. So take
- 4:37me a little bit through your treatment's journey.
- 4:39What were you on after your diagnosis? Are you
- 4:42still on that medication? And then ultimately,
- 4:45I want to lead up to how you are feeling today
- 4:48as well. Yeah, that's a good question. So I started
- 4:52on... what I think is like the simplest kind
- 4:55of IBD treatment. I started on prednisone and
- 4:57misalamine. And that first go around, it worked
- 5:01really well for me. I think I was back in remission
- 5:04in a matter of weeks, maybe a few months. It
- 5:08was very quick, very straightforward. It was
- 5:10great. I had mentioned to you before, I didn't
- 5:13understand at the time that it was a chronic
- 5:15illness. And several months later, I had had
- 5:19an insurance change. The misalamine was just
- 5:21a lot more expensive and I didn't know what could
- 5:24happen if you stopped taking your medications.
- 5:26I was feeling better. I discontinued. And then
- 5:29I think three years later, I entered my next
- 5:34flare and I have been flaring ever since. So
- 5:38I've tried a variety of different medications
- 5:41since then. We tried the prednisone and misalamine
- 5:44again. I've done a bunch of different biologics.
- 5:47I'm currently taking mercaptopurine as well.
- 5:50And I just have like completely refractory disease
- 5:53right now. So I'm actually in a clinical trial
- 5:57now looking at the use of a neurostimulator to
- 6:00help with the management of IBD symptoms as well.
- 6:04So really just kind of trying a little bit of
- 6:06everything to see what might work, what might
- 6:10help a little bit until more options are out
- 6:14there, I guess. How active is the disease? So
- 6:17are you able to actually have... sort of a certain
- 6:20quality of life? Is it restricting you very badly
- 6:23right now as you are in your trial and trying
- 6:26to find sort of something that sticks for longer?
- 6:30Yeah, that's a great question. I think the reason
- 6:33that my quality of life is maintained is because
- 6:37of the systems and the people that I have around
- 6:39me. Like I'm lucky enough and blessed enough
- 6:42to work from home. That alone is a huge... deal
- 6:47I don't think I would be able to maintain a job
- 6:49if I was having to leave my house from nine to
- 6:51five every day mornings are very challenging
- 6:54for me UC wise which I you know I think that's
- 6:57the case for a lot of people so having to get
- 6:59out of the house on top of that just would not
- 7:03be like maintainable long term at all I think
- 7:06socially as well I have friends and family that
- 7:09are like very understanding of the disease and
- 7:13like what that impact looks like. And I think
- 7:15that they're very accommodating, right? Like,
- 7:17if I can't go see someone, they'll come see me.
- 7:20If, you know, I have to miss something, like,
- 7:23that's okay, we'll find another time. And I think
- 7:25having people that understand in that way is
- 7:28really, like, valuable. 100%, 100%. So it's very
- 7:33interesting, because it's pretty rare that I
- 7:35talk to someone who is in the midst of a clinical
- 7:39trial. And so I want to ask you more about this.
- 7:43And my first question is, how did that come about?
- 7:47Was it a conversation that you had with your
- 7:49specialist and he told you basically, she told
- 7:51you, listen, you've exhausted everything and
- 7:54this is basically the only thing left to try
- 7:56before, I don't know, we have to consider surgery.
- 7:58So how did you get into that? And then I would
- 8:01also like to know what that looks like day to
- 8:04day, this clinical trial specifically that you're
- 8:07on. The way I got here was actually the opposite
- 8:10of what you mentioned. My doctor told me that
- 8:13we've exhausted all options. It's time for surgery.
- 8:16And I just I'm not there yet mentally. I don't
- 8:21feel that I'm there yet physically either. But,
- 8:22you know, subject to opinion. So I started looking
- 8:25for other options like I know these trials exist.
- 8:30So like, what are they? What are my options?
- 8:32Like, there's no way that it ends here. Right.
- 8:35And so. There's a lot of different things out
- 8:38there, but this one to me was the most interesting.
