WEBVTT

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I remember the very real moment of the before

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diagnosis, the after diagnosis, and the acceptance

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of diagnosis. So once I had gained weight again

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and I was able to, you know, participate in my

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hobbies that I loved, hang out with my friends.

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Then I really started to love myostomy. I was

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like, hey, I had been so sick for so long and

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I had tolerated and accepted this kind of, you

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know, symptomatic on and off pain. And now I'm

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actually able to enjoy life more with myostomy.

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This is Alicia, who got diagnosed with ulcerative

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colitis at age 14 in Philadelphia, Pennsylvania.

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She's the acting president of Girls With Guts,

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an organization... that helps solve IBD problems

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for women. Today, on the Colitis Unfiltered podcast,

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Alicia is going to talk to me about her own IBD

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journey and why awareness and advocacy is so

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important in the space of inflammatory bowel

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disease. My name is Frank Tabering, and Alicia,

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welcome to the show. Thank you so much for having

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me. I'm really excited to chat. So you don't

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just live with IBD, you basically live and breathe.

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IBD because you have your own, you know, colitis

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journey, of course, but you're super active in

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terms of advocacy, awareness with an amazing

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organization called Girls for Guts. We'll get

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to that in a moment. But first, I want to go

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all the way back to the Alicia at 14 years old.

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And let's start at the beginning, your first

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symptoms. Tell me a little bit about how ulcerative

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colitis started to manifest for you and then

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also how it ultimately led to your diagnosis.

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Absolutely. So I was symptomatic from birth.

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I had some bleeding in infancy. And so my parents

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were bringing me back and forth to the doctors

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to try and figure out what was that about. So

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they were trying different formulas. Eventually,

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that kind of stopped. You know, I was calling

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home from grade school with stomach aches every

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single day. And, you know, the doctors were ruling

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it out off as anxiety. She just doesn't want

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to be at school. Meanwhile, I loved school. School

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was like my safe haven. So I loved being there.

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But yeah, I had stomach aches really early on,

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a lot of issues with bleeding and constipation.

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And it was kind of pushed aside for a really

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long time. And ultimately, I wasn't diagnosed

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until I was 14. And it was very abrupt and very

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scary because the symptoms came on tenfold. I

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mean, I, you know, at some point I was crawling

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to the bathroom because I was so severely dehydrated

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from all the diarrhea. And my primary doctor

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said, said that I had a case of giardia. So I

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was being treated for that with antibiotics.

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And ultimately, surprise, it was actually IBD.

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So yeah, my journey, you know, it kind of ebbed

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and flowed. I had symptoms as a kid and then

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was diagnosed as a teen. And yeah, when the symptoms

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hit, I mean, within a couple of weeks, I was

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hospitalized. And then, you know, they ran the

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gambit of tests. It was all very scary. And then,

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yeah, when the doctor came in and said, hey,

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you have something called ulcerative colitis.

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You know, at 14, I was like, is that cancer?

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Am I going to die? I had no idea. It was traumatizing,

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honestly. You mentioned crawling to the bathroom.

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That sort of just hits me like a brick because

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that, you know, it's a flashback 13 years ago.

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I was in the exact same position and so many

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days literally just crawling because that was

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the only way to get from the couch to the bathroom,

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right? To the toilet. So yeah, I can relate to

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that one. So 14 is a very young age to be hit

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with IBD. Tell me how you mentally but also physically

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navigated the disease post -diagnosis once you

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kind of knew what you had and what inflammatory

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bowel disease was like. When I was diagnosed,

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I went from diagnosis to very severe, you know,

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I was having surgery within six months. I lost

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my colon ultimately within six months due to

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toxic megacolon, because by the time I was diagnosed

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and being untreated for so long, it was so severe.

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I mean, that was a blessing and a curse at the

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same time. One, I was being given this lifelong

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altering illness. But on the other hand, there

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was, you know, an explanation for the symptoms

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that I had been dealing with my entire life.

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And there was treatment. And so, you know, It

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was really a lot to manage physically. I was,

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you know, home on TPN for about six months. I

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had to start high school late. I did homeschooling

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for the first six months of my diagnosis. And

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yeah, I think for me physically, it was just

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trying to get from the severity that it had been

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to adjusting to that new normal and adjusting

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to an ostomy. Back when I was 14, I did not want

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to have an ostomy. I was like, what are the next

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steps to get this thing off of my body? It really

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impacted my, you know, my body image. I didn't

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even want to go outside. I was afraid of it leaking

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all the time and the smell and changing it. want

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to look at the stoma. And I think so physically,

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I think, you know, it was just day to day living

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day to day and trying to navigate that mentally.

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My dad was really, you know, really ahead of

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the curve in terms of finding support for me.

