Month: March 2018

5 tips for finding flexibility within yourself while battling chronic illness

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I’m a planner. Always have been. Always will be. But, as my grandmother always used to tell me, “Tell God you have a plan, and he’ll laugh at you.” That seems to be the case all too often for those of us in the chronic illness community. If you’re like me, each flare up and hospitalization has occurred completely out of the blue. I’ve bIMG_2413een blindsided each and every time. I’ve worked a full day, trained for a half marathon, taken a road trip…you name it…and BAM…hello, bowel obstruction or abscess.

So, how can we go about our lives as normally as possible with the ever-looming dread of the next setback and flare? It’s easier said than done, but it is possible. I’ve battled Crohn’s disease for nearly 13 years, this perspective and knowledge took time for me to gain. When I was first diagnosed, flexibility and patience weren’t in my vocabulary. But, like all things in life, time helps us heal and time teaches.

Here are five helpful tips for finding flexibility while taking on your illness:

  1. Do your best to live in the now. Rather than focusing on the past hiccups in your journey, live in the moment. Feeling well? Capitalize on this. Go outside, meet up with friends or family, get some exercise. Natalie runningIt’s these fleeting moments of invincibility that provide us with a chance to live like the rest of society. It may seem simple, but recognize these moments, verbalize them with loved ones. Celebrate the small joys, that are a big deal.
  2. Stop beating yourself up over what could happen. Many people in the chronic illness community talk about how common post-traumatic stress disorder (PTSD) is. We’ve all faced some challenging, debilitating moments that have shook us to our core. Of course we don’t want that to happen again. Don’t place blame on yourself. Instead, give yourself credit for all you do on a daily basis to manage your disease—whether it’s watching your diet, taking medication or making an effort to practice self-care.
  3. Put your health first, don’t push yourself to the brink. Nobody likes to cancel plans or be a no-show at big events and social gatherings, especially when you’re actually looking forward to them. But, by putting other people’s needs before your own and worrying about what people might say or think of you—you’re only putting yourself in harm’s way. Be mindful of how friends and family members react when your disease is symptomatic. Are they supportive and understanding, or do they make you feel bad for bowing out? When you’re too tired, in pain or struggling, that’s a message from your body telling you to slow down. Please listen.
  4. Roll with the punches of treatment. Trying to wrangle a chronic illness into control is exhausting. It’s constantly a chess game. When you no longer respond well to your biologic, when you’re put on a new medication, when you’re told to try eliminating sugar, dairy, gluten or all the above…try to give everything a shot and a chance. IMG_0230Think about the risk vs. the reward. It’s emotionally draining when nothing seems to be working or helping to ease your pain, but, staying positive and open helps us all physically, emotionally and mentally. Keep an open mind with your healthcare providers and have two-way communication. Educate yourself, learn about the clinical trials and treatment options out there—be your own best advocate. Connect with others who are living your same reality. Trust in other peoples’ journeys, but recognize your journey is unique and so is everyone else. Each person’s IBD presents differently.
  5. Be the first to admit when you need help. IMG_0077By telling someone you are struggling, hurting or worried, you are not showing weakness. You are not complaining. If you are going through a dark time and wonder how you’re ever going to overcome a current setback, lean on your support system without hesitation. Internalizing your pain will only make matters worse. You’re still brave and resilient, no matter what.

Hospital bag essentials: What to pack & where to find it

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If you battle inflammatory bowel disease, chances are, along that journey you’ve been blindsided by a flare that sends you to the hospital. One of the hardest things to do is try and pack a bag for the hospital while you’re doubled over in pain and can’t think straight. This week, a guest post from my friend, and fellow IBD advocate, Amanda Osowski. IMG_2499Amanda shares the hospital bag “must haves,” so you can be prepared the next time around. Amanda, take it away…

As a Crohn’s patient, my often urgent, sometimes frequent trips to the hospital used to leave me wondering how I could better prepare for these moments, when they arrive.