- 8:41So I see a team up at Columbia University in
- 8:44New York. I met with the doctors there. And what
- 8:47they did was implant a neurostimulator into my
- 8:50sacral nerve. And it goes off, I think it's for
- 8:5630 seconds every three minutes. And I don't feel
- 8:59it. It's, you know, it's undetectable. And the
- 9:01idea is to see like if that can kind of help.
- 9:05regulate some of like the brain gut pathways
- 9:08that we experience as people with IBD. I think
- 9:11the primary endpoint for this study is specifically
- 9:14around urgency, but I know they're measuring
- 9:17kind of across the spectrum of symptoms. So I'm
- 9:20in it now. I've had my neurostimulator for about
- 9:23three months. Transparently, I have not personally
- 9:26seen too much of a difference yet, but I have
- 9:29my first round of like checkup testing later
- 9:32this week. So we'll see if... you know, the numbers
- 9:34show any improvement. And you're not on any additional
- 9:37medication then currently? I am actually. So
- 9:41I also take mercaptopurine and I do Tremphia
- 9:44injections once a month. Okay. Okay. So it's
- 9:47kind of like a combination therapy alongside
- 9:48the clinical trial. Is that part of the clinical
- 9:51trial or is that sort of just a... something
- 9:53separate that you've discussed maybe with your
- 9:55specialist? Yeah. So that's the treatment that
- 9:57I was on before we started. I think the idea
- 10:00behind the device is that it's meant to be like
- 10:02a supplementary treatment. The study specifically
- 10:05looks at populations with refractory or like
- 10:08unresponsive disease. And so I think, you know,
- 10:12trying to keep like all things the same, you
- 10:13would maybe want to stay on your prior therapy.
- 10:16Yeah. Okay. That makes sense. Yeah. So we talked
- 10:19a little bit about treatments. What other lifestyle
- 10:21changes have you undergone since your diagnosis?
- 10:25And I know you mentioned stress is something
- 10:27that, you know, you kind of can control a little
- 10:30bit more by being surrounded by people who support
- 10:33you, by working from home. But what else have
- 10:35you done? Have you had any changes in diet or
- 10:38like, you know, any different activities that
- 10:42you've done that you've changed since your diagnosis?
- 10:45Yeah I think the biggest one for me I used to
- 10:47really enjoy lifting at the gym I used to do
- 10:50that maybe four times a week at a minimum and
- 10:53now it's something that I really can't do at
- 10:55all anytime I have tried I think just like that
- 10:59level of bodily inflammation just kind of triggers
- 11:03a spectrum of symptoms and it just hasn't been
- 11:07worth it so I think like style of exercise has
- 11:10changed dramatically I do a lot of walking now
- 11:13it's kind of the only thing that I can consistently
- 11:17handle and like not have to worry about it too
- 11:20much I think from a nutrition perspective like
- 11:23I haven't personally found any one food that
- 11:26like oh this is a trigger I think more so just
- 11:29like you know trying to like eat more like minimally
- 11:32processed foods like trying to find like healthier
- 11:34alternatives I do eat like lower fiber just to
- 11:38try to help like mitigate some of that irritation
- 11:42But yeah, I haven't really found like one thing
- 11:44that just kind of sends it over the edge. Do
- 11:47you ever experience any regrets or anger at yourself
- 11:51that, you know, you kind of stopped your initial
- 11:55treatment for a while and then realizing that
- 11:57potentially this is something that kind of threw
- 11:59you into the mess that you're in right now? All
- 12:02the time. All the time. It was one of those things
- 12:06where like, I just, I just didn't know, right?
- 12:09And I think I... stayed with that anger for a
- 12:14long time but you know as time has gone on in
- 12:17this flare like i feel like you know you adjust
- 12:19like you find ways to keep moving forward and
- 12:22i think like at the end of the day like i made
- 12:26a decision with the information that i had and
- 12:28you know i like i have to leave it there it just
- 12:31kind of is what it is is that basically what
- 12:33you tell yourself to to to accept what happened
- 12:36yeah i i can't change it right like It happened.
