Latest / Tom's Hirschsprung's Podcast / Episode 6 - 'From struggle to strength' interview with Harvey Haworth
Transcript
- 0:05You are listening to Tom's Hirshprung's Podcast, where our provide a look into the
- 0:09remarkable experiences of the most inspiring people around Hirshprung's disease and sports. Hello and
- 0:31welcome to episode six of Tom's Hirshprung's Podcast. This week I have another very
- 0:37special guest. You may know him as Half and Health on Instagram, and
- 0:45today's special guest is Harvey Howarth. Welcome to the podcast. Thanks, Tom
- 0:50gritz Field. Awesome. So we're going to cover a number of topics today.
- 0:56We're going to cover your diagnosis of lightis. We're going to go through
- 1:03what that was like with surgery. We're also going to cover a very special
- 1:10activity that you're doing at the moment, which is training for the Manchester Marathon.
- 1:15We'll cover that a bit later on and who you're doing that for and
- 1:19how that's going. But before we before we move on to that, we
- 1:25will dive straight into your diagnosis if that's okay, And this was around sort
- 1:34of well, the diagnosis was a bit later, but the first symptoms of
- 1:41colitis was around twenty sixteen, was that right, Yeah, exactly. So
- 1:47I'll give you the whole backstory to how about twenty twenty four from twenty sixteen.
- 1:53I suppose it's worth prefacing it with what Colitis is part of inflammatory bow
- 2:01disease and its inflammation of the large intestine. So whenever you hear the word
- 2:07itis, I think inflammation. Now, back in twenty sixteen, we rewind
- 2:17back to that point. I was doing my GCSDS. You know, life
- 2:20was good. I had a great group of friends around me. I was
- 2:23doing all the sports I wanted to do. I couldn't complain really. I
- 2:29was fortunate enough to have an opportunity to go kayaking in the French house,
- 2:34so I applied straight away. Now, at this point I had very little
- 2:38experience of kayaking at all, you know, whether that's in a pool or
- 2:45in a French ravine. With that stead, I started training with a group
- 2:51of guys that also signed up and all was going well. So we first
- 2:54started off in a pool, learning roles to make sure, you know,
- 2:59we weren't didn't just the whole time swimming in France, and after a few
- 3:04sessions winded up going out into the rivers to get to get some real life
- 3:09experience rather than just paddling about in a pool. So We're traveling about the
- 3:15North of England and finding the best kayaking sponsor practice. And I look back
- 3:21on this part of the whole experience with quite a lot of fondness of how
- 3:27lucky I was to be able to do these things. I think I've maybe
- 3:30spoke too soon, to be honest, Tom, After one trip to a
- 3:35river in Bury and I f you're from the North of England, you may
- 3:38know that a river in Bury or around Berry would not be the most hiking
- 3:42place to kayak. After that trip, I was very very ill. And
- 3:46when I say ill, I mean violently sick, a sort of ill,
- 3:52thrown up night and day, and almost lost a stony weight overnight. And
- 3:59you know, they say, hines, I was twenty twenty and so being
- 4:01able to just look back on this, that's where I think this whole downward
- 4:05spiral into getting Collier started. So fast forward to a couple of years later,
- 4:16and you know, throughout that time, throughout twenty sixteen twenty seventeen,
- 4:19I was okay, but I'd still had some stomach issues. We then get
- 4:24to twenty seventeen twenty eighteen, and I started seeing symptoms, so you know,
- 4:30bleeding. I was rushing to the toilet a lot. As a naive
- 4:34teenager, I thought it was just bad eating. I thought I'd just had
- 4:39a really bad diet, and so I thought, this is fine, I'll
- 4:43just crack on with it, you know, eat better. But it didn't
- 4:46go away, and it got so bad. I was going to the toilet,
- 4:47you know, twenty thirty forty fifty times a day. It was immense,
- 4:53really, and I was drained from it, very tired, waking up
- 4:57every night, you know, every half hour of the night, didn't really
- 5:00sleep. So then we get to July twenty eighteen, which is when I
- 5:05was diagnosed, and yeah, so that's that's where we get to my diagnosis.
- 5:15Yeah, yeah, you said you said you were very sporty or still
- 5:19am or still are? Sorry, what type of sports did you do sort
- 5:25of before before twenty sixteen? So I suppose I was really into athletics,
- 5:35so I did earlier on I did. I got to national level at biathlons.
