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Reply to "Covid questions"

I disagree with the notion that having an autoimmune disease does not mean you are not immune compromised. Even after colectomy and the target organ is gone, you still have the underlying autoimmune disease and it is not uncommon for patients to have other autoimmune disorders to appear later. You are compromised because of the excessive immune response to minor or even non-pathogenic microbiotica. This is true even if you are perfectly healthy now.

If you are on medications like immune modulators, biologics, or steroids you are also immune suppressed. This may be beneficial in the presence of COVID-19.

Also, it is incorrect to assume that the medication actually caused UC in Jackie’s case, even though it is a common misunderstanding. The susceptibility to UC was always there. The medication was simply the trigger.

The colectomy or j-pouch is not the issue. Again, it is the underlying disease, and it is systemic.

For my household, Thanksgiving will be just our household and my son+wife, who test weekly. We have not done any indoor dining since March. We do go to the grocery store, but in my community masks have been mandated since at least May, and people are very compliant.

Please, everyone be safe and mindful, so we can get to the end of this!

Jan

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