Latest / Crohn's & Colitis Unfiltered / Pain, Crohn’s and perspective: Victoria’s seasonal IBD flares
Transcript
- 0:02My big thing is a lot of people come on here
- 0:05and be like, I don't want to be on medication
- 0:06the rest of my life, so I'm going to try to change
- 0:08my crowns and heal it holistically. And I'm like,
- 0:11nobody wants to be on medication the rest of
- 0:15their life. Like if I had a choice, I wouldn't
- 0:16want to be. But my health long term is much more
- 0:20important to me than like risking going off medication
- 0:25and potentially having like an obstruction or
- 0:27like needing surgery. real things. This is Victoria,
- 0:31who got diagnosed with Crohn's disease at age
- 0:3424 in Boston, Massachusetts. Victoria is no stranger
- 0:37to IBD. Her own brother got diagnosed with Crohn's
- 0:41at age 16. Today on the Colitis Unfiltered podcast,
- 0:45she shares what life is like with Crohn's, how
- 0:47it impacts her body, her passion for fitness,
- 0:50and her mental health. My name is Frank Tabering,
- 0:53and Victoria, welcome to the show. Thanks for
- 0:55having me. So Victoria, every IBD journey starts
- 0:59with symptoms. And that's what I'm going to ask
- 1:02you about first. How did it all start for you?
- 1:06What was the moment where you decided, listen,
- 1:10something is definitely wrong. I need to get
- 1:12this checked out. And what happened at the beginning?
- 1:16Yeah, honestly, I was having symptoms for a few
- 1:18years leading up to my diagnosis that I, quite
- 1:22frankly, brushed off. I kind of started having...
- 1:26changes in like my stool or just really bad,
- 1:28like bloating and like cramping. But it would
- 1:32always happen around like April, May. And I had
- 1:35my yearly PCP appointments during that time.
- 1:39And I bring it up to my doctor, like, I don't
- 1:41know, my stomach doesn't feel right. And my brother
- 1:44also has Crohn's. So she was like, don't love
- 1:47to hear that since your brother has Crohn's.
- 1:49And she kind of like passingly said like, Well,
- 1:51we could do like a stool sample and see what's
- 1:54going on, but like never really like pushed for
- 1:57it. So I kind of just kept brushing off because
- 1:59then my symptoms would kind of go away and come
- 2:01back. And it wasn't like a consistent thing.
- 2:03In October 2023, I started having like super
- 2:10bad pain that like I could not walk. And I thought
- 2:13it was my appendix for a little bit. And then
- 2:16I ended up getting my... a couple of tests and
- 2:20then it showed that I had high inflammation levels
- 2:22in my body and then had a CT and colonoscopy
- 2:25and kind of confirmed it from there. And you
- 2:28mentioned sort of this period of symptoms that
- 2:31was a couple of years, right? Was the pain, I
- 2:35mean, brushing off one thing is one thing, but
- 2:37like, was the pain just never sort of severe
- 2:41enough for you to inquire further? Or was it
- 2:43just because it kind of went away for a while
- 2:45that you thought, I don't know, this is something
- 2:47that... comes and then goes and we'll see what
- 2:50happens yeah I feel like a little bit of both
- 2:52I think like stomach problems are so like glamorized
- 2:55over the internet of like oh everyone has stomach
- 2:57issues like so I kind of was just like oh like
- 3:00I probably just have stomach problems I never
- 3:02would have thought I had Crohn's but yeah I was
- 3:03never bad enough to the point where I was like
- 3:05oh something's wrong until I mean I had pain
- 3:09that like I couldn't even walk and I was like
- 3:11okay something's obviously not right you said
- 3:14your brother has Crohn's as well Is he the only
- 3:17one in your family that has Crohn's or potentially
- 3:21like, you know, your parents, grandparents, do
- 3:23they have any other autoimmune diseases that
- 3:25could potentially explain why your brother and
- 3:29now you are suffering from autoimmune disease
- 3:32as well? Yeah, I know on my dad's side, his aunt
- 3:35has Crohn's. She was diagnosed really late in
- 3:37life, though. And me and my brother, that was
- 3:39another thing. Why I didn't think I had Crohn's
- 3:41was my brother's diagnosis was a lot different
- 3:43than mine. Like he was having blood in his stool
- 3:46and he got diagnosed at like 16. So it was a
- 3:48lot different presentation. When you heard that
- 3:52you actually had Crohn's disease, obviously at
- 3:55that point, you were already familiar with it
- 3:57because of your brother, right? And so you were
- 4:01not new to the disease. Did it give you... in
- 4:05a sense, relief that that was the confirmation
- 4:08that that was your diagnosis? Or how did you
- 4:11approach that mentally knowing that you had Crohn's
- 4:14because you've already seen your brother go through
- 4:16it as well? I think I had a little bit of a sigh
- 4:19of relief because I feel like I was thinking
- 4:21like worst case scenario, I have like three days
- 4:23to live. So when I got that, it was a little
- 4:28comforting because my brother's managed his Crohn's
- 4:31pretty well. But I think the longer I sat with
- 4:34it, It made me obviously kind of like sad and
- 4:37like realize that like my life will definitely
- 4:39like change now that I have this. Of course,
- 4:43we always say that we shouldn't compare, you
- 4:45know, diseases or conditions in the same family
- 4:48of diseases. But again, you know, you know, when
- 4:51a sibling has a specific disease and you have
- 4:53it, I think you cannot escape to kind of draw
- 4:55a certain comparison. How is he feeling today
- 5:00compared to you? How are you feeling compared
- 5:02to him? I would say we're pretty similar. Like
- 5:05we'll have our occasional flares. I would say
- 5:08now I feel like our symptoms are pretty similar
- 5:10and we're on the same medication. So overall,
- 5:13I feel like we're both managed pretty well overall.
