Crohn’s End: A Reflective Stream of Slow Medicine

(Featured the original ”Crohn’s End” blog: Daniel’s stay in the hospital during his recovery from an emergency surgery due to a ruptured intestine)

Greetings my fellow crohnies, friends, and family,

I hope you’re having a beautiful Spring!

Crohn’s End has been taking a break. We’ve had several new members join us in the past few weeks and I want to thank them for expressing their support by creating profiles.

I think we all realize that life is a busy endeavor. At times we flow through life like a raging river with a rapid pace. At other times, life is like a quiet and gentle stream.

Crohn’s End functions as a place for me to slow down and reflect. It is not a highly active social site and probably never will be, but the social media here still serves its function as a reflective stream of slow medicine for all seek to end disease.

I’m taken aback when I hear of friends and family who have been diagnosed with diseases. The causes, components, and conditions that led to their diagnosis are not always understood. This lack of answers can often cause distress. Distress cannot stomp out disease. Slowing down and taking time to reflect is another type of medicinal approach that I’m proposing here.

When I come back to this site from time to time, I’m reminded of how both spontaneous expression and deep introspection can serve to produce one’s own slow medicine.

Slow medicine is not anything tangible. It is more of a concept. It is cultivated within yourself. My slow medicine involves this website and the insights that it offers me when I come here.

Let me explain how this site came to be and how it has helped:

If you were here from the beginning, you’ll remember how this website emerged from my confusion and desperation. Something had literally been “eating at my gut” and the unexpected flare-up brought me to the emergency room. Both the pain medication and my need for communication triggered a purge of mania that produced quite a bit of social media, as well as some good.

I captured video of my stay at the hospital. I tweeted and made connections. I had great conversations with my family and friends. My brother Todd wrote a song about the site. My sister-in-law Karen spread the word and raised money by doing a Crohn’s walk. People who I had never met before were showing up and sharing beautiful insights into this condition. I ended up being featured in a campus newspaper, with a headline, “Networking for Hope”. For a brief moment in my life I had become a micro-celebrity.

One of my cynical friends joked that he knew I enjoyed attention, but that Crohn’s End was taking it “a bit too far.” It’s funny because it was partially true. I realize that some of the content is pretty revealing, but I was doing it for a good cause. I sincerely wanted to reach people who were going through similar experiences. My goal in creating this site was to give other Crohnies, and everyone else, hope and healing.

When I come to this site, I reflect upon that goal, as well as my health.

Today, the website has gathered some dust and many profiles lay frozen in place. As we approach the one year anniversary of Crohn’s End, I plan on freshening up the site with some new content and hopefully we’ll feel a little more warmth here. I don’t expect it to be anything too grandiose, but I’d like it to help it become a thirst quenching stream of “slow medicine”.

P.S.

After Googling “slow medicine”, I found that a respected geriatrician at Dartmouth Medical School named Dr. Dennis McCullough, originally coined the term. From what I found at at this article on PBS.org, it is defined as: “trying to let nature take its course rather than aggressively fighting the ravages that sometimes accompany old age.”

I think the idea of “slow medicine” should extend beyond geriatrics and include all of us who seek to harmonize with the healthy flow of nature. I agree that slow medicine is not about fighting for a cure. It is about taking small insightful steps involving trusted doctors, ancient wisdom, self-reflection, and every-day appreciation of all of life’s magic.

Fighting Crohn’s on the Net

(Featured the original ”Crohn’s End” blog: Daniel’s stay in the hospital during his recovery from an emergency surgery due to a ruptured intestine)

I’ve returned home and I’m all stitched up. My wife and I have been enjoying quality time together and have also had some good times with our parents. I’m thinking about how thankful I am for my family and how this stupid disease has brought us all closer. I’m thinking about others who have this disease and I want to bring them into the healing presence of this network. This social network is a healing place. It is a place for us to extend our family’s determination into the world. It is a just cause to end suffering. Anyway, I haven’t gotten enough sleep and I’m about to collapse so I’ll make this quick.

