Post #104: Team Picky

And amber waves of.......inflammation? 

I have a confession: I used to be a self-righteous diet snob. 

I used to make fun (in my head) of the chia seed slurping, quinoa snorting, ancient grain loving, make-your-own-nut-milk types. The hipsters and the raw juice fanatics. The whippet thin ladies in lululemon yoga pants who populated the aisles of Whole Foods. The suit wearing professionals pouring over ingredient lists with laser like focus, paying $8.99 for a package of gluten-free brownie mix that will invariably look (and taste) like sewer sludge. 

I had more tolerance for the true die hard hippies, the kindly men and women who cruised the bulk item section of the local co-op, buying five pounds of organic dried black beans to cart home on their bikes (in the rain. whilst wearing Tevas and hiking socks). 

Of course, there were those with true food allergies, but in my cynical mind, the proliferation of gluten-free fake out foods in every local grocery store was due more to the whims of an upper middle class consumer base obsessed with following the latest diet trends. Gluten, in particular (and now to some extent soy, dairy, and refined sugars) seemed to be the cause of all of our health woes. It was the devil in grain form. 

My bullshit meter exploded. This is the new Atkins, I told myself. People have evolved to enjoy a varied diet, which includes such illicit foods as pasta (gasp!), bread (shock!) and muffins (horrors!!). I scoffed at the people who strove to eat like cavemen, or only ate hot dogs and bricks of cheddar (seriously, I know someone on Atkins who did this), or ate according to blood type. 

Before Crohn's, I used to pride myself on being a "good eater." This meant that I was flexible. Ethiopian food? Vietnamese? Japanese? Greek? Sure! I could find something to eat anywhere. I enjoyed trying new foods. I ordered off the menu without substitution. I could go to a dinner party and eat what was served without hesitation. I could overindulge one day and be fine the next. I wasn't afraid of food. 

I'm not a "good eater" anymore. 

What I didn't account for, in all of my supercilious, judgmental assumptions, was that for some of these people, diet was a last (or maybe for the smart ones, first) attempt at mediating illness. I looked at these shoppers and saw picky eaters, when in fact I might have been staring at sick ones. Like me. 

I resisted changing my diet since my diagnosis. I counted on the medicine and the doctors to make me feel better. In some ways, I am better, but in many ways I am not. As I said in my last post, I was waiting for the turnaround, so it didn't make sense to me to radically alter my lifestyle in the meantime. I ate what I could tolerate, justifying my diet with the oft repeated "diet just doesn't matter with Crohn's" refrain I kept hearing from all of the medical professionals around me. 

Lately, though, my thinking has changed. How can what I eat not matter? When my nurse, talking to me after the doctor had left the room, suggested an anti-inflammatory diet, I took it as a sign. It was time to try something new. 

All of this is to say that next week, I join team picky. 

I'm not going to name the diet I'll be trying, because I don't want to advocate any specific dietary restrictions, and I don't even know if it will yield any positive results in my case. I will say that I won't be eating dairy, wheat, or refined sugar for the foreseeable future. The diet I picked is one with a lot of clinical research around it, and I'm working with a dietitian to map it all out. 

I am of course afraid that this will make things worse, but I play to go about it in a very slow, measured way; I'm also curious to see what effect, if any, this has on my health. 

I figure if I can give the super scary injectable medicine a six month trial run, I can extend the same opportunity to a diet, no matter how restrictive. 

And to the people I was silently judging for buying  6 dollar bags of gluten free pretzels: I'm sorry. I was an asshole. If those pretzels made you feel better, I was in no position to judge your choices. You might see me wandering the aisles of Whole Foods in my yoga pants-please be kind. Also, save me some snacks. 

Post #103: Shield your eyes....

Because my life is SO GLAMOROUS you might need shades, y'all. I'm not southern, but I feel like I can still get away with that. 

Behold! Things that happened this week, with pictures!

Super expensive butt aspirin! 

This doesn't really need an explanation, does it? 

Costco, where the elite meet to eat (free samples)

You know what makes a super crowded Sunday afternoon Costco experience that much more enjoyable? STOMACH CRAMPS. 

I wish....

A list of things that gave me heartburn:

Juice

Toast

Eggs

Boneless, skinless chicken

Smoothies

Cheerios. Plain ass Cheerios. 

(hooray!)

This bathroom is swanky, no?

Depressing: when you spend so much time in the bathroom that you go through all of your reading materials (we're talking two periodicals and a stack of catalogs, people) and can't get up to get more. And no, I do not take my smart phone into the bathroom because EW. You put that thing up to your face. A thousand times no. 

