WEBVTT

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It made me see how strong and capable I was in

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certain ways. I did find it eventually to become

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empowering. It definitely taught me the importance

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of listening to your body, to your intuition.

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You know, even when you have doctors telling

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you certain things, advocate for yourself. I

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cannot stress that enough. Advocate for yourself.

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Welcome back to Colitis Unfiltered. My name is

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Frank Tabering, and today I have the pleasure

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of speaking with Jamie, who got diagnosed with

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ulcerative colitis at age 25 in Chicago, Illinois.

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Jamie, it's a pleasure to have you on the show

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today. Thank you for having me. So let's dive

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right into it. We're going to talk about colitis

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today, and colitis, well, mostly starts with

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symptoms. Going back for you, at age 25, what

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were the first symptoms that showed up? What

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indicated to you that there was something wrong?

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Well, it's actually kind of a funny story. I

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had every symptom by the book, you know, the

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abdominal pain, diarrhea, just you name it, the

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bloating. If it was on WebMD, I had it. And I

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actually, eight months prior to getting diagnosed,

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I diagnosed myself on my lunch break at work

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and I called my mom and I said, oh, my gosh,

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I think I have ulcerative colitis. And she was

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like, oh, Jamie, like she thought I was being

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dramatic. Right. And and she was like, if you

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actually think that you need to go to the doctor

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and get that looked at. And I was like, yeah,

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no, I'm probably not going to do that because

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what if something's wrong? And then I. Ended

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up getting a really bad reaction on my legs.

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And so they gave me a dose of prednisone where

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it's like, you know, the 5, 4, 3, 2, 1 pack.

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And when I got down to the one, the rash flared

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up again. So they gave me another pack. And then

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I was really good. Like I felt good for months

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after that. And so I never went. I never went

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to the doctor. I later found out that prednisone

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was one of the only medications that worked really

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well for me. So I had a really interesting start

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to what I was feeling and then in a lot of denial

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about. So you're probably the first person that

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I heard who actually self -diagnosed. you know,

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colitis, especially it's a complex disease. At

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least when I was diagnosed, that was the first

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time that I've ever heard of it. And I'm sure

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it was the same for you, but you picked up your

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knowledge from the internet, right? Well, yeah,

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I had never heard of it. I just like typed in

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my symptoms in Google and that came up. I had

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never heard of ulcerative colitis. I had heard

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of Crohn's, but I had never heard of ulcerative

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colitis prior to my WebMD search. And then when

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I actually got diagnosed with it was the first

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time that I really was like, oh, OK. And then,

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you know, started hearing about other people

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having it and learning more about it. But it

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was completely foreign to me initially. And I

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didn't even go to the doctor then. Like I said,

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I. When I took that prednisone, I mean, I felt

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like I was on top of the world again. It was

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just the kick I needed to mask the symptoms at

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the time. And so I had gone to my hometown for

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this little festival, this like Halloween festival

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they have every year. And I was 25 and I just

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turned 25 and hanging out with my friends and

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having fun on Friday night. And felt totally

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fine. And then the next morning, I woke up. And

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I didn't think that I had had that much to drink.

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But I definitely was, you know, cutting up and

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letting loose a little bit. So I thought, oh,

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maybe I did overdo it a little bit. And thought

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I was hungover. And as the day went on, I felt

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worse and worse and worse. And tried to eat.

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And that made me feel even more sick. And so

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I thought, oh, my gosh. must have the flu. I

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was teaching second grade at the time and it

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was end of October. So, you know, we're starting

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to get into cold and flu season and a lot of

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my kids were sick. And so I thought, oh, I must

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have what, you know, what's going around with

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my students. So by about Wednesday, I was like,

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I don't actually think this is the flu. I'm Every

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day I'm feeling worse instead of better. I better

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call the doctor. And so I did. And they did some

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blood work. And of course, my white blood cell

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count was like outrageous. And my doctor said,

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I want you to go and see this GI. And so I had

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to wait almost another week. I finally get into

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the GI and he's an older gentleman and he tells

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me he asked me what my symptoms are and I kind

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of fibbed about them because I was raised very

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like girls don't talk about those things you

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don't share and he said you know your your symptoms

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don't seem real severe but you look like you

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don't feel that well. I think he kind of like

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knew I was embarrassed to be totally honest about

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what was really happening. And he said, you have

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to have a colonoscopy. And I started laughing.

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I was 25 years old. I started laughing. I said,

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no, cancer patients and old men have colonoscopies.

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Not me. I'm young. I'm healthy. And he said,

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well, cancer patients, old men, and you have

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colonoscopies now. I said, okay. So I called

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my parents and told them what was going on. Because

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of course, they're worried sick. They live like

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five hours away from me at the time. My mother's

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really worried. What's going on with you? So

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they came up because I needed a driver for my

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colonoscopy, my first of many colonoscopies.

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And I had a huge phobia of needles at the time,

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like a full -on panic attack getting my first

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IV, which is important too, a little later. And,

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you know, my dad's upset watching this all go

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down. He starts to get choked up. He has to leave.

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My mom like puts on the mother warrior face,

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you know, like you just have to do this. You

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have to get through this. We have to find out

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what's going on. So I have my colonoscopy and

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my doctor, my GI comes out and he tells me, I

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don't know how you've been living like this.

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You are the worst I have ever seen undiagnosed

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in my entire career. It is the the damage from

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the ulcerative colitis is all the way through

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your entire colon already. And he slid a Valium

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script across the table to me. He said, get this

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filled. You're going to need it because you have

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a lot more needles coming your way because you

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witnessed my IV meltdown. Now I can take a shot,

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get an IV with no problems. I've come a long

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way, but. You know, that was like my biggest

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medical fear at the time, which is just so hysterical

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to me now because I've been through so much and

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I've had so much trauma since that it's just

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like, you know, I look at myself like, oh, that

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poor girl, you know, she had no idea, no idea

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what was coming in the next year. But yeah, that's

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how it started. And it just got a little crazier

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from there. That's great. And we're going to

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get to that there. I got to tell you, it's been

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12 years now that I've been diagnosed. I was

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29. But still to this day, I can't with the needles.

