Good news just keeps on coming

Things definitely seem to be turning around for the better in 2015 that’s for sure.

Friday I got a phone call from my newest Doc on the team to make an appointment. Tuesday shall be a busy day. I’m off to see my hematologist to check my iron levels (crossing fingers that they aren’t low) and then off to meet the new Rheumatologist!

Since my hematologist has been suggesting for years now that I may have early stages of lupus my family doctor had followed her suggestion and referred me to a Rheumatologist to investigate the mystery pain that every other doc says can’t possibly be my spleen (despite the fact it’s located where the spleen is). So I’m looking forward to maybe having answers on that front. It couldn’t come at a better time too. I had largely given up that i’d ever get answers to be honest and if you’ve ever had a situation where you couldn’t get answers you know just how hard it is. Any answer is always better than scratching heads.

For the past few weeks my body has been more achy, and my pesky little spot increasing in pain. Despite this I’ve been pushing myself, which i keep getting reminded not to do (um… kind of really hard because I have cabin fever from a year of being housebound). I hope that i’m not getting my hopes up too high but it’d be really nice to at least have a pain management discussion.  After a year of living in pain I’ve gotten pretty good at masking it, working through it, and resting when I need to. But it be kind of nice to have a vacation from it…

Pain is a hard thing to deal with not only for me but those in my life. Those that care about me either don’t understand, or can see it and feel helpless themselves. It’s hard because often i feel like I’m a burden to those around me so I ask little. It’s become so normal for me that I don’t realize I’m doing it anymore.

I have to say though that this past year has brought new friends to me, old friends closer and I’m truly blessed to have fantastic people in my life!

Returning to work

I’m filled with anxiety these days… After a year of being on disability leave I’m going back to work! It’s been a struggle just to negotiate getting back but I have a plan and I need to try… I still struggle and I’m still trying to find my new normal coping strategies.

I think the biggest thing is that I so desperately need this work. I need to be able to get back to work and stay at work. I’ve had so much stripped away from me dreams, hopes etc, that I just really need to be able to work.

I had a great talk with a close friend last night who actually we were coworkers first. Back in the day when we worked together I was actually her boss. She wound up getting a great opportunity elsewhere and our friendship really took off after. I’m very blessed to have her as a friend. Although her struggles are nothing like mine we have a kinship and understanding that is sometimes rare to find. I was expressing my anxieties about returning to work as I will have a new boss March 2nd (my anticipated return date). My insurance case worker, doctors, and I have been working together to make a graduated integration back into work. My friend used to work under my new boss so I asked her would my new boss be able to understand? Is she patient?

I was glad to find out that it looks like me and my new boss are quite similar in our working habits. I’ve always had a good relationship with her but have never directly worked with her before. As I’m preparing to go back to work I keep having to overcome feelings of anxiety, feeling overwhelmed, and stressed at the changes to my finances. It is going to be super tight, it’s going to be hard. Slowly I’m starting to put the supports in place and get detailed plan together.

It’s funny because things most people wouldn’t think about I have to. Parking… where will I park can I afford it. Does it have stairs? How far of a walk is it. Is my new cubical near a washroom. Will my new boss be supportive and understanding on the days where I just can’t get into work? Will my coworkers be supportive?

Is my plan to ambitious? Too fast? What if it doesn’t work out… what if what if what if…

 

I hate the question what if… it’s the question that leads my brain into a tail spin of things I just can’t control. I have to remind myself I need to take it one day at a time. Don’t push myself (which is going to be harder than I think).

It’s funny because I am extremely happy that I’m going back. I’ve been wanting this for a while. I’m getting better with handling my anxiety about it too… but I still come face to face some nights with sheer terror of returning and failing.. because at the end of the day that’s what I’m afraid of. What if I get back to only find out that I can’t do it… because I need to be able to do it. I need to be able to work and feel productive. I need to return to something I was and hopefully still am extremely good at. I love my job, and I was very very good at my job…

So next month I’m jumping back in and trying to get my life back. Enough is enough and somehow I have to find a way to live with my new normal. My unpredictable, crazy tired and in pain, normal.

Return to work woahs

I find myself reflecting on work and disability issues today. I’ve now officially been off work for a year now. I’ve done my part, I’ve worked tirelessly to return to work getting all the paperwork for accommodation etc into my employers hands but I’m still at a standstill just short of a year of returning back to work.

It’s often hard navigating working with a disability. Especially when you may not know your rights. I’m not sure about other countries but here in Canada we have something called “Duty to Accommodate”. I’ve found myself up until now not able to fight this return to work so I’ve gone along providing what I could making it well known that my doctor’s instructions are that I’m to be accomodated via work from home with a gradual integration back into the office environment. Yet a journey that started May 2014 has been met with resistance at every turn. First it was well we can’t do work from home because of xyz reasons. Perfectly legitimate reasons too. So I let them know i understood and I would work on what i could but I was open to transferring into a position elsewhere within my employer to a position that could accomodate my needs.