I’ve found a couple of Crohn’s blogs that deserve some attention. Please read Chaz’s full story. I’ve summarized his pre-diagnosis story here.

http://mylifewithcrohns.wordpress.com/

Before his diagnosis –
Chaz is heading to a work conference when his first flare up happens. He is on a plane with his wife and friends. He keeps returning to the bathroom to go, but nothing comes. “I thought my stomach was about to explode.” He tells his wife that he feels like a golf ball has been shoved up his butt. He ends up remaining in the bathroom when the “return to your seats light” comes on and a male steward opens the door on him. He is forced back to his seat. He tries to go several times after they land. He can’t. At the conference he cannot sit down because he feels like he will crap his pants. He waits in pain for it to end. They catch the same plane back home and he does his best to avoid the restroom where the male steward, “visually violated him.” While moaning with his head on his wife’s lap like another passenger pries into the situation telling Chaz to “quit being a big baby.” He holds back his anger and doesn’t remember if he then slept or passed out.

His early experiences with his doctor are a joke. He doesn’t get to a gastroenterologist until after another trip out of town. After his second travel experience, a gastroenterologist diagnosis him with a “Spastic Colon” because of the way his colon was “spazing out and contracting and making him think that I had to go to the bathroom.” He gets medication for the problem and then goes on vacation to Guatemala. While there he experiences a kind of diarrhea unlike anything he has ever had. It appears that fruits and vegetables are not digesting.

He is finally diagnosed with Crohn’s Disease after sending in a stool sample and getting a colonoscopy.
He explains his condition simply, “Crohn’s is a disease that effects the digestive tract of the body. The body thinks that I have an infection so it constantly fights my colon, because of this my colon is swollen and can not function properly. This in turn gives me diarrhea 24/7. Since those days 5 years ago, I have had diarrhea everyday.”

I highly recommend that you check out the rest of his blog. He explains the pain eloquently.

Also take a look at http://curedmycrohns.blogspot.com
This guy Alec is a true warrior. He was diagnosed at 28 and has used diet to end his Crohn’s. I’m definately going to take a tip from him.
Also, show support by joining his facebook group. I thought about starting one but why reinvent the wheel when someone has pretty much the same goal as me and has already started one. His group is about:

1) sharing diet or other approaches that help people cure or dramatically improve their Crohn’s
2) it’s for people who want to learn from these diets and approaches.

http://www.facebook.com/group.php?gid=60488649567

The Delightful Stay – Yes… I’m out now.

(Featured the original ”Crohn’s End” blog: Daniel’s stay in the hospital during his recovery from an emergency surgery due to a ruptured intestine.)

There were no tubes dangling from me. There was no more “partner.” The next shift nurse would walk in and ask “where is your partner?” She’d be referring to the rack of IV fluids and monitors that was pretty much keeping me alive for the last week.

I hated those things. I felt so much better after having had a meal and walking down the halls without my partner. Dr. Miller told me I could probably leave soon. He took a look at my belly wound and pointed out how the red markings that replaced the yellowish color was granular tissue. I was healing pure, clean, and simple.

Most of the previous indications were that I was going to be there 2 weeks or longer. There was the possibility of infection and need for additional surgery. However, a doctor should wonder when a patient is starting to do their own dressing changes what other steps in the healing process they might be taking into their healing process.

I walked more than normal. I would not sit still and suffer. I would stand, stretch, brush my teeth, shave, scrub myself, work on the website, nap regularly, write, and try to study (this was more impossible than standing). Everything in my body was commanding me to keep going, to not be passive, and to be grateful for what I could do instead of focusing on whatever was holding me back.

I did not have a set schedule. I saw friends and family. My parents came to visit me the most. My father would show up in the room each morning looking haggard but charmed to see me. He was usually sipping on some mocha-like thing that I made me drool. He helped keep my head in the game. He was my coach. He urged me to play defense against my doctors and to keep them on their toes by actually asking them questions. Francoise was a continual force of intellectual inspiration, in subjects other than just French (which is mostly what she teaches me).

Darren and Ginny (my parents-in-law) reminded me to sustain my joy and to not lose hope during my hospital stay. Parker came by and told me that there are always worse things. I pointed at his missing leg, and he said “that’s nothing.” Bryson stepped into my room with his beaming smile and encouraged me to think forward into a different time and place. Curtis and Treva sat beside me and basically let me vent. Heather welcomed my tears. Evan welcomed me to think about things other than my lousy condition.

