Latest / Crohn's & Colitis Unfiltered / Flares, denial and acceptance: Jaime’s J-Pouch journey
Transcript
- 0:02It made me see how strong and capable I was in
- 0:06certain ways. I did find it eventually to become
- 0:10empowering. It definitely taught me the importance
- 0:14of listening to your body, to your intuition.
- 0:17You know, even when you have doctors telling
- 0:21you certain things, advocate for yourself. I
- 0:23cannot stress that enough. Advocate for yourself.
- 0:29Welcome back to Colitis Unfiltered. My name is
- 0:32Frank Tabering, and today I have the pleasure
- 0:34of speaking with Jamie, who got diagnosed with
- 0:36ulcerative colitis at age 25 in Chicago, Illinois.
- 0:40Jamie, it's a pleasure to have you on the show
- 0:42today. Thank you for having me. So let's dive
- 0:46right into it. We're going to talk about colitis
- 0:50today, and colitis, well, mostly starts with
- 0:53symptoms. Going back for you, at age 25, what
- 0:57were the first symptoms that showed up? What
- 1:00indicated to you that there was something wrong?
- 1:03Well, it's actually kind of a funny story. I
- 1:06had every symptom by the book, you know, the
- 1:09abdominal pain, diarrhea, just you name it, the
- 1:15bloating. If it was on WebMD, I had it. And I
- 1:20actually, eight months prior to getting diagnosed,
- 1:24I diagnosed myself on my lunch break at work
- 1:26and I called my mom and I said, oh, my gosh,
- 1:29I think I have ulcerative colitis. And she was
- 1:32like, oh, Jamie, like she thought I was being
- 1:34dramatic. Right. And and she was like, if you
- 1:38actually think that you need to go to the doctor
- 1:40and get that looked at. And I was like, yeah,
- 1:43no, I'm probably not going to do that because
- 1:45what if something's wrong? And then I. Ended
- 1:51up getting a really bad reaction on my legs.
- 1:54And so they gave me a dose of prednisone where
- 1:57it's like, you know, the 5, 4, 3, 2, 1 pack.
- 2:00And when I got down to the one, the rash flared
- 2:04up again. So they gave me another pack. And then
- 2:09I was really good. Like I felt good for months
- 2:11after that. And so I never went. I never went
- 2:16to the doctor. I later found out that prednisone
- 2:19was one of the only medications that worked really
- 2:22well for me. So I had a really interesting start
- 2:26to what I was feeling and then in a lot of denial
- 2:31about. So you're probably the first person that
- 2:35I heard who actually self -diagnosed. you know,
- 2:38colitis, especially it's a complex disease. At
- 2:41least when I was diagnosed, that was the first
- 2:43time that I've ever heard of it. And I'm sure
- 2:47it was the same for you, but you picked up your
- 2:49knowledge from the internet, right? Well, yeah,
- 2:51I had never heard of it. I just like typed in
- 2:53my symptoms in Google and that came up. I had
- 2:56never heard of ulcerative colitis. I had heard
- 2:57of Crohn's, but I had never heard of ulcerative
- 3:00colitis prior to my WebMD search. And then when
- 3:04I actually got diagnosed with it was the first
- 3:06time that I really was like, oh, OK. And then,
- 3:09you know, started hearing about other people
- 3:12having it and learning more about it. But it
- 3:14was completely foreign to me initially. And I
- 3:18didn't even go to the doctor then. Like I said,
- 3:21I. When I took that prednisone, I mean, I felt
- 3:24like I was on top of the world again. It was
- 3:26just the kick I needed to mask the symptoms at
- 3:31the time. And so I had gone to my hometown for
- 3:37this little festival, this like Halloween festival
- 3:41they have every year. And I was 25 and I just
- 3:46turned 25 and hanging out with my friends and
- 3:48having fun on Friday night. And felt totally
- 3:52fine. And then the next morning, I woke up. And
- 3:55I didn't think that I had had that much to drink.
- 3:58But I definitely was, you know, cutting up and
- 4:01letting loose a little bit. So I thought, oh,
- 4:03maybe I did overdo it a little bit. And thought
- 4:06I was hungover. And as the day went on, I felt
- 4:08worse and worse and worse. And tried to eat.