- 5:16And I'm assuming you're on some form of education.
- 5:20Talk to me a little bit about the form of treatments
- 5:23that you've been on since your diagnosis and
- 5:26are still on today. So when I was diagnosed,
- 5:28my GI doctor was like, we should put you on Remicade
- 5:32because your brother's on Remicade and it's worked
- 5:34so well for him. So usually I guess if one, like
- 5:38if a family member is on that medication, it's
- 5:41been working for them. It most likely worked
- 5:42for me. And I had an almost connecting fistula
- 5:47in my bowel loops. And we caught it kind of just
- 5:51in time. And he said that the Remicade would
- 5:53like completely kind of stop that and kind of
- 5:55reverse it. So I started Remicade probably. four
- 6:00weeks or six weeks after I was diagnosed, I was
- 6:03on prednisone for a minute. And yeah, it's, it's
- 6:05been working for me overall. Obviously I have
- 6:08side effects from it, but my Crohn's is pretty
- 6:10well managed. So side effects before we get those,
- 6:13you said, you mentioned you were in prednisone.
- 6:14How did you tolerate that? Cause that's the blessing
- 6:16and a curse. I talk about it all the time. How
- 6:18like, it's like the devil. It's like, it's, it
- 6:21has its good and it has its bad, but like I.
- 6:26it helped me a lot. Like it calmed. I mean, the
- 6:28pain I was in having the Brennazone, it like
- 6:31immediately made me feel so much better, but
- 6:34definitely like just couldn't sleep. I feel like
- 6:38my mood was like super irritable. I'm trying
- 6:41to think of the other things. I've been on it
- 6:42for time and time again now for like different
- 6:44flares or stuff that my GI just kind of told
- 6:47me to start taking it if I'm in a pretty bad
- 6:49flare, but I definitely don't love taking it,
- 6:51but I definitely know it helps. Yeah, exactly.
- 6:55Yeah. And especially like you mentioned, you
- 6:56know, you, you go on off of, but it's a short
- 6:58term anyway, so it might help you through one
- 7:00of your flares and then you kind of can ditch
- 7:01it again and, and, and the Remicade is, is, is
- 7:04working. So that, that's great. So Crohn's and
- 7:09colitis are quite different. And, and, and, and
- 7:12I mentioned colitis because I have ulcerative
- 7:13colitis and I also started with Remicade. I was
- 7:17on it for two years and it worked really well.
- 7:19It's actually what pulled me into remission,
- 7:20but I have the feeling that, you know, once you
- 7:23sort of, get into really strong full -on remission
- 7:26with colitis, it seems that most symptoms that
- 7:29you've had before are kind of calming down. But
- 7:31with Crohn's, however, that can be a little bit
- 7:33different. So despite the Remicade working, you
- 7:37know, how are you feeling today? Like, are you
- 7:39still experiencing flares regularly? Have they
- 7:43really slowed down? And then when you're flaring,
- 7:46what kind of symptoms are showing up for you?