For several years, I have been keeping a mostly packed hospital bag. Today, I operate off a combination of a mostly pre-packed duffle bag, along with a note on my phone of a few items to add to the bag before I head to the hospital. This has allowed me to feel slightly more in control of the times my body does not cooperate.

Steps for filling a pre-packed hospital bag:

  1. Start by finding a good duffle bag. I have found that ones with internal/external/side pockets are best for me to keep things organized. (This is mine!) Often bags used for working out/the gym are good candidates for this purpose based on size. Amazon has many options, and stores like Marshalls/T.J. Maxx often have name brand bags for inexpensive prices.
  2. Records:
    1. Keep a printed list of current medications, supplements, allergies, doctors and their contact information. This is much easier to reference in the ER or in-patient with multiple doctors rounding.
    2. Have a printed copy of any medical documentation from your providers – especially if you have a port, picc or central line, an ostomy, feeding tube, or other medical devices/necessities. I also store these on my cell phone, so I have a mobile copy.
    3. Share with your parents/spouse/friends where this bag is kept, in case you are unable to grab it before becoming admitted.

Essentials

  • 3-5 pairs of underwear IMG_2495
  • 4-6 pairs of socks with grippers on the bottom. I really like yoga socks like these or these or these!
  • Flip flops or slide shoes or slippers with grippers on the bottom (for leaving the room).
  • Glasses/Case or Contacts/Case, including cleaner wipes/solution
  • Hand Sanitizer / Wipes
  • Lysol Spray
  • Pen/pad of paper or notebook
  • Phone charger
    • I would recommend either purchasing an extra 6ft. or 10ft. cord on Amazon to keep in your bag, or purchasing an extension cord to help with outlets that are in inconvenient places
    • Also – wall plugs like this that have the ability to charge more than one item at a time are great.
  • Ear plugs (in case of roommates or beeping IVs!) – I like these or these
  • Eye masks (to sleep w/lights) – This one is my favorite.
  • Hard candies to suck on/throat lozenges for dry throat

Clothes:

Note: I don’t have a ton of clothes that I like/find comfy, and because I often want my favorite items when I’m in the hospital, I usually keep these on my “To Add” list (see below)

  • 2-3 Comfortable bottoms (PJ pants, shorts, leggings, sweatpants) – loose fitting is best
  • 1-2 Zip up sweater/sweatshirt/fleece in case it’s chilly
  • (Men) 3-5 tank tops or tee shirts with loose neck/arms
  • (Women) 3-5 Tank tops with built in bra or tee shirts and sports bra with no metal

 Toiletries

  • Toothbrush/Toothpaste
  • Mouth wash
  • Deodorant
  • Hairbrush/Comb
  • Hair ties/bobby pins/elastic headbands
  • Dry Shampoo (My favorite listed here, and Target often sells travel size bottles for $5.99)
  • Shower items: shampoo/conditioner/body wash/razor
  • Lotion
  • Chapstick
  • Face wipes – these are my favorites
  • Wet wipes
  • Calmoseptine!
  • Nail file/nail clippers
  • If you’re female, tampons/pads just in case!
  • Body spray like this!

 Comfort

  • Toilet Paper (As a Crohnie – my bottom often cannot handle the hospital 1 ply)
  • Stuffed animal
  • Soft blanket (I’ve found my favorites at Marshalls or Home Goods)
  • Pillow (or your own pillow case)
  • Hair dryer (if that’s important to you after hospital showers)
  • Bathrobe (if that’s your thing – I don’t keep one in my bag)
  • Laundry bag/bag to keep dirty clothes separate from clean ones (I just keep a few plastic target bags in my duffle)
  • Kleenex/Tissues if you prefer soft ones
  • Heating pad
  • Durable/tall refillable water bottle
  • 1-2 sealed bottles of water (yourself + caregiver)
  • Photos – friends, spouses, pets. While most of us have these digitally, sometimes it’s nice to put a small frame on your hospital windowsill or nightstand

Entertainment

  • Magazines / Books – physical or downloaded to your phone/tablet IMG_2496
  • Deck of cards or small game
  • Headphones
  • Coloring book/colored pencils or crayons or markers

I use small makeup size pouches or bags to organize things together (ie: electronic related items, toiletries, etc.), and keep this all in my duffle bag, which lives in our guest room closet. This is important for me to remember, in case my husband is out of town and a friend offers to swing by our place and pick it up from me!