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He actually found a kid's forum online called

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Dragon Pack IBD, which had a kid's forum. And

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I connected with someone named Katie, who I'm

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still in touch with today, 20 years later, who

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also had IBD and an ostomy. And I. think having

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someone to talk to at that age really empowered

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me and allowed me to keep going because I at

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least had someone else to commiserate with. So

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I think she was a really good anchor during my

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initial diagnosis. We always talk about support

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being so important, but then when you're 14,

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you know, your entire life, your world is completely

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different from that of sort of an adult having

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to deal with IBD. And finding somebody to connect

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with, I mean, that was, I'm sure, honestly, that

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was transformative for you and helped you as

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opposed to potentially not having that source

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of support and help. Now, you talked about a

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new normal. You talked about not wanting a surgery

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and who does. How did you eventually come to

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accept this new normal and accept, you know,

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living without a colon to... connect with your

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body again to i guess fall in love with yourself

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again how did you manage to reach that point

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I remember the very real moment of the before

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diagnosis, the after diagnosis, and the acceptance

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of diagnosis. So once I had gained weight again

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and I was able to, you know, participate in my

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hobbies that I loved, hang out with my friends,

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then I really started to love my ostomy. I was

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like, hey, I had been so sick for so long and

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I had tolerated and accepted this kind of, you

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know, symptomatic on and off pain. And now I'm

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actually able to enjoy life more with my ostomy.

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And I had some great, very supportive friends

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when I did start high school. I think that really

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helped as well. They were very curious about

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it. So each of those tiny nuggets of support

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really built in some confidence for me and ultimately

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helped bridge that gap from the initial trauma

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of it all to that full acceptance of the ostomy.

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And so fast forward to today, let's talk about

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how you're feeling. Because for many many IBD

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warriors surgery is not necessarily the end it's

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not the cure right how is it looking for you

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today what's your life like do you have any challenges

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you know anything that you still wrestle with

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yeah I mean so my journey has definitely ebbed

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and flowed so I was originally diagnosed with

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UC, and that first ostomy teleported me into

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the J -Pouch series where I had so many chronic

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issues with rectovaginal fistula. So I was having

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back -to -back surgery, you know, during school

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breaks to try and alleviate that, and ultimately

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was re -diagnosed with Crohn's disease right

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after I graduated college, which allowed me to

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get onto treatment. So from my diagnosis to,

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you know, 23 years old, I had been untreated,

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allowing my disease. disease to sort of continue

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to ravage my body. And after I was re -diagnosed

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and that process of grieving again, a new diagnosis

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and ultimately meaning there was no cure, I,

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you know, started a biologic and felt after about

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six months so much better. And yeah, so, I mean,

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ultimately, I would say that my diagnosis. changed

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the trajectory of my life, but in a good way.

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It allowed me to become more empathetic, more

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compassionate, more in touch with my surroundings

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and the people around me, more aware of everything

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around me as well, and the ability to enjoy the

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small things. I didn't realize how much I missed

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being outside and having the freedom to walk

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around without thinking about a bathroom until

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I ultimately had my permanent ostomy surgery.

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So I think full circle from the ostomy that I

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hated to this permanent ostomy that I love, it

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has been quite a journey. And before we actually

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move on to what you're doing today, so we have

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the people with IBD who are rushed to the hospital.

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And I don't know, you know, they wake up the

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next day, their colon is gone. Then we have the

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category of people who know that they'll have

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to have surgery. They actually have time to prepare

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physically, but also mentally. You said that

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it was a very short period of six months, basically,

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from your diagnosis to when you had your first

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surgery. Tell me a little bit about, especially

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as such a young adult, how did you manage that

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mentally, you know, that path to surgery? And

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especially before it happened, did you have time

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to prepare for it, to sort of imagine what your

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life would be like? Or was it rather abrupt and

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you didn't really have any space to get ready

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mentally for what was coming post -surgery? When

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I was initially diagnosed, I was hospitalized

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for two months just to try and get some weight

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on. I had dropped about 60 pounds, which for

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me, I... That impacted my ability to walk, my

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muscles, everything. So I was ultimately hospitalized,

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put on bowel rest, TPN, just to try and help

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heal some of the internal damage that had been

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done. And when they went to do a scope to see

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if the bowel rest was helping. I woke up with

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an ostomy. So I had zero time to mentally prepare.

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It was basically worst case scenario. I woke

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up a few days later after, you know, a medically

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induced coma. They told me that my colon perforated

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during the scope and you have an ostomy. My surgeon,

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you know, she tried to be positive and she was

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like, well, the good news is, you know. We have

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the option of the J pouch down the line. Right

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now, we're focused on getting you well again.

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But I still, with the abruptness of it all, I

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really struggled to get over some of those hurdles

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that I think having more time to prepare would

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have helped with. So all you've been through,

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like for many of us, it led you to where you

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are today. And not only from a health standpoint,

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but also, you know, how you spend your time and,

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you know. your advocacy, your awareness. You

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are acting president of an organization called

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Girls for Guts. And for someone hearing about

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Girls with Guts for the first time, give me a

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pitch. What is this? Girls with Guts is my absolute

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heart and soul. It is an organization that changed

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my life. And what I would say is that it's a

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community. It's a safe place to land for people

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who are newly diagnosed, maybe have been diagnosed

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for several years, but don't have that support.

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It's sister to sister, you know, sisterhood,

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bonding. It's building people up. It's preparing

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people for those surgeries ahead of time, talking

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about our disease in a candid way so that, you

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know, we can reduce some of the stigmas. And

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ultimately, yeah, it's community. It's a movement.