- 4:12And that made me feel even more sick. And so
- 4:16I thought, oh, my gosh. must have the flu. I
- 4:20was teaching second grade at the time and it
- 4:24was end of October. So, you know, we're starting
- 4:27to get into cold and flu season and a lot of
- 4:30my kids were sick. And so I thought, oh, I must
- 4:32have what, you know, what's going around with
- 4:35my students. So by about Wednesday, I was like,
- 4:41I don't actually think this is the flu. I'm Every
- 4:45day I'm feeling worse instead of better. I better
- 4:49call the doctor. And so I did. And they did some
- 4:55blood work. And of course, my white blood cell
- 4:58count was like outrageous. And my doctor said,
- 5:05I want you to go and see this GI. And so I had
- 5:09to wait almost another week. I finally get into
- 5:12the GI and he's an older gentleman and he tells
- 5:17me he asked me what my symptoms are and I kind
- 5:20of fibbed about them because I was raised very
- 5:22like girls don't talk about those things you
- 5:25don't share and he said you know your your symptoms
- 5:29don't seem real severe but you look like you
- 5:33don't feel that well. I think he kind of like
- 5:35knew I was embarrassed to be totally honest about
- 5:38what was really happening. And he said, you have
- 5:41to have a colonoscopy. And I started laughing.
- 5:43I was 25 years old. I started laughing. I said,
- 5:46no, cancer patients and old men have colonoscopies.
- 5:49Not me. I'm young. I'm healthy. And he said,
- 5:53well, cancer patients, old men, and you have
- 5:57colonoscopies now. I said, okay. So I called
- 6:01my parents and told them what was going on. Because
- 6:04of course, they're worried sick. They live like
- 6:06five hours away from me at the time. My mother's
- 6:09really worried. What's going on with you? So
- 6:12they came up because I needed a driver for my
- 6:15colonoscopy, my first of many colonoscopies.
- 6:20And I had a huge phobia of needles at the time,
- 6:25like a full -on panic attack getting my first
- 6:28IV, which is important too, a little later. And,
- 6:33you know, my dad's upset watching this all go
- 6:36down. He starts to get choked up. He has to leave.
- 6:38My mom like puts on the mother warrior face,
- 6:40you know, like you just have to do this. You
- 6:42have to get through this. We have to find out
- 6:43what's going on. So I have my colonoscopy and
- 6:47my doctor, my GI comes out and he tells me, I
- 6:52don't know how you've been living like this.
- 6:54You are the worst I have ever seen undiagnosed
- 6:57in my entire career. It is the the damage from
- 7:02the ulcerative colitis is all the way through
- 7:05your entire colon already. And he slid a Valium
- 7:09script across the table to me. He said, get this
- 7:16filled. You're going to need it because you have
- 7:18a lot more needles coming your way because you
- 7:22witnessed my IV meltdown. Now I can take a shot,
- 7:26get an IV with no problems. I've come a long
- 7:29way, but. You know, that was like my biggest
- 7:31medical fear at the time, which is just so hysterical
- 7:34to me now because I've been through so much and
- 7:38I've had so much trauma since that it's just
- 7:41like, you know, I look at myself like, oh, that
- 7:44poor girl, you know, she had no idea, no idea
- 7:49what was coming in the next year. But yeah, that's
- 7:53how it started. And it just got a little crazier
- 7:55from there. That's great. And we're going to
- 7:58get to that there. I got to tell you, it's been
- 8:0112 years now that I've been diagnosed. I was
- 8:0429. But still to this day, I can't with the needles.
- 8:09So I still load up on glucose every infusion
- 8:12I have for my biologics just to make sure my
- 8:16body doesn't trick me into want to faint. And
- 8:18so I can definitely relate to that part. Obviously,
- 8:24by the time you saw this GI and by the time you
- 8:28got officially diagnosed, at least you heard
- 8:31of colitis at that point. But hearing an unofficial
- 8:35diagnosis, hearing somebody say that the condition
- 8:39of your intestines is very dramatic, for the
- 8:43lack of a better word, what went through your
- 8:46mind when he said that? In one sense, I was relieved
- 8:51that I had a diagnosis and a care plan set in
- 8:55place. I'm very like results driven, but I was
- 9:02probably in a little bit of denial slash didn't
- 9:05fully understand what was coming or what that
- 9:10meant for me. I didn't fully understand how sick
- 9:14I was. I don't even know if I processed how truly
- 9:16sick I was until well after. I was, I would say
- 9:20like through it, like after my surgeries and
- 9:22stuff, you know, and, and I remember multiple
- 9:26people telling me like, well, at least you don't
- 9:28have cancer. You know, it's like, well, yeah,
- 9:35I mean, you're comparing apples and oranges here
- 9:39a little bit, you know, it's like, that was always
- 9:42like a confusing reaction or response for me.