Yet still I sit here not being able to get answers to my legitimate questions. What’s the update on finding a position. I even have gotten to the place where I can do 1 half day with a good plan to get to three half days then to be reassessed. See I get that they want a concrete plan but the fact is I don’t know. All I know is i could work full time right now if i could work from home.

So where does this leave me… Over the past month I’ve been contemplating involving my union… Not an easy decision. It’s often looked down upon because there’s some implied message of “you’re doing something wrong” to your employer when you do it. Do I think my employers are doing wrong? Not neccessarily. I think they are looking out for themselves, and are uninformed about returning to work and handling employees with disabilities. I think their intent is my well being and theirs. However that said I do have the right not to be discriminated against, and there is that pesky little duty to accommodate…

There are limits… maybe you’ve heard of it… undue hardship… that’s the limit to duty to accommodate here in Canada. But let me ask you this…  How is accommodating me working from home or working one half day a week with a gradual increase undue hardship? The systems are in place though not in my current position. But they do exist and there is company policies saying that working from home is reasonable accommodation… so again… where is the undue hardship?

So I made the difficult decision to speak to my union rep today. I’m not sure how this will play out but all I want is to work… I don’t really care doing what but I want to work so badly that forcing me to stay home until I meet some “minimum” is driving me nuts. I need to start small and somewhere. The other frustrating thing is that this minimum keeps changing. Last year it was you can come back when you can work 1 half day… so what happens when i got there… oh no sorry you have to be able to do three half days… So what’s to say that when I finally get there it’s not going to change? Also what’s happening with the looking for another position that can accommodate me? an answer that simply gets ignored.

I’m frustrated by my employers lack of knowledge on these issues. I don’t think I’m being unreasonable…. However I can’t help but feel like I’m being stone walled in some attempt to get my insurance to force me to find another employer… the clock seems to be ticking and I’m not sure I can afford not to fight this fight, but I also don’t know that I have the energy to fight it either… So I called… I needed someone in my corner to help me fight to get a plan to see some action on my employers part to get back to work. I do like my union rep. I’ve known him for a while now. I explained the situation and he is going to make some inquiries on my behalf and see what he can do. The other thing I trust is that he’s not going to start playing some blame game with my employers. The last thing i need is someone going and getting their backs up. I trust that he’s got the diplomacy skills neccessary to aid the process.

With that there are some resources that I really want to share with you guys. There’s a book I’ve read which I think is awesome. If you have a chronic illness it’s a must read:

Women, Work, and Autoimmune Diseases: Keep working Girlfriend!

CUPE fact sheet on Duty to Accomedate

Ontario Human Rights Commission: Duty to Accomodate

PSAC: Duty to Accomodate

 

 

 

 

Update on my drama – aka Health

Feels like my health is very dramatic these days. I spend most the time of my office visits catching up that particular doctor on everything else all the other doctors have said to me. To make matters worse is that I don’t always get told accurate information or the full picture. Often my appointments happen before the specialists reports get to my central general practitioner. Thank god my GP is fantastic. So beginning of May I had a follow up with my GI and this week I had my second visit with my psychologist and my GP.

So to recap The GI who in March told me repeatedly he was ordering an MRI to follow up on the “spots” and enlarged spleen actually didn’t order them. Instead he’s now sending me (two months later – after Depression has been ruled out) to my Hematologist and wants to see what she says before ordering the MRI.  this week I had my second and last visit with my psychologist who’s finished his assessment and in no uncertain terms said that I am not depressed nor have any anxiety disorder at this time – however I am at significant risk of developing them if this continues. So not surprising at all.

So yesterday I had my follow up with my GP which I of course relayed all information and she just looked at me… “Wait… so he didn’t order the MRI”…  Yup that’s right he didn’t order it “… I’m ordering the MRI. At least if I order it now you should be scheduled around the time you have the appointment with the hematologist”.. Thank god someone is thinking about the timing! It takes three months at least! if not longer after ordering an MRI to get an appointment that’s if you’re lucky! She also so thankfully gave me a copy of all the test results from the scopes, CT, and blood work to help when I go to every other doctor to keep them all informed on what’s been ruled out, what’s been found etc.

So all that to say I’ve finally read through the results… Most is unsurprising however there are some small things I learned that I wasn’t told.

In terms of my Crohn’s I was diagnosed back in 2008 with Ileitis which is Crohn’s Disease that affects the terminal ileum (the last part of the small bowel). Apparently my diagnosed now includes Gastritis (inflammation of the stomach) and Duodenitis (inflammation of the duodenum the start of the small bowel). However I am not in “active” flare up as the gastritis is mild.

The CT scan results showed normal or unremarkable in everything other than the spleen. My spleen is slightly enlarged, and they’ve found one “ill-defined low attenuating area anteriorly” measuring 7mm, and a possible secondary smaller 4mm “low attenuating lesion posteriorly” in my spleen. The recommendation was an MRI to get a better look at the lesions.

I find it quite interesting to read my medical results even if I had to google a few things to understand the medical jargon!