- 5:44I was also really into rugby until that got stopped by when I fractured
- 5:50my pelvis by running too quickly. So I didn't even you know, I
- 5:54didn't even get tackled or anything. I just ran too quick, so yeah,
- 6:00not not too sure if that's a flex or not. But yeah,
- 6:02so athletics and rugby were the key ones. Swimming I was alternative on swimming
- 6:09team at school, so yeah, I was. I was quite active.
- 6:14As soon as I started getting the symptoms, that quickly decreased because it's so
- 6:19debilitating. I just can't do anything for sure, for sure, just out
- 6:24of interest. What position did you play rugby? Wise? I played outside
- 6:28center position, exactly the forwards. So you were triathlete, national biathlon,
- 6:42played rugby, very very active. So there was no no inclination beforehand,
- 6:47no family history, nothing beforehand before the diagnosis. No, it came completely
- 6:57out of the blue, you know, and we've not experienced this before.
- 7:01And you know, with an illness like IBD colitis or Chrohn's, it's not
- 7:08just you that it affects. You can see that it affects other people around
- 7:12you, just from the perspective that they care for you, you know,
- 7:15and they're looking out for you. I'm quite a stoic, so I think
- 7:21I put up with more than perhaps I should have, and that's why I've
- 7:25left it too late. But as I say, hindsight's twenty twenty. And
- 7:30if I've known sooner, then I would have gone sooner. But as a
- 7:32teenager, you just think, I think anything other than going to the doctors,
- 7:38especially as a teenage boy. Yeah, yeah, yeah, Sometimes it's
- 7:42exactly the last place you want to you want to think about guys. You
- 7:45know, I'll deal with it. I'll put up with this, I'll put
- 7:47up with that. And then suddenly you think, right, okay, I
- 7:50probably should do something about this, and so you put up with it or
- 7:57put it off or whatever it might be, for a couple of years,
- 8:01and then you got sort of end of a levels around sort of twenty eighteen.
- 8:07Was it one particular thing that make you go, right, I've got
- 8:11to go to the doctors now? Or was it just a constant I just
- 8:16can't put up with this anymore. To be honest, I think I've got
- 8:22my parents to thank for making me go to the doctors. I yeah,
- 8:28like I say, I thought it was about my diet. I didn't think
- 8:33anything anything else. You know, I've never heard of IBD when it did
- 8:35get diagnosed, so I just thought it was down to what I ate.
- 8:41I really did lose a lot of weight, and it's only when I look
- 8:46back at pictures from around my time of diagnosis that I realized I was severely
- 8:52ill. You, I just couldn't see it. At the time, I
- 8:56thought I was fighting fit, but really I was fighted for my life.
- 9:01So yeah, once, once I've got a diagnosis after increased blood loss,
- 9:09urgency, go to the toilet weight loss. I saw a first consultant.
- 9:13We sat down, we talked about my symptoms. I explained that I was
- 9:18seeing blood in mobile movements and has an experienceing urgency, and then he has
- 9:22to examine me. Now, Tom, I've never been examined before. By
- 9:26that point, I didn't really know what it meant. Turns out it's it's
- 9:33something I didn't want, really, but knowing how to happen. An Equick
- 9:39tip is just relax for anyone who is going through this, don't try and
- 9:43tense up. When you have an examination. The feedlom will be like,
- 9:48you need to go to the toilet, you don't, don't worry, so
- 9:52you know, I was only seventeen and eighteen at the time. None of
- 9:56us was what I anticipated. But following that examination, I was put in
- 10:00for a full colonoscopy for conclusive evidence. So that was it was quite a
- 10:09quick diagnosis. Then I take it from well, I mean it would have
- 10:13been quicker if I'd gone to the doctors. Quicker I suppose maybe it could
- 10:18have been a year earlier. But in terms of actually going to the doctors
- 10:22and then seeing a consultant, I think I was quite lucky in that sense,
- 10:28because I've heard horror stories of people having to wait months and months and
- 10:31months to see someone. But yeah, as once i'd seen a consultant first,
- 10:37it was a matter of weeks before I went in for the colonoscopy and
- 10:43and had had confirmation that I had collitus. That's pretty quick. That's pretty
- 10:48quick. So when you said you thought, right, it might just be
- 10:52my diet. It might just be on I'm not eating so well, or
- 10:56this, that and the other. Did you try any particular ular dietary changes
- 11:01before going to the doctor, Before going to the doctor? You know,
- 11:09at the time, I think i'd well past my driving test in twenty seventeen,
- 11:15so that I was driving to to you know, sixth form to school,
- 11:20and so it was very easy. And to work as a lifeguard,
- 11:26it was very easy to pick up a you know, mackis or a KFC.
