To Temple Hospital... for 9 nights. I think it may be my most expensive vacation yet, but hopefully my health insurance will come through.
So where to begin?
Just a warning, this is a very personal post, one I contemplated for a while if I should even share. Maybe if not for recent events, I may have kept all of this to myself, but I think it's good to open and honest and also if it helps someone else, even better!
Okay, let's start from the top.
In May 2000, my senior year in highschool, I was diagnosed with acute ulcerative colitis, an auto immune inflammatory bowel disease. Basically, my immune system kicks into high gear and attacks food and good bacteria in my gut, which causes inflammation. Usually, it's easy to treat with meds and diet, but sometimes it's more stubborn and can linger for months. My general health has always been good, so I would "flare" once every two years or so, and the flare would only stay for a few weeks, and I was back and in remission. One thing to note about ulcerative colitis is that there is no cure except surgery.
The last few years have been tiring. When I was young and in college and feeling great, I stopped taking my maintenance meds because heck, I was young and vibrant! I didn't need any meds especially when I was feeling normal. Looking back, I should've stayed on it. If I did, those meds which have very low side effects could still be working in me. But it stopped working years ago. So we tried slightly stronger doses, along with higher does of prednisone, which really is an awful drug to be on, especially when you're on it 6 months out of the year, for 3 years. Fluctuating weight gain and loss, fluid retention, bad skin breakouts, moodiness, risk of glaucoma and osteoporosis... I knew I needed to get off this, especially when I realized it stopped working too.
I was fed up with feeling lethargic and tired, and I wasn't my 100%. I kept getting sick from one thing or another, which just aggrevated my UC, so I decided to change doctors and try a new course of treatment. So on March 8, I met my new awesome doctor at Temple Digestive Diseases Center and we came up with a new plan. I was going to stay on my high dose of prednisone until my colonoscopy (which was scheduled for 3/24) and then we'd start a new drug called azathioprine (brand name Imuran). Azathioprine is an immunomodulator that suppresses my immune system, and this drug is usually given to transplant patients at much higher doses. Many UC people stay on this drug and are in remission for many many years, so I was hopeful. But as the days went on, I was light headed, and got winded when coming down the stairs. It took all my strength to take my dog on a walk around the block and my symptoms were not getting better. I was at a loss at what to do, so I called my doctor and she told me to get admitted so they can start me on IV steriods.
So on St. Patty's Day, while everyone else was out celebrating and drinking, I was at Temple bright and early getting a cat scan of my belly. Then I slept in my doctor's exam room while the hospital got a room ready for me. Only 6 hours later, I finally had a bed, and I slumped into it, exhausted. I hadn't eaten all day except for a little cup of soup that Chris brought over for me.
Immediately after I was admitted, my favorite nurse, Tony, set up my IV line and got some fluids in me while I got my blood drawn. A few hours later, the intern told me that my hemoglobin level was a 5.7 (normal is 12) and that I needed to get some blood right away. It was a wonder that I was able to walk around the hospital that day. So that night, we started my IV steriods and my 2 units of some strangers' blood. As someone who's always wanted to give blood but couldn't because of my meds, I was so extremely grateful for all those who do give blood regularly. I never thought I'd be in a hospital getting blood, but these blood transfusions, 3 total, really revived me. I had no idea I was so anemic, but I was darn glad I came in, before I fainted or worse.


Chug chug chug - I felt like a vampire for two days. I wasn't allowed to eat anything for most of Thursday or Friday. Eventually, they put me on a low residue diet that only lasted 1 meal, but boy, was it a great meal! Tanti brought some sweet rice in tofu skin which I had with the sides of egg and soy sauced potatoes that Liz brought along with my jjuk (korean rice porridge). It was like heaven, after not eating anything for over 24 hours.
But that didn't last long.
The docs put me back on clear liquids:
Bland chicken broth, cherry jello, cherry italian ice (which was good!), and lots of watered down juices like cranberry and apple juice (stay away from their "grape juice"). They also offered me tea, but any caffeine makes my gut go hay wire, so I avoided that.
Because my symptoms weren't much better, the docs moved up my colonoscopy to the 21st (from the 24th). Since I was inpatient, they were able to get me in first thing that Monday morning. Once they decided that, I was back to NPO (nothing by mouth) the day before the procedure. At 4pm, I started drinking this....