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What made you pick advocacy instead of maybe

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just focusing on your recovery or on your own

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personal IB journey? How did you get into being

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so active? I always say that advocacy actually

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picked me. I went to Syracuse for film and I

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loved storytelling. I loved writing. I loved

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creating, you know, small documentaries and things

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on important matters. And for one of my classes,

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we had a project that was tell the class something

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they might not know about you just by looking

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at you from the outside. And I said, huh, do

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I share something, you know? you know, basic,

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or do I tell everyone that I currently have an

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ostomy and I have this chronic condition? And

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I said, let me be bold. Let me create this project

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around, you know, my ostomy. And so the whole

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video like sort of painted the picture of my

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diagnosis journey. And then at the end, I did

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like a reveal of my ostomy. And that little clip.

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Got a standing ovation in my class. They wanted

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to see it again. I had people coming up to me

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after that were like, my dad has Crohn's disease.

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My sister has Crohn's disease. I've never seen

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someone, you know, someone's ostomy. How are

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you so confident in showing that off? And again,

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it was it was hearing those stories that really

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propelled me towards the thinking like. oh, this

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kind of storytelling matters. Sharing your own

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story really matters. And you can make an impact

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by doing that. Absolutely. Absolutely. And eventually

00:14:02.980 --> 00:14:06.179
it led you to Girls With Guts. So you kind of

00:14:06.179 --> 00:14:11.840
told me a bit about what it is. Now, what specific

00:14:11.840 --> 00:14:15.779
problems does this organization solve for women

00:14:15.779 --> 00:14:19.409
with IBD? Some of the biggest hurdles and problems

00:14:19.409 --> 00:14:22.970
that we try to solve are those body image and

00:14:22.970 --> 00:14:26.590
societal, you know, dysmorphic things that people

00:14:26.590 --> 00:14:29.470
place on women specifically. You have surgery,

00:14:29.629 --> 00:14:32.370
you know, your body's covered in scars. There's

00:14:32.370 --> 00:14:35.309
a lot of vulnerability in sharing that with other

00:14:35.309 --> 00:14:38.029
people and, you know, feeling like yourself and

00:14:38.029 --> 00:14:41.590
your skin again. We also focus on intimacy, motherhood,

00:14:41.629 --> 00:14:44.830
sexuality, you know, navigating life transitions

00:14:44.830 --> 00:14:47.529
and aging with IBD. which, you know, a lot of

00:14:47.529 --> 00:14:50.549
people, we are the aging generation with IBD.

00:14:50.590 --> 00:14:53.169
So trying to talk about those things that are

00:14:53.169 --> 00:14:56.820
really important to our community. And tell me

00:14:56.820 --> 00:14:58.659
a little bit about how this works with Girls

00:14:58.659 --> 00:15:02.820
With Guts. Are you nationwide? And you don't

00:15:02.820 --> 00:15:04.879
have to give me specific numbers, but still,

00:15:04.960 --> 00:15:08.539
I'm curious to see what sort of a range you have

00:15:08.539 --> 00:15:12.139
and how many people basically you help out and

00:15:12.139 --> 00:15:16.419
support. And how does this translate, this concept

00:15:16.419 --> 00:15:19.759
of Girls With Guts into action, really? Yeah,

00:15:19.820 --> 00:15:22.639
so we have a very active private forum of about

00:15:22.639 --> 00:15:26.000
10 ,000. And then from our social media pages

00:15:26.000 --> 00:15:29.299
span between 21 ,000 to 24 ,000, depending where.

00:15:29.519 --> 00:15:33.139
And so the way that we turn our mission into

00:15:33.139 --> 00:15:36.500
action is through education, medically reviewed

00:15:36.500 --> 00:15:38.720
information and education that we can share with

00:15:38.720 --> 00:15:40.840
our community. Because sometimes understanding

00:15:40.840 --> 00:15:44.539
that medical jargon is very hard for the lay

00:15:44.539 --> 00:15:47.000
patient. So we want people to feel like they

00:15:47.000 --> 00:15:49.700
are empowered with the tools. questions to ask

00:15:49.700 --> 00:15:52.600
their doctors, especially as it relates to women's

00:15:52.600 --> 00:15:55.679
issues. We also have a variety of other programming.

00:15:55.860 --> 00:15:58.600
We have, you know, in -person retreats. We invite

00:15:58.600 --> 00:16:02.480
60 to 70 women annually to join us at a different

00:16:02.480 --> 00:16:05.259
location just to create that access across the

00:16:05.259 --> 00:16:08.639
nationally. We do have some friends in Europe

00:16:08.639 --> 00:16:10.899
as well and some Canadian friends that do travel

00:16:10.899 --> 00:16:13.279
in to come to our retreats, which is really awesome.

00:16:13.519 --> 00:16:16.220
And then, yeah, we have, you know, other programs.

00:16:16.299 --> 00:16:19.120
One program our butt basket program. So we send

00:16:19.120 --> 00:16:22.580
out these post -op care packs and infusion kits

00:16:22.580 --> 00:16:25.419
to our community members who might need that

00:16:25.419 --> 00:16:28.399
extra support during those. And yeah, we ultimately,

00:16:28.559 --> 00:16:31.419
we try to bridge the gaps through in -person

00:16:31.419 --> 00:16:33.559
programming and virtual programming as well.