- 12:40I'm in a flare. I've been in a flare. And being
- 12:45angry about it is not going to change it. It's
- 12:49just not going to change it. In fact, it might
- 12:50set me back. So yes, especially when I'm, you
- 12:55know, feeling extra sick or having just like
- 12:57a really bad symptom day. Yes, I definitely do
- 13:00think back. But I was what, 23 years old? I was
- 13:06young. I didn't know anything about it. Yeah,
- 13:08I don't know. I didn't know. I would never fault
- 13:12someone else for making a decision about something
- 13:14they didn't know. So I think holding myself to
- 13:17that is just not productive. We agree that there's
- 13:20something going on with this brain -gut connection,
- 13:22100%, right? I always say that having a lot of
- 13:26positivity in your life or fighting spirits can
- 13:30have a certain impact on what's happening with
- 13:32your body. Being told that... surgery might be
- 13:37the only option and then you refusing to go that
- 13:41direction right you taking on basically your
- 13:43own adventure and trying to find something different
- 13:46has your approach to to surgery changed at all
- 13:51now that you kind of went on your own journey
- 13:55or how do you deal with this potential fear that
- 13:59well if this doesn't work where else am i gonna
- 14:02go That's a great question. I actually just had
- 14:07this conversation with my husband two days ago.
- 14:09I don't know what happens next if the trial doesn't
- 14:13work, but I can tell you I'm not at a surgery
- 14:16place yet. I am a very stubborn, hard -headed
- 14:21person. I've been that way since I was a kid,
- 14:25and I don't see that changing anytime soon. I
- 14:29think there is definitely a place for surgery.
- 14:31I'm not saying I would never. do it. I do think
- 14:35that maybe not on paper, because I know that
- 14:40my like inflammatory markers are pretty high.
- 14:43But just based on how I feel, I don't feel that
- 14:46sick. And I know that my if my doctor were to
- 14:49hear me say that he would probably cringe. But
- 14:51it's true. Like I if I have the means to just
- 14:54kind of keep going this way, like why would I
- 14:57opt for a permanent option when there's so much
- 15:00research happening so many options being explored
- 15:03and like it seems like almost every year there's
- 15:06a new IBD treatment that is approved that we're
- 15:09seeing the ads for on tv so it just feels like
- 15:12very premature to not exhaust every single option
- 15:16before going for like a permanent I don't want
- 15:20to call it a solution because it also comes with
- 15:22its own like list of concerns that you have to
- 15:25watch out for right but it's a relief for a lot
- 15:26of people I mean And despite, you know, that's
- 15:30usually what the result is that it's not a cure,
- 15:34but it does give people their quality of life
- 15:38back. But it does sound like you have a pretty
- 15:40high pain tolerance, right? So why just toss
- 15:44in the towel, right? And not try and fight as
- 15:48long as you can, at least. So I think you're
- 15:49doing the right thing. Yeah, absolutely. So you
- 15:53were 23 when you were diagnosed. It's still a
- 15:56young age, honestly, if we look at, you know,
- 15:58a lifespan of a human being. So that's why I'm
- 16:01not going to ask you how your IBD has shaped
- 16:04you. Because again, you know, 23, you're an adult.
- 16:08But how has this disease changed you as a person
- 16:11over the years? Yeah, I think it's really just
- 16:14changed my view on life. I think it puts a lot
- 16:19of things into perspective. have definitely had
- 16:22times where I was so sick I was hospitalized
- 16:25um at a certain point like we thought I had sepsis
- 16:30and like was just like very very sick and I think
- 16:33coming back from that really just like changes
- 16:36how I perceive the world I feel like that sounds
- 16:42like so cheesy but really like I the things that
- 16:45used to stress me out before feel so small now
- 16:48in the grand scheme of things like whatever it
- 16:52is, like if I can work my way through that, I
- 16:54can work my way through like day -to -day challenges.