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So I still load up on glucose every infusion

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I have for my biologics just to make sure my

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body doesn't trick me into want to faint. And

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so I can definitely relate to that part. Obviously,

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by the time you saw this GI and by the time you

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got officially diagnosed, at least you heard

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of colitis at that point. But hearing an unofficial

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diagnosis, hearing somebody say that the condition

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of your intestines is very dramatic, for the

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lack of a better word, what went through your

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mind when he said that? In one sense, I was relieved

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that I had a diagnosis and a care plan set in

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place. I'm very like results driven, but I was

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probably in a little bit of denial slash didn't

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fully understand what was coming or what that

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meant for me. I didn't fully understand how sick

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I was. I don't even know if I processed how truly

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sick I was until well after. I was, I would say

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like through it, like after my surgeries and

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stuff, you know, and, and I remember multiple

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people telling me like, well, at least you don't

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have cancer. You know, it's like, well, yeah,

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I mean, you're comparing apples and oranges here

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a little bit, you know, it's like, that was always

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like a confusing reaction or response for me.

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And I never knew like, what to say to it, or

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you would get things like, um, oh, wow, I need

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to, you know, I need to get what you have so

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I can lose the last like baby weight or, you

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know, people, people just say these like really

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wild things to you. And, and I think a lot because

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they don't know what to say, but you're trying

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to process what you're going through and understand

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it. And then you have people saying these ridiculous

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things to you, even though they, they mean well.

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It's an interesting place to sit at. Yeah, for

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sure. For sure, for sure. So you kind of gave

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it away. That diagnosis obviously was not the

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end of your IBD journey. You mentioned surgeries.

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That's eventually where you ended up. Can you

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basically take us through the timeline between

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your diagnosis and then where you are today?

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Did your GI start you off with just five ASAs,

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prednisone, biologics? Did he tell you, listen,

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the damage is so bad that we'll have to go to

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surgery right away? What was that path like from

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then to where you ended up surgery? So we're

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into November now. That was October. We're into

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November now. And he said, you know, there's

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this great drug. I'm going to put you on and

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it should work. And it was... azacol and i took

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it for about three days and i thought wow like

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i'm getting so much relief and when i got hospitalized

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it got way worse i was in the hospital for like

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four or five days getting back on my feet and

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feeling good again from the um iv antibiotics

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and um they released me and they put me on lealda

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and Same thing happened. I was on it for like

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three, four days and then got hospitalized again,

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spent Thanksgiving in the hospital. And they

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realized that I probably had a mesalamine allergy

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and the drug wasn't going to work. And they just

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pumped up the prednisone. So the GI issues, actually

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felt, I felt pretty good. And I went on a really

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strict diet and, uh, you know, at one point I

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was up to like 70 milligrams a day or something

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like that of prednisone. It was a lot. So it's

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like, my belly's feeling great, but you're getting

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joint pain. You're not sleeping well. You know,

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my face, I was so thin from being sick, but my

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face looked like you put a pin in and I would

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just like pop like a balloon, you know? And,

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uh, Then I just kept having flares. Then it got

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to a point where the prednisone wasn't really

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working anymore. And my doctor was like, we can't

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put you on more prednisone. You're like maxing

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out at this point. So we started Remicade and

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it was working really well for a while or so

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I thought. And then it seemed like my symptoms

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were starting to flare up again. So along with

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the Remicade, he went old school and prescribed

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me sulfur drugs. around June of that year. And

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I thought I was doing really well. And I had

00:13:09.149 --> 00:13:12.570
gone back home to visit my parents again. And

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I woke up one morning and I called my mom at

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work and I said, you've got to, you have to come

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home. Like something is severely wrong. And my

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parents live in Southern Illinois. So I was about

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five, six hours away from my doctor. So I called

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my, cause there was no way I was going to be

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able to ride in the car for that long. And so

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I called my doctor. I said, you know, I'm six

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hours away. What do I do? And he said, go to

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St. Louis. So we load up in the car. We go there.

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I stayed there for four or five nights. And I

00:13:48.259 --> 00:13:52.779
basically begged them to let me out and let me

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go home because I had been waiting to get into

00:13:56.460 --> 00:14:00.070
this doctor. actually in chicago i was out in

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the suburbs and i had an appointment that i'd

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been calling to try to see this doctor and get

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in and i said i have this appointment coming

00:14:08.549 --> 00:14:13.309
up will you please let me go so that i can go

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to this appointment and they released me from

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the hospital and said yes that's actually a better

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place for you to be if you can get in there that's

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great And so they released me the next day and

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I went straight from the hospital to my doctor

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and told him what was going on. And I got a lovely

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rush hour ambulance ride from my doctor out in

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the suburbs to the hospital in the city that

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I was wanting to, that I was trying to get into

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and was supposed to go to the following week.

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And they admitted me into the hospital. And I

00:14:56.000 --> 00:14:59.919
got a lovely 31 -day stay after that. I got the

00:14:59.919 --> 00:15:03.679
entire month of August and some of September

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in this hospital where I was no longer eating.

00:15:09.919 --> 00:15:17.720
I was being fed by IV. I got my sixth colonoscopy

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in one year. with a nice display you know it

00:15:21.720 --> 00:15:23.980
was a teaching hospital also so I had like six

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med students a fellow the doctor the you know

00:15:27.240 --> 00:15:30.600
had a whole audience for that it was wonderful

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and uh they I got a little bout of c -diff on

00:15:36.600 --> 00:15:39.360
my hospital stay and had an accident getting

00:15:39.360 --> 00:15:42.039
tangled up in my wires trying to get out of bed

00:15:42.039 --> 00:15:45.519
in front of like six people in my room and so

00:15:45.519 --> 00:15:49.769
I had an MRI trying to figure out first make

00:15:49.769 --> 00:15:52.309
sure it's not Crohn's, figure out what to do

00:15:52.309 --> 00:15:56.610
with me. Um, I had during my MRI, they did like

00:15:56.610 --> 00:15:59.789
a whole ink contrast thing and my IV blew out.