- 9:45And I never knew like, what to say to it, or
- 9:48you would get things like, um, oh, wow, I need
- 9:53to, you know, I need to get what you have so
- 9:55I can lose the last like baby weight or, you
- 9:58know, people, people just say these like really
- 10:01wild things to you. And, and I think a lot because
- 10:04they don't know what to say, but you're trying
- 10:06to process what you're going through and understand
- 10:08it. And then you have people saying these ridiculous
- 10:12things to you, even though they, they mean well.
- 10:15It's an interesting place to sit at. Yeah, for
- 10:19sure. For sure, for sure. So you kind of gave
- 10:22it away. That diagnosis obviously was not the
- 10:26end of your IBD journey. You mentioned surgeries.
- 10:29That's eventually where you ended up. Can you
- 10:30basically take us through the timeline between
- 10:33your diagnosis and then where you are today?
- 10:37Did your GI start you off with just five ASAs,
- 10:42prednisone, biologics? Did he tell you, listen,
- 10:46the damage is so bad that we'll have to go to
- 10:48surgery right away? What was that path like from
- 10:52then to where you ended up surgery? So we're
- 10:56into November now. That was October. We're into
- 10:58November now. And he said, you know, there's
- 11:01this great drug. I'm going to put you on and
- 11:04it should work. And it was... azacol and i took
- 11:09it for about three days and i thought wow like
- 11:12i'm getting so much relief and when i got hospitalized
- 11:16it got way worse i was in the hospital for like
- 11:20four or five days getting back on my feet and
- 11:23feeling good again from the um iv antibiotics
- 11:27and um they released me and they put me on lealda
- 11:32and Same thing happened. I was on it for like
- 11:39three, four days and then got hospitalized again,
- 11:43spent Thanksgiving in the hospital. And they
- 11:48realized that I probably had a mesalamine allergy
- 11:53and the drug wasn't going to work. And they just
- 11:58pumped up the prednisone. So the GI issues, actually
- 12:07felt, I felt pretty good. And I went on a really
- 12:10strict diet and, uh, you know, at one point I
- 12:14was up to like 70 milligrams a day or something
- 12:16like that of prednisone. It was a lot. So it's
- 12:18like, my belly's feeling great, but you're getting
- 12:20joint pain. You're not sleeping well. You know,
- 12:23my face, I was so thin from being sick, but my
- 12:27face looked like you put a pin in and I would
- 12:29just like pop like a balloon, you know? And,
- 12:33uh, Then I just kept having flares. Then it got
- 12:37to a point where the prednisone wasn't really
- 12:39working anymore. And my doctor was like, we can't
- 12:41put you on more prednisone. You're like maxing
- 12:45out at this point. So we started Remicade and
- 12:49it was working really well for a while or so
- 12:54I thought. And then it seemed like my symptoms
- 12:57were starting to flare up again. So along with
- 12:58the Remicade, he went old school and prescribed
- 13:01me sulfur drugs. around June of that year. And
- 13:06I thought I was doing really well. And I had
- 13:09gone back home to visit my parents again. And
- 13:12I woke up one morning and I called my mom at
- 13:15work and I said, you've got to, you have to come
- 13:17home. Like something is severely wrong. And my
- 13:22parents live in Southern Illinois. So I was about
- 13:24five, six hours away from my doctor. So I called
- 13:27my, cause there was no way I was going to be
- 13:28able to ride in the car for that long. And so
- 13:31I called my doctor. I said, you know, I'm six
- 13:34hours away. What do I do? And he said, go to
- 13:40St. Louis. So we load up in the car. We go there.
- 13:44I stayed there for four or five nights. And I
- 13:48basically begged them to let me out and let me
- 13:52go home because I had been waiting to get into
- 13:56this doctor. actually in chicago i was out in
- 14:00the suburbs and i had an appointment that i'd
- 14:01been calling to try to see this doctor and get
- 14:04in and i said i have this appointment coming
- 14:08up will you please let me go so that i can go
- 14:13to this appointment and they released me from
- 14:15the hospital and said yes that's actually a better
- 14:18place for you to be if you can get in there that's
- 14:20great And so they released me the next day and
- 14:25I went straight from the hospital to my doctor
- 14:29and told him what was going on. And I got a lovely
- 14:35rush hour ambulance ride from my doctor out in
- 14:38the suburbs to the hospital in the city that
- 14:43I was wanting to, that I was trying to get into
- 14:46and was supposed to go to the following week.
- 14:50And they admitted me into the hospital. And I
- 14:56got a lovely 31 -day stay after that. I got the
- 14:59entire month of August and some of September
- 15:03in this hospital where I was no longer eating.