- 7:50I would say, like, my flares happened with, like,
- 7:53specific times of year. Like I know October is
- 7:55pretty bad for me, which was actually the month
- 7:57I got diagnosed and like the springtime. So like
- 8:00April, May, I usually am not doing too well,
- 8:03but I get like my biggest symptom is I get really
- 8:07uncomfortable, like bloat, like where I feel
- 8:10it's like cramping. Like I also feel like I'm
- 8:13so distended, which leads me to just feel like
- 8:16I can't even eat because I'm just so like feel
- 8:18full and definitely cramping and like. frequency
- 8:22would be like my biggest, three biggest symptoms,
- 8:25I would say. I occasionally get nausea. It's
- 8:27not like a consistent thing for me, but I could
- 8:29get that even when I'm not in a flare per se.
- 8:31I just get frequently nauseous sometimes. And
- 8:34these flares, they last for how long typically,
- 8:37or does it sort of just... change randomly? I
- 8:40would say I remember like last May. I feel like
- 8:44it was the entire month of May. I mean, it wasn't
- 8:46like nothing's been ever as bad as when I was
- 8:48first diagnosed since I started the Remicade.
- 8:50So like, you know, I can still like walk and
- 8:52like function overall. But like definitely the
- 8:57fatigue hits more and things like that. But they
- 9:02can kind of linger. But I wouldn't say like I'm
- 9:04in a horrible flare for an entire week. It's
- 9:06kind of just like. I'm bloated for weeks on end.
- 9:10I'm cramping. I'm having frequency. And it's
- 9:13just kind of a never -ending thing. Side effects
- 9:15of the Remicade, you mentioned you had some of
- 9:17those. Tell me more about that. Yeah, it's kind
- 9:20of completely ruined, like, my skin. So, like,
- 9:22I have eczema. And I potentially feel like I
- 9:25might have psoriasis. Kind of, like, everywhere.
- 9:27Like, I've had it on my face, my neck, my legs,
- 9:30arms. And obviously, it's kind of hard to treat.
- 9:36Like the eczema, it's mostly just like topicals,
- 9:38which aren't really great for you either. That's
- 9:41definitely been a really big thing of just like
- 9:44really sensitive skin. Like my skin gets really
- 9:46hot and red and irritated. And I've like never
- 9:50had that before. And my GI doctor told me like
- 9:52psoriasis and eczema can kind of come from the
- 9:55Remicade. But my brother never had that side
- 9:57effect. So that's the side effect I have that
- 9:58he never really got. And your GI has never proposed
- 10:02switching? to a different biologic to potentially
- 10:05counter those those side effects my dermatologist
- 10:08actually mentioned that that scares me though
- 10:11because it's like i don't i don't want to risk
- 10:13another drug not working just because i know
- 10:15when you go off remicade you can obviously develop
- 10:19antibodies and then you might not they might
- 10:21not work again so i would want to risk that i'd
- 10:25rather suffer with like skin stuff um but yeah
- 10:28definitely has crossed my mind But I guess Remicade
- 10:31can also just stop working at any time too, which
- 10:33I've heard those types of stories though. Yeah,
- 10:35I guess if you're okay with those side effects,
- 10:38then, I mean, what I would do is probably kind
- 10:41of suck it up and then wait until Remicade, you
- 10:44know, doesn't work anymore and hopefully it will
- 10:46fail. But I think, you know, just seeing it out
- 10:48with myself as well, that, you know, there is
- 10:50a pretty solid chance that Remicade... might
- 10:54lose its effectiveness over longer term versus
- 10:56some other biologics. But the good news is that
- 10:59there's a lot more treatments out there. I had
- 11:02the same fear as you. Honestly, when Remicade
- 11:04stopped working, I went into full panic mode
- 11:06and I thought, oh my God, how many more are there?
- 11:08But I'm on my fourth right now, Antivio, and
- 11:11even though I'm on my fourth in about 10 years.
- 11:14I think every time I talk to my nurses at my
- 11:16fusion center, it's like they give me hope because
- 11:18they tell me, oh, hey, there's a new drug that's
- 11:20just come out. There's another one that's pending,
- 11:22you know, and we might have another one heading
- 11:24to market soon. But I totally get that fear.
- 11:28So the fear of the biologics not working anymore
- 11:33is there. I think so many IBD patients struggle
- 11:35with that. You have flares regularly as well,
- 11:39but how do you deal with this mentally? You know,
- 11:45you have a biologic and it obviously changes
- 11:49your body. It has its side effects. But how do
- 11:52you deal with that mentally to not just be fully
- 11:54sort of healed, right? Like, are you sort of
- 11:59constantly thinking about, oh, wow, you know,
- 12:00like when is that next flare going to happen?