- 16:57I think it's made me a lot tougher. It's like
- 17:00trial by fire, you know? It takes a certain amount
- 17:04of pressure to like refine a person in a certain
- 17:07way. And I think because of that, yeah, I am
- 17:10a lot tougher. I'm a lot grittier. Sorry, I'm
- 17:15getting a little bit emotional about it. I think
- 17:18the other thing too is it's... made me so grateful
- 17:22for the people in my life and I know I've mentioned
- 17:24that a few times but like I I don't know where
- 17:27I would be without my husband like he absolutely
- 17:31has like saved my life in a very literal way
- 17:35and I think without him I would be in a very
- 17:38different place and and same goes for my friends
- 17:40and my family So let's stay on that subject for
- 17:43a second. How has sort of colitis affected your
- 17:46relationships then? And relationships doesn't
- 17:48need to be only romantic, but could be family
- 17:50relationships, friendships. Yeah, I think being
- 17:54friends with someone who is constantly sick is
- 17:58hard. I get that, right? Like I am the friend
- 18:02that had to cancel plans abruptly or couldn't
- 18:06come to things or couldn't answer the phone or,
- 18:09you know. just whatever it may be like I definitely
- 18:12did have to just lay low for a little bit and
- 18:17I think when you're not living it like day to
- 18:21day it's kind of hard to see how even just like
- 18:27the smallest stressor can really impact like
- 18:32how a day is gonna go for example and so yeah
- 18:36I definitely have friendships that like faded
- 18:39out a little bit just you know you don't see
- 18:41someone or you haven't chatted in a while and
- 18:43it just kind of fades but I definitely have friendships
- 18:47that have gotten a lot stronger and it's the
- 18:50friends who like will continue to check in or
- 18:53know that you have a doctor's appointment and
- 18:55will ask you how it went or like little things
- 18:58like that they just kind of do what they can
- 19:00to like keep up where they can I have a very
- 19:04close -knit group of friends here that I'm so
- 19:06thankful for and like After I was hospitalized
- 19:09most recently, like I wasn't comfortable seeing
- 19:12people yet because I was just still very sick.
- 19:14And so they're like sending groceries to my door,
- 19:16sending flowers, like whatever it may be, just
- 19:19like showing up how they can. I always refer
- 19:22to IBD as a blessing and a curse. The curse is
- 19:24obvious. So it seems that at least that part
- 19:26of your life, those relationships that you were
- 19:28able to maintain is a blessing than coming out
- 19:30of this whole mess. A hundred percent. Yeah,
- 19:34I think my my friendships are so much stronger.
- 19:37I've also connected with people who I, you know,
- 19:40considered to be acquaintances who were going
- 19:42through something similar. And now we have this
- 19:44bond in common that it's really hard to explain
- 19:49to someone that hasn't experienced it. So I've
- 19:51grown a lot of relationships that way as well.
- 19:53Yeah. So as someone who. has really benefited
- 19:57from extraordinary support through these tough
- 20:00times and through your IBD journey. What would
- 20:02your pieces of advice be for people who are supporting
- 20:06someone with IBD, who are loving someone with
- 20:10IBD, who might be lost a little bit on how to
- 20:13talk to that person, approach that person, be
- 20:15there for that person? What would you tell those
- 20:17people? Yeah, that's a great question. I have
- 20:19to tell you, I think my husband would be the
- 20:21ideal person to answer that for you. But if I...
- 20:25If I had to guess, I would say like just talk
- 20:27about it. You know, it's already I think that
- 20:29because like IBD is a poop disease, it can feel
- 20:33uncomfortable to talk about. But truly, like
- 20:36there's nothing anyone could ask me that I wouldn't
- 20:39answer at this point. Sometimes like just having
- 20:42people, you know, curious or asking questions
- 20:45like opens the door to a lot of more personal
- 20:48conversations where you can share. some of the
- 20:51challenges and, you know, I don't necessarily
- 20:53need a solution, right? Like there's, there really
- 20:56isn't much that anyone can provide you in terms
- 20:58of solution, but just having someone to lock
- 21:01with you and carry the burden with you makes
- 21:03such a big difference. A hundred percent, a hundred
- 21:06percent. So as a, as a young woman who spent
- 21:11most of her twenties with this disease, how has
- 21:14your relationship with your body changed or suffered
- 21:17because of ulcerative colitis? Yeah, it's really
- 21:20challenging. I think baseline, I am always bloated
- 21:23all the time. It like never goes away. At the
- 21:27peak of my prednisone use, I had put on, I think
- 21:33like 40 pounds. I'm only five foot three, so
- 21:35it showed like pretty aggressively on my frame.