00:16:33.620 --> 00:16:35.759
So we could bring our community together. That's

00:16:35.759 --> 00:16:37.440
really amazing. So for anybody who's listening

00:16:37.440 --> 00:16:39.220
or is interested in sort of looking into this,

00:16:39.220 --> 00:16:41.600
this is Girls With Guts. You have a strong online

00:16:41.600 --> 00:16:43.480
presence, obviously, and the link is going to

00:16:43.480 --> 00:16:45.919
be in the show notes as well. So Alicia, what

00:16:45.919 --> 00:16:49.100
does a day look like for you as president of

00:16:49.100 --> 00:16:53.860
Girls With Guts? So a day for me, I mean, it's

00:16:53.860 --> 00:16:56.500
not just emails. It's a lot of strategy, you

00:16:56.500 --> 00:16:58.940
know, community building, prepping and planning

00:16:58.940 --> 00:17:01.340
out our retreats, our programming. It's checking

00:17:01.340 --> 00:17:03.860
in on different volunteers, our board members,

00:17:03.980 --> 00:17:06.539
making sure that we are all still unified in

00:17:06.539 --> 00:17:09.359
the mission of the organization, talking to other

00:17:09.359 --> 00:17:12.380
advocate friends, picking their brains on ways

00:17:12.380 --> 00:17:14.759
we can collaborate and things like that. And

00:17:14.759 --> 00:17:16.579
then, yeah, it's connecting with our partners,

00:17:16.680 --> 00:17:19.539
our sponsors, you know, maintaining those relationships.

00:17:20.430 --> 00:17:22.710
And with all that going on, do you actually still

00:17:22.710 --> 00:17:26.490
have the time to really talk to the people that

00:17:26.490 --> 00:17:29.490
are seeking help from you and your organization?

00:17:30.230 --> 00:17:33.690
So that's one thing that I refuse to let go of

00:17:33.690 --> 00:17:36.049
because that is just a personal piece for me

00:17:36.049 --> 00:17:39.329
that I... I feel so strongly, you know, tied

00:17:39.329 --> 00:17:41.430
to our mission and it affects me personally.

00:17:41.630 --> 00:17:44.950
And so if, you know, we're at a retreat and there's

00:17:44.950 --> 00:17:47.630
someone who just had ostomy surgery and needs

00:17:47.630 --> 00:17:49.950
someone to talk to, I will sit down with them,

00:17:50.109 --> 00:17:52.470
connect with them, share my tips and tricks.

00:17:52.650 --> 00:17:54.730
Or if that's answering, you know, somebody's

00:17:54.730 --> 00:17:56.710
post in the forum where they're seeking support,

00:17:56.890 --> 00:18:00.250
I do try. And, you know, as much as my other

00:18:00.250 --> 00:18:02.630
board members would like me to step back a little

00:18:02.630 --> 00:18:05.009
bit so that I could focus on some of the other

00:18:05.009 --> 00:18:07.640
things that we need to do. I still really like

00:18:07.640 --> 00:18:09.720
to be as close to the community as possible.

00:18:10.359 --> 00:18:14.400
I totally understand. And I think that's the

00:18:14.400 --> 00:18:17.259
heart of the whole thing anyway, right? And you

00:18:17.259 --> 00:18:18.740
cannot just step away from the heart of the whole

00:18:18.740 --> 00:18:23.220
organization and its purpose. Now, how has Girls

00:18:23.220 --> 00:18:26.380
With Guts evolved since you've taken on this

00:18:26.380 --> 00:18:29.539
role? And looking ahead also, what's your vision

00:18:29.539 --> 00:18:31.849
for this organization? When I started with the

00:18:31.849 --> 00:18:34.470
organization back in 2013, I actually started

00:18:34.470 --> 00:18:37.390
as the director of multimedia, so I was responsible

00:18:37.390 --> 00:18:39.569
for getting our social media off the ground.

00:18:39.690 --> 00:18:41.609
I remember when I had to get our Facebook page

00:18:41.609 --> 00:18:43.890
set up as a business and it was like, you need

00:18:43.890 --> 00:18:46.269
at least 100 likes to make it like an official

00:18:46.269 --> 00:18:50.369
Facebook page. Not to age myself, but back in

00:18:50.369 --> 00:18:52.190
the day when it was, you know, everything was

00:18:52.190 --> 00:18:55.529
sort of newer and fresh. And I also did our retreat

00:18:55.529 --> 00:18:59.130
recaps as well. But so we started with our first

00:18:59.130 --> 00:19:02.509
retreat had 30 attendees. And that has tremendously

00:19:02.509 --> 00:19:06.750
blown up to the, you know, the way that we actually

00:19:06.750 --> 00:19:09.490
have two retreats now to support 100 women a

00:19:09.490 --> 00:19:12.769
year. So we've expanded in that way. We've expanded

00:19:12.769 --> 00:19:14.910
on social media and our educational outreach.

00:19:15.230 --> 00:19:18.400
And we've also, you know. expanded in some of

00:19:18.400 --> 00:19:21.119
our educational components as well so trying

00:19:21.119 --> 00:19:23.500
to stay up to date with you know what's going

00:19:23.500 --> 00:19:26.500
on how can we bring that to our community and

00:19:26.500 --> 00:19:30.910
yeah it's it's been A shocking amount of growth,

00:19:31.009 --> 00:19:33.410
not only with our organization, but with the

00:19:33.410 --> 00:19:37.069
IBD community and advocacy space at large. One

00:19:37.069 --> 00:19:39.089
thing that I'm very passionate about, and a lot

00:19:39.089 --> 00:19:40.910
of organizations are already doing this well,

00:19:41.089 --> 00:19:43.769
but for teen girls specifically, I would love

00:19:43.769 --> 00:19:46.210
for us to eventually get into the teen programming

00:19:46.210 --> 00:19:51.130
space, doing teen and caregiver retreats to build

00:19:51.130 --> 00:19:53.549
up some of that empowerment that I learned early

00:19:53.549 --> 00:19:56.650
on and gained early on and being able to give

00:19:56.650 --> 00:19:59.630
that to the next generation. That's the direction

00:19:59.630 --> 00:20:02.789
that you want Girls for Guts to take into, right?