- 11:31But outside of that, I don't think badly. So I think I
- 11:35just put it down to something because how could it be anything else. Yeah,
- 11:41I mean in terms of diets, it was more after the diagnosis where
- 11:46I was desperate to try anythink that that came into play. Where I was
- 11:50trying things like you know, the carnivor diet. I was trying just juices.
- 11:54I was trying to just fish because I was desperate. Tom. I
- 11:58was really desperate to try and slow down the pace at which things were happening.
- 12:07Was there any sort of logic behind that or is it just I'm going
- 12:11to try this or was there an actual piece of research that you thought,
- 12:13well, I've seen this, I'm going to try it. After diagnosis,
- 12:20I I really concentrated on understanding the illness and I did a lot of research.
- 12:31As I saying, two diets, and then you know, some people
- 12:35said it worked, but I think I was too far down the line if
- 12:37there was any chance of anything working going to want. You know, I
- 12:41was looking at research papers, reading them all the time. It was like
- 12:45a second job, and I was reading it, yeah, and reaching out
- 12:48to researchers in different countries, finding out about their research. So I was
- 12:54quite i say, committed to try to find something that would work for me
- 13:00in the whole nine yards then exactly yeah. A consultant described one of my
- 13:07main IBD doctors described the medication journey as a ladder. So you know,
- 13:16you're on one wrong and then if that doesn't work, you go to the
- 13:18next one. If that doesn't work, you goes to the next one.
- 13:22And in total, I went up eight runs before we decided nothing's working.
- 13:28And you know, you hold out hope with every medication and you feel in
- 13:35the first few weeks that some are working, some definitely don't, and some
- 13:41one gave me a horrendous reaction. It was the first one that gave me
- 13:43a horrendous reaction. So yeah, you do hold out hope. And I
- 13:50think I pushed it, like you say, the whole nine yards to try
- 13:52and find something that would work. So if we if we touch on medication,
- 14:00because there was there was there is a story that you have told about
- 14:05a particular medication. I don't know if you wanted to go through that now,
- 14:11absolutely, yeah, yeah, sure, And I suppose I'll start this
- 14:15off by saying I had a reaction to this medication. It doesn't mean someone
- 14:20else trying it will. I think it's a pretty tame medication because it's the
- 14:24first one that most people are put on. I think I was just unfortunate
- 14:28in this instance. I the first medication I was put on was something called
- 14:35mazzellamine or mazzalazine, and it's part of a five ASA drug family, so
- 14:41it's generally the first point of call for IBD treatment due to its orally administrated
- 14:48and it targets general information in the GOD and its delivery method is quite clever,
- 14:54so it's it's delayed, and so it kind of opens up and works
- 14:56once it's in your large intestine. So I'll started on the low dose of
- 15:01it, and it was I think two point four grams per day, which
- 15:05equated to six tablets, and after eight weeks that didn't work, so we
- 15:09double the dose dose. And you know, after starting masalazine, I was
- 15:18also prescribed with steroids, so pregnice alone, which was the most effective thing
- 15:24that worked for me. But with the ramifications of it and the things that
- 15:30can can cause with the bones, I couldn't be on that for too long.
- 15:37So after eight weeks I increased the masalazine intake, and over the course
- 15:41the next two months, the medication just wasn't working. My symptoms remained the
- 15:46same, and I was really struggling. Adding on to this, you know,
- 15:50as we spoke about before, I was quite fit before this. Now
- 15:56I was feeling really unfit. And when I say out fit, I mean,
- 16:00you know, the stairs just felt like my worst enemy. I was
- 16:03struggling to get up a set of stairs without needing a rest at the top.
- 16:08Driving, not specifically driving, but getting into my car felt like a
- 16:12burden. I had a VW Polo at the time, and I'm six foot
- 16:17four, so you know, I had to bend down a bit, but
- 16:19I shouldn't be out of breast the car. Little Didano. I was suffering
- 16:27from an acute medical condition called pericarditis, and I thought, how on earth
- 16:33could I have thought I was just so unfit and had been eating badly.