- 15:09I was being fed by IV. I got my sixth colonoscopy
- 15:17in one year. with a nice display you know it
- 15:21was a teaching hospital also so I had like six
- 15:23med students a fellow the doctor the you know
- 15:27had a whole audience for that it was wonderful
- 15:30and uh they I got a little bout of c -diff on
- 15:36my hospital stay and had an accident getting
- 15:39tangled up in my wires trying to get out of bed
- 15:42in front of like six people in my room and so
- 15:45I had an MRI trying to figure out first make
- 15:49sure it's not Crohn's, figure out what to do
- 15:52with me. Um, I had during my MRI, they did like
- 15:56a whole ink contrast thing and my IV blew out.
- 15:59Ink went all over my face and my hair was in
- 16:02the tube. Like it was just rough. Yeah. And,
- 16:09uh, so my doctor came and talked to me on a Friday
- 16:16and he said, These are your options. I'm going
- 16:19to think about it over the weekend. One of them
- 16:23being cyclosporine or surgery. My doctor said,
- 16:27I'm going to think about you over the weekend.
- 16:29Let's talk on Monday. So he comes back on Monday.
- 16:32He sits down on my bed and he's just the loveliest
- 16:36man. gentle, soft -spoken, extremely caring,
- 16:41just excellent bedside manner. And he puts his
- 16:43hand on my leg as I'm laying there withering
- 16:46away. And he says, I've thought about you all
- 16:50weekend, nonstop. I just, you know, and I think
- 16:55the best option is surgery. And if you want to
- 16:58try the other things, I can try to get you into
- 17:00a case study. I can, you know, I'll do the cyclosporine
- 17:04for you. But I really think that surgery is,
- 17:07where we need to go. Sorry, I'm getting a little
- 17:09emotional. That was my worst fear and my biggest
- 17:17fear come true. Before I had gone to that doctor,
- 17:20like when this all started, my sister had gone
- 17:22to an appointment with me and with my original
- 17:25GI. And we'd gone through like, what's the worst
- 17:27case scenario? And of course, at that time, that
- 17:30surgery was it. And my sister laughed, just kind
- 17:33of. speaking in hyperbole and being silly, said
- 17:37to me, oh my God, Jamie, if you end up with a
- 17:39bag, you'll never get another date again. And
- 17:42of course, we didn't fully understand what that
- 17:45was. And she was just kind of being a silly big
- 17:49sister or whatever. And we never thought it would
- 17:51get to that either. But of course, now I'm laying
- 17:54there in that bed and I'm 25 and single and I'm...
- 17:59terrified and that's all I can hear is her voice
- 18:02in my head and of course when she found out that
- 18:04was what was happening she called me she said
- 18:06I instantly thought of that and I'm so sorry
- 18:08and I didn't mean it and it's not true and you
- 18:11know that I think the guilt was pretty high for
- 18:14her and Also, I knew the side effects of how
- 18:18that could impact like fertility or ability to,
- 18:21you know, conceive. And so that's racing through
- 18:24my mind at the time. I had always really wanted
- 18:26to be a mother. And so it's including all of
- 18:30those fears. And my parents at that time were
- 18:33taking turns staying in the hospital with me.
- 18:35And so my dad was with me that day. After the
- 18:38doctor left, he just sat down on my bed. on my
- 18:44hospital bed and he said we'll just cry together
- 18:46and that's what we did and uh I didn't know that
- 18:54day that that was going to be the best thing
- 18:55that ever happened to me but it really was it
- 18:58it saved my life and it gave me my life back
- 19:01um but it was really really scary in the moment
- 19:05Yeah, I can imagine. And what a journey, by the
- 19:08way. I mean, you basically covered a period of
- 19:11one, one and a half years and going through so
- 19:14much. It sounds like you were basically on the
- 19:18edge nonstop, right? Between periods of feeling
- 19:20okay, but then again, landing in the hospital.
- 19:22So it was a back and forth. Now, after all of
- 19:26this, today, how are you feeling? And, you know,
- 19:33I... I think you have a J -pouch now, right?
- 19:35So tell me, what is life like with that? And
- 19:41how are you feeling? They did it in a three -step
- 19:44process because I was so sick. And so in the
- 19:47first surgery, they removed my colon and created
- 19:50an ileostomy. And so I still had to be really
- 19:53careful about what I was eating and letting that
- 19:55heal and learning how to take care of my ostomy.
- 20:00You know, it's shocking to see your stoma for
- 20:02the first few times and all of that. So that
- 20:05all happened in that August, September timeframe.