00:15:59.909 --> 00:16:02.990
Ink went all over my face and my hair was in

00:16:02.990 --> 00:16:09.309
the tube. Like it was just rough. Yeah. And,

00:16:09.450 --> 00:16:16.230
uh, so my doctor came and talked to me on a Friday

00:16:16.230 --> 00:16:19.700
and he said, These are your options. I'm going

00:16:19.700 --> 00:16:23.059
to think about it over the weekend. One of them

00:16:23.059 --> 00:16:27.559
being cyclosporine or surgery. My doctor said,

00:16:27.600 --> 00:16:29.360
I'm going to think about you over the weekend.

00:16:29.500 --> 00:16:32.639
Let's talk on Monday. So he comes back on Monday.

00:16:32.679 --> 00:16:36.460
He sits down on my bed and he's just the loveliest

00:16:36.460 --> 00:16:41.409
man. gentle, soft -spoken, extremely caring,

00:16:41.629 --> 00:16:43.909
just excellent bedside manner. And he puts his

00:16:43.909 --> 00:16:46.970
hand on my leg as I'm laying there withering

00:16:46.970 --> 00:16:50.289
away. And he says, I've thought about you all

00:16:50.289 --> 00:16:55.090
weekend, nonstop. I just, you know, and I think

00:16:55.090 --> 00:16:58.309
the best option is surgery. And if you want to

00:16:58.309 --> 00:17:00.429
try the other things, I can try to get you into

00:17:00.429 --> 00:17:04.009
a case study. I can, you know, I'll do the cyclosporine

00:17:04.009 --> 00:17:07.029
for you. But I really think that surgery is,

00:17:07.880 --> 00:17:09.980
where we need to go. Sorry, I'm getting a little

00:17:09.980 --> 00:17:17.039
emotional. That was my worst fear and my biggest

00:17:17.039 --> 00:17:20.420
fear come true. Before I had gone to that doctor,

00:17:20.559 --> 00:17:22.519
like when this all started, my sister had gone

00:17:22.519 --> 00:17:25.559
to an appointment with me and with my original

00:17:25.559 --> 00:17:27.680
GI. And we'd gone through like, what's the worst

00:17:27.680 --> 00:17:30.460
case scenario? And of course, at that time, that

00:17:30.460 --> 00:17:33.400
surgery was it. And my sister laughed, just kind

00:17:33.400 --> 00:17:37.150
of. speaking in hyperbole and being silly, said

00:17:37.150 --> 00:17:39.710
to me, oh my God, Jamie, if you end up with a

00:17:39.710 --> 00:17:42.369
bag, you'll never get another date again. And

00:17:42.369 --> 00:17:45.950
of course, we didn't fully understand what that

00:17:45.950 --> 00:17:49.170
was. And she was just kind of being a silly big

00:17:49.170 --> 00:17:51.950
sister or whatever. And we never thought it would

00:17:51.950 --> 00:17:54.470
get to that either. But of course, now I'm laying

00:17:54.470 --> 00:17:58.849
there in that bed and I'm 25 and single and I'm...

00:17:59.629 --> 00:18:02.089
terrified and that's all I can hear is her voice

00:18:02.089 --> 00:18:04.670
in my head and of course when she found out that

00:18:04.670 --> 00:18:06.869
was what was happening she called me she said

00:18:06.869 --> 00:18:08.589
I instantly thought of that and I'm so sorry

00:18:08.589 --> 00:18:11.630
and I didn't mean it and it's not true and you

00:18:11.630 --> 00:18:14.150
know that I think the guilt was pretty high for

00:18:14.150 --> 00:18:18.089
her and Also, I knew the side effects of how

00:18:18.089 --> 00:18:21.069
that could impact like fertility or ability to,

00:18:21.069 --> 00:18:24.089
you know, conceive. And so that's racing through

00:18:24.089 --> 00:18:26.710
my mind at the time. I had always really wanted

00:18:26.710 --> 00:18:30.869
to be a mother. And so it's including all of

00:18:30.869 --> 00:18:33.609
those fears. And my parents at that time were

00:18:33.609 --> 00:18:35.509
taking turns staying in the hospital with me.

00:18:35.549 --> 00:18:38.890
And so my dad was with me that day. After the

00:18:38.890 --> 00:18:44.109
doctor left, he just sat down on my bed. on my

00:18:44.109 --> 00:18:46.950
hospital bed and he said we'll just cry together

00:18:46.950 --> 00:18:54.029
and that's what we did and uh I didn't know that

00:18:54.029 --> 00:18:55.990
day that that was going to be the best thing

00:18:55.990 --> 00:18:58.529
that ever happened to me but it really was it

00:18:58.529 --> 00:19:01.130
it saved my life and it gave me my life back

00:19:01.130 --> 00:19:04.730
um but it was really really scary in the moment

00:19:05.669 --> 00:19:08.910
Yeah, I can imagine. And what a journey, by the

00:19:08.910 --> 00:19:11.670
way. I mean, you basically covered a period of

00:19:11.670 --> 00:19:14.750
one, one and a half years and going through so

00:19:14.750 --> 00:19:18.029
much. It sounds like you were basically on the

00:19:18.029 --> 00:19:20.990
edge nonstop, right? Between periods of feeling

00:19:20.990 --> 00:19:22.730
okay, but then again, landing in the hospital.

00:19:22.789 --> 00:19:26.410
So it was a back and forth. Now, after all of

00:19:26.410 --> 00:19:32.950
this, today, how are you feeling? And, you know,

00:19:33.029 --> 00:19:35.660
I... I think you have a J -pouch now, right?

00:19:35.799 --> 00:19:41.619
So tell me, what is life like with that? And

00:19:41.619 --> 00:19:44.059
how are you feeling? They did it in a three -step

00:19:44.059 --> 00:19:47.099
process because I was so sick. And so in the

00:19:47.099 --> 00:19:50.220
first surgery, they removed my colon and created

00:19:50.220 --> 00:19:53.180
an ileostomy. And so I still had to be really

00:19:53.180 --> 00:19:55.299
careful about what I was eating and letting that

00:19:55.299 --> 00:19:59.000
heal and learning how to take care of my ostomy.