I also have my blood test results but other than being low/high in certain things I have no clue what they really mean if anyone’s interested in them just hit me up for them. I will say currently my ferritin level is 15 (normal for females is 80 -300).

I’m finally feeling like things are starting to happen which is funny because they’re not exactly happening fast in fact I’ve been having month down-times and we’ve now wasted two months of my life disproving a diagnoses from a GI on mental health… umm… Love you doctors but if it’s not your specialty DON’T DIAGNOSE in it. REFER your patient to a specialist in that field… and for heaven’s sake don’t prescribe medication for it either. Case and point before sending me to a psychologist my GP who drank the kool-aid gave me antidepressants because they didn’t believe me when I said I wasn’t depressed and because I didn’t want to alienate my doctors by fighting them on something they clearly had blinders on for I took the medication as prescribed and spent three days in the fetal position… Later to find out that they gave me a serotonin overdose. Later to be confirmed that I was indeed not depressed.

I get why they went there, it is a logical idea, however when you find physical findings don’t discount them because they don’t fit in your box the way you expect. This is a rather long disability period, and I very much would like to get back to work asap! So please don’t waste my precious time going down alleys…

On the other side of my update is little Eisenhower’s medical update. My little buddy (aka the bottle baby) is officially 7 weeks old today. You would never know it from his size though. He’s the size of a four week old kitten. His rate of growth has been extremely slow but had otherwise been ok so there was nothing to do but watch and wait… Yesterday though was the toughest day for the little guy. I came back from my medical appointments to a very sick kitten who had liquid coming from both ends! Quickly we took a trip to the vet. Poor little thing despite being dewormed earlier, seems to have been overburdened with parasites. He’s got a stool sample off for testing to confirm and he’s been started on medication. Didn’t help that my air conditioner was broken and it was 30 degrees in my house! Thankfully the wonder AC guys came by and fixed it late last night and this morning little Eisenhower’s big personality was coming back out. He’s still got yucky poops, but hopefully the combination of medication and special food called “Recovery” we’re anticipating everything will be fine. The goal right now though is to get his weight up so that he can be big enough for vaccinations and possible antibiotics. He’s still extremely small weighing at 428 grams (when he should weight approx 700 grams). His poor adopter’s are patiently waiting for this little guy. He needs to be 2 pounds before he can join his forever home. They have been awesome though and completely understanding. They’re loving the little update emails I send with cute pictures like the one below!  This guy may be little but his big personality makes up for it!

P1050358

 

The Results are in… not Crohn’s…

I don’t know where to start because I think we have a tentative answer, but the way Dr. K handled me today left me in tears.

No abcesses, fistulas, thickening of walls etc. Doesn’t appear to be Crohn’s related… well sort of no related. I have an enlarged spleen with a very small spot…. Now to understand why I cried the whole way home wasn’t because of what he found but how he downplayed the spleen findings and up played the Depression card.

Anyone in my situation would find themselves depressed. The anger, frustration and general attitude of the medical practice is a tricky road to navigate for a healthy person let along me who’s been for the past three months housebound and in pain. I’m not talking ER visit pain I only had that once. But I’ve had mild – moderate pain off and on consistently in my upper left abdomen. Fatigue as well which was the most debilitating… So when I googled Spleen when I got home to find most of my current symptoms I felt so outraged that Dr. K downplayed it. Here was something tangable to explain my symptoms and yet he wanted to say I was having IBS caused by Depression!! and after just reading the CT scan results of the enlarged spleen with spot!

It really makes me wonder how well versed in the spleen he is, and my faith is somewhat lowered at the moment. I do recognized that I may be over reacting just slightly! So guess what the plan is… MRI time to investigate this suspicious little spot, and getting kicked back to the GP for “depression”…

I think part of the reason I’m so upset about him playing the depression card, is that it seems like a complete cop out. It’s like throwing up your hands and saying all the tests come back but don’t explain your symptoms. Am I depressed? For sure I probably have situational depression but find me someone else and my shoes who wouldn’t be! It’s completely natural after all the hell I’ve been through.

I just hate that he made it seem like this was “all in my head” or I’m not “trying hard enough” like this was all my fault… I felt so betrayed especially since he did find something after all…

Now that I’ve had some time to process and do some basic research I’m starting to feel better about it all. I don’t know if there’s much to do but I’ll be having an MRI, and I think I’ll do my follow up and time off stuff through my GP instead she’s a lot more supportive and reliable for the paperwork of being off…

 

Trigger Foods

Ok a slight rant today…

Can we all just agree to move away from the idea of “trigger foods”. It thoroughly confuses people who don’t have IBD, and some who do. I’m just so sick of when people hear about Crohn’s or I get into a discussion about Crohn’s that the first thing out of the other person’s mouth (though very well-intentioned) is ah I hear diet is SUPER important, or insert your other food related comment here.

