Thursday, April 24, 2014

This week so far...

Even though tomorrow is already Friday, it feels so early in the week for me because I didn't make it back to school until Wednesday morning. I was feeling very miserable all the beginning of this week because the steroids hadn't started to work on me yet. I am a little angry and sad that I had to start taking the Prednisone (40mg) again because I thought for once I might get to take a break from it. Now, I am currently taking 40mg of Prednisone, 3mg twice a day of Tacrolimus, Probiotics, and regular vitamins. I should also start taking Bactrum once a day now that I am back on the high dose of steroids.

So I finally got the name of the medicine I am waiting on and googled some information…

Vedolizumab: 
is a humanized monoclonal antibody that inhibits adhesion and migration of leukocytes into the gastrointestinal tract by preventing the alpha4beta7 integrin subunit from binding to mucosal addressin cell adhesion molecule-1 (MAdCAM-1). It was developed as a treatment for patients with moderate to severe ulcerative colitis (UC) or Crohn's disease (CD) who have failed at least one conventional therapy, including tumor necrosis factor (TNF) antagonists.

As of now, it still says that it will be available late May for patients with UC, like myself.
I only have 2 more weeks of school left!! and I'm hoping I can actually complete this year without having to withdrawal from any classes (like I had to do last year… ugh) That will keep me on track for my class in the summer and classes in the fall so I can apply for the nursing program in the fall as well!

I realized this last summer as I was miserable from this condition, but it really makes you stop and realize how many great things you have in your life that you take for granted. You never really think about people who suffer from diseases or illnesses everyday and how it can affect so much. Even though my disease can get rough at times, I still feel for those people who battle something much worse everyday. Health is something that is so easily forgotten about to appreciate until something major happens. Even after being in the hospital before, I still forget from time to time to stop and think about how lucky I am to be this healthy. 

-- JKL


Monday, April 21, 2014

My weekend

I've been home since Wednesday and I was expecting to have a long productive weekend. Well that all took a turn for the worst. Since Friday I've been in a lot of pain and so so so tired. My symptoms have been so bad and I almost feel as bad as I did when I was in the hospital. Today I was suppose to go back to school but I feel way too sick to go. Instead we went and got my blood drawn so the doctors can check the levels on everything and see if there are any red flags. Tomorrow I will either be heading back to school or to the hospital again to be admitted. Ugh, not to mention I'm on 40mg of the steroids again... My cheeks are gonna start getting super large again :( 

Well back to bed I go... 

Saturday, April 19, 2014

Pictures from a year ago --

Here's a picture I found that was taken a year ago in the Lake Forest Hospital. My mom had gotten me that bear to keep me company! 

Here's a few more pictures I found as well from my stay at the hospital and all of the support I had! 

These past few mornings for me have been kinda tough. I've had no energy at all and I've been sleeping until about 12 or 1pm because I physically can't get up. Also, my stomach is always worse in the morning and I've gotten to the point again where I am nauseous in the mornings so I can't eat much! I hope my prednisone kicks in soon so I can start feeling a little better. 

--JKL

Friday, April 18, 2014

How it all started --


Last January, I was attending the University of Iowa as a Freshman. Winter break had just ended and it was the first weekend back so a bunch of girls were very excited to go out to the bars on Friday night. For some reason my stomach had felt really upset, but I thought nothing of it and continued to drink and party my night away. Waking up the next morning I was constantly running back and forth to the bathroom because I was still having a very upset stomach from the night before. I quickly jumped to conclusion and thought that I had just eaten something (probably some of the nasty dorm food) and had gotten a mild case of food poisoning.  A few days had passed and I was still having the same problem of running to the bathroom because of an upset stomach. I was getting a little concerned because I didn’t think food poisoning lasted that long. I decided to tell my boyfriend at the time about what was going on and he told me it probably wasn’t anything to worry about and I agreed. A few weeks had passed by and my symptoms were starting to get worse and worse. I was beginning to have very runny stool, and after some time I started noticing blood in it. This freaked me out a lot because I always heard that if you see blood, something must be wrong. I finally told my mom about the situation because I figured I would probably have to see a doctor. I was very embarrassed to talk about my “bathroom issues” because it’s not something I would ever normally do.  I had set up an appointment with the doctor at the University of Iowa Hospital and i was very nervous on what they would do and what they would tell me. I went in and told them all of the problems I was having, but they couldn’t diagnose me with something right away. I had to go through many different blood tests and stool tests. Meanwhile, I was still very embarrassed to share any of this information with my friends at school. I really should have though because going to the doctor many times alone made me upset from time to time. After many trips to the hospital, I still didn’t have an answer on what was wrong with me. 

