Discovering Gratitude While Living with IBD

When you think about life with inflammatory bowel disease, are you able to think beyond the pain and suffering? Are you able to pause and take time to reflect on how your illness has shaped you into who you are today? Are you willing to look at something that continually challenges you, scares you and leaves you drained—and think…you know what, I wouldn’t have my life any other way? _F6B0037

It takes a lot of time and a lot of patience to come to this place of realization. Until recent years, I’m not sure I would have ever been able to say a positive word about what it’s like to live with Crohn’s disease. But now, more than 13 years later with this disease, I feel my vision has gone from black and white and changed to color. I have peripheral vision I never had before. I’m able to see how my past shaped me into who I am today. I’m able to recognize how the pain and hurt has altered my perspective and forced me to take the blinders off. I can see moments where I’ve risen above and shown courage and bravery. Some memories are painful, some make me feel sad, others make me feel proud.

There comes a time in a chronic illness patient journey that you stop thinking “why me” and instead “why not me.” I don’t like placing pity on myself. I don’t prefer to fantasize about the days before I was diagnosed. Instead—I enjoy reflecting on how I’ve evolved through the years, despite the setbacks and the scares. wedding1Chronic illness, while physically, mentally and emotionally taxing, also has the ability to show us the beauty of the world around us and all that we’re capable of. Instead of thinking how my Crohn’s holds me back—I think about how I’ve lived despite its restraints.

As the years go by, and the diagnosis “anniversary celebrations” roll on, I continue to grow and feel a renewed sense of self within my illness and within myself. As you experience procedures, self-injections, surgeries and the unknown, you get desensitized, but you also gain strength. The day-to-day management of an invisible chronic illness is exhausting and can be overwhelming, but there comes a time when you feel a sense of harmony with your body. You know what it’s trying to tell you. You know when you need to listen. You understand when you need to act.

_F6B0340My disease has helped me take on motherhood. It’s made me soak in the feel-good moments, take mental snapshots of the happy days and celebrate the beauty of life. My disease has forced me to press pause when I’m doing too much, it’s reminded me of the importance of self-care and taking time for me. It’s shown me which people are meant to be in my life and which are meant to be in the backstory.

It’s a season of gratitude. A season of thanks. A season of family, friends and celebrations. This year—I’m choosing to celebrate how Crohn’s disease has guided me to the present. Beyond thankful for a husband who’s my rock, a son who is healthy as can be and a daughter on the way in January. My body may not be “healthy” …but, it’s still managed to create miracles.

It hasn’t always been a fun ride, it’s been brutal at times. But it’s my life and I wouldn’t have it any other way. Please do yourself a favor and give yourself time to reflect on how your disease has shaped you into the person you are today. By showing gratitude about living with IBD, it’s one of many moments where you can show your disease who is in the driver seat and continually rise above.

How Hurricane Maria changed the path of my Crohn’s Disease: A Puerto Rican patient’s journey

I recently connected with a fellow IBD patient on Twitter named Jessica Pérez-Cámara. Aside from both of us battling Crohn’s disease and both of us taking Humira, we’re also both journalists. This week—Jessica shares an emotional piece about what it was like to take on inflammatory bowel disease, amidst a natural catastrophe, mid-flare. I’ll let her take it away.

Life with IBD is hard enough. IMG-5512Try having a flare during the worst natural disaster in the history of your country. It happened to me. I survived.

On September 20, 2017, Category 4 Hurricane Maria made landfall in Puerto Rico, causing a humanitarian crisis. Maria left nearly 95 percent of the island without communications, water, electricity and with limited medical access.

Many of the 3.4 million U.S. citizens living on the island had restricted access to resources like food, fuel, among many other essential needs. No communication, no cell phones, no internet. Nothing. I am a journalist who, at the time of the storm, was working as a communications assistant in the local Government. My job was to share news to the public before and after the hurricane. My country ended up getting hit with two hurricanes, and my beloved grandmother passed away a few weeks earlier. She died the day before Hurricane Irma. It was all such a whirlwind, as the stress mounted, so did my flare. IMG-5510

I was diagnosed with Crohn’s Disease in August 2015, even though I’ve lived with IBD for more than three years, I’m still learning to navigate my illness. Upon my diagnosis, I was put on Asacol and Budesonide. I had been fearful of going on a biologic and did all I could to avoid them. But, deep down I knew the moment would one day come.

Nonstop work after Hurricane Maria

I worked nonstop for months on the initial hurricane recovery efforts. As I took on this responsibility, I was flaring badly. Many hospitals were not working full capacity, running on generators and with shortages of basic medications like IV bags.

I was feeling terrible, exhausted, the fatigue and diarrhea were worsening, but I kept working through the pain. I was putting my duty for my country before my health. I was working long hours and when I got home, it did not get any easier, because life was not the same. Basic things like food, water, fuel for the generators, gas for the cars and even having a good meal or taking a shower were more difficult. My body ached from head to toe. The food was scarce and what was available was mostly junk food, fried food and canned food.