- 20:07And then in the following April of 2010, they
- 20:11removed the rectum, created a J pouch and a loop
- 20:15ostomy. And again, I had to go back to the strict
- 20:18diet and letting it heal. But during that time,
- 20:21I wasn't taking any medication, just vitamins.
- 20:25Just kind of letting my body, focusing on gaining
- 20:28weight, letting my body heal and making sure
- 20:33that I was strong enough for each step. And a
- 20:37lot of doctor's appointments, a lot of tears
- 20:39still. And then in July 2010, I had my ostomy
- 20:43takedown. And since then, I haven't been on medication
- 20:48other than, you know, I've had some. bouts of
- 20:51pouchitis here and there and you take antibiotics
- 20:54for it but I have really learned my body I've
- 20:58learned how to take care of myself and how to
- 21:01monitor a lot with diet and it just it's it I
- 21:08just keep saying it but it saved my life it gave
- 21:11me my life back I I mean I can even eat obviously
- 21:15in moderation but salad nuts popcorn doesn't
- 21:19bother me like I am just so incredibly lucky
- 21:24to wake up most days and feel really good. You
- 21:30know, you have to factor in dehydration. That's
- 21:33an issue with a pouch. And so monitoring that,
- 21:37I was able to have children. I had two. The first
- 21:41one, I had to work with a fertility doctor and
- 21:45we did four rounds of IUI to conceive him. hormones
- 21:50from pregnancy and postpartum definitely have
- 21:53had an impact. And I have kind of been in a state
- 21:56of chronic inflammation since then with my pouch
- 22:00that I'm still currently working through. I just
- 22:02had another baby in January. She was a surprise,
- 22:07but a wonderful blessing. We just didn't think
- 22:11that was an option for us after everything we
- 22:14had gone through to conceive our son. you know,
- 22:19we're kind of back with the stress that puts
- 22:23on your body and the hormone changes and everything
- 22:25where, you know, I'm working with my current
- 22:28GI on trying to figure out what the best plan
- 22:32of action is to, to kind of reel that back in.
- 22:34And for pouchitis, we, you know, it's Cipro used
- 22:39to be my go -to and that's kind of run its course
- 22:41where I started having more negative side effects
- 22:45than the the benefits and so we've moved on to
- 22:49other things like you know we've done the rectal
- 22:51foams and the suppositories and all the other
- 22:54fun things and medications that come with um
- 22:58the trade -off you know um but we're we're figuring
- 23:02it out and i also take a probiotic every day
- 23:06um that i have found to be really helpful so
- 23:11happy ending More or less, regardless, based
- 23:14on what you want. And I want to, before we move
- 23:17on, I want to very quickly go back. So a lot
- 23:19of people or most people are familiar with ostomy,
- 23:21but today you have a J pouch. You and I were
- 23:25not doctors, but could you very briefly explain
- 23:27to our audience this concept of a J pouch versus
- 23:32an ostomy? Sure. So an ostomy is what most people
- 23:37are familiar with. It's a bag on the outside
- 23:39of your body that you use. for exit, I guess.
- 23:44Is that the polite way to say it? And then...
- 23:49A J -pouch is basically that internally. So you
- 23:54don't have the medical devices and the actual
- 23:57physical bag. They take the first part of your
- 24:00small bowel and they create what they call a
- 24:03J -pouch and essentially create a new rectum
- 24:08or reservoir for you. They have to leave a small
- 24:11cuff of your rectum because they need something
- 24:15to stitch or staple to. then you just learn how
- 24:21to reuse your body again, which can be an interesting
- 24:26experience. You go traditionally the way you
- 24:32would have before having the external bag, but
- 24:36you have to change your expectations a bit. It's
- 24:41not the way you remember it before you're...
- 24:45before your colon is removed but you you know
- 24:49a modium can can be your best friend helps and
- 24:54just making sure that you're watching your diet
- 24:58in different ways than you did with like with
- 25:01a uc flare so i had to watch my diet to not um
- 25:04irritate the ulcers now i watch my diet to make
- 25:08sure that I'm not dehydrating myself and flushing
- 25:11my system because you don't have all the things
- 25:15in your colon you need to make it make your output
- 25:19more formed and you're missing the key bacterias
- 25:23and all the good things that are in the colon
- 25:26and so it's a lot of carb loading it's a lot
- 25:31of It helps to avoid foods that do create more
- 25:36gas, drinking through a straw, even though I
- 25:38personally choose to still use straws and do
- 25:42some of those things, knowing the consequences
- 25:43or knowing how to balance it. And a lot of it
- 25:46is just learning your body after that. So for
- 25:50me, I avoid caffeine because I know that's just
- 25:54an unnecessary obstacle for me. Um, but then,
- 25:59you know, like I said, I'll have salad or popcorn
- 26:02knowing that I might have to balance that out
- 26:04a little bit later with eating a sandwich or,
- 26:07um, I can't even tell you the, I've probably
- 26:10eaten my weight plus some pretzels over the last
- 26:1315 years. That's just a really easy, quick go
- 26:16-to food or snack for me when I know that I need
- 26:20to thicken up output and get myself back on track.