UGH UGH UGH UGH UGH

Hearing my LEAST FAVORITE phrase from my doctor. Again. Sigh. 

Making it rain, etc. At the pharmacy. WHOOOOOOOOOOO. 

Also depressing: spending obscene amounts of money at the pharmacy; even the pharmacy tech was like, whoa. 

So, after such a glamorous week, where am I off to next? London? New York? Cannes? Oh right. 

Except without the mohair (??) tea cozy. Sexy.

                                                                                       Try not to be jealous.

Post #102: Great Expectations

Well, seeing as how you're already all gloved up.....

Hey, guess what I just had? My second colonoscopy of the year! Whooo. I seriously should enroll in some sort of "frequent flier" scoping program. Perhaps there is a punch card of some sort? A 10% off coupon for valued customers? A BOGO promotion? 

Everything went smoothly. I didn't talk to my doctor afterwards, but I did talk to the nurse who was in the room the whole time, and she said my AAC looked "ok." I read on the paperwork that he took some biopsies as well, which I knew because I had that delightful "kicked in the gut by a tiny, angry shetland pony" feeling in my gut. 

The day of the procedure was my Crohn's med injection day, and I read online that giving yourself the shot standing up was easier/less painful then doing it sittting down. Ha ha, THANKS A LOT INTERNET. I had a golf ball sized lump that is now a golf ball sized bruise, a constellation of green and yellow and purple dots staining my abdomen. My eye is drawn to it every time I step out of the shower. It looks about as violent as giving myself the shot sometimes feels. 

Sorry if this post feels scattered, but so does my thinking around this. I haven't blogged for a while, and it feels a little awkward. It's not like anything changed, in terms of my AAC; increasingly, I'm just getting sick of talking about it. About the food I can't eat, the weird procedures, the night sweats, and the joint pain (that's a new one)-how I feel like an 80 year old women when I come down the stairs in the morning, gripping the handrail and saying "ow. ow. ow." under my breath as my swollen ankles pop and creak in protest. 

Depending on the results of the colonoscopy, can I say that this medicine is working? Is it worth the side effects? And the most important question of all: 

Is this as good as it gets? 

I'm trying to wrap my head around it. I've spent so much time invested in the idea that I was going to return to a place of normalcy, where I felt healthy again. Where I felt good, and able, and strong. I'm not at that place; sure, I may be a few steps past where I was at my worst, but I didn't think this was the big "tah dah!" stage of this whole process. I'm not a shiny, perfect example of a successful "after;" maybe after a year and some change, I thought I would be. That probably wasn't a reasonable expectation in the first place, but it's what got me through. 

I guess I just don't know what I'm waiting for anymore. This might be as good as it gets. And if it is, how do I stop waiting around and start moving again? How do I progress when I feel like I'm still waiting to be healed? How do I shake the feeling that I should wait around until things are better? That is my inclination, but it maybe be time to reassess. 

All of this is floating in my mind, a perplexing stew of thoughts and hopes and feelings and fear. There's a little determination in the mix, a little hint of impatience. But mostly a dull confusion that makes everything hazy and difficult to discern. 

The recurring theme in this blog, and in my life, is a desire for clarity. I don't think colonoscopy #2, as delightful as it was, will give that to me. 

I just don't know how to wean myself off of expectation. I project my hopes onto every blood test and invasive procedure, looking for medical markers to guide me on my way, to help me make good choices, the right choices. Clear signs that say, definitively, YES! Stay on this medication or NO! Try a new one. 

I end up with a lot of maybes, and at this point, as you can probably tell, I'm just so freaking unsure of which way to turn. 

Post #101: It's not me, it's you

It it's on candy, it must be true. CANDY DOESN'T LIE.

Dear tiny, tiny doctor: 

Last week, we had a frustrating meeting. You're frustrated, I'm frustrated, my AAC is frustrated. 

Frustration all around. 

I understand that you are human, and as such are entitled to an off day. I know you can't snap your fingers and fix all that is wrong with me; my only requirement is that you keep trying. 

I've encountered this behavior before, from previous doctors. I can recognize the signs: the impatience, the shortness, the annoyance that the treatments aren't working. The bland admonishment to "hang in there and give things a time to work out." 

Ordering test after test after invasive, pointless test. 

Trying to parse and farm out my ailments; telling me you can only treat my gastrointestinal symptoms. 

Telling me you "get it" and that "you're frustrated too."

I'm not so sure that you do get it anymore, and I can guarantee I'm ten times as frustrated by my lack of progress as you'll ever be. At the end of the day, you get to go home, take off your lab coat, and resume your life, free of the digestive complaints you spend your day hearing about. I don't get to clock out at the end of the day. 