While on the phone with my brothers and sisters I remembered how connected we truly are and what a magical force our connectedness provides.

My wife was with me during the first couple of days of my stay. She had plans to go to San Diego to see our brother-in-law (of sorts) graduate from college. She didn’t want to leave me. I told her that she should go and that there was nothing for her in this hospital room other than the man who would be exiting it as soon as possible. She understood completely and realized there was more for her in San Diego during my time within the burning infernos of healing.

I can’t say enough good things about all of my nurses. I’m amazed with the level of McKenzie Willamette’s staff. Even the Lane Community College interns were brilliant! I won’t list all of their names here, but these are quality people who each brought personality and compassionate care to the table.

What can I say about my surgeon? Dr. Miller could do what he does in his sleep. I know that sounds scary but the guy is super intelligent and sometimes difficult to understand. Kinda like the body. You know? It’s pretty super intelligent and difficult to understand. Anyway.

Last person needing mention is Dave, from the campus newspaper. He’s a photographer and was doing a multimedia piece on the campus newspaper website about me and this site. I was basically able to make a new friend who ended up being the person who gave me a ride home after I was sewn up.

I could continue on, but I’m not sure about what. This is more of a journal entry anyway. If you came this far, then I’m proud of you. I love you and thank you for your thoughts, prayers, and whatever other strange voodoo you do within those secret chambers of your mind.

The Snake

(Featured the original ”Crohn’s End” blog: Daniel’s stay in the hospital during his recovery from an emergency surgery due to a ruptured intestine.)

Before this attack I was free from pain and misery. I was eating well, but not perfectly. I was cycling regularly. I really had a lot of energy. Yes, I had Crohn’s, but what did it matter? My life was too awesome to worry about this so-called Crohn’s disease.

The medication was working. Although, it wasn’t passing the test. The test was to subdue years of scarred small intestines. It is difficult to make scars go away. Especially one’s you can’t even see. The medicine didn’t even know how to do it anyway. My condition was far too complex a maze for it to navigate. It did what it could. It helped rebuild my strength. It helped me with my appetite and so I gained some weight. It made me feel normal again. It couldn’t figure out how to turn back time. It couldn’t figure out how to stop the snake.

I am glad that I now miss 2 feet of small intestine. The snake has been removed; The snake that held me back in time. It was a venomous snake that proved it could defeat my medicine. It is now gone. I am going to give myself another injection. The medicine will return, and this time it will bring the strength of nutrition.

What is the meaning of all of this?

(Featured the original ”Crohn’s End” blog: Daniel’s stay in the hospital during his recovery from an emergency surgery due to a ruptured intestine.)

I am a Student at the University of Oregon majoring in Journalism. I created this site because I was angry. I recently had another “flare up” of a disease that I thought I had under control. I am determined to share as much of my experience as possible… because if I don’t, I feel like my time here is just a waste.

I call this site Crohn’s End, because in my ideal world I put an end to it. I lead the heroic battle against this meaningless monster who goes around bullying so many of us. While I may not be living this dream, I do believe that this disease can end. There is research being done; advancements are being made. We have already come so far.

The simple fact that I am able to receive this surgery is a miracle (albeit a horrific one) that many in the world will never experience. The fact that we do have advanced medicines that are helping people with Crohn’s put their symptoms on hold is a good thing.

In my opinion, this is still not enough. When it comes to health care everyone should have it. Everyone in the world should have equal access to quality medicine. No one should have to suffer like this. Lives are far too valuable to be brushing aside while business as usual goes on.

Since this is a social network feel free to contact me directly through the site. If you also have Crohn’s (or colitis for that matter) then use this place to make some noise. It would be great to see other people’s videos, writing, etc.

This site is not a source of medical advice and has no experts. All we can do is recommend that you find a good doctor. Always consult your doctor before you begin or end a medication.

Feel free to share diet, nutrition, and exercise information. All of us should be thinking more about not getting sick in the first place. If you do share information make sure that it is not affiliated with any products, that it is from a reputable source, and that it relates strongly to Crohn’s and other digestive diseases like Colitis, or IBD.

But for the most part, just think about something you can do to put and end to this disease, or any disease for that matter. Life is not meaningless when we help channel our efforts into helping remove our neighbor’s suffering.