- 26:27So a lot of trade -offs. And I think the message
- 26:31here is clear because there's a general misconception
- 26:33around surgery or on ostomy. And I think also
- 26:37Jay Pouch that, hey, they take the colon out
- 26:40and I am cured, right? However, in a way, yes,
- 26:45but in another way, no. So based on what I'm
- 26:49hearing here. Yes, you feel much better. Yes,
- 26:52you have had a lot more blessings coming your
- 26:54way ever since you've had the surgeries. However,
- 26:56your IBD journey does not end there, right? Yeah,
- 27:00it's definitely a trade -off, but I would choose
- 27:03this compared to how I was living or not living
- 27:08prior to surgery every single time. And it's
- 27:13just so much about educating yourself and understanding
- 27:16your body. learning your cues, knowing how to
- 27:20take care of yourself so that it doesn't get
- 27:23away from you. And I've, I have personally found
- 27:25it to be so much more manageable than what life
- 27:30was like with active UC. Now that's not to say
- 27:33that there was not a learning curve because there
- 27:37definitely was. And it was not an easy transition
- 27:40physically or emotionally going through having
- 27:43the bag and even transitioning. um from not having
- 27:49the external bag anymore and going to the jay
- 27:52pouch and like i said learning how to use your
- 27:54body again and like being paranoid about not
- 27:57having an accident or when i had the bag i would
- 28:00constantly ask my friends like i was so insecure
- 28:03that i was worried like that you could smell
- 28:06it or that you could see it or and also at that
- 28:11time there was not the positivity around having
- 28:15an ostomy or being open talking about these things
- 28:19like there is now like I get on Instagram now
- 28:21and I see these girls in their swimsuits and
- 28:23these adorable outfits with their bag out and
- 28:25I just think like it's so awesome it's so inspiring
- 28:30and I just was not in that place and I didn't
- 28:34have anyone to look to when I was in that place
- 28:40in my journey to like inspire me In connection
- 28:44to this, you mentioned that one of the good things
- 28:47that came out of this entire ordeal that you
- 28:50went through is that you learned a lot more about
- 28:52your body, a lot more conscience about your health.
- 28:56I always refer to it as a blessing and a curse,
- 28:59right? There's bad when we are at our worst,
- 29:03and then when we get better, either through surgery,
- 29:05through remission, there's a lot of good that
- 29:08comes from it. In your case, how do you relate
- 29:11to that thought of it being a blessing and a
- 29:14curse? And also your journey, how has it changed
- 29:17you as a person fundamentally? As far as the
- 29:22curse, that's pretty obvious. It's a rough journey.
- 29:25So, you know, it's self -explanatory. The blessing,
- 29:29though, I think it made me see how strong and
- 29:32capable I was in certain ways. I did find it.
- 29:36eventually to become empowering. It definitely
- 29:40taught me the importance of listening to your
- 29:43body, to your intuition. Even when you have doctors
- 29:48telling you certain things, advocate for yourself.
- 29:50I cannot stress that enough. advocate for yourself
- 29:55if you feel something is wrong something is off
- 29:58because i had my main doctors i had really incredible
- 30:01care but i've met er doctors along the way when
- 30:04i've been in you know when i've had a bump along
- 30:06the way on a weekend or in the middle of the
- 30:09night or whatever you know or an urgent care
- 30:11doctor that you advocate for yourself and feel
- 30:16strong in your voice and share your story Because
- 30:21it's not something to be embarrassed of or feel
- 30:25shame about. It's unfortunately a very common
- 30:29issue for a lot more people than we realize.
- 30:33And I think it's so important that we stick together
- 30:36and we support each other. And there's just so
- 30:41much healing in that. And I think that's some
- 30:43of the blessing is the community that you can
- 30:47find in it, that you don't have to suffer alone.
- 30:50Absolutely. And you hit the nail on the head.