00:20:03.069 --> 00:20:06.509
I mean, I love that we support 18 and up women

00:20:06.509 --> 00:20:09.589
with IBD and their ostomies for any reason. I

00:20:09.589 --> 00:20:11.789
think there are some programming things that

00:20:11.789 --> 00:20:13.829
we're bringing in in the next year to continue

00:20:13.829 --> 00:20:17.309
to support that. But I do see us eventually getting

00:20:17.309 --> 00:20:20.970
into that teen programming gap to help between

00:20:20.970 --> 00:20:24.250
the teen to the adult transition. I think there's

00:20:24.250 --> 00:20:26.269
still a big gap there, and I would love to be

00:20:26.269 --> 00:20:28.009
able to figure out how to bridge that. And that

00:20:28.009 --> 00:20:29.630
makes perfect sense because you personally have

00:20:29.630 --> 00:20:32.170
a lot of experience in that specific category

00:20:32.170 --> 00:20:34.250
and age range, right? So yeah, that makes complete

00:20:34.250 --> 00:20:37.170
sense. So this all sounds amazing. This all sounds

00:20:37.170 --> 00:20:40.549
positive, but there's no job without challenges.

00:20:40.690 --> 00:20:46.690
And I'm just curious to see what your main challenges

00:20:46.690 --> 00:20:49.789
are, especially running such an organization

00:20:49.789 --> 00:20:52.930
in this particular space. I mean, obviously,

00:20:53.069 --> 00:20:55.069
one of the biggest challenges for nonprofits

00:20:55.069 --> 00:20:58.769
is funding. I feel like that's a constant hurdle

00:20:58.769 --> 00:21:02.190
that we are trying to get over annually. And

00:21:02.190 --> 00:21:05.450
it's also trying to find the balance and not

00:21:05.450 --> 00:21:08.920
taking on. all of the emotional weight of the

00:21:08.920 --> 00:21:12.400
stories so that we can remain a strong foundation

00:21:12.400 --> 00:21:15.779
for our community. I think it can become very

00:21:15.779 --> 00:21:19.380
easy to try and, you know, solve each individual

00:21:19.380 --> 00:21:22.240
person's problem that's coming to us. But we

00:21:22.240 --> 00:21:23.940
want to make sure that we are really, you know,

00:21:23.940 --> 00:21:26.640
sustainable and can be around for a long time

00:21:26.640 --> 00:21:30.039
to serve as that piece of support. Really, really

00:21:30.039 --> 00:21:34.359
great. I want to take a very quick deep dive

00:21:34.359 --> 00:21:38.769
into some of the issues that you help women with

00:21:38.769 --> 00:21:41.769
in regards to IBD. So you mentioned body image,

00:21:41.910 --> 00:21:43.809
you mentioned intimacy, you mentioned relationships.

00:21:44.029 --> 00:21:46.069
So let's talk about these three very briefly.

00:21:47.109 --> 00:21:52.009
How do you think surgeries, ostomies, scars impact

00:21:52.009 --> 00:21:56.619
how women see themselves? Knowing my own personal

00:21:56.619 --> 00:21:59.740
journey, there's a lot of grief that comes with,

00:21:59.759 --> 00:22:01.980
you know, feeling like you're losing autonomy

00:22:01.980 --> 00:22:04.460
of your body as it's changing with, you know,

00:22:04.460 --> 00:22:07.759
surgical scars, weight loss, different things

00:22:07.759 --> 00:22:10.759
like that. So I feel like that grief is very

00:22:10.759 --> 00:22:13.900
real and it kind of ebbs and flows. One day you

00:22:13.900 --> 00:22:16.240
may be feeling very confident in your body. One

00:22:16.240 --> 00:22:18.299
day you might be wearing a pair of jeans that

00:22:18.299 --> 00:22:20.799
don't quite fit over your ostomy and that, you

00:22:20.799 --> 00:22:23.700
know, the wave of grief comes back again. I think

00:22:23.700 --> 00:22:27.940
in our society. body image is just a huge disfigurement

00:22:27.940 --> 00:22:30.660
to our community. And then when you layer chronic

00:22:30.660 --> 00:22:32.900
illness and the fluctuations with that on top

00:22:32.900 --> 00:22:35.960
of it, it can be really hard to navigate if you

00:22:35.960 --> 00:22:38.900
don't have a sense of support that can help you

00:22:38.900 --> 00:22:44.140
really lean in through that. So obviously, at

00:22:44.140 --> 00:22:47.740
least over the last years, I could not say decade,

00:22:47.779 --> 00:22:50.740
but at least the last years, the presence of

00:22:50.740 --> 00:22:54.460
IBD IBD community advocacy awareness, especially

00:22:54.460 --> 00:22:57.640
on social media, has really exploded, which is

00:22:57.640 --> 00:23:00.180
really fantastic. And I still think to this day

00:23:00.180 --> 00:23:04.000
that there are times where mental health is one

00:23:04.000 --> 00:23:06.339
of those issues that are sort of kept a little

00:23:06.339 --> 00:23:08.900
bit on the side or not talked about enough. Another