- 16:37It's almost comical to think back on that now. The turning point for me
- 16:45with these issues of feeling really unfit and you know, tights around my chest
- 16:51was that one day I was walking back to my car after college. I
- 16:55got to my car and I struggled to lift my bag into the boot or
- 16:59trunk any Americans that are listening, and then I set off home with my
- 17:04hand on my chest. Halfway home on the motorway, I called my dad
- 17:11because I was in so much pain. I said to him, Dad,
- 17:15I'm going to go to the GP. My chest is really really hurting,
- 17:18and I think it checked out. So I said, okay, half,
- 17:22that's fine, but let us know if you need anythink. Five minutes later,
- 17:26I called him back. I said, Dad, I'm going to the
- 17:30hospital. I love you, And you know, I was in the worst
- 17:33pain. I felt it in my chest and down my left arm. I
- 17:36thought it was a heart attack, and I thought it was important to tell
- 17:40my dad I loved him because I really thought that was it. I thought
- 17:45I was going to die that day, you know, on the motorway,
- 17:48driving to a hospital, still probably half an hour ago. Now obviously i'm
- 17:53speaking here, so I'm still alive, Yeah, exactly, not speaking from
- 18:00beyond the grade now that would be a podcast episode, but yeah, it
- 18:07was definitely the close STUF felt to actually dying. So I got to the
- 18:11hospital after meeting my parents along the way to swap cars and pushed swiftly through
- 18:15to a and E had an ECG to do an echo cardiogram with my heart
- 18:22and the result was I had peracarditis. So what is paracarditis. It is
- 18:30where you have something called a paracardium around your heart, which is basically a
- 18:34sack around your heart that protects it. Mine had filled with fluid and I
- 18:42had a lot of fluid. I think it was just try of two liters,
- 18:45which means it was putting a lot of pressure on my heart as it
- 18:48was trying to beat. That's why I was feeling so much pain and pressure
- 18:51as I was lying on my side in bed or lifting anything. And so
- 19:02I then had to have what they call a procedure. It's not an operation.
- 19:04It's a procedure where you go into an operating room or stood up but
- 19:11still slightly on a decline, and then they take a big needle, a
- 19:18kind of comical size needle from your sternam up into the pericardium and withdraw the
- 19:25liquid. That was quite an experience that I won't forget. And you know,
- 19:30there were there were student doctors there while I was talking to them as
- 19:33this needle is going into me. Yeah, an experience I won't ever forget.
- 19:41After a few days in the hospital. Yeah, I heard over a
- 19:42liter of fluid and the normal kind of range is about fifty mils in in
- 19:49the pericardial sack. So yeah, as I say, extremely rare, but
- 19:57it was. It was quite an experience and then got to live through.
- 20:02And I think Tom, in your introductory podcast, you said that the things
- 20:07you've been through have made you stronger. And I can absolutely attest to that.
- 20:14You know, I was already a stoic, but I think I can.
- 20:15I can put it with quite a bit. And like you say,
- 20:18you got a quite high high paint, high pain threshold, and more than
- 20:23just pain but kind of just day to day life stuff. I can put
- 20:27it with. I think sure. Yeah, yeah, I just got to
- 20:33pick up on two things that you said. For that one, thank you
- 20:36very much for saying trunk as well, because I have a fifty percent of
- 20:40people that listen to this podcast are either from Canada or America, so thank
- 20:44you for catering to them. I always like to please our worldwide audience absolutely.
- 20:49And secondly, you had student doctors there around you. I've obviously had
- 20:57that experience as well, with student doctors coming in for me and my appointments
- 21:04because of the rarity of the condition, and they they want to study and
- 21:11and yeah, and and and sort of see a conditioner in its rarest form.
- 21:18Were they there because your pair of card p carditis was so rare or
- 21:26were they just there just because I think it was a bit of both.
- 21:30It's even that even the doctor or consultant who did the procedure said, it's
- 21:40incredibly rare, especially when it comes to the medication I've been taking. And
- 21:47so yeah, they definitely seemed intrigued, and I think, you know,
- 21:51it can feel a bit daunting having student doctors in there because they conceive young
- 21:56growth. But at the end of the day, the way I think of
- 21:59it is, firstly, it's it's a medical setting and they're the next generation
- 22:03of doctors. So when I when I'm sixty or fifty sixty, fifty sixty,
- 22:11they're going to be the doctors treating me. So you know, it's
- 22:15the same when you go for a you have to go for a coronoscopy.
- 22:18It can feel a bit embarrassing, but the fact is these doctors and these
- 22:23medical professionals do this day in day out, and so that's you know that
- 22:30they get it. And they see this all the time, so it's nothing
- 22:33to be embarrassed about. Yeah, no, for sure. I Mean every
- 22:36doctor I'd deal with is just incredibly professional. They do it, as you
- 22:40said, they do it day in day out. Yes, it might feel
- 22:42odd for us going through you know, various procedures, surgeries, whatever it
- 22:49might be, but no, they're they're very professional. They do this,
- 22:53do this all the time, and do it incredibly well. So yeah,
- 22:57if if anybody dies, have student doctors in I mean almost take it as
- 23:02a I took it. It's a source of pride really that I'm that rare
- 23:07that everyone has to come and see me. So it's it's yeah, I
- 23:11looked at the other way rather than who are all these people and why you're
- 23:15looking at me? Yeah, I just kind of said, well, yes,
- 23:18I'm very very rare, and yeah you've all come and come and see
- 23:21me. Yeah, exactly. I was a laugh and a joke with them
- 23:25before the needle took away every breath in me. How How was How was
- 23:30that? Then? So a giant needle stick, a cartoon sized needle,
- 23:34shove it into chest and just draws, draw the fluid and that's it.