- 30:52This is exactly my main point as well. I always
- 30:56say, put your foot down, speak up for yourselves.
- 31:00Not every doctor is equal. Not every doctor,
- 31:04not even every GI is a colitis, Crohn's or IBD
- 31:07specialist. You need somebody who is proactive.
- 31:10And if you feel that they're not proactive enough,
- 31:12just be relentless. Because somebody out there
- 31:17will listen to you. And sometimes it takes a
- 31:19little bit of time to sort of be paired or matched
- 31:21with that person, that GI that really, you know,
- 31:24works in your favor. But I think more commonly
- 31:29what I'm seeing is Crohn's and colitis. This
- 31:31is not something that you want to lose time over
- 31:34because of a lack of productivity from a physician,
- 31:38right? I mean, we just don't have that time to
- 31:41waste sometimes. So, you know. To paraphrase
- 31:44your words, speak up. Absolutely. I think this
- 31:47is like one of the most crucial things. Absolutely.
- 31:49So you've learned a lot during these turbulent
- 31:55years. If you could go back now to when you first
- 32:00diagnosed, what are some of the things that you
- 32:02wish you had known back then that you've picked
- 32:05up along your journey? It's bad or it's hard.
- 32:11But it's not as awful or scary as I thought.
- 32:15I think especially around the surgery piece.
- 32:19To not hide away in my room or feel sorry for
- 32:25myself or feel sad. I missed out on opportunities
- 32:29with my friends. Maybe I should have gone ahead
- 32:32and gone to dinner and just... not eaten or just,
- 32:37you know, enjoyed the being with my friends aspect
- 32:39of it instead of completely sitting at home alone
- 32:42while they were all out making memories together.
- 32:44Like don't stop living your life because of it.
- 32:47Don't hide away at home. And, you know, sometimes
- 32:50we have to hide away at home and we can't go
- 32:53too far from the bathroom. And some days are
- 32:55just like that and that's okay. But the days
- 32:58that are not like that don't continue. to hide
- 33:01away. If there's something you want to do, people
- 33:04you want to see, memories you want to make, an
- 33:06adventure you want to go on, do it. Don't let
- 33:10it stop you. It's not a death sentence. You don't
- 33:15have to hide away. I wish when I first started
- 33:21feeling some of these things and instinctually
- 33:24knew that something was off, that I would have
- 33:28sought help then. And the journey still would
- 33:32have been hard, but maybe it didn't have to be
- 33:35as hard as mine was because I was so sick by
- 33:41the time that I got diagnosed. Yeah, absolutely.
- 33:44Absolutely. There's no shame in heading to the
- 33:47doctor or the urgent care or emergency room right
- 33:50away. So these are all very valuable tips. And
- 33:53thank you for sharing that. One of the reasons
- 33:56why I started this podcast is to, first of all,
- 33:59raise awareness, but also sort of build out a
- 34:02platform for people who have questions, who might
- 34:05feel alone, who don't have all the answers, who
- 34:07might be embarrassed to ask their doctor, friends
- 34:10and family. And you are also doing your part.
- 34:14And in your case, you told me you released a
- 34:18journal and a guide titled Rooted and Resilient.
- 34:23that could be beneficial to people who were recently
- 34:26diagnosed. Can you tell us a little bit more
- 34:29about Rooted and Resilient, where the idea come
- 34:31from and what it is exactly and how it can benefit
- 34:34people with IBD? Sure. I always had a goal of
- 34:39writing a book. That was the original plan. I
- 34:42wanted to write a book kind of like a memoir
- 34:45of my journey because I was so lonely going through
- 34:49my journey. And at that time, the only thing
- 34:52I could find was medical journals, articles.
- 34:57And there wasn't anything out there that was
- 35:00just like, hey, this sucks. But like there's
- 35:02a light at the end of the tunnel. You can do
- 35:04this. You can get through this. You're not alone.
- 35:06You're not the only one going through it. Just
- 35:09that isolation that I felt. And so I did start
- 35:12writing a book just kind of as my own therapy.
- 35:16And then I decided. I didn't actually want to
- 35:20share it because by the time I got to a point
- 35:22where I felt like it was potentially ready or
- 35:26could be shared, I wasn't that person anymore.