00:23:08.900 --> 00:23:12.960
one that I kind of rarely see is intimacy. So

00:23:12.960 --> 00:23:16.400
how often do you actually see women struggling

00:23:16.400 --> 00:23:19.339
with intimacy and relationships because of the

00:23:19.339 --> 00:23:21.980
IBD journey that they're going through? Oh my

00:23:21.980 --> 00:23:24.539
gosh. I think I see a question in our private

00:23:24.539 --> 00:23:28.240
forum probably every other day about this. It's

00:23:28.240 --> 00:23:30.900
starting with dating. How do I tell someone?

00:23:30.980 --> 00:23:33.319
When do I tell someone that I have this disease?

00:23:33.859 --> 00:23:37.799
It's will I have an accident during sex? Will

00:23:37.799 --> 00:23:41.460
my ostomy bag come off? Are there things that

00:23:41.460 --> 00:23:45.039
I can wear to feel better in my skin? It's all

00:23:45.039 --> 00:23:49.279
of those pieces and all of those layers and trying

00:23:49.279 --> 00:23:52.200
to find a new way to have a relationship. with

00:23:52.200 --> 00:23:56.140
your body, we hear it constantly. Still, you

00:23:56.140 --> 00:23:58.960
know, things have really shifted over the years,

00:23:58.980 --> 00:24:02.160
but, you know, intimacy and relationships, it's

00:24:02.160 --> 00:24:04.359
a big one. It's still a very big one. It really

00:24:04.359 --> 00:24:07.380
is. And if I go back 13 years in the year that

00:24:07.380 --> 00:24:10.380
I was diagnosed, when I was... Still flaring,

00:24:10.380 --> 00:24:14.039
actually. And I used to go on dates. The very

00:24:14.039 --> 00:24:16.240
first one I went, I basically spilled everything

00:24:16.240 --> 00:24:18.519
on the first date. And I don't think it went

00:24:18.519 --> 00:24:20.099
very well because I think it was information

00:24:20.099 --> 00:24:25.200
overload. So just very bluntly, when do I tell

00:24:25.200 --> 00:24:29.039
someone about my IBD? I think it varies. I think

00:24:29.039 --> 00:24:32.480
it varies on your comfortability level. In the

00:24:32.480 --> 00:24:34.660
beginning of my journey, I would wait for, you

00:24:34.660 --> 00:24:36.819
know, a few dates, see if things were really

00:24:36.819 --> 00:24:38.859
going to take off. And then I would sort of slip

00:24:38.859 --> 00:24:40.640
it in there like, hey, by the way, I have this

00:24:40.640 --> 00:24:42.960
thing. You don't have to worry about it right

00:24:42.960 --> 00:24:45.480
now. I'm in remission. But these things could

00:24:45.480 --> 00:24:48.880
happen to when I started dating my girlfriend

00:24:48.880 --> 00:24:52.079
in the last couple of years. I had all of the

00:24:52.079 --> 00:24:54.730
information about myself. very publicly on my

00:24:54.730 --> 00:24:57.349
social channels. So she could see it. It was

00:24:57.349 --> 00:25:00.890
out there. There was no hiding it. And so I think

00:25:00.890 --> 00:25:03.589
that that really helped to bridge the gap in

00:25:03.589 --> 00:25:05.869
that conversation, you know, and she did her

00:25:05.869 --> 00:25:08.329
own research. She was really incredible in that

00:25:08.329 --> 00:25:11.170
way. And she wanted to see my ostomy and see

00:25:11.170 --> 00:25:13.950
me do a bag change and very supportive. And I

00:25:13.950 --> 00:25:17.130
think it really depends on your comfort level

00:25:17.130 --> 00:25:21.059
and, you know, the way the readiness, the. in

00:25:21.059 --> 00:25:22.920
sharing. I don't think there's anything wrong

00:25:22.920 --> 00:25:24.920
with waiting. And I don't think there's anything

00:25:24.920 --> 00:25:27.160
wrong with sharing it on the first date. If you're

00:25:27.160 --> 00:25:29.319
just trying to rip the bandaid off, you know,

00:25:29.319 --> 00:25:32.019
it takes some practice sometimes. Exactly. If

00:25:32.019 --> 00:25:33.700
you're a risk taker, hey, just, you know, blow

00:25:33.700 --> 00:25:36.759
it all out and put all the fish on the table,

00:25:36.799 --> 00:25:43.910
right? Great. Now... How do you think IBD intersects

00:25:43.910 --> 00:25:45.950
with things like, you know, dating, marriage,

00:25:46.069 --> 00:25:47.829
and then also particularly wanting children?