- 23:41Yeah, exactly. So Yeah, the room gets a bit darker and not
- 23:48not metaphorically literally and then yeah, they scan and check where that pericardium is
- 23:56so they don't end up punching your heart, which don't. It didn't happen.
- 24:00Sorry, I feel like I'm scaring people here, but it's very rare.
- 24:06Yes, and yeah, so but it all wants to plan. You
- 24:08know, you're awake. It's not it's not so much painful, but it's
- 24:12just more discomfort really because obviously gets said patient and it's over relatively quickly.
- 24:21There was a wait the whole time. Perfect. So were there any other
- 24:26surgeries that you've needed or was that really the only procedure you've had before?
- 24:30Well, so that was before my stona surgery. In that time, that's
- 24:37the only that's the only procedure I've had, So I've been quite quite fortunate
- 24:42in that sense. Yeah, as I said, I think I was.
- 24:45I was putting off any kind of surgery for as long as possible. Yeah,
- 24:52yeah, it's it's not it's not necessarily something anybody wants. It's it's
- 24:57more necessity. I guess. I don't think there's anybody who really wants to
- 25:02go under the knife. You know, but if you need to, you
- 25:04need to. It's you know, it's life saving in a lot of senses.
- 25:10But yeah, no, thank you very much for sharing that. So
- 25:14obviously you presumably set that medication to one side and said, yeah, I'm
- 25:18not using that again. So are you medication now? Are you medication free?
- 25:26Are you? I am medication free now? So i'd yeah, as
- 25:30I said, tried eight different medications. The only one that did work.
- 25:36That's between you know, oral take it, taking medication orally or going in
- 25:42for infusions. Nothing worked and the only thing that it'd work was steroids,
- 25:48but you can't be on them for a long time. And I had quite
- 25:52an immense moon face from it because looking back on photos recently, yeah,
- 25:59I couldn't quite believe how much are around place. I had, so it
- 26:02was comical. So but yeah, no, no medication now. I you
- 26:08know, once you've got colitsis I think you think you're always classed as always
- 26:12having it unless you have a permanent stone. I in my case, I
- 26:18have technically a temporary iliostomy because I still have my rental stump, which means
- 26:26that I could have everything reversed. I had to have a had to go
- 26:33to endosopy and the endoscopy sweet just the other week, and I do still
- 26:38have active colitis in my repton. So yeah, I'm not holding out on
- 26:45any reversal learning time soon. But to be honest, I'm not too bothered.
- 26:51I've got the freedom back that I once had. You know, would
- 26:53I choose to go to the toilet fifty times a day or three to four?
- 26:59Probably three to four. Yeah, like sense definitely makes sense. Okay,
- 27:03fantastic. There's another part that I just wanted to touch on as well,
- 27:10about serotonin. I was listening again to another podcast that you've done a
- 27:15few years ago, and you talked about serotonin in the gut and but nine,
- 27:22serotonin is found of the gut, and serotonin is responsible for mood,
- 27:30cognitive activities, reward learning, and memory. And if you've had sort of
- 27:37any stomach procedure, that can really affect the levels of serotonin. And it's
- 27:45one thing that certainly I learned is how the stomach and brain are connected.
- 27:53What's sort of been your experience with that sort of psychologically, Yeah, you're
- 28:00absolutely right. I think there is a lot of psychology with this, whether
- 28:04directly or indirectly. So the serotonin pieces. While if I'm fascinating and it
- 28:11explains so much about how, you know, what we can affect our mood
- 28:18and how illnesses within our our stomachs and our yea, our whole digestive system
- 28:26can really affect how we feel. And if we feel happy, if you're
- 28:30feeling drained or you've got something that's going on in your in your system,
- 28:36then that's really going to affect how your body produces serotonin. And therefore it
- 28:44kind of makes you feel the brain got axis and the brain got connection.