I mentioned my “To Add” list that I keep on my phone. Here’s what’s on it!

 To Add:

  • iPad + charger
  • Laptop + charger
  • Clothes (See above!)
  • Snacks: Including this obviously depends on your current intake abilities, or your caregivers, as well as your regular hospital’s offerings.

amandaThat’s it! If there are things on here that aren’t your jam, just leave them out or substitute with something more your style!

Connect with Amanda on social media! While she shares posts about her health adventures and patient advocacy efforts, she also share lots of other great content too!

Instagram

Twitter

 

The difference between sympathy and empathy with chronic illness

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Sympathy and empathy. Two different words with very different meanings. Especially to those of us in the chronic illness community. The first nine years I battled Crohn’s disease, I kept my diagnosis as private as possible. Only close friends, family and co-workers knew what I was going through behind closed doors. I did this because I didn’t want sympathy.

TVblog

Back on the news desk following a bowel obstruction hospitalization, would you ever guess this was my first show back?

I didn’t want people to look at me differently. I didn’t want to be judged or looked down upon. I didn’t want to be viewed as “less than” by my peers. When you choose to suffer in silence you close yourself off to support, you close yourself off to empathy.

Since sharing my patient journey in November 2014 with the public, I’ve realized the power of empathy. How it feels when those close to you and complete strangers reach out to offer support, words of advice and choose to show compassion. By definition, empathy means, “the ability to understand and share the feelings of another.” The definition of sympathy is “feelings of pity and sorrow for someone’s misfortune.”

When we choose to share our story, we open ourselves up to not only support, but criticism. People who believe we are advocates as a way of seeking attention. People who try and dumb down our personal experiences because they feel we share to get pity. People who believe we want others to feel sorry for us. This could not be further from the truth.

I share my experiences with Crohn’s disease as a way to inspire and educate.

crohnswalk

I’ll always remember how my cousins and brother rallied around me at the Take Steps Walk in Chicago.

The last thing I want is for someone else to feel sorry for me. There is no reason to act like I have it worse than you or that you feel bad I’m not “healthy.” I am healthy, I just have a chronic disease that makes my life a little more challenging than yours. The challenges Crohn’s has brought into my life have been difficult, emotional and trying—but with each setback, comes a much stronger comeback. I am stronger and better for the trials I have been faced with.

I don’t want your sympathy. I want your empathy. I want you to reach out and see how I’m doing, because you genuinely care. I want you to show interest when I bring up my disease, rather than change the subject…or walk away. The lack of empathy and disinterest hurts more than anything. It shows you who’s a surface friend…and who is a real one.

IMG_7435

I was hospitalized six months into my relationship with my husband. His support was amazing from the start.

Think about how you’d like to be treated and talked to, if you dealt with an invisible, chronic illness that wreaked havoc on your body without warning. A disease that you do all you can to control with lifestyle and medication. A disease of constant unknowns.

When you conversate with those in the chronic illness community—think before you speak and please choose to be empathetic, rather than sympathetic. Your efforts may seem minimal to you, but they mean more than you know.

Liquid diets: How to thrive and what to avoid

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When you battle inflammatory bowel disease, chances are there will be several times throughout your journey where you are limited to only drinking liquids—whether it’s preparing for an upcoming procedure or needing to rest your bowel during a flare-up. It can be extremely dreadful to function in a workplace or in a social situation, when you’re limited to drinking liquids or sipping on some broth.

meandamandaWhen I was a news anchor in Springfield, Illinois, I used to interview and participate in cooking segments with a registered dietitian named Amanda Figge. She is extremely passionate and well-versed about nutrition and health and practices what she preaches in her daily life.