- 12:03Or have you developed some sort of mental blockage
- 12:06and you just take them as they come without worrying
- 12:10too much, you know, about what's happening in
- 12:12the future? I think it's kind of a mix. Like
- 12:16I can say, like, I definitely drank a lot more
- 12:18before I was diagnosed with Crohn's. And like
- 12:20now I just don't see as much of a point in that,
- 12:23honestly, because I'm just like, like, if it's
- 12:25just going to like cause me to like be in bed
- 12:27the whole next day or my stomach hurt, it's just
- 12:30not worth it. So there's certain things that
- 12:32I'm definitely just changed and like cared more
- 12:35about since being diagnosed because I think.
- 12:38you know before I could be like oh I'm like young
- 12:40and I'm healthy and like I should do that but
- 12:42now it's like oh like I'm kind of not healthy
- 12:45so it's definitely yeah and the Remicade like
- 12:48damages your liver so horribly and like just
- 12:51it's kind of like the give and take which is
- 12:53tough for me because I feel like it's hard being
- 12:57on a medication that's helping your Crohn's but
- 12:59is also kind of like hurting your body in other
- 13:01ways too which has been one of the hardest parts
- 13:03for me personally yeah Well, keyword body there,
- 13:07actually, you mentioned it already and it's what
- 13:10I want to ask you next. After your diagnosis,
- 13:13what sort of lifestyle changes have you made
- 13:16physically beyond maybe drinking less? Number
- 13:21one is, what kind of lifestyle changes have you
- 13:25made? And then second, how do you deal with that
- 13:29mentally? This idea, you know, that your body
- 13:32is still continuously working against you. I
- 13:36would say I'm just a lot more cautious of like
- 13:38what I'm putting in my body, like food. I feel
- 13:41like I'm definitely more on like my supplements
- 13:43and doing all those things. I have like a whole
- 13:45little like supplement thing that I feel like
- 13:47I'm like 90 years old. And I honestly think I'm
- 13:49just better at like kind of listening to my body
- 13:53when like I feel like before I used to like push
- 13:55myself and like go out if someone wants me to
- 13:58come out with them or. You know, things like
- 14:01that where I'm definitely much more in tune with
- 14:03my body of like, no, like I need to rest tonight
- 14:05or like I'm not going to be able to function
- 14:07tomorrow. Although that's just because of like
- 14:09my fatigue or if I'm in a flare or things like
- 14:12that. So definitely my relationships with like
- 14:15my friends have changed on like a bad way, but
- 14:18just kind of not being able to like do as much
- 14:20all the time, especially if I'm not feeling well.
- 14:23And in what way are they understanding what you're
- 14:26going through? In what way sort of does your
- 14:29Crohn's impact that aspect of your social life?
- 14:32Yeah, I think my friends are pretty understanding.
- 14:34It's like hard because I don't expect them to
- 14:36fully understand because I just don't think you
- 14:37can without being in it. But I would say I have
- 14:40pretty supportive friends. So that's been like
- 14:43not an easy part for me mentally, but like they've
- 14:46been very receptive and like understanding of
- 14:47it. You talk quite a bit about your body, and
- 14:50correct me if I'm wrong, but you're pretty much
- 14:53into fitness, right? Okay, great. So fitness
- 14:57requires energy, and IBD is one of the diseases,
- 15:03and you mentioned it, there's often fatigue associated
- 15:06with it that sort of sucks the energy out of
- 15:08you, right? So as somebody who's very active,
- 15:12how is Crohn's impacting your passion for fitness?
- 15:18I think that's been one of the toughest things
- 15:20because like, for example, I haven't been to
- 15:21the gym probably in like a week and a half, two
- 15:25weeks, which it's led to a lot of inconsistency
- 15:27for me, which frustrates me. I definitely get
- 15:31frustrated when I'm not feeling my best and I'm
- 15:33just like, I know I can't push myself. And I
- 15:36used to push, like I was just saying before I
- 15:38was diagnosed, I went, when I like almost couldn't
- 15:41walk, I like remember going to the gym that day
- 15:43before I was diagnosed and I had to leave because
- 15:45I was like. oh like I'm not good so like now
- 15:48I'm much more like it still frustrates me a lot
- 15:51of not being able to always be like that consistency
- 15:54because it just helps my mental health too going
- 15:56to the gym um but I'm much better at like resting
- 15:59but I would I'd be lying if I had said if it
- 16:02didn't like make me frustrated and upset most
- 16:06times I can't always be as consistent as I would
- 16:08like to be I've talked to some people who actually
- 16:11say that even when they're flaring and the pain
- 16:13is not too bad, they actually continue with light
- 16:16exercising because for them, it for some reason
- 16:20helps. Is that the same case for you? Or do you
- 16:22sort of just kind of really retract and really
- 16:26give your body just plain rest when you're in
- 16:29a flare? I'd say it's a little bit of both, depending
- 16:31on the flare. When I'm like super bloated and
- 16:35like distended and I like I almost get like short
- 16:37of breath when I also have asthma. So like when
- 16:40I'm working out and I'm just super distended
- 16:42and like a little bit of crampy, like I almost
- 16:44feel like I can't work out the best of my ability.