Yeah… diet is important for us but NOT because what we eat makes any sort of difference in how our disease presents itself – diet is important because we can become malnourished very easily. Eating well all the time (which I’m totally terrible at) is a way to get as much nutrients into our bodies as naturally as we can with what’s left in that tunnel of digestion love. Some Crohnie’s have some foods that hurt them more but this varies widely between one Crohnie to the next.

Society has a bad bid judgy little attitude when it comes to food, weight and sickness.  When I talk about my Crohn’s I don’t want to have to justify what I eat to everyone under the sun – it’s none of their business yet somehow they think it is?!?!

I feel that when talking about IBD we need to steer the conversation away from food – it’s not that helpful for educating people on the grand scheme – it just gives them ammo to judge our every little choice. We know our disease and bodies better than anyone else out there. We know  what foods will hurt and if we make the choice to eat them we know what the choice means and we accept those consequences. Instead of talking about food which is one very small part of our disease, educating the public on what’s happening, how we fell, and the struggles we go through is much more helpful and much larger part of the disease to educate people.

When it comes to food we are all so different that food will not solve our disease – it can lessen the pain and symptoms, but the fact is our immune system is attacking our guts – our guts – it’s not attacking the food in our guts!

I’m not sure why my innocent chat this morning bothered me so much – my acquaintance was actually really nice and wasn’t even being judgmental – but it bothered me that the first thing she brought up was diet… I steered the conversation into more education about what I was going through and my suspicions and that food right now largely didn’t matter what I was eating everything under the sun hurts that I’m eating mainly broth or soup. The good days I’ll try some solids, but after an hour, the next day solids hurts and by solids I mean plain white rice and chicken. I was having some good days this weekend and after three days of rice and chicken the pain started to increase in severity – so back onto liquids for me…

Normally I can eat pretty much anything I want aside from diary so it bugs me when people start judging those choices – damn it. I have had so much stripped away from this disease that if I want a cheese burger in my non-flaring moments than damn well I’m going to have a cheeseburger. There are few choices for me that haven’t been affected in some way by Crohn’s that food is largely the only thing i can control. So until you walk a mile in my shoes – don’t talk to me about what I should and shouldn’t eat, or some miracle diet you heard about. I know my body better than you ever will – because I’ve done the time in the fetal position with pain and nausea to know my limits.

What do you mean you can’t put your pants on?

There I was, just months after purchasing my first home struggling with fatigue. It was the fall of 2011 and would mark the start of the most confusing, and frustrating 9 months.

It started slow and before I knew it my occasional tough mornings, turned into a full blow not being able to function. I couldn’t put my pants on without taking a nap afterwards. I was so frustrated and ashamed… how could I not do this? I used to be able to do this without any issues. Furthering this how do I explain this to anyone? How do I call in to work and tell them I can’t come in because I couldn’t put clothes on!

I talked to my GI which largely was unproductive. He had no answers. I took a few sick days here and there, but it just kept getting worse. I was struggling to make it into work I was calling in sick so much. By January I had to go down to part time hours, and then in April I was off completely.

There are two themes that happened during this time. There were the intense symptoms, and then there was the financial aspect going on. Before purchasing my home I had painstakingly saved enough for a modest down payment and paid off most my debts. There I was just a few months into it struggling to get into work… How on earth was I ever going to pay my mortgage!?!

I was so scared of losing it all. I was not moving back home – I had bought so that I didn’t ever have to move back. Since I didn’t know how I was going to meet my financial needs, and I didn’t know when my Short Term Disability application would kick in, I made the move and rented out my second bedroom to a just out of college guy. I have to say this was a great match at the start. With the EI Sick benefits, the rental income, and my line of credit I thought I could hold on until the mighty Gods the doctors figured my situation out.

As the days and months went on my fatigue, abdominal pain, and muscle/joint pain increased.

There were several conversations that contributed to the pieces being put together; my co-worker, a wonderful member of Crohnology, and my new on the team Hematologist. Although largely for my entire life the blushing of my cheeks I viewed as normal, but on one of my visits to the hematologist she took one look at me and announced that my blushing cheeks were the butterfly rash common to lupus. She also mentioned my ANA levels were elevated.  I had heard that having one auto-immune disease can lead to a diagnosis of a second. So after these discussions I picked up the little medical pamphlet on my Remicade and started to read through the side effects. There in black and white it said may in rare circumstances lead to “drug-induced Lupus”. I started looking back at the dates of my remicade, and when the symptoms were at their worse. See there had been a cycle. Every infusion of Remicade my symptoms came back stronger than before, and just before the next infusion lessened to tolerable. So I brought this up with my GP. Dr Y. Dr. Y a wonderful caring physician grabbed my medical records and together we pieced it together. Here I started to have hope, I started feeling like maybe there were answers to be found! That there was an end in sight!

With yet another appointment with Dr. K I presented the facts of the symptoms and the correlation of cycling around the infusions. I’m not sure if he really believed me, or if he was humouring me, but in any case I had a solid fact based cycle to show that this was something that could be investigated. He ordered a special test at my next infusion.