“Nutrition holds the key to the difference between going on or off certain medications, improving your performance and strength at the gym, raising energy levels, and reducing pain and inflammation, to name a few. There is no one-size-fits-all approach to healthy eating,” Amanda explains.

One of Amanda’s recent posts on social media really peaked my interest. She included a photo of Ensure. If you have IBD, chances are you’ve relied on these at some point. I know I have. In her post, Amanda wrote:ensure

“Ensure is one of the worst “nutritional” beverages to supplement in the diet. Yes, I fully understand the body just needs to receive nutrients in any way, shape or form it can. But when longevity and health are a prime concern, QUALITY should be a priority. As you can see, Ensure provides an assortment of vitamins and minerals, but in order to get those nutrients, you have to consume a bottle chalk-full of chemicals and high-inflammatory agents.”

She went on to say:

“Sugar is the third ingredient. Corn maltodextrin is a highly processed refined carbohydrate. Soy protein should be avoided. Artificial flavors/sweeteners are no way to treat the body nicely. You’re basically consuming a multi-vitamin that was covered in sugar, lit with a cigarette and left in the middle of a freeway during rush hour traffic.”

Whew. Intense. If you’re like me—and have depended on these meal supplement drinks when you’re in the hospital, fighting a flare at home or struggling to eat—those words probably struck a chord with you, too. Amanda’s focus is to heal the body with whole foods and eliminating potential sources of inflammation. Inflammation is the immune system’s first response to an acute or chronic condition. Chronic inflammation can be caused by cancer and its treatments, autoimmune disorders such as fibromyalgia and Crohn’s, metabolic complications such as diabetes and even neurological conditions like depression.

“While I believe it’s important for all people to practice low inflammatory eating habits (focusing on a whole foods diet and limiting processed foods, chemicals and added sugars), it is especially important for individuals experiencing chronic inflammation to adopt these protocols. Ensure is often provided to those undergoing chemotherapy or recovering from a bowel flare-up. While it may be appropriate for some, creating a homemade nutritional supplement can have far less chemicals and more immune-boosting benefits,” says Amanda.

If you’re put on a liquid diet to calm your bowel and to heal, avoid lactose, gluten, sugar-substitutes and soy. Making homemade shakes allows you to have complete control of the nutrients you are putting into your body. Here are two of Amanda’s favorite smoothie recipes:

 Creamy Chocolate Banana Smoothie

  • 1 scoop of chocolate whey protein isolate (lactose-free and naturally sweetened)
  • ½ frozen banana
  • ½ small avocado
  • 1 spoonful of peanut butter or almond butter
  • Handful of ice cubes
  • Unsweetened almond milk (1/2 cup- 1 cup)

Blend all ingredients in food processor or mixer. Using less almond milk will make the smoothie extra rich and thick.

Berry Bliss Smoothie

  • 1 scoop vanilla whey protein isolate (lactose-free and naturally sweetened)
  • ½ -1 cup frozen blueberries
  • ½ frozen banana
  • 1-2 handfuls of spinach
  • Unsweetened almond milk (1/2 cup- 1 cup)

Blend all ingredients in food processor or mixer. Using less almond milk will make the smoothie extra rich and thick. IMG_5890

Another option instead of whey protein isolate would be collagen peptides. These specific amino acids can additionally help support proper gut function and strengthen immunity. L-glutamine powder is an additional supplement Amanda recommends that promotes gut healing. This powder can easily be added to smoothies and beverages.

I don’t know about you, but the next time I’m on a liquid diet, I’m going to take Amanda’s advice to heart. While we may not have control of our well-being with Crohn’s and ulcerative colitis, this knowledge and background enables us to grab the reins and give our body the best shot to heal, in a healthy way.