- 16:47And like I almost feel like winded super quickly.
- 16:50And it's like, yeah, I just I need to like take
- 16:54the day. But it depends. I would say like with
- 16:56fatigue, sometimes I like try to push through
- 16:58like my body is feeling OK, but I'm just a little
- 17:00tired because usually. working out will give
- 17:02me that spark of energy but yeah so I guess it
- 17:05kind of depends on the flair and like what's
- 17:07going on specifically but yeah so you kind of
- 17:09like found the balance based on exactly how you
- 17:12feel and then you just complement it with either
- 17:13more rest or more you know working out and kind
- 17:16of yeah I only know like how important like working
- 17:20out is now like now with Crohn's like I want
- 17:22to be able to like build muscle and have a strong
- 17:24body and like have that too so I kind of look
- 17:27at it as like a whole lifestyle and like I want
- 17:30myself in like 25 years to be able to still be
- 17:34like strong and capable even with Crohn's so
- 17:36that's a lifestyle change right there another
- 17:38one you know so that's that's good yeah now you
- 17:41you were pretty young when you were diagnosed
- 17:44but at the same time you know I don't think this
- 17:46matters whatever age you are unless maybe you're
- 17:49diagnosed as a kid because then lots of times
- 17:52you're not able to fully process what is actually
- 17:54happening to you but you were 24 and And an IBD
- 17:58diagnosis always changes a person 100%. And,
- 18:02you know, you don't have to wait 10 years to
- 18:03come to a conclusion about what changed for you.
- 18:06So your Crohn's, how has it sort of changed you
- 18:10as a human being based on who you were before
- 18:12your identity? I think I see life as more fragile.
- 18:18A lot of people, because I'm like 27, I feel
- 18:20like a lot of 27 -year -olds kind of think life
- 18:23is. they're just kind of like naive to it and
- 18:26think nothing bad can ever happen. And I was
- 18:27kind of like that. Like you never think your
- 18:29health is going to be in question. And I say
- 18:31this all the time. Like when I was in that waiting
- 18:33period of like not knowing what was going on
- 18:36when I was like in my worst flare before I was
- 18:38diagnosed, I like nothing else mattered in my
- 18:42entire life. Like I, when your health is in question,
- 18:44like it shifts your perspective of like what's
- 18:47actually important. So I think now I'm just much
- 18:49more. cognizant of like life is a very fragile
- 18:53thing and you should be really thankful if you
- 18:55have like a body that's like functioning correctly
- 18:57and and well and I'm thankful for the Remicade
- 19:01even though it's given me like some issues overall
- 19:03like it's helped me kind of get my life back
- 19:06a little bit and not be in excruciating pain
- 19:08every day yeah it's kind of like that give and
- 19:10take like I said before of like but you're also
- 19:12putting this thing in your body that's not the
- 19:14best for you but it's also like healing you in
- 19:17a sense like this weird concept What's the relationship
- 19:21now with your body and your body image? I think
- 19:26when I was first diagnosed, I kind of had the
- 19:31perception of like, I feel you have a lot of
- 19:35like, why is this happening? Why is my body kind
- 19:38of attacking me? It almost feels like you're
- 19:40a prisoner in your own body, which I think is
- 19:42like a really complicated thing to explain to
- 19:44someone who's never experienced it. But then
- 19:47I was listening. I don't know if it was, like,
- 19:49a podcast. Maybe it was, like, six months ago.
- 19:50And the person was talking about how, like, your
- 19:54body is not, like, fighting against you. It's
- 19:56almost like it was trying to give you these warning
- 19:57signs that something wasn't right. And, like,
- 20:00so I try to, like, put in a sense of, like, my
- 20:02body was trying to, like, tell me something really
- 20:04important rather than, like, attacking itself.