I'm tried of "hanging in there."

Deep in my heart, I feel like this treatment is not working. We are running out of viable options. The more pills that don't work, the more tests that are inconclusive, the more side effects and strange symptoms I seem to accumulate, the more you seen to step away. This is not my first time at the rodeo: I know a doctor who is distancing himself when I see one. 

As much as I posture and pretend, I know I don't know it all. I am, however, the expert on my disease. 

When the Prednisone YOU prescribed gives me high blood pressure, don't tell me it could be caused by a preexisting condition. Listen to me when I tell you I've never had a problem with high blood pressure before. Feel free to scroll through my entire medical history to check. I'll give you a minute. 

When I complain about being tired, so fucking tired, don't you DARE tell me it's not related to my Crohn's. How can you possibly know with certainty that "there is no way" the disease is causing this amount of exhaustion?  

Don't tell me that changing my diet won't help. I'm not a moron: I know flax seeds and green smoothies won't cure my disease, but maybe dietary changes could help alleviate some of my symptoms (the dietitian YOU sent me to agrees, by the way). 

You don't know what's going on. I get it. But it's not my fault that my colon isn't being cooperative, and I won't let anyone EVER make me feel to blame me for a disease process that is so obviously out of my control. 

Don't get frustrated with me: take it up with my AAC. 

If all else fails, be honest. Tell me you're not sure what's happening. Tell me you're looking for answers, or consulting with colleagues. I don't require perfection, only compassion. 

You ordered another colonoscopy, my second THIS YEAR, as a last ditch effort to find some answers. As much as I don't want the procedure, I do want clarity. So look for clues in my colon; take some pretty pictures while you're there. 

I hope it can give us some direction. 

In the end, though, I need a doctor who will keep trying. I need a doctor who will stay positive. I need a doctor who will give me hope when I am feeling hopeless. 

If you can't do that anymore, I will find someone who can. 

I'm not giving up on you just yet: don't give up on me either. 

Sincerely,

AAC

Post #100: In which Crohn's steals my ball (again)

EVERY TIME. 

In the picture above, I am Charlie Brown. 

The football is lack of pain; hope; happiness; normalcy. 

Lucy is Crohn's. 

Fucking Lucy. 

Day after day, I keep kicking the ball, thinking that TODAY WILL BE THE DAY that I connect, and every day I fall flat on my ass, and am stupidly surprised when the wind gets knocked from my lungs. 

Why should pain surprise me at this point? Why should it surprise me that it's in a different place this time? Why should it surprise me that sorbet and sprinkles (apparently, sprinkles are like nature's little thumbtacks once they hit the colon) would throw my carefully calibrated diet completely off its access? 

And yet: every time it happens, every time the ball gets yanked away at the last minute, I feel it as keenly as if it's happening for the first time. I guess it's a survival mechanism, to disregard the probable and willfully ignore the potential for pain and fear and discomfort. It's a choice I make every morning. How else to live out the day? 

Suspension of disbelief-it's my morning coffee. 

Today was a bad day. Tomorrow? I'll kick that ball again like it's the first time, and hope for better things. 

Post #99: I got 99 problems and my AAC is most (but not all!) of them

I am grumpy cat. I have embraced it. 

GIANT DRAMATIC SIGH. 

Do you know exactly what I needed this week?! A NEW medical problem. I was thinking, you know, my schedule looks pretty clear, let's add A NEW PROBLEM TO THE MEDICAL PILE. I don't see enough doctors on a weekly basis! I don't take enough weird medications! I don't get enough bills in the mail! I AM CLEARLY SLACKING OFF IN THE WEIRD MEDICAL PROBLEM DEPARTMENT. 

Ahem. 

A week or two ago I noticed some painful bumps on my head. I assumed, what with the night sweats and Prednisone (they don't mention that your entire body will produce more oil, your skin will freak out, and you will break out like a 12 year old. Fun!) that I just had a little head acne. Gross, but not alarming. Then.....the bumps colonized. First, there was an outpost on the back of my head, at the bottom of my hairline. Just one side. Then both. Then both temples, and finally....everywhere. 

I decided to cut my hair super, super short (seriously, super short-I keep wanting to bust out "I dreamed a dream" and clutch my shorn locks), thinking this would help. No dice. 

I finally went to see my dermatologist, who is a million years old and kind of hilarious, in that I always end up passing out because he discusses my gross skin problems in detail as he pokes at them, despite the nurse and I telling him to STOP IT because he's just genuinely fascinated by the details of his trade. Last time, I told him to pick a more neutral topic, and he talked about duck hunting as he removed something. It kind of helped. 