Spring Break was coming up and they told me to try and schedule a colonoscopy with a doctor close to home. When I heard this, I automatically freaked out because I didn’t want people i didn’t know shoving stuff up my butt! After hearing my mom say how this is the best thing for me, I finally agreed to the procedure. The night before my colonoscopy I was required to drink the detox drink that basically “flushes your system out.” I was supposed to drink one 12oz cup of the liquid at around 8 pm and then wake up at around 3 am and drink another 12oz. Even though it tasted HORRIBLE, I finished the first cup in no time and was noticing the effect of it right away. After a few hours of running back and forth to the toilet, I finally laid down to get some rest before the “big day.” I woke up at 3 am again to try to down this next cup so I could get it over with, but tasting that drink again upset my stomach so much worse than it did before and I ended up throwing up half of the drink. I didn’t care at the moment because all I was concerned about was going back to bed.  The next morning came way too quickly and I was up at the crack of dawn to go to my appointment. Dr. Tasiou at the Grayslake office was going to be the doctor doing the procedure and he had told me he had done many of them before so I had nothing to worry about. My boyfriend came with me because I was mostly nervous about getting put under because I never had before. I remember them bringing me into the room to get anesthesia and the doctor told me to count to 5 out loud and I only remember counting to 4. The next thing I know is I am awake and not knowing whats going on. The doctor had informed me that they had already done the colonoscopy and I was going to be kept in a room until the anesthesia wore off. My parents and boyfriend joined in the room with me and laughed at my voice and the things I was saying (I honestly don’t really remember!) A few moments later Dr. Tasiou came in with pictures of the inside of my colon and explained that they were pretty sure I have something called Ulcerative Colitis. I had no idea what that even meant. He explained how my large intestine is “sick” and usually people who have this Irritable Bowel Disease get it around my age. Even though you can’t “cure” the disease, he told me that they have plenty of medication that people take and it helps make them have a normal life again.  

Feeling good about it, I went back to school at the end of break trying a few different medicines (I don’t remember which ones now since I’ve been on so many.) I thought that the medicine might take a little bit to start working, but I never really noticed any type of improvement. Actually, I was getting worse week by week. The urgency was getting to be the worst of everything. I couldn’t go anywhere without being worried about where the bathroom was and if I would be able to make it in time. I also noticed that I was losing more and more weight each week (which i was kinda happy about being a 18 year old girl) but I knew it wasn’t healthy. Things got to be so bad, I refused to go to many of my classes because I knew that I would end up having an “accident” because I physically could not control my bowels anymore. I would cry to my parents on the phone about how uncomfortable I was everyday. Finally, my mom spoke with a doctor and told me I needed to be admitted into the hospital at home ASAP. My mom made my buy a bus ticket on a Wednesday afternoon back to Grayslake, Illinois and I was in the hospital by Thursday morning (EXACTLY 1 YEAR AGO FROM TODAY!) I ended up staying at the Lake Forest Hospital for about 5 days and they had tried other medications on me, including Remicade, in hope that my body would respond to it. They didn’t think I was ready to leave the hospital just yet. Dr. Tasiou requested that I go to the University of Chicago Hospital where I could see an expert, Dr. Rubin. I ended up going there for a few days where they monitored me very closely and took blood tests everyday. I wasn’t feeling any better. Around the 8th day, my favorite doctor, Dr. Jami Kinnucan told me that my inflammation levels were going down significantly from being on the steroids (Prednisone) and that I could be released and go back to school to finish the semester. I remember going home and getting ready to leave back for school crying because I knew I wasn’t feeling any better even though the doctors told me I was getting better. I was so scared that during the 4 hours back to Iowa City, I would end up having an accident because we wouldn’t be able to get to a bathroom fast enough.  I was okay once I got back to school and I knew I only had about a month left and then I wouldn’t have to worry about school work on top of my freshly diagnosed disease. 