00:20:00.410 --> 00:20:02.230
You know, it's shocking to see your stoma for

00:20:02.230 --> 00:20:05.230
the first few times and all of that. So that

00:20:05.230 --> 00:20:07.309
all happened in that August, September timeframe.

00:20:07.509 --> 00:20:11.849
And then in the following April of 2010, they

00:20:11.849 --> 00:20:15.569
removed the rectum, created a J pouch and a loop

00:20:15.569 --> 00:20:18.589
ostomy. And again, I had to go back to the strict

00:20:18.589 --> 00:20:21.829
diet and letting it heal. But during that time,

00:20:21.849 --> 00:20:24.230
I wasn't taking any medication, just vitamins.

00:20:25.980 --> 00:20:28.420
Just kind of letting my body, focusing on gaining

00:20:28.420 --> 00:20:33.380
weight, letting my body heal and making sure

00:20:33.380 --> 00:20:37.119
that I was strong enough for each step. And a

00:20:37.119 --> 00:20:39.039
lot of doctor's appointments, a lot of tears

00:20:39.039 --> 00:20:43.880
still. And then in July 2010, I had my ostomy

00:20:43.880 --> 00:20:48.539
takedown. And since then, I haven't been on medication

00:20:48.539 --> 00:20:51.910
other than, you know, I've had some. bouts of

00:20:51.910 --> 00:20:54.589
pouchitis here and there and you take antibiotics

00:20:54.589 --> 00:20:58.490
for it but I have really learned my body I've

00:20:58.490 --> 00:21:01.890
learned how to take care of myself and how to

00:21:01.890 --> 00:21:08.609
monitor a lot with diet and it just it's it I

00:21:08.609 --> 00:21:11.150
just keep saying it but it saved my life it gave

00:21:11.150 --> 00:21:15.769
me my life back I I mean I can even eat obviously

00:21:15.769 --> 00:21:19.950
in moderation but salad nuts popcorn doesn't

00:21:19.950 --> 00:21:24.490
bother me like I am just so incredibly lucky

00:21:24.490 --> 00:21:30.130
to wake up most days and feel really good. You

00:21:30.130 --> 00:21:33.029
know, you have to factor in dehydration. That's

00:21:33.029 --> 00:21:36.890
an issue with a pouch. And so monitoring that,

00:21:37.049 --> 00:21:41.710
I was able to have children. I had two. The first

00:21:41.710 --> 00:21:45.630
one, I had to work with a fertility doctor and

00:21:45.630 --> 00:21:50.029
we did four rounds of IUI to conceive him. hormones

00:21:50.029 --> 00:21:53.369
from pregnancy and postpartum definitely have

00:21:53.369 --> 00:21:56.269
had an impact. And I have kind of been in a state

00:21:56.269 --> 00:22:00.190
of chronic inflammation since then with my pouch

00:22:00.190 --> 00:22:02.410
that I'm still currently working through. I just

00:22:02.410 --> 00:22:06.910
had another baby in January. She was a surprise,

00:22:07.130 --> 00:22:11.950
but a wonderful blessing. We just didn't think

00:22:11.950 --> 00:22:14.150
that was an option for us after everything we

00:22:14.150 --> 00:22:19.730
had gone through to conceive our son. you know,

00:22:19.730 --> 00:22:23.430
we're kind of back with the stress that puts

00:22:23.430 --> 00:22:25.710
on your body and the hormone changes and everything

00:22:25.710 --> 00:22:28.230
where, you know, I'm working with my current

00:22:28.230 --> 00:22:32.009
GI on trying to figure out what the best plan

00:22:32.009 --> 00:22:34.670
of action is to, to kind of reel that back in.

00:22:34.730 --> 00:22:39.289
And for pouchitis, we, you know, it's Cipro used

00:22:39.289 --> 00:22:41.569
to be my go -to and that's kind of run its course

00:22:41.569 --> 00:22:45.730
where I started having more negative side effects

00:22:45.730 --> 00:22:49.049
than the the benefits and so we've moved on to

00:22:49.049 --> 00:22:51.329
other things like you know we've done the rectal

00:22:51.329 --> 00:22:54.049
foams and the suppositories and all the other

00:22:54.049 --> 00:22:58.269
fun things and medications that come with um

00:22:58.269 --> 00:23:02.170
the trade -off you know um but we're we're figuring

00:23:02.170 --> 00:23:06.609
it out and i also take a probiotic every day

00:23:06.609 --> 00:23:11.369
um that i have found to be really helpful so

00:23:11.369 --> 00:23:14.619
happy ending More or less, regardless, based

00:23:14.619 --> 00:23:17.279
on what you want. And I want to, before we move

00:23:17.279 --> 00:23:19.599
on, I want to very quickly go back. So a lot

00:23:19.599 --> 00:23:21.839
of people or most people are familiar with ostomy,

00:23:21.960 --> 00:23:25.460
but today you have a J pouch. You and I were

00:23:25.460 --> 00:23:27.960
not doctors, but could you very briefly explain

00:23:27.960 --> 00:23:32.099
to our audience this concept of a J pouch versus

00:23:32.099 --> 00:23:37.180
an ostomy? Sure. So an ostomy is what most people

00:23:37.180 --> 00:23:39.539
are familiar with. It's a bag on the outside

00:23:39.539 --> 00:23:44.799
of your body that you use. for exit, I guess.

00:23:44.819 --> 00:23:49.539
Is that the polite way to say it? And then...

00:23:49.819 --> 00:23:54.099
A J -pouch is basically that internally. So you

00:23:54.099 --> 00:23:57.559
don't have the medical devices and the actual

00:23:57.559 --> 00:24:00.180
physical bag. They take the first part of your

00:24:00.180 --> 00:24:03.259
small bowel and they create what they call a

00:24:03.259 --> 00:24:08.500
J -pouch and essentially create a new rectum

00:24:08.500 --> 00:24:11.940
or reservoir for you. They have to leave a small

00:24:11.940 --> 00:24:15.019
cuff of your rectum because they need something

00:24:15.019 --> 00:24:21.809
to stitch or staple to. then you just learn how

00:24:21.809 --> 00:24:26.250
to reuse your body again, which can be an interesting

00:24:26.250 --> 00:24:32.130
experience. You go traditionally the way you

00:24:32.130 --> 00:24:36.329
would have before having the external bag, but

00:24:36.329 --> 00:24:41.529
you have to change your expectations a bit. It's

00:24:41.529 --> 00:24:43.990
not the way you remember it before you're...