The butterfly girl, the gamer guy, and me.

(Featured the original ”Crohn’s End” blog: Daniel’s stay in the hospital during his recovery from an emergency surgery due to a ruptured intestine.)

I met the butterfly girl this week. We have Crohn’s Disease in common. I met her at McKenzie Willamette. She is a young nurse who had been diagnosed when she was eight years old. Her Crohn’s has shaped her life in ways I will never understand. I let her know why sometimes it’s reasonable to hide our diagnosis. I have done it many times. Crohn’s is a long mouthful of information to have to explain to somebody. We don’t want to come across as being “know-it-all’s” with disgusting bowel habits. We don’t want to be thought of as anything less than normal. Yes, it is true that we have secret moments of embarrassment, and suffering that others probably do not understand, but most people do. We are vulnerable like butterflies hesitant to let the wind carry us away.

I met the gamer guy last year. He reviewed video games for a major publication. He could travel the world and pay his bills. I admired him. He and I were hospitalized the same night due to a flare-up. He was an entertaining fella, with stories to share about how the Crohn’s had really gotten him badly. He was missing a couple of feet from his large colon. He was diagnosed while just a teenager. He had stories to tell of travels and could explain the history of most any video game in vivid detail. He played them in the hospital room and occasionally watched cartoons. Even though Crohn’s had struck him while he was young, he refused to grow up and refused to play the games of old people.

I was diagnosed three years ago I am a newbie and still am emerging from my cocoon. I’m stationed in the hospital again. I’m being wrapped up in gauze and pumped full of liquids for pain management, nutrition, swelling, and antibiotics; tubes for taking out the pee, puke, and gut goo. I’ve had 30 inches of small intestine removed. My legs are being squeezed periodically by stimulation devices. After surgery I tell my family that I am like Neo in the Matrix, just waking up to the other side, only I’m not allowed to take out the tubes or rip out of my fleshy cocoon, yet… I said a lot of strange things that day. Most of it, I don’t remember.

What I do remember was feeling a sense of purpose. I felt a sense of desire to help others overcome similar issues. I felt a sense of connectedness to community unlike anything I had ever felt. I felt stoic, like Neo.

They seemed to be in some sort of agreement about the matter. My pain was not without purpose or meaning. They all assured me that I would get through this, and that with a little luck things could work out for the better. They pumped me full of a substance, unlike any gooey medication. This was something unfamiliar, but I liked it. I could feel it processing me, digesting me, and transforming me.

This project blossomed.

A moment with Dr. Kelley and My Hero Wife

Dr. Kelly walked hesitantly into my room and genuinely seemed concerned that I was in the condition I was in. He explained that my case was “fibrillar stinotic.” The gradual tightening of my small intestines left me with a delicate territory from which to begin medication treatment. In his opinion, Humira may have failed me to a certain extent. He recommended that I stick with Humira for now. Especially, since the most deeply effected areas had been removed. Overall, he seemed optimistic with the possibility of taking a more proactive treatment protocol in the future based off of the positive effects of my surgery, the positive effects of Humira, and the positive effects of Imuran. He makes me strangely hopeful that things are indeed getting better even though, at times, they seem to be getting worse.

Joanna was in the room with me and seemed equally pleased that I was moving forward in mind, body, and spirit. Her acupuncturist, Zachery Corbett told her that from his eastern medical perceptive, it was a good thing that the dense form of my intestine had been removed by a good western physician. It was a representation of a kind of letting go of past pain, guilt, and hardships that no longer served my highest good.

I brought up stem cell treatment to Dr. Kelly and he says he had heard good things about it in the past. He does not seem to have the kind of vision that I do. Yet… Probably because he hasn’t the time to see outside the walls of his traditions. As you know, I am hopeful that Crohn’s will end. I think we can get there with the help of practical nutrition, stem cell treatment, and bacteria/whipworm research.

The central ingredient to making all of this happen. is to generate community awareness regarding this subject. I hope that we can bring together leading experts to not only share, but listen, and discuss the field of Crohn’s research. I hope that we will be both inquisitive and respectable in their midst, because ultimately they are the ones that make the decisions that guide our livelihoods. I hope this community does more from the bottom up than what the medical establishment tries to do from the top down.

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