IMG-5513One morning I decided to stop in my GI’s office. He had lost the A/C unit and the office was flooded during the storm. He ordered some labs, an emergency colonoscopy and a few days of rest. I was anxious, exhausted, scared. After the colonoscopy, I was prescribed prednisone for a month and then started Humira.

Humira without electricity at home

I began using Humira in November 2017. My initial four loading dose shots were at my parent’s house, because they had two power generators and could have the refrigerator running 24/7. They kept my Humira for the rest of the blackout for us, which lasted 114 days.

It’s now a year later. I am back to normalcy – to my new normal- of giving myself painful shots. I’m in the process of receiving the Citrate-free (pain free) Humira and I can hardly wait! Unfortunately, I deal with some side effects from the medication (general body aches and joint pain, fatigue and weakness). That being said, the minor side effects I deal with are manageable and worth it to keep my disease under control.

An important conversation about chronic illness

As a Crohn’s patient and as a Puerto Rican, IMG-5514I hope my experience sheds light on what it’s like for those in the chronic illness community as they endure the repercussions of natural disasters. It’s a critical conversation that needs to happen—preparedness for the IBD community in the face of weather disasters. How can employers, government and society step up to the plate?

One year ago, I began walking the path of the Hurricane to the path of remission. I look forward with a sense of hope for the future both as a person and as a patient.

 

 

Operation “Good Health” with IBD through finding love, raising kids and building your dream

“Crohn’s isn’t what I’d call a “sexy disease” – it’s hard to invite the love of your life to share a bathroom with you. You are scared, embarrassed, worried and everything in between. However, my bathroom habits are out of my control. And, even though I’d give my arm for my incredible man, I don’t want him to know what goes on in the bathroom. I want to be sexy, a woman of mystery … and IBD sometimes isn’t… well, hot.”

If that didn’t get your attention, then I don’t know what will. Katy Love is an IBD warrior who recently tied the knot October 21 with the love of her life. Katy+Vince-12Sickness and health truly take on a whole different meaning when you live with a chronic illness. Katy witnessed her husband Vince’s compassion and character while they were dating.

She had a wound vac that was loud, smelled and made it impossible to shower. Vince loved her despite her health complications and Katy said her Crohn’s brought them closer throughout their courtship.

“I’m extremely blessed to have a supportive partner. As anyone with IBD knows, you have great days and horrible days, sometimes within the same week. I truly believe IBD has made me a better, more understanding partner. I value each day, especially days without pain. And I value Vince and his support. From day one, he’s wanted to be involved in my Crohn’s journey. Going to doctor appointments, infusions, participating in fundraisers and holding my hair when I get sick,” said Katy.

While Katy doesn’t allow her IBD to define her, it’s a huge part of her day-to-day existence. It impacts her as a mother, a business owner, a partner, a friend…and especially as a wife. Diagnosed with Crohn’s at age 17, more than 21 years ago, she’s endured 40-plus colonoscopies, multiple bowel surgeries and removal of more than 75 percent of her bowel.

Preparing for the big day

Leading up to her wedding day she instated Katy_Vince_Family_137“Operation: Good Health.” She made it a priority to get a minimum of eight hours of sleep a night, as lack of rest tends to be a trigger for her. She was on a mission to hydrate, hydrate and hydrate some more. To set herself up for success and limit any surprise flares, she planned out her meals the entire wedding weekend. For example, she does well with bland foods, like noodles, rice, chicken and (big one) avoiding alcohol. And finally, she delegated responsibilities (aka stress) to friends and family. Katy admits she’s pretty Type A and would much rather do things herself than hand them off. However, she wanted to enjoy her wedding and because of her proactive planning, she was able to do just that!

Katy is a shining example of living life to the fullest, despite her disease. She was blessed with three, beautiful, healthy children. Fall 2017 Family 1Reagan, Grayson and Carter may not understand why their mommy is in bed or why she needs to pull over on the side of the road when she gets sick, but Katy’s Crohn’s has taught her children a great deal of empathy at a young age. A few weeks ago, she was in debilitating pain and her nine-year-old offered to make dinner for her brothers. She poured them each a bowl of cereal and that was everything.

Along with motherhood, Katy has managed to have a successful career in public relations, including serving as Vice President of Global Communications for Crocs, Inc. Recently, she launched her own PR firm, Comm Oddities Inc. that specializes in food, fashion and footwear. There is nothing this woman can’t do.

Advice after living with Crohn’s for 21 years

As far as advice for the rest of us? Boulder_Headshots_043

“Be kind to yourself. I’m very guilty of getting frustrated with myself. I want to do it all, all the time. Give 100 percent to my job, my family, my friends … and some days just getting out of bed is challenging.

One of my favorite quotes about living with a chronic illness (that’s most of the time invisible) is “Those with chronic illnesses aren’t faking being sick, they are faking being well.”  That really hits home. You don’t want to burden others, so you simply say, “I’m fine” and smile. But, asking for help isn’t a weakness. Those close to you want to help, they simply don’t know how.”