Then I waited… reading anxiously about drug induced lupus, secretly worrying that if my blushing cheeks all my life were a sign that maybe just maybe I had lupus all along? The test came back. Again with test before I can’t say my levels were astronomically high, I think the words Dr. K used were “slightly” elevated. Another notch into the fact my body has very low tolerance levels for anything. I had developed drug induced Lupus from Remicade.

Finally I saw a light in the tunnel. The decision was made I was going to go off Remicade, and switch to Humira. Still so fearful of what life would be like Dr. K assured me that the occurrence of having the same reaction to Humira was low, and the studies showed that those who don’t do well on one, generally do well on the other. Armed with this I waited for Remicade to leave my system. As it left the symptoms drastically improved. I returned back to work in July 2012.

With one part of my life going in the right direction, the financial one was not. My short term disability insurance wasn’t satisfied. Why did you go from part time, to fully off, and why are you better now. They didn’t seem satisfy. I don’t know if insurance companies just make the assumption that the medical professionals are gods and have all the answers but they were certainly acting like it. No matter how much medical paperwork I sent their way they still didn’t seem satisfied. To pair with that being back full time at work didn’t mean my pay check was the full amount. I had racked up so much time without pay just waiting for the 13 week waiting period that my income was still being deducted money I was paid all those months ago that I shouldn’t have been. Interest kept building and my line of credit slowly was becoming as maxed out as every other borrowing option I had. I may have found an answer to my health but save for the fact I was renting I could have easily lost my house.

My renter in the meantime was falling in love (no not with me). As his budding relationship increased his girlfriend started staying over more and more. Don’t get me wrong I liked both of them very much. However… I’m a firm believer in that the only sex I want to hear is the sex I am currently having… As I wasn’t, I was left with the humour of pulling out a cigar and saying it was good for me too.

It was awful… They were clearly having great sex, and I was in the other room not sure in the least of how to bring up the fact that I could hear every single moment of it….

Thankfully by the time it got so bad they had decided to get their own apartment and he gave notice. I was now in the mad dash of finding another roommate and fast… I couldn’t survive without the extra income, but I was so scared to have another person come in and shatter my peace of mind.

I did find one, and I’m not really sure what on earth made me think it was a good idea. Suffice to say in short I had taken on a renter who would demand more energy, and cause so much stress it lead to my scariest moment of my Crohn’s journey thus far. Around this time the gods of insurance finally after so long approved my disability application. I was to get money three months after I had returned to work. I may have been part time and off full time for the course of 6 months at the beginning of the year, but that 13 weeks waiting period killed me. I had largely thought that this would be the answer to my financial prayers but the reality was that although it helped, I had accumulated so much interest that it barely repaid the interest on the money I had borrowed for my bills. That’s just what it was: bills. Before I had bought my house I had largely paid off most my debts. I was so proud of this, and here I was not months after having racked up more debts than before! and on what? BILLS! Not clothes, not fancy dinner parties, shoes, make up or anything else. No entertainment. It went to pay my mortgage, my electric bills and other bills over the course of the 9 month journey until I was back at work.

To this day I still haven’t recovered. My cards are still maxed out.

Up Next: Grieving the loss of normal

Lesson three:

  • Save for a rainy day, and pay attention to your finances – you never know when you’ll lose your income.
  • Sometimes Doctor’s don’t know everything – and while they try to figure out the puzzle of your life it takes time…
  • Time: Something that I hadn’t thought about before Crohn’s how much time and energy I had and spending it without a care in the world. Make the most of the time and energy you have you never know when it will be interrupted by the unexpected.

Which is worse Crohn’s or the medication

There I was in January 2008 having just received the news that I had Crohn’s Disease. I didn’t know what to think. I hadn’t noticed that I had a disease, I was just living my life. What did this mean? What shape would my life take? Would anything change?  The reality of Crohn’s still wouldn’t settle in for a few more years. I had made up my mind that I would live like I always had. I hadn’t done to bad thus far right?

In my typical way I researched the hell out of it and tracked everything. Things that I would have forgotten go logged and tracked and I noticed more about my body in those few months afterwards. Back then although there was information online – it’s not like it is today. We have grown so much in these past few years.

I found communities, and information galore. I was overwhelmed and obsessed. Up until then I don’t think I really believed that I had Crohn’s disease. I read the symptom list and I didn’t see myself in it. Crohn’s typically is known as a bathroom disease and I wasn’t going too much! Sure I had some diarrhoea here and there, but I didn’t perceive it as anything abnormal. In truth I was more likely to be birthing out a log for 30 minutes with the feeling I wasn’t done, or false urges. Which I wasn’t seeing even mentioned in the symptom lists. In large, Crohn’s symptoms have displayed gradually since then, and always in different ways. No two flares are ever the same for me and in my opinion are graduating in the way they affect my life.

Through my tracking logs Dr. K eventually made recommendation to try medication. I still wonder if it was the Crohn’s that came first or the medication that caused the Crohn’s? In truth I think getting a diagnosis that actually waked me to the fact that I was completely ignoring the small ways my body was telling me I wasn’t ok.