- 20:06Even though, like, sometimes it can really feel
- 20:08like my body just, like, hates me. And I'm like,
- 20:10why? And you just, like, think, like, what, like,
- 20:13led to me getting. this diagnosis or like, when
- 20:17did it kind of start? Or I have so many questions.
- 20:20Cause my emo GI was like, even though maybe you're
- 20:23having a symptoms for two years, like you could
- 20:25have, this could have started brewing like years
- 20:27and years prior. Like we just would never know.
- 20:29Have you received or found any answers to some
- 20:32of those questions? Not really. I like try to
- 20:35think back in like my own life. Like when I feel
- 20:38like, like I was definitely experiencing, like
- 20:40I brought up to my doctor for the first time,
- 20:42like two and a half years. before I was diagnosed
- 20:44so I know it was like that long which is crazy
- 20:47to think your body was like going through all
- 20:49that stress and you had like no idea but yeah
- 20:52I don't I don't I can't think of like anything
- 20:54that would have I don't know it's like so many
- 20:57different things cause it right like genetics
- 20:59and environmental factors and but it's just yeah
- 21:02but my brother having it is super interesting
- 21:04because I guess if your sibling has it you're
- 21:0650 % more likely to get it so then you cannot
- 21:10really pinpoint any sort of specific stressful
- 21:13event or something happening in your life? Because
- 21:16it's also so interesting to me that you say,
- 21:17well, it tends to kind of bother me more in like
- 21:20October or in the springtime, right? But you
- 21:24kind of find anything associated basically to
- 21:26those periods of the year or around the diagnosis
- 21:29that something major in your life happened? Nothing
- 21:32really? Well, I think with like the times of
- 21:34year, I guess my GI doctor told me that like
- 21:36changes in season can really affect people with
- 21:38autoimmune diseases. That's like one idea. When
- 21:41I did get first diagnosed, though, I did just
- 21:43graduate grad school. And I was starting like
- 21:46my first real like job within my career. So I
- 21:50feel like there was stress around that. And I
- 21:51had traveled a good amount that month. But that
- 21:53was like, those are a couple of big things. Those
- 21:56things almost sound like good stress. And, you
- 21:58know, because there's good stress and bad stress.
- 22:00I always say that I have a lot of good stress
- 22:02and I try to keep away the bad stress. But yeah,
- 22:06seasons thing, that's interesting actually. I
- 22:09guess it just depends on people's bodies being
- 22:12more susceptible to seasonal changes. But I hope
- 22:16for you that you kind of at one point maybe get
- 22:17some of these, find some of these answers and
- 22:20have more clarity. You said that your friends
- 22:23are pretty supportive of your IBD. I'm pretty
- 22:27sure your family is too. So as someone who receives
- 22:32such great support, What would you tell people
- 22:38who love someone with IBD or who know someone
- 22:42with IBD that they're close to who don't really
- 22:44know how to support them, right? Or to approach
- 22:48them? Because I think like people like us with
- 22:52IBD who have great support, we sort of know what
- 22:56it's like, right? So what advice would you give
- 22:59people on how to support someone? the best way
- 23:03possible with IBD I would just say like supporting
- 23:07them but also like not be like so super overbearing
- 23:11or like always kind of like I think my biggest
- 23:14thing is like my friends know I don't always
- 23:16need to like talk in depth about it but I can
- 23:18just be like hey like I'm not feeling well like
- 23:19xyz and they'll you know say if I need anything
- 23:22or things like that but like I don't need the
- 23:24constant like attention so I would just say like
- 23:26give them grace and like support them how you
- 23:29know best because I know everyone's different
- 23:30maybe some people like more of that like support
- 23:32and like the check -ins all the time I know some
- 23:34of my friends do that but it's not something
- 23:36I necessarily need but I do appreciate it so
- 23:38I think just giving them grace and depending
- 23:40on like the relationship you have with them just
- 23:42seeing if they need anything or even if it's
- 23:45like oh you can't come out tonight like would
- 23:47you want company or do you want to just be alone
- 23:49and just kind of like I know sometimes I just
- 23:51rather be alone but yeah You're pretty outspoken
- 23:54about your IPT. I mean, we connected through
- 23:58TikTok and most of your content is sort of like
- 24:02about your IBD journey. How did it come to that?