- 28:48I think is fascinating as well. In terms of the psychology, I felt
- 28:55that I think, for for instance, there were times where I felt if
- 28:59I went a colder environment, even if I was wrapped up warm, or
- 29:04if I went into a certain room even or if went into my car,
- 29:08it felt like an immediate switch for Okay, you can go to the toilet
- 29:12now, Harvey, you're going to you have to go there. And I
- 29:15thought that was a psychological trigger between my brain and my you know, my
- 29:23digestive system. So I think there's there's a lot there that needs to be
- 29:29explored. But that's not to say it would you treat the underlying condition but
- 29:37I think it would help a lot in terms of helping people with managing their
- 29:42own condition as it is fantastic. Yeah, no, I totally agree that
- 29:48that there is. There's an awful lot of psychology in any stomach condition,
- 29:52whether it be Crome's, colitis, hirsch Brown's, whatever that might be.
- 29:57And yeah, definitely definitely some some research to be done, and there's definitely
- 30:02some little bits of research out there, but not not a huge amount when
- 30:06it comes to serotonin. So switching gears, I'd like to talk about what
- 30:12you're currently doing, so you are, as explained in the intro, you're
- 30:18you're currently practicing is not the right word, but currently sorry, trading trading
- 30:30for Yeah, that was the word I was looking for. I should know
- 30:32this being in sport, but it's late at night. It's yes, trading
- 30:37for the Manchester Marathon first of all, And again I've never run a marathon,
- 30:45But why did you pick a marathon to run? I've never on a
- 30:52marathon either, so it's quite a terrifying thing to consider. Even about eight
- 31:02weeks out now, I think, roughly why did I pick up marathon?
- 31:07I think I like to push myself. The way it came about was a
- 31:14friend approached me and that's if I wanted to do it, I could easily
- 31:18said no, But as I said, I do like to push myself.
- 31:22I did a ten k last year in July time, which I think was
- 31:27the Manchester Great Great Manchester ten k, So I suppose the next natural step
- 31:33would have been half marathon, but you know, I might as well have
- 31:37jumped. I just jumped to the marathon himself. And you know, as
- 31:41part of training I've had to do a half marathon and noise, so might
- 31:45as well tick to off at once. Yeah, sure, yeah, no,
- 31:51I totally totally get that being a random as well. But you said
- 31:57that you are looking to run for a charity, and naturally that that charity
- 32:06being Chromes and Colitis UK. What what kind of correspondence have you had with
- 32:13them with them so far? So I'd reached out to Chromes and Class UK
- 32:17a while back before i'd actually signed up to the marathon, and the reason
- 32:22for that was because i'd originally well, I had a reson, originally plan
- 32:28to do another event, but due to illness, i'd be able to unable
- 32:31to even start it. So this was before i'd even had my surgery that
- 32:36was quite unwell. So really I don't know what I was thinking at the
- 32:38time, as I say, a bit of a stoic mood. I didn't
- 32:42know how it I was. So I'd reached out to them back then about
- 32:47doing some fundraising and they've been fantastic in helping give giving me supplies which I
- 32:52still have in terms of you know, chromes and collective UK balloons. They've
- 33:00given me a vest that I'll be wearing on the day and so I've carried
- 33:07that through and yeah, i'll be I'll be raising money for them. In
- 33:10terms of why then, we've been preempting a question here, as you'd expect,
- 33:15it's because it's because I've had colitus. And the reason I've got my
- 33:22bag is because of colitis, and you know, it affects it's a young
- 33:29person's illness, it affects a lot of young people. And if there's anything
- 33:35that can help advance, you know, progress in the area of finding a
- 33:39cure for crones and colitis, the better because it stops anyone even getting to
- 33:45the point where I've had to get to. And so whilst I'm glad to
- 33:50have my bag, what I prefer not to have it sure, But yeah,
- 33:54that's that's why I'm raising money for for crones and colitis UK. You
- 33:58play the card, you tell effectively, don't you Exactly? Yeah, I
- 34:02mean it's it's it's one of those things in you know, believe looking at
- 34:10up to date research is at point four of the population have crones or collitus
- 34:16one in two hundred and fifty people, so less rare than my condition.
- 34:23But but yeah, definitely, definitely, very very important. I want to
- 34:32talk also about training plans and about how how has colitis affected training plans or
- 34:43has it affected training plans? So I suppose since having the surgery it's been
- 34:52it's not been something I've had to consider it all in terms of natural colitis.