In that first year I went through Imuran, Prednisone, and Entocort. None of which I could tolerate in the least. The nausea was just too great and my tolerance of it way to low. Meanwhile my iron levels just kept getting lower and I earned the term “moderate to severe” Crohn’s. I started going to iron infusion as an outpatient at the hospital. It seemed that my life was spinning downwards in this slow fashion and there wasn’t anything I could do about it.  I was trying to make changes, and largely felt that my life started to off the rails the day they gave me the diagnosis. Up until then I had felt fine right? At least that’s what I had thought. Coming to grips with the diagnoses was not easy that first year. I kept wishing I would wake up and this would be some bad dream – and that’s to say I knew I had gotten a better deal than others. Talk about mixed emotions. I was furious on the one hand and truly grateful in the other – I was stuck in the middle, on this snail paced ride unable to react.

Enter my year on Methotrexate… As my symptoms and blood work showed little improvement and my tolerance to previous medication wasn’t helping Dr. K put me on Methotrexate. One of my mother’s friends, a neighbour of ours was a nurse and she for the next year of my life let me come over to her house so she could inject me with B12 and Methotrexate. She even tried to teach my mother how to administrate it. I was getting it by injection once a week. My mother took one look at her friend jabbing my thigh with that needle and almost fainted! She just looked at me all pale-faced and said “You are on your own on this”. I just want to say metrotrexate for me is the reason I can never give myself an injection by needle (syringe – not pen style). I developed the most pavlovian response to needles where I become extremely nauseated when I see needles.

The next year of my life was this: I didn’t go out, I lost touch with almost everyone… this was the course of my life, I would get the injections on Friday evenings right after work (back in 2008 I had the fortunate circumstances to land a wonderful administrative desk job). I would be in bed sick beyond all belief Saturday and Sunday, and have recover enough to stick a smile on my face and pretend I was grand for Monday through Friday, and then repeat.  Finally at the ending of the year I couldn’t live like that anymore because it wasn’t living at all.

It was then that Dr. K suggested Remicade. Although telling me about the medication he seemed quite concerned with the financial ramifications that came along with it. If I hadn’t had the coverage I’m not sure what would have done. My coverage as I had found out by then covered 80% of my prescription drug up until I had spent $3000 out-of-pocket to where it switched to 100% coverage. I can’t remember the last year I actually spent less than $3000! So off to Remicade I went.

I loved Remicade! This was the first medication that I literally had no side effects from. It seemed like an easy trade-off, once a month head into the infusion clinic (there are three in Ottawa) sit for 3-4 hours being hooked up to the IV. I was very fortunate to have a chosen a smaller clinic. There were three chairs, and one nurse, Pam. They even tried to book me with the same people if they could. We became a small little family. We didn’t all have Crohn’s. We had a myriad of different conditions but we enjoyed the time together. Then in the fall of 2011 the worst symptom (in my mind) gradually took up residence. Fatigue!

Up Next: What do you mean you can’t put pants on?

Lesson Learned:

  • Take the time to listen to your body.  In today’s faced pace lifestyle valuing the lost art of listening and slowing down is not encouraged. Push harder, be more determined.
  • Health Insurance is so unbelievably valuable. My first career had no health coverage benefits at all, I couldn’t imagine what I would do if I was still at that job.
  • You are not alone!

You want to stick what where????

Over the past couple days I’ve written and rewritten “my Crohn’s story”… I’ve just come to the point where I must just shit or get off the pot in terms of sharing it. There will always be things I forget, or left out and I really just have to start the sharing somewhere right. This journey has been a long 13 year journey, and in some ways even longer since to understand me you really need the before the Crohn’s part – don’t worry I’m not going that in-depth!

To the best of my recollection this is my story. I was for lack of a better term both naïve and nonchalant in my reactions in the early days. I graduated to paranoia, fear, and then grave disappointment and frustration. The story I am going to tell you leaves out a better part of the years in between and the minutia of my days. Basically to say, to me it isn’t as bad as it may sound, it was my life after all. I’ve developed swiss brains as I get older which I believe is a blessing sometimes. A term that was so dubbed by my brain’s inability to say I have swiss cheese for brains without mixing the cheese and brain at every attempt.

The start of my story of Crohn’s is actually not that eventful in terms of the disease itself. I had a normal childhood, known for my extremely picky food habits. I was an energetic and curious child. I struggled to make sense of the world feeling different but I can’t say that was because of anything specific. I suspect we all in some ways as children think we’re different from everyone else, and that is true since we’re all individuals. In my teen years I struggled with social anxiety while I found my way.