- 24:06Like what triggered you to, you know, not just
- 24:10battle your IBD, but to also share your experience
- 24:15and talk about it so openly? Yeah, I think it's
- 24:20because I also like... waited so long to go to
- 24:23the doctor and get diagnosed that I was like
- 24:25I'm trying to like advocate for people of like
- 24:27if something's not right like go to the doctor
- 24:30and I also think there's just like power in sharing
- 24:33your story of like something that's like kind
- 24:35of debilitated you in a sense of like trying
- 24:37to take that power back and making a platform
- 24:39off of it and just sharing more awareness about
- 24:42it because I don't think it's talked about enough
- 24:44and I think like I said like I never thought
- 24:46like it would happen to me so most people that
- 24:50think that way too. So, which I don't blame them.
- 24:52I think just like taking my power back in the
- 24:55sense of like, okay, if I'm going to have this
- 24:56disease, I might as well like make content about
- 24:58it and make other people feel better. And I feel
- 25:00like that's like a big thing I've seen on TikTok.
- 25:02It's like, I mean, social media can have its
- 25:04good and bad, but I think the community on TikTok
- 25:08with like IBD is like really supportive. And
- 25:11I think it's helped me a lot. And it's almost
- 25:13like an outlet for me to just like rant sometimes
- 25:16about like frustrations and things like that.
- 25:19Well, frustrations, that's another keyword here.
- 25:22And I agree with you, the TikTok IBD community
- 25:25is really great. But, you know, you do have your
- 25:27occasional person with or without IBD who sort
- 25:30of throws something out there that's just sort
- 25:32of, I don't want to say stupid or dumb, but yeah,
- 25:36maybe that's the perfect word to describe it.
- 25:38But it's also often connected to sort of misconceptions
- 25:42around IBD. As someone who is active on the platform
- 25:47yourself, who's probably receiving lots of comments
- 25:50and was probably also seeing sometimes opinions
- 25:53that are considered potentially, well, you know,
- 25:55dumb or ignorant. What are some of the most common
- 25:58misconceptions for crones for you that you sort
- 26:00of keep seeing? I think people like only think.
- 26:06It's like stomach issues where like it's really
- 26:08like a whole like it affects your whole body
- 26:10in different ways. I also see like a lot of weird
- 26:13takes about like people kind of pushing that
- 26:16you don't need a medication and you can heal
- 26:18your Crohn's or ulcerative colitis holistically,
- 26:22which I have a lot of feelings about just because
- 26:24I think it's a dangerous message to like promote
- 26:26online. Like if that's something you choose to
- 26:28do. Yeah. Talk to me about that. Like you say
- 26:30you have feelings about it because I see them
- 26:31too. And I'm just wondering why. What's the agenda
- 26:33behind it? So what's your feeling there? My big
- 26:36thing is a lot of people come on here and be
- 26:38like, I don't want to be on medication the rest
- 26:39of my life. So I'm going to try to change my
- 26:42Crohn's and heal it holistically. And I'm like,
- 26:44nobody wants to be on medication the rest of
- 26:48their life. Like if I had a choice, I wouldn't
- 26:49want to be. But my health long term is much more
- 26:53important to me than like risking. going off
- 26:58medication and potentially having like an obstruction
- 26:59or like needing surgery. Like those are real
- 27:02things. And it's just not like a disease that's
- 27:05just like going to go away. And I think that's
- 27:07like a whole other misconception. My brother
- 27:09also works in GI. So like, I also know a lot
- 27:11about things like that. So I think it's just
- 27:14a huge misconception of like, don't need medication
- 27:19or you could heal it holistically or just eat
- 27:23whole foods and you'll heal it. I'm just like,
- 27:25yeah. It's interesting. You just sort of build
- 27:29a segue into my next question. But through your
- 27:32brother, you said he works in GI. You work as
- 27:35a mental health counselor. Is that correct? Okay.
- 27:38So as a mental health counselor, in what way
- 27:43has your studies or your career so far helped
- 27:47you in dealing with your disease from a mental
- 27:50point of view? I'm very much like into like the
- 27:54whole body connect. is connecting with your brain
- 27:57and like mental health impacts physical health
- 28:00and physical health impacts mental health, which
- 28:01I've definitely seen over the last couple of
- 28:04years for me. But I definitely think I'm also
- 28:08value going to therapy myself. And just having
- 28:11that space to just sometimes rant quite frankly
- 28:14about having a chronic illness and how much the
- 28:18physical part of me has impacted like my mental
- 28:21health. But I definitely, yeah, I just view everything
- 28:25like. like a whole, your brain affects your gut
- 28:28and things that are like, if you're feeling more
- 28:30depressed or anxious, that's directly going to
- 28:32correlate to like maybe having a flare or things
- 28:35like that. So I definitely see it as a more whole
- 28:38body experience. And I feel like it's helped
- 28:40me with my work in a sense of like being a therapist
- 28:44of like seeing it when my clients are maybe going
- 28:47through more like health stuff and seeing how
- 28:49it's affecting their mental health. So it's helped
- 28:53me see a different point of view as well, kind
- 28:54of experiencing it firsthand. Would you agree
- 28:58with me or disagree with me that mental health
- 29:01comes in a little bit too late when talking about
- 29:07IBD? I would say so, yeah. I think it's something
- 29:09people don't talk about a lot. When we're really
- 29:12sick, it kind of just takes over our identity.