00:25:47.910 --> 00:25:50.549
And I mentioned the children part because just

00:25:50.549 --> 00:25:53.049
today on TikTok or all places, somebody sent

00:25:53.049 --> 00:25:56.289
me a message and said, hey, you know, a pregnancy

00:25:56.289 --> 00:25:59.150
and ulcerative colitis, is that safe? What does

00:25:59.150 --> 00:26:01.930
that look like? I think that, you know, obviously

00:26:01.930 --> 00:26:04.430
there's a lot of changing data with pregnancy

00:26:04.430 --> 00:26:07.710
and IBD. What medicines can you be on? Does surgery

00:26:07.710 --> 00:26:11.119
impact that? And I think it's having that conversation

00:26:11.119 --> 00:26:13.279
with your doctor. I think that's the best place

00:26:13.279 --> 00:26:15.900
to start because your care team can really come

00:26:15.900 --> 00:26:18.000
up with a personalized plan for you depending

00:26:18.000 --> 00:26:21.500
on where you are in your journey. I have many

00:26:21.500 --> 00:26:23.940
a friend who has had a very successful pregnancy

00:26:23.940 --> 00:26:26.799
with IBD being on their medications and safely,

00:26:26.960 --> 00:26:29.799
you know, having children. And then I know, you

00:26:29.799 --> 00:26:32.259
know, a gambit of us who have had issues with

00:26:32.259 --> 00:26:35.380
fertility. And I think it really is personal.

00:26:35.680 --> 00:26:38.740
And ultimately, your care team is the best. place

00:26:38.740 --> 00:26:42.200
to start with that. Shifting back to you, you've

00:26:42.200 --> 00:26:46.079
had your IBD journey. You've had this girls with

00:26:46.079 --> 00:26:49.259
guts journey. Now you've spoken to, I'm assuming

00:26:49.259 --> 00:26:51.380
just hundreds and hundreds of people, you know,

00:26:51.380 --> 00:26:56.680
dealing with IBD, mental health, physical challenges.

00:26:57.480 --> 00:27:01.180
And I always say that IBD, like any other, you

00:27:01.180 --> 00:27:04.500
know, serious disease. It changes you as a person

00:27:04.500 --> 00:27:06.980
or it shapes you as a person as well. In your

00:27:06.980 --> 00:27:09.059
case, you were 14 when you were diagnosed and

00:27:09.059 --> 00:27:12.440
you already had symptoms before that. So in what

00:27:12.440 --> 00:27:17.259
way has inflammatory bowel disease shaped the

00:27:17.259 --> 00:27:21.259
Alicia that you are today? Like I said, I'm a

00:27:21.259 --> 00:27:24.230
big storyteller. Got a typewriter when I was

00:27:24.230 --> 00:27:26.150
like eight years old and I immediately was on

00:27:26.150 --> 00:27:29.710
that thing writing stories. And so I think, one,

00:27:29.869 --> 00:27:32.970
again, it has given me empathy and compassion

00:27:32.970 --> 00:27:36.109
for all kinds of illnesses. I feel like I know

00:27:36.109 --> 00:27:38.849
how to level with people who are really struggling.

00:27:39.170 --> 00:27:42.450
It doesn't have to be IBD. And then that storytelling

00:27:42.450 --> 00:27:46.009
element. I feel like I, having lived through

00:27:46.009 --> 00:27:48.690
this, have a... very, you know, different lens

00:27:48.690 --> 00:27:52.289
on life that other people might not have. And

00:27:52.289 --> 00:27:54.829
I would say it's given me a unique perspective

00:27:54.829 --> 00:27:58.289
on living because each day is not guaranteed

00:27:58.289 --> 00:28:03.630
to be the same. I like to really skim Reddit

00:28:03.630 --> 00:28:05.829
communities because on Reddit, you know, you

00:28:05.829 --> 00:28:09.829
have actually a lot of activity, ostomy, subreddits,

00:28:09.910 --> 00:28:14.269
colitis subreddits, Crohn's subreddits, and lots

00:28:14.269 --> 00:28:17.079
of times. So that's sort of the starting point

00:28:17.079 --> 00:28:19.019
for people who have just been diagnosed, right?

00:28:19.099 --> 00:28:21.660
And then just today I saw a post for somebody

00:28:21.660 --> 00:28:25.319
who said, you know, my life is over, question

00:28:25.319 --> 00:28:31.519
mark, or I just got diagnosed, now what? If for

00:28:31.519 --> 00:28:35.259
somebody who just got told that they have colitis

00:28:35.259 --> 00:28:38.660
or Crohn's, somebody who's overwhelmed a bit,

00:28:38.720 --> 00:28:41.900
what would your first words of advice be? It

00:28:41.900 --> 00:28:44.519
would be that you are not alone. There are hundreds

00:28:44.519 --> 00:28:47.500
of thousands of us out here. There are niche

00:28:47.500 --> 00:28:50.960
communities for each person. And it's okay to

00:28:50.960 --> 00:28:54.200
grieve. It's okay to grieve. It's a lot to process.

00:28:54.579 --> 00:28:57.160
You know, it does change your life in a variety

00:28:57.160 --> 00:28:59.940
of ways. And then the last piece of advice I

00:28:59.940 --> 00:29:02.519
would give is to find one person that you can

00:29:02.519 --> 00:29:05.279
talk to candidly about the disease. That takes

00:29:05.279 --> 00:29:09.059
off a huge burden and mental load for you. And

00:29:09.059 --> 00:29:11.900
I think ultimately for me, having had Katie back

00:29:11.900 --> 00:29:14.259
in the day, that changed the trajectory of my

00:29:14.259 --> 00:29:17.140
entire journey without having had that connection.