In 2000 at the age of 17 I had a memorable trip to the bathroom. I don’t remember any pain; in fact much of the following years, pain wasn’t the theme. I had what I would consider a normal poop but when I looked down at the toilet it was full of blood. I was shocked and scared and immediately called my mother. I can’t remember what exactly happened afterward except the result was I was sent to a man in an Apple tree clinic who asked me to lie on my side so he could put a scope in my ass… WHAT!?!! You want to put what where? Had no one ever told this man it was an exit only hole…. I repeat exit only! I was so embarrassed! My mother in the room, and this strange doctor indeed sticks a scope up – no prep, no drugs no nothing. It wasn’t painful, looking back he couldn’t have gone all that far really not like a colonoscopy at all. The feeling of that scope coming out was the weirdest and wrong feeling I had ever experienced. It was exactly like pooping but you couldn’t stop and had no control – but there was no poop. It felt like forever. He didn’t find anything and suggested that it was hemorrhoids and to follow-up with my GP. Seventeen and hemorrhoids? Seriously dude?

I never did follow-up, there wasn’t any more blood, or other symptoms until a few years later. By the second time that my friend the blood returned, I was away at college. One afternoon off to the toilet I went and again filled that bowl with blood. I wasn’t that freaked out this time. But being the independent adult I was, knew this wasn’t normal, and wasn’t a good sign. Off to the hospital I went. Alone, in a strange city with no one for support. I waited. This time, when the examination came the doctor snapped that glove on told me to roll on my side and hug my knees… then he stuck his finger up my ass.  Oh holy hell my dignity left that room fast. I was not going to tell anyone this is what I had done today! After some blood tests I got the proverbial shrug and was sent on my way with a well you aren’t dying, but we don’t know where all this blood is from.

With the only symptom being blood it seemed like they either were too confused, or thought I had made the entire thing up. I was quickly learning that it was a bit pointless telling anyone about the blood in the toilet bowl… maybe this was something that was just going to happen every few years and move on. If there were no answers to be found, then I wasn’t going to subject myself to the humiliation of having someone keep sticking their fingers or scopes up my ass. I am just not into that kind of thing!

I went on with my merry life, finished college, and found a job in what was technically my first career in residential housing for kids with behaviour problems. Sometime in these years my blood work started showing deficiencies in my B12 and Iron levels. The most memorable of this was the incident where my B12 fell so low the doctor said they couldn’t get an actual number on it. The symptoms of this were the most confusing for the doctors and sheer hell for me. I lived in a three level townhouse at the time where I had to bum it up the stairs because standing up straight just wasn’t an option. It felt like I was on a fair ride even though I most certainly wasn’t. That said no one was acting like this was any big deal or caused by something. I was given B12 shots and things improved and off I went again. Other than this the only thing that kept me down was the time I caught a flu, cold, and urinary tract infection all at the same time. I took a week of work and that was it. I barely took a sick day otherwise. I was the picture of Health in my mind at least. I had the feeling of invincibility!

On Friday July 13 2007 my career in that field ended. Out of all the instances I had experienced, the one that ended that job was not the one I would have ever thought would. I have had a knife pulled on me, punched, kicked, hair pulled, my car smashed in, bitten, a suicide attempt and an incident involving gasoline. This one was nothing. One of my kids was upset for sure, but it was a pretty typical thing, one that I had been through before. I don’t know if it was her dropping her weight while in a non-violent holding technique or if when she kicked at my back. Either way I left my shift and promptly two hours later I couldn’t walk.

I had MRI’s, CT scans, etc. I had sustained a compression fracture in my lower spine. I was off work for 6 months. Three of which I couldn’t walk very well, and I had to move back in with my parents. This decision was the worst decision I had to make. I cried that I was being forced to move back in, convinced this time my mother and I would damage our relationship beyond the point of repair. I won’t get into the complexities of my relationship with my mother. Frankly you’d have to have lived my life to understand that fear, and still accept the fact I loved her with all my heart and she the same. The fact is we don’t live well together in the least.

Up until that point this was the most major health concern of my life. I was stuck on the heaviest NSAID drugs known to man. Nothing helped the pain. I tried chiropractor, acupuncture, and all sorts of things. This is the measure I now use when assigning a number to my pain. If the scale ended at 10 before, this was 50.

This was the starting point for my Crohn’s journey. Up until then the mysterious blood in the toilet had largely been ignored; but in November of 2007 my once every few years blood turned into every bathroom visit occurrence. I filled that bowl full every bowel movement for the entire month. Since I was already seeing doctors regularly for my back it most certainly got mentioned. I finally was referred to a Gastroenterologist. We’ll call him Dr. K!

I don’t remember much from my first visit with Dr. K. Just that he talked a lot about Celiac, and that’s what I guess they all thought I had. He scheduled me for an endoscopy, and colonoscopy the following January.  The first prep was actually the easiest, it was disgusting don’t get me wrong but I managed to get through it without any damage to my psyche. For those who haven’t had these tests, or about to have these test, the drugs are fantastic. I even like watching the camera while doing the colonoscopy! The endoscopy isn’t that bad if you can remember this… breath through your nose. Seems simple but no one had told me that.