- 21:38And it's not nice to go from, you know, being
- 21:41someone that works out all the time to not being
- 21:43able to work out. And then on top of that, putting
- 21:45on quite a bit of weight, it was really uncomfortable.
- 21:49Like I, you know, spent a lot of time like kind
- 21:51of avoiding like looking in the mirror or, you
- 21:54know, just like avoiding like those types of
- 21:56interactions, like not taking photos at events
- 21:59or like not posting photos after events because
- 22:02I just don't, I don't look like myself. Like
- 22:04I don't recognize myself and it's uncomfortable.
- 22:07I also like had people that would see me and
- 22:09be like, oh, you've put on some weight. And I'm
- 22:12like, yes, I have. Like, thank you for noticing.
- 22:15Like, what do you say to that? And so that was,
- 22:18it was really challenging. And I think now having
- 22:22lost about 40 pounds, it still looks very different,
- 22:28right? Because I lost quite a bit of muscle mass
- 22:30in that process. So even still, it's like a new
- 22:33body to like learn and adjust to and like figure
- 22:37out. I think it's very challenging in the body
- 22:41image department. How do you deal with that then?
- 22:43How do you learn? Are you looking at yourself
- 22:50in the mirror and you're telling yourself that
- 22:53you're going to go back to where you were? What's
- 22:55the mental work that you're doing day by day
- 23:00to reconnect with your body and to sort of accept
- 23:05it as well? For me, it's just like focusing on
- 23:08the things that are in my control. you know,
- 23:12I can't necessarily do all the things that I
- 23:14could do before, but I can go take a walk. I
- 23:17can, you know, go swimming. I can do yoga, which
- 23:21is great in so many ways. And I think just like
- 23:24keeping my focus on the things that I can do
- 23:28today makes a really big difference because I
- 23:31think it just helps me and like my mind from
- 23:33like thinking about all of the things that could
- 23:35go or are going wrong. So you mentioned to me
- 23:39earlier that you were a lot tougher, you're a
- 23:41lot stronger than you were before your diagnosis.
- 23:45If I'm someone who just got diagnosed with ulcerative
- 23:48colitis and I'm afraid, I don't know where to
- 23:52go really. I've read the same horror stories
- 23:56that you've read, you know, after you got diagnosed
- 23:57and you did your own research. What would you
- 24:01tell a person like that, knowing what you know
- 24:03and after what you've lived so far with diabetes?
- 24:08it's gonna be okay and what okay looks like might
- 24:12be different than what you think it will be or
- 24:15what you want it to be but it will be okay not
- 24:18to say that it's not gonna be hard or you know
- 24:24painful it definitely you know it probably will
- 24:27be but I think there's also like there's still
- 24:32joy to be had In life and in the disease, you
- 24:37called it a blessing and a curse. I couldn't
- 24:39agree with that more. And so I think like it's
- 24:42okay to be scared or to be angry, but don't let
- 24:46that stop you from also like experiencing joy
- 24:51and happiness throughout the process as well.
- 24:54Are those the exact same words that you would
- 24:56tell yourself at age 23 at the moment of diagnosis
- 24:59if you could go back and talk to your younger
- 25:02self? I think that would be a big part of it
- 25:05because I think that was the biggest hurdle for
- 25:07me mentally. I think I would also say, like,
- 25:10ask questions. There are no dumb questions in
- 25:15a life -altering diagnosis. Ask questions, and
- 25:18if you're not getting answers, find someone else
- 25:20to ask. I think I... stuck with my gastroenterologist
- 25:26for a long time because I don't know, like switching
- 25:29doctors felt weird. It felt wrong. I don't know
- 25:32why. And it just got to a certain point where
- 25:34I was like, this is like not, it's like a breakup.