00:29:18.109 --> 00:29:21.250
I'm not sure that I would feel as empowered or

00:29:21.250 --> 00:29:24.529
as confident or able to talk about my experience

00:29:24.529 --> 00:29:27.970
as I would have otherwise. So then what's one

00:29:27.970 --> 00:29:31.210
thing that you wish every person with IBD understood

00:29:31.210 --> 00:29:34.269
earlier? For me personally, I think one thing

00:29:34.269 --> 00:29:37.009
that I wish I understood earlier is that IBD

00:29:37.009 --> 00:29:39.410
is lifelong, so you have to learn how to befriend

00:29:39.410 --> 00:29:41.990
it. Because when I was diagnosed, my priority

00:29:41.990 --> 00:29:44.410
was how do I get rid of it? How do I hide it?

00:29:44.529 --> 00:29:47.009
How do I minimize it? How do I get rid of this?

00:29:47.089 --> 00:29:50.450
What can I take that just erases it from my life?

00:29:50.670 --> 00:29:52.970
And then I quickly realized, no, it was here

00:29:52.970 --> 00:29:55.930
to stay, and it's better to befriend it, figure

00:29:55.930 --> 00:29:58.309
out what works for you, figure out the adjustments

00:29:58.309 --> 00:30:05.029
that you need to make. It's better to find ways

00:30:05.029 --> 00:30:07.529
to work with it than just pretend that it doesn't

00:30:07.529 --> 00:30:09.549
exist. I think that that will impact your mental

00:30:09.549 --> 00:30:11.809
health. That will make you feel more isolated

00:30:11.809 --> 00:30:15.970
as well. And yeah, I think for me, befriending

00:30:15.970 --> 00:30:18.769
it was ultimately, you know, what made the most

00:30:18.769 --> 00:30:21.750
sense and has been the best for my journey. So

00:30:21.750 --> 00:30:24.730
looking into the future, do you think that we'll

00:30:24.730 --> 00:30:28.019
see an IBD cure in our lifetime? I would love

00:30:28.019 --> 00:30:30.579
to say yes, I really would. And so many things

00:30:30.579 --> 00:30:34.339
have changed in the last 20 years, but I'm not

00:30:34.339 --> 00:30:37.980
sure. I mean, I will say I hope so. Fingers crossed.

00:30:38.180 --> 00:30:40.799
But if nothing else, the support has changed.

00:30:41.079 --> 00:30:43.740
The medication landscape has changed. I think

00:30:43.740 --> 00:30:46.700
that there is a great chance and a better chance

00:30:46.700 --> 00:30:49.720
of success and remission for patients that are

00:30:49.720 --> 00:30:52.759
newly diagnosed now with the treatments and support

00:30:52.759 --> 00:30:55.599
that's out there. So fingers crossed that we

00:30:55.599 --> 00:30:57.220
do have a treatment in our lifetime. But if not,

00:30:57.319 --> 00:30:59.519
I think, you know, being diagnosed now versus

00:30:59.519 --> 00:31:01.299
20 years ago, you're in a much better place.

00:31:01.759 --> 00:31:03.680
And even if it might take a little bit longer

00:31:03.680 --> 00:31:05.740
to get to that point, like you just mentioned,

00:31:05.819 --> 00:31:08.579
though, the support, the community, basically

00:31:08.579 --> 00:31:11.099
Wilkhart has really grown and Girls With Guts

00:31:11.099 --> 00:31:13.400
is certainly doing its part. You are certainly

00:31:13.400 --> 00:31:17.700
doing its part. So keep doing that. I think you're

00:31:17.700 --> 00:31:20.740
not just helping people. I'm pretty convinced

00:31:20.740 --> 00:31:23.000
that you're actually changing a lot of people's

00:31:23.000 --> 00:31:26.339
lives as well. And that's really great. So Alicia,

00:31:26.420 --> 00:31:28.779
thank you so much for speaking to me today and

00:31:28.779 --> 00:31:32.529
for also sharing. your world, your journey, and

00:31:32.529 --> 00:31:34.809
what you do with Girls With Guts. I wish you

00:31:34.809 --> 00:31:37.589
nothing but the best moving forward. And like

00:31:37.589 --> 00:31:39.150
I just mentioned, keep doing what you're doing,

00:31:39.230 --> 00:31:42.490
because even if you just help one person, that's

00:31:42.490 --> 00:31:46.109
a massive success already. Yeah, thank you so

00:31:46.109 --> 00:31:48.569
much for having me. It's been a pleasure. Thanks.

00:31:49.529 --> 00:31:52.390
That's it for today's episode of Colitis Unfiltered.

00:31:52.890 --> 00:31:55.849
I'm Frank Klabring, and if this hit home or hit

00:31:55.849 --> 00:31:58.789
your gut, do us a favor, subscribe to the show,

00:31:59.289 --> 00:32:01.829
And follow us at Kaleidos Unfiltered on YouTube,

00:32:02.049 --> 00:32:05.410
Substack, Instagram, Threads, TikTok, and Reddit.

00:32:05.710 --> 00:32:07.849
We'll see you soon for more inspiring stories

00:32:07.849 --> 00:32:09.089
from the bathroom floor.