- 34:58You know, my having the surgery, having a stone bag has eradicated
- 35:01all concerned about having to rush to the toilet, with the exception of you
- 35:05know, unexpected filling of the bag. Right, I've not yet I said
- 35:14not to consider colitis specifically in terms of having a stona. I've made some
- 35:20considerations there. If everyonem going out on a run, I'll put a fresh
- 35:23bag on to make sure the adhesives as effective as possible. I don't have
- 35:27any leaks. You know, I wear a support belt just keep things in
- 35:32place. And yeah, otherwise it's been fine. I think I've been lucky.
- 35:38When it comes to doing the marathon day, I am admittedly a bit
- 35:45nervous about if I need to empty my bag at any point. You know,
- 35:49forty two kilometers twenty six miles is a long way, and so if
- 35:52I'm running, you know, I'm not looking for a two hour marathon time.
- 35:57I'm looking for some five hours. That's stuff. A long time to
- 36:00run and a long time to not empty your back. Obviously the facilities on
- 36:06the way, but there won't be what facilities that will be maybe maybe most
- 36:12accessible for people who need to empty a stoma bag. So usually in part
- 36:19of my training, I've been keeping close to home doing loops as opposed to
- 36:23doing you know, in and out straight line. Okay, yeah for sure.
- 36:30So you talked about your your colliti is about staying fairly close to home
- 36:37just in case you do need to do need to pop back for whatever reason.
- 36:40One thing that that I've learned through doing research about stomach illnesses is that
- 36:47obviously core strength has been it is going to be a bit trickier with those
- 36:53with with stomach conditions, which which makes total sense because the muscles not quite
- 37:00there and obviously core strength being a huge part of running. Otherwise you end
- 37:06up well kind of like how I run, where I just end up stooped
- 37:08over and because I just haven't got the core strength there. Have you had
- 37:14to do more core strength work alongside your running or is it have you been
- 37:22able to just do that via the running. I think any core strength work
- 37:27I've done has been more passive in terms of, you know, through other
- 37:30exercises. You're absolutely right. I think through being ill, losing so much
- 37:37weight, having surgery, I've lost a lot of core strength, and you
- 37:44know, after surgery, I've been very anxious, I think actually too to
- 37:49do any direct abdominal workouts because I don't want to get a hurt you or
- 37:57something like that. You know, it's it's not ideal to put it lightly.
- 38:04So I do go to the gym and do you know, workouts,
- 38:08but I don't focus on my core at all, to be honest. It's
- 38:15however, having said that, you know, I've got a pt to make
- 38:20sure I'm doing the right thing and not making a mistake in the way I
- 38:22approach my exercises, and so as part of that, it's about keeping you
- 38:27call tight. And so that's what I mean by saying it's not direct exercise
- 38:34or to work out my core. It's more passive. So if I'm you
- 38:37know, working out my chest, I'm keeping my call tight and held in
- 38:42as I do a chest press or a bench press. So I think that's
- 38:46helped. And in terms of running, obviously, like you say, it's
- 38:51easy to just hunch over, so I have a kind of being active,
- 38:57you know, making an active effort to keep upright or in the correct position.
- 39:01I definitely played a part in that. And it also goes to not
- 39:06just exercise, but sitting at home. I work from home, and so
- 39:10making sure you've got you've got the right seat to support your back and keeping
- 39:15you caught kind of secure so you're not you're not hunched over. Yeah,
- 39:21yeah, no, I do that. Also suddenly you're you're tapping away for
- 39:28four or five hours, whatever it might be. I'll obvious work from home
- 39:30as well, and and you might start to have back ache or things like
- 39:36that, and it's probably just because you've been hunched over. And so yeah,
- 39:39but that goes for everybody, whether you've got stomach illnesses or stomach conditions
- 39:44or whatever, making sure you're supported and all the all the usual, the
- 39:50usual things. One thing I'll question I did want to ask you is through
- 39:57talked about all the things you've been through from twenty sixteen to now, sort
- 40:00of all the eight year journey that you've been on. What is life like
- 40:07now? Life is so much better, Tom. You know, as I
- 40:13said, I didn't want the surgery. I was trying to hold it off
- 40:15for as long as possible, and so when we're going into sur but going
- 40:22into surgery, I was looking forward to it so much because i'd really lost
- 40:27hope at that point, and to kind of put that into perspective. I
- 40:31went in for surgery on the twenty seventh of September twenty twenty one, I
- 40:37think it was, and I woke up look, you know, hours later,
- 40:43I looked down from a hospital bed and sort saw this bag attached to
- 40:46me, and I just burst out into tears. And the tears weren't out
- 40:54of sadness for having the bag. It was because I was so relieved that
- 41:00the pain and all that suffering was over. I just couldn't stop crying.