The next few weeks were some of the worst weeks at school. I didn’t want to eat anything because it would go straight through me, I was in a lot of pain, and on top of everything I was very embarrassed to be living in a dorm and having to share the same bathroom with about 25 other girls. Multiple times a night I would have to RUN to the bathroom in order to make it just in time. The mornings and nights were always a lot worse than during the middle of the day. I say its because my colon is “sleeping” while I am so when I wake up, it does too and wants to get rid of everything right away. Finally finals week was here and I was MISERABLE and so stressed out about my classes. I couldn’t even get myself to study very much because I was so uncomfortable and just very sick that I was sleeping a lot. I ended up taking one of my finals on that Tuesday and I got an A on it (thank god!) but I still had 3 more tests on that Wednesday and I knew I wasn’t ready. Once again, I was MISERABLE. I called my parents bawling my eyes out because I physically wouldn’t be able to sit through my test without having to use the restroom. My dad decided that he should come and get me and I would have to miss my tests because I needed to go back to the hospital. He got there within about 6 hours of me calling and we packed up my dorm room as fast as we could. Thankfully I had an amazing roommate, Alexa, who did a lot for me. 

The days in the hospital were very rough. I spent almost about 30 days in the hospital all together because of my colitis. At times I thought things would never be better, I had never been in so much pain and haven't been more depressed in my life. My first few weeks I refused to eat anything because I was constantly nauseous. The nurses were getting worried about my weight because I had already dropped 20 pounds and I looked very thin for my height. After many different medications, they didn’t think anything else would work. They told me I would have to get surgery to get my large intestine taken out, and I even had surgeons come in to talk to me about the procedure. I was so upset, being an 18 year old girl and thinking about having to live with an ileostomy bag attached to my stomach. Thankfully, they told me there was one last medicine I could try but it is very harmful to your body. It was called Cyclosporin. After a few days of that, HALLELUJAH! I was feeling 1000x better than I had been. I even ate a WHOLE pizza to myself one night because I was feeling that great! I was only in the hospital on the Cyclosporin for about 5 days and I heard rumors about me being able to leave to go home. At the time, I wanted nothing more… being in the hospital for that many days in a row was depressing! Especially when all my friends were on summer break and having fun, while I was spending my days in a white room in bed all day. The day finally came and I was released! I had never been more excited in my life to be able to step outside and breathe in fresh air.

Through out this year and a half I have been on so many different medicines, I cant even remember all of the names. Since sometime mid semester, I have been on one called Tacrolimus and the usual steroid (the one that makes me cheeks extra big!) called Prednisone. I have been getting so excited because I have slowly been decreasing my dosage on the steroids in hope that I will finally be off of them. I have been on them since about September and I am so sick of it! Not only does it make my cheeks large but it also makes me shakey and I just know how bad it is for my body to be on them for that long. As I have been decreasing, I hadn’t noticed anything going wrong so I was starting to get very hopeful that maybe my body would finally respond to a medicine for once. About 2 weeks ago, I had officially stopped taking the steroids and I couldn’t have been happier. However, since I've been off of the medicine, I automatically noticed things starting to go downhill. My symptoms were becoming a lot more noticeable and I was starting to feel miserable again. Even though I was dreading it, I did tell my doctor about it and she told me how I should go back on a lower dose of them. So here I am again, back on the steroids! 


Only about a month left until I can try the new infusion drug coming out! I’ve made it this far, so a month will feel like nothing! Just trying to think good thoughts!


-- JKL

Thursday, April 17, 2014

background information

I will be 20 years old in June and I have been struggling with Ulcerative Colitis for the past year and a half. I'm sure a lot of people don't know what that is, considering I had no clue what it was when I was diagnosed with it. Here's a short little definition I found from the mayo clinic website…

Ulcerative colitis (UL-sur-uh-tiv koe-LIE-tis) is an inflammatory bowel disease (IBD) that causes long-lasting inflammation in part of your digestive tract.
Like Crohn's disease, another common IBD, ulcerative colitis can be debilitating and sometimes can lead to life-threatening complications. Because ulcerative colitis is a chronic condition, symptoms usually develop over time, rather than suddenly.
Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum. It occurs only through continuous stretches of your colon, unlike Crohn's disease, which occurs anywhere in the digestive tract and often spreads deeply into the affected tissues.

Last summer I spent almost 30 days in the hospital due to this condition and it got to the point where I thought I would have to get surgery to get my colon taken completely out. Fortunately, I was able to try a very strong medication called Cyclosporin, which was basically a miracle because I was feeling better within a few days. 
I have now recently transferred schools in order to be closer to home and my doctor in Chicago. Even though things have been going great at my new school, my condition is still a major issue in my life and it affects me everyday. I am currently waiting until May when a new medicine is coming out that is supposed to work really well. I am hoping this can be my new miracle drug that will help me get my life back. If not, I will have to reconsider getting surgery again. I am trying to stay positive and I hope others will help me along the way.

-- JKL