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Good news first...my sister-in-law is out of O.R. and does not have an ileo. They did a massive resection but kept the rest of the colon so no bag, j pouch or any other type of bag. She is still groggy and won't be 'seeing' anyone for a few days but we got the best case senario. Now we wait for the Pathology reports! Crossing fingers.
Now the Rant!
Grrrrr!
I was at school (think community college level) and one of my students came to excuse herself from my afternoon class. Said that she wasn't feel very well. She was doubled over and holding her gut.
The flu is going around. She floored me when she admitted that she had Crohns.
She has been suffering for 3 yrs and taking the usual meds but is flaring badly. Has been for months and no one is helping her.
Grrrr.
No one spoke to her about surgery, resections, pain management, bags, pouches etc.
Hers is very high up in the upper G.I. track so a J pouch is out of the question. She has one very effected loop that is severely ulcered and killing her.
I am just so angry that there is so little infor out there about this and NO ONE is talking about it in this country!
When I told her that she was not alone, that there were others out there and then gave her my surgeon's number she nearly cried.
She is desperate for surgery, wants her life back and was hung out on a limb. Darn. It is 2014 and we are still living in the dark ages here.
I promised to help her through this if I can and walk her through diet, drugs and doctors...Any advice would be helpful.

Sharon
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Good for you Sharon, on both fronts!

Just remember that surgery is a last resort with Crohn's and does not cure the disease. They like to retain as much small bowel as possible, and sometimes surgery will trigger extension of the active disease. Still, I agree that your student needs to be fully evaluated and her medications adjusted to her needs. Then, if she needs a resection, that would be the right thing to do. For all we know she is intolerant of her meds or they are not working at all. We don't even know if she has refused some treatments (like biologics). Never the less, we all know what it is like to feel the isolation of IBD!

Jan Smiler
They did not offer her biologics...haven't even mentioned it to her.
All she knows is that she has taken 'all of the meds available' and that there is nothing else that they can do.
Sheeesh!
By they way, she has some other sysmptoms too. Severe back pain (rapported pain?), sacroilitis (left side), tendonitis, increasing deafness in the left ear, numbness in her hands and feet and leg pain.
Plus hemoroids from hell. Pour kid.
Any ideas if the above symptoms are partially or completely related to the meds or the disease?
Sharon
The hearing loss and numbness could beside effects of her treatment, particularly if she is on chronic antibiotics. Antibiotics are more routinely used for Crohn's than UC. The tendonitis could be from antibiotics or part of an arthritic syndrome.

Her other arthritic symptoms most definitely could be IBD related, and there is a stronger correlation between Crohn's and ankylosing spondylitis than there is with UC.

Has she tried azathiopurine or methotrexate? Those are usually tried before biologics.

http://www.mayoclinic.org/dise...eatment/con-20032061

Jan Smiler
This is truly a nightmare.

If she has an EU student health card, she might be able to get treatment elsewhere. They are VERY proactive about IBD here in the NL, and I have been told the same about Belgium (which might be better if she doesn't speak Dutch -- which I presume she doesn't! -- or English). It all depends on her health coverage, but it is very common here for people to cross borders (Germany or Belgium) for various treatments. And the English students here have no problems receiving healthcare, either.

Maybe worth checking into? We're only 4 hours by train from Paris!

Gin
Lablover,
I just hope that one day she can have a healthy and normal life.
It breaks my heart to know how many people suffer in silence. No one talks about this disease, no one supports them.
They are all hiding in the closet too afraid to come out and cry.
I have met people of all walks of life in a hundred different places who have been living in hiding and hell.
I would love to reach out and touch them all and tell them that it will be all right but I can only do this one at a time...
Funny enough, they seem to find me.
Sharon
update:
I saw my student yesterday and called the doctor for her. She will talk to him first, next week when he returns to his office.
She lives a few hours from here so he can tell her which tests to have done, which pictures to bring with her etc and I will go with her to see him.
She is hopeful that someone will finally help her and give her options.
She has 1/2dzn different autoimmunes, from alergies to arthritis to crohns on through to ice cold hands and feet etc.
Kid's got it bad
sharon
I am not sure how menopause factors in, but certainly fluctuating or loss of hormones can play into at least how you perceive pain. Plus, with menopause comes aging effects, meaning more stiffness and loss of muscle mass. On the other hand, I don't think that hormone replacement is the answer either.

At least I don't have to deal with monthly menses with cramps and blood loss!

Jan Smiler

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