As the endoscopy scope was inserted I quickly learned I have the worst gag reflex. Even frozen I still gagged so much that I broke every blood vessel in my face and eyes. Hmm… clearly no deep throating was in my future. Dr. K was losing his patience quickly. Suffice to say after this I wasn’t a huge fan of my GI. It took me another couple of years before I actually found myself liking the man. Truly appreciating that he really is a good doc. The thing that saved me, and let him continue with the scope was the kind nurse who simply leaned over and said “honey just breath through your nose”. Oh my god what a difference that made! He finished the endoscopy and then I rolled over and… yup you guessed it, I had yet another man sticking things up my ass. I largely view this as the reason I will never become a fan of anal. Each and every time my dignity leaves the room and goes for coffee so that the doctors can do this necessary task. I’ve come to accept this but again… outside of medical necessity it will always stay an exit only hole.

After that laying in the gurney while the drugs wore off Dr. K came back and proudly announced I had Crohn’s disease, and a hiatal hernia. My only reference was an imagery I developed after hearing that my cousin in law went to the ER with a bowel obstruction due to her “Crohn’s Disease” which was puking up Poop. That didn’t sound appealing in the least.

It was January 2008 and I was 25 years old.

Up Next: Which is worse Crohn’s or the Medication?

Lessons learned: Breath through your nose during an endoscopy. My career path is never going to be in the sex trade – Mom you can rest assured the stripping phase at age 3 won’t follow me into adulthood promise!

The Grey Area

Those of us with Crohn’s or similar invisible disease fall into this really hard grey area I call the misunderstood.

We aren’t understood by society, insurance, sometimes the medical community etc. We are in this cycle of the Grey Area.

I’m going through a tough flare – being encouraged by family to push harder, being encouraged to take short-term disability by my work, and left in the middle of not knowing when I will be able to function “enough” to go back to a state of “normal” but praying it happens soon. The insurance or Financial part of this doesn’t make either decision easy either.

I know I need to rest, but I also need to earn some income. I can after a 13 week wait period of being off sick be eligible to get short-term disability if my doctor’s are on board with this. But here in lies the crux. I may very well be feeling better before this 13 weeks is met. I am now on week 5 of sick leave without pay. This hasn’t been sequential. If this continues and I do exceed 13 weeks the insurance company isn’t going to understand why it is that some days I can go to work while others I can’t. Even though they already know I have Crohn’s. They are going to question why I should be considered disabled.

Further to that I have my family who does understand, wondering why while I am I off I went for three hours to my friend’s house last night, or had a friend come visit. My friend lives a block away from me, I’ve been housebound for 6 days. I am in pain, nauseated, weak, and fatigued. I still went despite those symptoms which didn’t go away. I know she’s not far from me, she has three bathrooms easily accessible, and I live alone so should things get worse at least I am in the company of someone who can help me should the need arise.

Those in hospital get visitors and on occasions day passes. Let that sink in.

Just because one isn’t sick enough to be in the hospital doesn’t make the act of seeking social connection any less important. We may not be able to function in a work setting because of our illness, but that doesn’t mean we should be isolated any further from society, and that’s exactly what that judgement does. We already feel guilty, frustrated, and angry that we can’t do what we want to do with our bodies, but by reacting to our flares by judging a social visit and comparing the requirements of that to our jobs is unfair and isolating. It hinders our recovery.

Because let’s face it, socializing, and working need different things. An hour visit with a friend for example: is short in time, I can easily, with understanding back out at anytime if I’ve misjudged my ability or my symptoms increase, and doesn’t need as much brain power to do. Work on the other hand is 7.5 hours, the fear of having to explain midway through your day you made a mistake in your ability and now for x y and z reason need to go home is hard, they may not understand so readily since you don’t look sick, the drive to work is much longer, and may require a stop along the way. Having to concentrate of tasks while in pain, nauseated will become tougher with frequent mental breaks, or physical ones are needed. It will take you longer to finish. The frustration of attempting and seeing you aren’t able to do it in the same way will affect your mood, and energy levels and burn you out faster in just that one day. That’s just what you are dealing with. Your co-workers and boss may be understanding, but if they see you struggling and do understand then you have their sympathy to contend with – “you really should go home and rest” “we appreciate your effort but you look like shit, go home”. Either they understand and are concerned, or they don’t and they are frustrated. Going to work is not a win-win during these times.

And therein lies the problem. Because this may last a day, a week, a few months, and then you feel better than before. Even a small improvement will seem like you are in heaven and back to work you go. There is a sliding scale I’ve learnt. With each new flare that is worse than the one before my top bar is extended. I will push through anything less and go to work.

A friend of my pointed out that I’ve developed over the years a higher threshold for working through the symptoms. Which every new adjustment of what I call the worst becomes the new “top” 10 on my scale, I push myself to go to work through symptoms that just a few years ago I would have considered enough to stay home.

I sometimes wonder if a “healthy” person spent one day in my shoes what their reaction would be. Unfortunately I won’t find out. It is therefore left to us dealing with Crohn’s to explain patiently, and sometimes we just can’t find the words to describe exactly it is we’re dealing with. To help them understand that although I look perfectly normal today at work – I feel far from it, but I have to push myself because I know it could be worse tomorrow.