- 35:29I had come so far and I had healed so much that
- 35:33when I read it, I felt really sorry for that
- 35:37girl when I reread it because I had grown so
- 35:43much and I had come so far in my journey and
- 35:47I felt like she was just a little too sad to
- 35:52release on the world, you know? And so I took
- 35:57the important pieces of that and instead I shifted
- 36:00it and tried to turn it into more of a guide
- 36:03and a journal or resource that I wish I had on
- 36:08my journey to make it easier. And so, you know,
- 36:13there's... some food ideas in there and there's
- 36:18a section on if you do end up with an ostomy
- 36:21how to hide or dress for it if you're someone
- 36:24who is in a place like i was that wasn't ready
- 36:27to show it to the world yet and i think that's
- 36:30super awesome for the people who do and and i
- 36:34i wish that i had that inspiration when i was
- 36:38going through it but i also know how i personally
- 36:41felt about mine so for anyone who hasn't arrived
- 36:45to that boldness and that empowerment yet here
- 36:49a little like here's some tips and tricks that
- 36:52I found to help me along the way as I was learning
- 36:55to to love it and appreciate my ostomy and this
- 37:00new version of myself so that's in there and
- 37:03then a big chunk of it is the journal section,
- 37:07which has a BM tracker on it, a place for you
- 37:11to write down your meals and track your medications.
- 37:16And I try to include a large mental health piece.
- 37:19So a place to write an affirmation every day
- 37:22and focus on like, what are you doing for yourself
- 37:25to make yourself feel better? Whether that's
- 37:27Physically, emotionally, spiritually, what is
- 37:30something that triggered you today? Maybe emotionally
- 37:33triggered you and caused stress, or maybe it
- 37:35was a physical trigger symptom. And then a place
- 37:38for what brought you joy today? Because I think
- 37:40it's so important to have that gratitude and
- 37:45highlight even when you are like, I need to go
- 37:47to bed. I need this day to be over. This day
- 37:50straight up just sucked. It's very important
- 37:54to not get sucked into that. and find the the
- 37:59small joys in the day even if it's just that
- 38:03you got out of bed today if that is the only
- 38:07thing that you were able to accomplish that day
- 38:11that's worth celebrating. It's a big deal, you
- 38:14know, or you left the house, you went on an errand
- 38:17by yourself, depending on where you're at in
- 38:19your journey. Or, you know, maybe you went to
- 38:21a concert you really wanted to go to, whatever
- 38:23it is, that's your joy or your accomplishment
- 38:27for that day. I think it's really important to
- 38:29highlight that and celebrate that. And that looks
- 38:32different for everybody. And that's okay. So
- 38:34that's the goal. And I told my friends and family
- 38:39when i wrote it that you know if it only reaches
- 38:42one person but it helps them then i'm i'm happy
- 38:45with that that's exactly the attitude to have
- 38:48and i gotta tell you which is which is great
- 38:52and i hope it will continue to reach a lot of
- 38:54people and i i now hearing you talk about i wish
- 38:58I had something like that because when I go back,
- 39:00this was in 2013, basically my journal consists
- 39:04of just email exchanges between me and my medical
- 39:07team and most of them are just very depressing.
- 39:09So, you know, so basically my good moments or
- 39:13the small wins, the small victories that you
- 39:15touched on, I mean, they're luckily stored in
- 39:18my memory as best as I can remember them. But
- 39:20this is a great initiative. And where can people
- 39:22find this, purchase this? It's on Amazon. Well,
- 39:27the original and then there's, if you like the
- 39:29journal pages, there's a companion guide that's
- 39:32really just the journal. There's a little bit
- 39:35of other stuff in it, but it's really focused
- 39:36on just the journal pages. And it's three months
- 39:39instead of one month. So that's not too overwhelming.
- 39:43But yeah, they're both listed on there. And please
- 39:47go free check them out. I hope that it, I hope
- 39:50it helps someone. That's really the goal. Absolutely.
- 39:54And we will put the link to both of those editions
- 39:57in the show notes as well for ease of use. So
- 40:00Jamie, I want to thank you so much for being
- 40:03with us today and sharing your journey. I really
- 40:05do admire your resilience, especially through
- 40:09those years of... you know, hospital stays and
- 40:13flares and uncertainty. I wish you nothing but
- 40:17the best moving forward with your J -Pouch and
- 40:20with your family and all the blessings that you've
- 40:23sort of picked up during your journey. And I
- 40:25want to just thank you again for being here with
- 40:29us today. Thank you. Thank you for having me.
- 40:32That's it for today's episode of Colitis Unfiltered.
- 40:35I'm Frank Klebring. And if this hit home or hit
- 40:38your gut, do us a favor. subscribe to the show
- 40:41and follow us at colitis unfiltered on youtube
- 40:44substack instagram threads tick tock and reddit
- 40:48we'll see you soon for more inspiring stories
- 40:51from the bathroom floor