 

Paid IBD Research Opportunities: Check it Out

Calling all inflammatory bowel disease (IBD) patients and caregivers in the New York and Philadelphia areas! There’s a great opportunity to participate in research and receive $175 for taking part in a 60-minute in-person interview.

The main mission of the program is to improve the injection experience for gastrointestinal patients. syringe-1696020_1280Currently, many patients and caregivers struggle to inject medications correctly, which means patients don’t always receive their full dose of medication. This can lead to symptoms worsening and a greater threat of a flare up.

The study will assess an updated method of injection, so patients and caregivers have more of a sure-fire way to ensure medication is being received correctly and completely at the proper dosage. The interview responses will help inform the device development process. All responses and information will be confidential and anonymous.

Requirements to participate:

  • Must be diagnosed with Crohn’s disease or ulcerative colitis
  • Use a vial/syringe or TPN for medication
  • Ages 12-17 will be accounted as pediatric patients (will need to attend with a parent), anyone over 18 will be considered an adult.
  • Caregivers must be over age 18.

Click the following links to sign up:

New York

November 26-29

5th Avenue, 10th floor

Focus Room 693

New York, NY     1002

Deadline to register: Sunday, November 25

Philadelphia

December 2-7

M3 USA

1650 Market Street

Suite 3030

Philadelphia, PA     19103

Deadline to register: Saturday, December 1

Your feedback and expertise can help make it easier and safer for patients to inject and receive maintenance medication. As a Crohn’s patient of more than 13 more years, who has done self-injections for more than a decade, I can attest how critical this information is to the patient journey and to the future of medicine. By sharing your experience, you can improve the future of care for not only yourself, but many others in the IBD community.

Not able to make an in-person interview? boy-1986107_1920There’s also an online study—available to anyone in the United States—going on right now for those living with an immune system or digestive system condition. You can earn $15 for a 15-minute, online survey. Click here to get participate. The deadline is Tuesday, November 20.

Once you register for the studies, researchers will send an email invitation within 1-2 working days.

 

Juggling two under two while taking on Crohn’s disease

As the weeks go by and the days get closer for baby girl to arrive, I can’t help but feel anxious and nervous about what it’s going to be like having two kids under two, while managing my Crohn’s disease. Throughout this pregnancy, I’ve quickly come to realize how my needs and health oftentimes take a backseat as I take care of my little guy. IMG_3626While I feel incredibly blessed to be in this position, it comes with its own unique set of worries.

Prior to becoming a mom, my sole focus could be taking care of myself. While hospitalizations and flare ups were always dreadful, looking back, I had no idea how much “easier” it was to go through sickness, when all I had to worry about was me. I think many IBD women are hesitant to become moms because they are fearful of being able to juggle it all. That’s a valid concern, but personally motherhood has always been something I’ve dreamed of and wanted. I wasn’t about to allow my disease to hold me back from experiencing it.

That being said—you have to find patience within yourself and a trust in listening to your body’s symptoms to know when you’re doing too much and need to slow down. You need to be willing to wave the white flag at times and surrender to your illness. You have to be willing to ask for help. You need to be confident in the fact that your children will grow up differently than others. IMG_3802They will live within a home that talks about chronic illness and experiences it each day. Your little ones will learn compassion and perspective before they are even able to truly communicate. If you have a child and chronic illness, you know what I mean.

So far, I’ve been a mom for 19 months. I’m still a rookie. I’m still in the trenches of learning how to navigate this new life. But, I’m proud of how I’ve taken on the role of motherhood and balanced my illness along with it. I finally feel like I’m in sort of a cruise control with my son. In January, everything will start anew as we welcome our daughter into the world. Reid simply can’t wait for “sissy” …he constantly kisses my belly and tries to pull up my shirt, so he can “see” her.  While I can’t wait either, the fear of a postpartum flare once again weighs on my heart. There are so many what ifs as a chronic illness mom.

What if I’m hospitalized and have to leave TWO babies at home until I’m well? What if my disease spirals out of control and I’m home alone with nowhere to turn? What if the stress of taking care of two children with limited help sends me into a flare up? What if I’m not enough? I’m trying to be proactive now to prepare myself mentally for both the magical moments and the challenges that I’ll be presented with when we become a family of four. IMG_3723Whether it’s with motherhood or with living life with Crohn’s, it’s important to remind yourself that everything goes through stages. There are highs and lows, but each moment is fleeting.

One of the most amazing parts of pregnancy when you have chronic illness is witnessing your body create a miracle, right before your eyes, after years of letting you down. It’s a beautiful reminder that despite your illness and the parts of you internally that tend to malfunction, you are still able to carry a child and bring a life into this world. Pregnancy and motherhood have given me a renewed sense of self in my patient journey with Crohn’s. Motherhood has helped me love my body again, after years of damning it. It’s shown me that while IBD has shaken me to the core and blindsided me countless times, it hasn’t taken away one of the life’s most gracious gifts and experiences.