- 41:07The nurse was there, you know, kind of a mix between crying and
- 41:12overdue us laughter. So I'm much better now. And I think you always
- 41:20go into once you get colitis. You know, you've got got in the
- 41:24back of your mind that surgery is a possibility, and so trying to hold
- 41:29it off. You don't want it if you can avoid it. But what
- 41:35I'd say to anyone is, you know, every cloud has a silver lining,
- 41:38and this definitely has the silver lining, which is freedom. Yeah,
- 41:45so definitely definitely glad to have it. And it's it's enabled me to do
- 41:52more now than when I had collitus. And I'm definitely clear for that.
- 41:57Definitely, no, for sure, thank you. That's yeah, that's really
- 42:00well summed up. And so I keep saying final question, and I keep
- 42:06having another question, who who has been your biggest support along the way?
- 42:12What's the biggest people who've supported you? I suppose it comes down to a
- 42:16few people, right, I couldn't pay it down to one. Firstly,
- 42:22my family, you know, they've always been concerned for me, even and
- 42:28then you know I had had my back and been to these appointments with me,
- 42:32So thanks for my dad. My girlfriend has always been there, you
- 42:37know when you've got colliitis and you're coming to get to the toilet all the
- 42:40time. That takes a lot of patience and so that you know you're ready
- 42:50to go out and suddenly you've got to dash to the toilet and then you're
- 42:53waiting and she or she was waiting for me, So I'm really grateful for
- 42:59her. And then it goes to you know, medical professionals either whether it's
- 43:04ib D nurses who give the guidance on the ground about what to expect,
- 43:10what's what's next, the consultants and you know stoneinusts as well, who give
- 43:17you the guidance and support after surgery as to you if you faceing the issues.
- 43:23I think what goes wider a field of going further afield. Sorry,
- 43:30in terms of who I'm thankful for after surgery, I think support groups are
- 43:37a massive part of helping you recover. For me, that came in the
- 43:42form of joining stone support groups on Facebook. After you've had stoneA surgery,
- 43:49you you've got to be quite careful with what you eat because you don't want
- 43:53to get a blockage end the back in hospital. So I joined these Facebook
- 43:58groups promon'ly, not just to see other people's experiences, but to ask questions
- 44:05and to find out what kind of foods worked for them, so I could
- 44:07make a good judgment on the foods I could eat and the foods I couldn't
- 44:13eat. So it work quite nicely. I just searched up for food,
- 44:16and if people have had a negative response to it overall, then I'll think,
- 44:21okay, stair away from it. I should have done that before I
- 44:23ate popcorn, because that was the one thing that really did not work for
- 44:29me. Yeah, popcorn. That's interesting. Add Of all the foods you
- 44:35could have said carry, you could have said spicy, hot wings, you
- 44:38could have said, you know, popcorn would have been Is it just as
- 44:44a side? Is it sweet or salty or is it just literally the popcorn
- 44:47itself. Well, if you want a preference, it's sweet popcorn. But
- 44:54I think it was the popcorn itself, you know. I think I knew
- 44:59I was taking a bit of a by the day after I just felt like
- 45:01absolute hell on earth, but made it through with having to go to the
- 45:07hospital, so it was a lucky escape, I think. So. Yeah,
- 45:13absolutely excellent. Well, Harvey's been It's been an absolute pleasure to talk
- 45:16to you. Thank you. So much for coming on on Tom's Hirshbran's podcast,
- 45:22and very lastly, where can people find you? So people can find
- 45:27me on Instagram at half and health and yeah, great to see if anyone
- 45:32has any questions, happy to happy to answer them. What I will finish
- 45:36with is, you know, don't give up. If you're going through the
- 45:39same kind of journey as me, and you know, all of what you
- 45:43go through in life does make you a stronger person. And whether you find
- 45:45medication that puts your emission or you find yourself facing surgery like me, there
- 45:52is light at the end of the tunnel. And equip yourself with the knowledge
- 45:55going into anything, because knowledge really is power and if you know what to
- 46:00expect, it makes things much more montable. I can care. Absolutely fantastic.
- 46:06Well said for Harvey, best of luck with the marathon. Hopefully,
- 46:09hopefully talk to you again afterwards once you've once you've completed the marathon, we'll
- 46:14see how it wents. We'll do a part two and we'll see how we
- 46:17go. But thank you ever so much for your time. Pixt Loon,
- 46:30thank you for listening to the podcast. Find us on Instagram. Tom's Underscore
- 46:34Hirshprung's Underscore podcast. Listen to previous episodes on Spotify by searching Tom's Hirshprung's podcast