00:24:45.690 --> 00:24:49.450
before your colon is removed but you you know

00:24:49.450 --> 00:24:54.230
a modium can can be your best friend helps and

00:24:54.230 --> 00:24:58.369
just making sure that you're watching your diet

00:24:58.369 --> 00:25:01.529
in different ways than you did with like with

00:25:01.529 --> 00:25:04.529
a uc flare so i had to watch my diet to not um

00:25:04.529 --> 00:25:08.309
irritate the ulcers now i watch my diet to make

00:25:08.309 --> 00:25:11.869
sure that I'm not dehydrating myself and flushing

00:25:11.869 --> 00:25:15.650
my system because you don't have all the things

00:25:15.650 --> 00:25:19.670
in your colon you need to make it make your output

00:25:19.670 --> 00:25:23.690
more formed and you're missing the key bacterias

00:25:23.690 --> 00:25:26.170
and all the good things that are in the colon

00:25:26.170 --> 00:25:31.569
and so it's a lot of carb loading it's a lot

00:25:31.569 --> 00:25:36.460
of It helps to avoid foods that do create more

00:25:36.460 --> 00:25:38.880
gas, drinking through a straw, even though I

00:25:38.880 --> 00:25:42.079
personally choose to still use straws and do

00:25:42.079 --> 00:25:43.740
some of those things, knowing the consequences

00:25:43.740 --> 00:25:46.160
or knowing how to balance it. And a lot of it

00:25:46.160 --> 00:25:50.380
is just learning your body after that. So for

00:25:50.380 --> 00:25:54.000
me, I avoid caffeine because I know that's just

00:25:54.000 --> 00:25:59.839
an unnecessary obstacle for me. Um, but then,

00:25:59.839 --> 00:26:02.799
you know, like I said, I'll have salad or popcorn

00:26:02.799 --> 00:26:04.940
knowing that I might have to balance that out

00:26:04.940 --> 00:26:07.839
a little bit later with eating a sandwich or,

00:26:07.900 --> 00:26:10.680
um, I can't even tell you the, I've probably

00:26:10.680 --> 00:26:13.019
eaten my weight plus some pretzels over the last

00:26:13.019 --> 00:26:16.980
15 years. That's just a really easy, quick go

00:26:16.980 --> 00:26:20.480
-to food or snack for me when I know that I need

00:26:20.480 --> 00:26:26.039
to thicken up output and get myself back on track.

00:26:27.659 --> 00:26:31.119
So a lot of trade -offs. And I think the message

00:26:31.119 --> 00:26:33.500
here is clear because there's a general misconception

00:26:33.500 --> 00:26:37.440
around surgery or on ostomy. And I think also

00:26:37.440 --> 00:26:40.000
Jay Pouch that, hey, they take the colon out

00:26:40.000 --> 00:26:44.980
and I am cured, right? However, in a way, yes,

00:26:45.079 --> 00:26:49.019
but in another way, no. So based on what I'm

00:26:49.019 --> 00:26:51.930
hearing here. Yes, you feel much better. Yes,

00:26:52.130 --> 00:26:54.369
you have had a lot more blessings coming your

00:26:54.369 --> 00:26:56.549
way ever since you've had the surgeries. However,

00:26:56.789 --> 00:27:00.349
your IBD journey does not end there, right? Yeah,

00:27:00.369 --> 00:27:03.250
it's definitely a trade -off, but I would choose

00:27:03.250 --> 00:27:08.130
this compared to how I was living or not living

00:27:08.130 --> 00:27:13.450
prior to surgery every single time. And it's

00:27:13.450 --> 00:27:16.970
just so much about educating yourself and understanding

00:27:16.970 --> 00:27:20.259
your body. learning your cues, knowing how to

00:27:20.259 --> 00:27:23.160
take care of yourself so that it doesn't get

00:27:23.160 --> 00:27:25.700
away from you. And I've, I have personally found

00:27:25.700 --> 00:27:30.660
it to be so much more manageable than what life

00:27:30.660 --> 00:27:33.759
was like with active UC. Now that's not to say

00:27:33.759 --> 00:27:37.279
that there was not a learning curve because there

00:27:37.279 --> 00:27:40.539
definitely was. And it was not an easy transition

00:27:40.539 --> 00:27:43.720
physically or emotionally going through having

00:27:43.720 --> 00:27:49.059
the bag and even transitioning. um from not having

00:27:49.059 --> 00:27:52.019
the external bag anymore and going to the jay

00:27:52.019 --> 00:27:54.000
pouch and like i said learning how to use your

00:27:54.000 --> 00:27:57.099
body again and like being paranoid about not

00:27:57.099 --> 00:28:00.019
having an accident or when i had the bag i would

00:28:00.019 --> 00:28:03.920
constantly ask my friends like i was so insecure

00:28:03.920 --> 00:28:06.960
that i was worried like that you could smell

00:28:06.960 --> 00:28:11.059
it or that you could see it or and also at that

00:28:11.059 --> 00:28:15.940
time there was not the positivity around having

00:28:15.940 --> 00:28:19.160
an ostomy or being open talking about these things

00:28:19.160 --> 00:28:21.500
like there is now like I get on Instagram now

00:28:21.500 --> 00:28:23.779
and I see these girls in their swimsuits and

00:28:23.779 --> 00:28:25.900
these adorable outfits with their bag out and

00:28:25.900 --> 00:28:30.339
I just think like it's so awesome it's so inspiring

00:28:30.339 --> 00:28:34.140
and I just was not in that place and I didn't

00:28:34.140 --> 00:28:40.700
have anyone to look to when I was in that place

00:28:40.700 --> 00:28:44.680
in my journey to like inspire me In connection

00:28:44.680 --> 00:28:47.339
to this, you mentioned that one of the good things

00:28:47.339 --> 00:28:50.019
that came out of this entire ordeal that you

00:28:50.019 --> 00:28:52.960
went through is that you learned a lot more about

00:28:52.960 --> 00:28:55.940
your body, a lot more conscience about your health.