- 25:36Like this is not working out. Like I can't keep
- 25:39doing this. And I think, you know, had I found
- 25:43a different doctor sooner, maybe the outcome
- 25:45would have been the same, but at least like I
- 25:47would have had peace of mind earlier on. So yeah,
- 25:50ask questions, do the reading. Yeah. And don't
- 25:56be afraid to fire your gastroenterologist if
- 26:02after a while, you know, you don't see any results.
- 26:05I always say that because I know people myself
- 26:08who are suffering for a long time. And then I
- 26:13ask, okay, so what's your relationship with your
- 26:15doctor? And it's almost like they become defensive
- 26:18in a way, like they owe something to that person,
- 26:21you know, and then I'm standing on the outside
- 26:22looking and be like, oh, but if you just... switch
- 26:25doctors you might be able to find somebody who's
- 26:27a lot more proactive it might help it might not
- 26:30help your suffering but it might right yeah and
- 26:33it just feels like there's just something that
- 26:36ties into it and I'm the biggest you know advocate
- 26:38for if you find the doctor that really works
- 26:41for you I mean hold on to them for dear life
- 26:43my doctor you know back when I used to live in
- 26:46LA I switched hospitals and my first question
- 26:48was can I come with you right even though I knew
- 26:50that I would still receive great care if I had
- 26:54stayed, you know, and maybe, you know, would
- 26:56switch doctors. But it's just, you know, this
- 27:00is one of those things where I feel a lot of
- 27:02people miss out on remission or earlier remission
- 27:08just by, like you say, not asking enough questions
- 27:11or feeling guilty, you know, by even having the
- 27:15thought of like, oh, maybe I should seek a different
- 27:18doctor. Yeah, I think that's a big thing. I'm
- 27:23happy for you that you came to that point where
- 27:26you said enough is enough and you took matters
- 27:29into your own hands. My final question, it's
- 27:32a tricky one, but I like to ask it anyway because
- 27:35I'm just curious to see what people think. So
- 27:38even though you are currently not necessarily
- 27:41following what we call conventional treatment,
- 27:45even though you are, but... Clinical trials,
- 27:48it's sort of a completely different world out
- 27:50there. Do you think that we would see a cure
- 27:55to IBD in our lifetime? I certainly hope so.
- 27:59I like to think that we will. Most recently I
- 28:04read about, it's not a trial, right? We're talking
- 28:07about one patient who underwent CAR -T cell therapy,
- 28:10which is typically used to treat cancer, right?
- 28:15extreme B -cell depletion. And that patient went
- 28:19into full like histologic remission, no medication,
- 28:26like no additional interventions. Like they're
- 28:30on paper, at least like, at least in remission,
- 28:34maybe cured. We don't know yet. Right. But I
- 28:37think even just seeing something like that in
- 28:41one person gives me so much hope. Like people
- 28:45are doing the work. People are working really,
- 28:48really hard to try to find long -term solutions.
- 28:54And so I am very hopeful that we will find a
- 28:57cure in our lifetime. I read about this as well
- 29:00and it's super promising and actually kind of
- 29:02exciting as well. at all in the medical field,
- 29:05but I read these things and I'm like, okay, mind
- 29:07blown, number one. And number two, you know,
- 29:09the hope just kind of grows or stays alive. And
- 29:12what better way to end than with hope? So Maria,
- 29:16thank you so much for taking the time and also
- 29:18sharing your journey. From my side, I wish you
- 29:21nothing but the best with your clinical trial.
- 29:24And I really do hope that, you know, it will
- 29:26help you and it will work out. And if not, like
- 29:29you said yourself, you know, there's always something
- 29:31else out there. And sometimes... You might just
- 29:33have to go out on your own and find it. So all
- 29:37the best to you. And thanks again for being here
- 29:39today. Thank you so much. And thank you for having
- 29:41me. That's it for today's episode of Colitis
- 29:45Unfiltered. I'm Frank Tabering. And if this hit
- 29:48home or hit your gut, do us a favor. Subscribe
- 29:51to the show and follow us at Colitis Unfiltered
- 29:54on YouTube, Substack, Instagram, Threads, TikTok,
- 29:58and Reddit. We'll see you soon for more inspiring
- 30:01stories from the bathroom floor. Thank you.