- 29:15And if I'm always sick, like, okay, of course
- 29:19I'm going to be sad all the time or really down
- 29:21or... Or I can't go out. So like, I can't go
- 29:23socialize with my friends. So it almost becomes
- 29:25like your lifestyle and you're not seeing that
- 29:27like, oh, like maybe you're not doing well. And
- 29:31if you talk to somebody or your mental health
- 29:33is not great. So I think it's like easy to kind
- 29:36of make excuses of why you're feeling sad, because
- 29:38I feel like there's a lot of reasons to feel
- 29:41depressed or sad or anxious when you're having
- 29:43a condition like this. And it's kind of just
- 29:46normalized. If you could go back now to when
- 29:51you were diagnosed with what you've experienced
- 29:53since, what would you tell that person on the
- 30:00day of her diagnosis? I would say everything's
- 30:04going to be okay and you'll figure it out. I
- 30:06think at first, there's a lot of things thrown
- 30:09at you when you're first diagnosed and you're
- 30:11dealing with all this health stuff like I'd never
- 30:14experienced ever. So it definitely felt overwhelming.
- 30:18And I would just tell her that like, it will
- 30:20all work out. And like starting a medication
- 30:24is definitely going to like change your life.
- 30:26Because at first I was kind of like, what if
- 30:28the medication doesn't work? And then what? And
- 30:30yeah. And so my final question, that's what I
- 30:34always have to throw in here because it's very
- 30:36interesting to get different perspectives and
- 30:37opinions is, you know, do you think that we will
- 30:40see a cure to IBD in our lifetime? Oh, I don't
- 30:44know. I don't. I think, but it's possible. I
- 30:49feel like my brothers mentioned this to me of
- 30:50like, like we were talking about like all the
- 30:53new medications and definitely like more research.
- 30:55I think the cure will come eventually. I don't
- 30:57know in our lifetime, but I would hope so. I
- 31:00think it'd be definitely cool to see. And I,
- 31:03if anything, I think treatment will evolve a
- 31:07lot over the course of my life. Cause like now
- 31:10I go for insusions every eight weeks, but like,
- 31:12I think, you know. Maybe it will change over
- 31:14time of like different. I know there's like an
- 31:16injection now for Remicade actually. There is.
- 31:19Oh, wow. Okay. It's super new. I think you have
- 31:22to do it every two weeks though. An injection.
- 31:24But yeah. So I definitely think there'll be different
- 31:28treatments and definitely more research and like
- 31:32clarity on things. I'm on the same boat as you.
- 31:35I do believe that a cure is out there somewhere
- 31:37and it may happen, but I am also a little bit
- 31:41pessimistic about our lifetime. If anything,
- 31:43maybe in our lifetime, there'll be a way to slow
- 31:47things down a little bit or to slow the spreading
- 31:50of IBD. I think that could be a first positive
- 31:53step. But yeah, I think at least sort of our
- 31:57generation will kind of have to continue to deal
- 31:59with Remicade or other biologics. Victoria, thanks
- 32:04so much for talking to me about your disease
- 32:05today. That was really great and inspiring. I
- 32:08wish you nothing but the best. I hope your Remicade
- 32:11will actually continue to work for as long as
- 32:12it can. I really hope so. And then also, please
- 32:16do give my best to your brother, who's a fellow
- 32:20IBD warrior. And for you, wishing you nothing
- 32:23but the best moving forward. And hoping that
- 32:26those flares will sort of like become more few
- 32:29and far in between. Thank you so much. Thanks
- 32:31for having me. That's it for today's episode
- 32:33of Kaleidos Unfiltered. I'm Frank Tabering. And
- 32:37if this hit home or hit your gut, do us a favor.
- 32:40Subscribe to the show and follow us at Kaleidos
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- 32:50inspiring stories from the bathroom floor.