00:28:56.440 --> 00:28:59.539
I always refer to it as a blessing and a curse,

00:28:59.680 --> 00:29:03.400
right? There's bad when we are at our worst,

00:29:03.500 --> 00:29:05.759
and then when we get better, either through surgery,

00:29:05.819 --> 00:29:08.000
through remission, there's a lot of good that

00:29:08.000 --> 00:29:11.359
comes from it. In your case, how do you relate

00:29:11.359 --> 00:29:14.000
to that thought of it being a blessing and a

00:29:14.000 --> 00:29:17.640
curse? And also your journey, how has it changed

00:29:17.640 --> 00:29:22.440
you as a person fundamentally? As far as the

00:29:22.440 --> 00:29:24.920
curse, that's pretty obvious. It's a rough journey.

00:29:25.019 --> 00:29:29.279
So, you know, it's self -explanatory. The blessing,

00:29:29.279 --> 00:29:32.180
though, I think it made me see how strong and

00:29:32.180 --> 00:29:36.319
capable I was in certain ways. I did find it.

00:29:36.589 --> 00:29:40.029
eventually to become empowering. It definitely

00:29:40.029 --> 00:29:43.009
taught me the importance of listening to your

00:29:43.009 --> 00:29:48.089
body, to your intuition. Even when you have doctors

00:29:48.089 --> 00:29:50.650
telling you certain things, advocate for yourself.

00:29:50.730 --> 00:29:55.480
I cannot stress that enough. advocate for yourself

00:29:55.480 --> 00:29:58.519
if you feel something is wrong something is off

00:29:58.519 --> 00:30:01.539
because i had my main doctors i had really incredible

00:30:01.539 --> 00:30:04.640
care but i've met er doctors along the way when

00:30:04.640 --> 00:30:06.940
i've been in you know when i've had a bump along

00:30:06.940 --> 00:30:09.059
the way on a weekend or in the middle of the

00:30:09.059 --> 00:30:11.740
night or whatever you know or an urgent care

00:30:11.740 --> 00:30:16.720
doctor that you advocate for yourself and feel

00:30:16.720 --> 00:30:21.240
strong in your voice and share your story Because

00:30:21.240 --> 00:30:25.279
it's not something to be embarrassed of or feel

00:30:25.279 --> 00:30:29.400
shame about. It's unfortunately a very common

00:30:29.400 --> 00:30:33.359
issue for a lot more people than we realize.

00:30:33.460 --> 00:30:36.160
And I think it's so important that we stick together

00:30:36.160 --> 00:30:41.240
and we support each other. And there's just so

00:30:41.240 --> 00:30:43.700
much healing in that. And I think that's some

00:30:43.700 --> 00:30:47.980
of the blessing is the community that you can

00:30:47.980 --> 00:30:50.200
find in it, that you don't have to suffer alone.

00:30:50.750 --> 00:30:52.710
Absolutely. And you hit the nail on the head.

00:30:52.829 --> 00:30:56.769
This is exactly my main point as well. I always

00:30:56.769 --> 00:30:59.910
say, put your foot down, speak up for yourselves.

00:31:00.890 --> 00:31:04.089
Not every doctor is equal. Not every doctor,

00:31:04.109 --> 00:31:07.369
not even every GI is a colitis, Crohn's or IBD

00:31:07.369 --> 00:31:09.930
specialist. You need somebody who is proactive.

00:31:10.049 --> 00:31:12.549
And if you feel that they're not proactive enough,

00:31:12.769 --> 00:31:17.200
just be relentless. Because somebody out there

00:31:17.200 --> 00:31:19.420
will listen to you. And sometimes it takes a

00:31:19.420 --> 00:31:21.500
little bit of time to sort of be paired or matched

00:31:21.500 --> 00:31:24.900
with that person, that GI that really, you know,

00:31:24.900 --> 00:31:29.440
works in your favor. But I think more commonly

00:31:29.440 --> 00:31:31.599
what I'm seeing is Crohn's and colitis. This

00:31:31.599 --> 00:31:34.180
is not something that you want to lose time over

00:31:34.180 --> 00:31:38.119
because of a lack of productivity from a physician,

00:31:38.339 --> 00:31:41.619
right? I mean, we just don't have that time to

00:31:41.619 --> 00:31:44.970
waste sometimes. So, you know. To paraphrase

00:31:44.970 --> 00:31:47.609
your words, speak up. Absolutely. I think this

00:31:47.609 --> 00:31:49.349
is like one of the most crucial things. Absolutely.

00:31:49.769 --> 00:31:55.049
So you've learned a lot during these turbulent

00:31:55.049 --> 00:32:00.309
years. If you could go back now to when you first

00:32:00.309 --> 00:32:02.529
diagnosed, what are some of the things that you

00:32:02.529 --> 00:32:05.970
wish you had known back then that you've picked

00:32:05.970 --> 00:32:10.990
up along your journey? It's bad or it's hard.

00:32:11.789 --> 00:32:15.450
But it's not as awful or scary as I thought.

00:32:15.589 --> 00:32:18.750
I think especially around the surgery piece.

00:32:19.069 --> 00:32:25.930
To not hide away in my room or feel sorry for

00:32:25.930 --> 00:32:29.509
myself or feel sad. I missed out on opportunities

00:32:29.509 --> 00:32:32.809
with my friends. Maybe I should have gone ahead

00:32:32.809 --> 00:32:37.119
and gone to dinner and just... not eaten or just,

00:32:37.180 --> 00:32:39.779
you know, enjoyed the being with my friends aspect

00:32:39.779 --> 00:32:42.440
of it instead of completely sitting at home alone

00:32:42.440 --> 00:32:44.279
while they were all out making memories together.

00:32:44.460 --> 00:32:47.759
Like don't stop living your life because of it.