He took one look at my weird scalp and said, hmmmm......and put on gloves. Never a promising start. Apparently, I might have a staph infection. Of the scalp. I DIDN'T KNOW THAT COULD HAPPEN. Right now, in a lab somewhere, little samples of my weird rash are growing in a petri dish so that we'll know exactly what we're dealing with. He also swabbed my nose (realllllly thoroughly-the kind of nose swabbing where it feels like they touch your brain a little) and depending on what the tests reveal, I'll probably have to go on some antibiotic that will fuck with my AAC and generally make my life more miserable. 

All of this is a disgusting prelude to the fact that more than anything else-the Prednisone (tapering off it-last week! whoooo!), the whole partial obstruction bullshit, the MRE, the liquids, the pain, the bowel stuff-THIS is the medical problem that is making me sad. 

I feel dirty and gross. My head itches and I have to use this shampoo that makes me smell like an aged lumberjack (smoky and pine-y) and I am afraid of infecting someone (not that I generally rub heads with strangers, or acquaintances, really). Maybe this is so demoralizing because the problem is visible-I mean, I guess it just looks like I have some acne around my hair line so I should decrease the drama by about 65%-but still. 

I spent all day moping around and wearing a hoodie so my gross head didn't come into contact with anything. 

It's just one more thing on top of everything else, and maybe it was the one thing that caused the whole pile to tumble down. Whatever the case, I am feeling overwhelmed. I didn't need any new projects. I had enough medical problems that were occupying my time, thankyouverymuch. 

Sigh. 

Grumpy cat over and out. 

Post #98: Well played, colon, well played

I chugged these like a boss. 

Oh AAC, you tricky little minx. In an attempt to figure out why my colon was causing me so much pain, and why the various hardcore medications I am currently ingesting/injecting aren't allowing me to eat normal foods/drastically improving my symptoms, I went in for my MRE fully expecting to get some clear answers. I should know better by now. 

Confidential to the picture above: "berry smoothie" my ass. Funny story, I was running super late to my appointment (random traffic caused a 20 minute trip to take over an hour), so when I got there I was ushered right back and handed two ice cold jugs of barium-y goodness. As my nurse was shaking up jug #1, another nurse walked by and said, "5 minutes, ok?" Thinking she was talking to me, and kind of frazzled from being late, I burst out with "I can't drink these in 5 minutes! I'm not a frat boy! THIS IS NOT SPRING BREAK!" which caused both of the nurses to stop in their tracks and look at me like I was insane. 

After they finished laughing at me, one nurse explained that indeed I did not have to drink the two jugs o' fun in 5 minutes, and that I should in fact "sip them leisurely." The other nurse leaned in and said, "Confidentially? Those frat boy types really do try to pound these-it's like they just open their gullets and pour it down!" AMPs for the win. 

Fast forward to my doctor's appointment this week, and guess what? The MRE didn't provide any answers. To be clear: 

No new or worsening problems: AWESOME
No explanation for pain/continuing symptoms? less awesome

The doctor still thinks there is a partial obstruction of some kind, or some scar tissue, or some inflammation that is causing this. Solution? ANOTHER f-ing colonoscopy, with the intention of inflating a balloon in my AAC (dilation! like a cervix! but with less baby!) to widen the narrow part. I couldn't make this shit up. 

I was telling a friend about the procedure, which definitely qualifies as WEIRD and insane and something you don't think they could possibly do to a human body until they are telling you they are about to do it to yours, and she replied, "I would think that would be really uncomfortable when you wake up." It took me a second to realize she thought they were going to leave the balloon in there, like I would permanently have a "Congrats on the promotion!" balloon wedged up my ass. I laughed in my head for a long time about that one. 

So that is happening at the end of the month, which means I'm back to my favorite activity: waiting. Waiting! And trying not to obstruct. 

Before the appointment, I was sweating with anxiety, thinking about all of the things the MRE could show and all of the interventions I might need; after, with some of those same interventions hanging over my head, I only feel relief and......I'm not sure what else. Maybe because nothing is clear, maybe because there are still so many more questions than answers, I am hesitant to actually invest emotions until I know what course of action I will be taking. I think I am in a phase of managed expectations, which is where you end up when you get your hopes up too many times, and then lose hope too many times, and generally exhaust yourself with the up-and-down nature of chronic illness. 

I know how to do this part. I will wait, and worry, and distract myself until the next test/procedure/step, and then I'll manage my expectations all over again.