00:32:47.940 --> 00:32:50.140
Don't hide away at home. And, you know, sometimes

00:32:50.140 --> 00:32:53.240
we have to hide away at home and we can't go

00:32:53.240 --> 00:32:55.859
too far from the bathroom. And some days are

00:32:55.859 --> 00:32:58.539
just like that and that's okay. But the days

00:32:58.539 --> 00:33:01.990
that are not like that don't continue. to hide

00:33:01.990 --> 00:33:04.930
away. If there's something you want to do, people

00:33:04.930 --> 00:33:06.789
you want to see, memories you want to make, an

00:33:06.789 --> 00:33:10.670
adventure you want to go on, do it. Don't let

00:33:10.670 --> 00:33:15.509
it stop you. It's not a death sentence. You don't

00:33:15.509 --> 00:33:21.109
have to hide away. I wish when I first started

00:33:21.109 --> 00:33:24.849
feeling some of these things and instinctually

00:33:24.849 --> 00:33:28.329
knew that something was off, that I would have

00:33:28.329 --> 00:33:32.970
sought help then. And the journey still would

00:33:32.970 --> 00:33:35.509
have been hard, but maybe it didn't have to be

00:33:35.509 --> 00:33:41.289
as hard as mine was because I was so sick by

00:33:41.289 --> 00:33:44.410
the time that I got diagnosed. Yeah, absolutely.

00:33:44.730 --> 00:33:47.769
Absolutely. There's no shame in heading to the

00:33:47.769 --> 00:33:50.670
doctor or the urgent care or emergency room right

00:33:50.670 --> 00:33:53.269
away. So these are all very valuable tips. And

00:33:53.269 --> 00:33:56.599
thank you for sharing that. One of the reasons

00:33:56.599 --> 00:33:59.940
why I started this podcast is to, first of all,

00:33:59.940 --> 00:34:02.839
raise awareness, but also sort of build out a

00:34:02.839 --> 00:34:05.039
platform for people who have questions, who might

00:34:05.039 --> 00:34:07.319
feel alone, who don't have all the answers, who

00:34:07.319 --> 00:34:10.039
might be embarrassed to ask their doctor, friends

00:34:10.039 --> 00:34:14.039
and family. And you are also doing your part.

00:34:14.179 --> 00:34:18.420
And in your case, you told me you released a

00:34:18.420 --> 00:34:22.840
journal and a guide titled Rooted and Resilient.

00:34:23.519 --> 00:34:26.920
that could be beneficial to people who were recently

00:34:26.920 --> 00:34:29.139
diagnosed. Can you tell us a little bit more

00:34:29.139 --> 00:34:31.960
about Rooted and Resilient, where the idea come

00:34:31.960 --> 00:34:34.400
from and what it is exactly and how it can benefit

00:34:34.400 --> 00:34:39.480
people with IBD? Sure. I always had a goal of

00:34:39.480 --> 00:34:42.139
writing a book. That was the original plan. I

00:34:42.139 --> 00:34:45.280
wanted to write a book kind of like a memoir

00:34:45.280 --> 00:34:49.800
of my journey because I was so lonely going through

00:34:49.800 --> 00:34:52.960
my journey. And at that time, the only thing

00:34:52.960 --> 00:34:57.219
I could find was medical journals, articles.

00:34:57.960 --> 00:35:00.300
And there wasn't anything out there that was

00:35:00.300 --> 00:35:02.679
just like, hey, this sucks. But like there's

00:35:02.679 --> 00:35:04.500
a light at the end of the tunnel. You can do

00:35:04.500 --> 00:35:06.619
this. You can get through this. You're not alone.

00:35:06.840 --> 00:35:09.219
You're not the only one going through it. Just

00:35:09.219 --> 00:35:12.840
that isolation that I felt. And so I did start

00:35:12.840 --> 00:35:16.679
writing a book just kind of as my own therapy.

00:35:16.760 --> 00:35:20.300
And then I decided. I didn't actually want to

00:35:20.300 --> 00:35:22.539
share it because by the time I got to a point

00:35:22.539 --> 00:35:26.199
where I felt like it was potentially ready or

00:35:26.199 --> 00:35:29.300
could be shared, I wasn't that person anymore.

00:35:29.420 --> 00:35:33.599
I had come so far and I had healed so much that

00:35:33.599 --> 00:35:37.940
when I read it, I felt really sorry for that

00:35:37.940 --> 00:35:43.420
girl when I reread it because I had grown so

00:35:43.420 --> 00:35:47.139
much and I had come so far in my journey and

00:35:47.789 --> 00:35:52.130
I felt like she was just a little too sad to

00:35:52.130 --> 00:35:57.510
release on the world, you know? And so I took

00:35:57.510 --> 00:36:00.769
the important pieces of that and instead I shifted

00:36:00.769 --> 00:36:03.829
it and tried to turn it into more of a guide

00:36:03.829 --> 00:36:08.670
and a journal or resource that I wish I had on

00:36:08.670 --> 00:36:13.550
my journey to make it easier. And so, you know,

00:36:13.550 --> 00:36:18.920
there's... some food ideas in there and there's

00:36:18.920 --> 00:36:21.820
a section on if you do end up with an ostomy

00:36:21.820 --> 00:36:24.420
how to hide or dress for it if you're someone

00:36:24.420 --> 00:36:27.480
who is in a place like i was that wasn't ready

00:36:27.480 --> 00:36:30.659
to show it to the world yet and i think that's

00:36:30.659 --> 00:36:34.760
super awesome for the people who do and and i

00:36:34.760 --> 00:36:38.519
i wish that i had that inspiration when i was

00:36:38.519 --> 00:36:41.179
going through it but i also know how i personally

00:36:41.179 --> 00:36:45.960
felt about mine so for anyone who hasn't arrived

00:36:45.960 --> 00:36:49.840
to that boldness and that empowerment yet here

00:36:49.840 --> 00:36:52.280
a little like here's some tips and tricks that

00:36:52.280 --> 00:36:55.519
I found to help me along the way as I was learning

00:36:55.519 --> 00:37:00.719
to to love it and appreciate my ostomy and this

00:37:00.719 --> 00:37:03.800
new version of myself so that's in there and

00:37:03.800 --> 00:37:07.219
then a big chunk of it is the journal section,

00:37:07.400 --> 00:37:11.800
which has a BM tracker on it, a place for you

00:37:11.800 --> 00:37:15.880
to write down your meals and track your medications.

00:37:16.059 --> 00:37:19.880
And I try to include a large mental health piece.

00:37:19.960 --> 00:37:22.719
So a place to write an affirmation every day

00:37:22.719 --> 00:37:25.099
and focus on like, what are you doing for yourself

00:37:25.099 --> 00:37:26.960
to make yourself feel better? Whether that's

00:37:27.440 --> 00:37:30.860
Physically, emotionally, spiritually, what is

00:37:30.860 --> 00:37:33.079
something that triggered you today? Maybe emotionally

00:37:33.079 --> 00:37:35.599
triggered you and caused stress, or maybe it

00:37:35.599 --> 00:37:38.920
was a physical trigger symptom. And then a place

00:37:38.920 --> 00:37:40.980
for what brought you joy today? Because I think

00:37:40.980 --> 00:37:45.019
it's so important to have that gratitude and

00:37:45.019 --> 00:37:47.579
highlight even when you are like, I need to go

00:37:47.579 --> 00:37:50.139
to bed. I need this day to be over. This day

00:37:50.139 --> 00:37:54.559
straight up just sucked. It's very important

00:37:54.559 --> 00:37:59.869
to not get sucked into that. and find the the

00:37:59.869 --> 00:38:03.369
small joys in the day even if it's just that

00:38:03.369 --> 00:38:07.710
you got out of bed today if that is the only

00:38:07.710 --> 00:38:10.170
thing that you were able to accomplish that day

00:38:11.659 --> 00:38:14.500
that's worth celebrating. It's a big deal, you

00:38:14.500 --> 00:38:17.139
know, or you left the house, you went on an errand

00:38:17.139 --> 00:38:19.400
by yourself, depending on where you're at in

00:38:19.400 --> 00:38:21.440
your journey. Or, you know, maybe you went to

00:38:21.440 --> 00:38:23.960
a concert you really wanted to go to, whatever

00:38:23.960 --> 00:38:27.360
it is, that's your joy or your accomplishment

00:38:27.360 --> 00:38:29.599
for that day. I think it's really important to

00:38:29.599 --> 00:38:32.440
highlight that and celebrate that. And that looks

00:38:32.440 --> 00:38:34.920
different for everybody. And that's okay. So

00:38:34.920 --> 00:38:39.380
that's the goal. And I told my friends and family

00:38:39.380 --> 00:38:42.099
when i wrote it that you know if it only reaches

00:38:42.099 --> 00:38:45.340
one person but it helps them then i'm i'm happy

00:38:45.340 --> 00:38:48.500
with that that's exactly the attitude to have

00:38:48.500 --> 00:38:52.420
and i gotta tell you which is which is great

00:38:52.420 --> 00:38:54.219
and i hope it will continue to reach a lot of

00:38:54.219 --> 00:38:58.059
people and i i now hearing you talk about i wish

00:38:58.480 --> 00:39:00.739
I had something like that because when I go back,

00:39:00.880 --> 00:39:04.460
this was in 2013, basically my journal consists

00:39:04.460 --> 00:39:07.139
of just email exchanges between me and my medical

00:39:07.139 --> 00:39:09.440
team and most of them are just very depressing.

00:39:09.820 --> 00:39:13.760
So, you know, so basically my good moments or

00:39:13.760 --> 00:39:15.559
the small wins, the small victories that you

00:39:15.559 --> 00:39:18.139
touched on, I mean, they're luckily stored in

00:39:18.139 --> 00:39:20.880
my memory as best as I can remember them. But

00:39:20.880 --> 00:39:22.579
this is a great initiative. And where can people

00:39:22.579 --> 00:39:27.150
find this, purchase this? It's on Amazon. Well,

00:39:27.150 --> 00:39:29.809
the original and then there's, if you like the

00:39:29.809 --> 00:39:32.150
journal pages, there's a companion guide that's

00:39:32.150 --> 00:39:35.070
really just the journal. There's a little bit

00:39:35.070 --> 00:39:36.550
of other stuff in it, but it's really focused

00:39:36.550 --> 00:39:39.889
on just the journal pages. And it's three months

00:39:39.889 --> 00:39:43.090
instead of one month. So that's not too overwhelming.

00:39:43.809 --> 00:39:47.130
But yeah, they're both listed on there. And please

00:39:47.130 --> 00:39:50.610
go free check them out. I hope that it, I hope

00:39:50.610 --> 00:39:54.329
it helps someone. That's really the goal. Absolutely.

00:39:54.389 --> 00:39:57.969
And we will put the link to both of those editions

00:39:57.969 --> 00:40:00.909
in the show notes as well for ease of use. So

00:40:00.909 --> 00:40:03.369
Jamie, I want to thank you so much for being

00:40:03.369 --> 00:40:05.829
with us today and sharing your journey. I really

00:40:05.829 --> 00:40:09.550
do admire your resilience, especially through

00:40:09.550 --> 00:40:13.480
those years of... you know, hospital stays and

00:40:13.480 --> 00:40:17.739
flares and uncertainty. I wish you nothing but

00:40:17.739 --> 00:40:20.860
the best moving forward with your J -Pouch and

00:40:20.860 --> 00:40:23.579
with your family and all the blessings that you've

00:40:23.579 --> 00:40:25.920
sort of picked up during your journey. And I

00:40:25.920 --> 00:40:29.219
want to just thank you again for being here with

00:40:29.219 --> 00:40:31.800
us today. Thank you. Thank you for having me.

00:40:32.559 --> 00:40:35.519
That's it for today's episode of Colitis Unfiltered.

00:40:35.940 --> 00:40:38.980
I'm Frank Klebring. And if this hit home or hit

00:40:38.980 --> 00:40:41.829
your gut, do us a favor. subscribe to the show

00:40:41.829 --> 00:40:44.949
and follow us at colitis unfiltered on youtube

00:40:44.949 --> 00:40:48.610
substack instagram threads tick tock and reddit

00:40:48.610 --> 00:40:51.050
we'll see you soon for more inspiring stories

00:40:51.050 --> 00:40:52.210
from the bathroom floor