My normal prep for colonoscopy is gatorade and a dissolveable tasteless solution, but inpatients get this. I sent this picture to Chris who texted back "
Please make sure that is not antifreeze." Of course, I had researched it on my UC forums and got some tips on how to make this easy. Liz and Lydia were over to help me with this. Lydia chilled a full pitcher of this gross liquid in ice, and poured me two small glasses every 10 minutes. I chugged it like a champ, then I'd bend over from freezing pain in my stomach, then rest, and repeat. Fortunately because I was on a clear liquid diet for the day before and no food that day, the prep went really smoothly and I only needed to drink half. The whole process took me 2 hours instead of the usual 4.
The next day was my procedure, and I was excited. I thought, once I'm done, I can start eating again!! That was my hope, what got me through the past few days of not really eating.
The bad news was my colonoscopy was terminated early. My insides looked so inflamed they couldn't see any further without risk of perforation. I was so disappointed. I was even more disappointed when no one came to talk to me about food afterwards! I went all day waiting for a doctor to visit me, and it wasn't until later that afternoon, they told me I had to be on further "bowel rest," meaning NPO some more for a few days. The good news was, it didn't look like I needed surgery, but we needed to weigh the options of different treatments. But they wanted to give my guts time to heal on it's own. That day was a very bad day. I tried to be strong the entire time I was in the hospital. I didn't have too much pain, but I felt like I was being punished and starved. I didn't have any new answers. I had also received some terrible news about a family friend, and I was on a very high dose of steriods which recked my mood. I cried all day. When I wasn't crying it was because I was sleeping or just lost in thought. Liz came over that day and just laid next to me in bed while we watched a movie in silence. It was just what I needed.
The next day was much better. Despite not being able to eat, I had a nice long talk with my actual GI, who I love, did I mention that already? We made a Plan A, Plan B, and Plan C (surgery). We were crossing our fingers for Plan A, which was continue with steriods and "treat from both ends" then start azathioprine as originally planned. Plan B was Remicade, which is biologic drug made from mouse dna and has a less success rate, and the rate decreases as time goes by. Just like azathioprine, there are some major side effects, but they're low enough to take the risk. However, if I didn't need it, I don't want it. So in the future, I'd rather have surgery to get rid of this disease once and for all if my azathioprine stops working. That was my major revelation that day.
I forget when, but eventually I was given the go ahead for "heavy liquids" which was things like cream of wheat and shakes. Um, their cream of wheat was disgusting, so I settled with this shake:
It wasn't too horrible. At this point, I was happy to have something with any taste in my mouth. I ended up drinking 3 of these that day as my meals. By the next day (Friday), I was allowed a low residue diet. Of course, they dinner tray was barely edible - had some fish that I stuck between a dinner roll. Had a sip of gingerale, which I promptly realized carbonated drinks do not do any good for me. I waited until Chris came to visit for his daily visit, and we had a romantic dinner with mashed potatoes and gravy and some yellow cake (no chocolate allowed for this girl).
Saturday early morning, I was cleared for discharge! I wasn't 100% or completely symptom free but my meds finally kicked in and I got my life back. I was able to eat normal (as normal as I can for now) food and had no pain or cramps, so that was good. My instructions were to come in for a follow up next week to get more blood work done to get ready for my azathioprine. This new treatment will be a pain... weekly blood work to make sure my liver and pancreas is okay and they slowly increase the dose until they reach my max level without killing me. :) The side effects of this drug is higher risk of lymphoma and skin cancer. So, my new project is to find cute bathing suits with UV protection, best high SPF sunscreen, cute big rimmed hats, and coverups for my June trip to Grenada!
Here are some pics of my little hospital room:
My dresser that was also full with flowers from great friends. I also received a lovely sexy card that kept me happy. And my phone was always ringing with friends and family with their words of comfort and support.
This is the part of the room I was looking at most of the time. It reminded me what the date was and who my nurses were.
But during the day, this was me. Laptop connected (great wifi at Temple!), either working on wedding clients emails and tasks, watching Modern Family, or hooked up to my ipad watching Seasons 1-3 of Greys Anatomy.
The great thing was, I was in good spirits most of the time during my hospital stay. Aside from that one bad Monday, I was okay. I was hopeful, optimistic, so grateful to Chris and our friends for their support. I also knew it could've been worse, a lot worse. I could still be there with one less body part. And maybe one day I will, but until then, I'm hopeful that my strength will help me get better.
I start yoga tomorrow so I can get my strength back. I've lost almost 20 lbs since I've been sick (not a diet I recommend). Ironically, I'm at my ideal weight, but of course, I've lost a lot of muscle. So for the new few weeks, I'll be focusing on my eating right until I'm in remission, learning precisely what foods work and do not work for me, practice yoga, learn to meditate, and also learn to listen to my body and it's signals for stress.
This was my long serious post. Since I've spoken to various people about my disease, people have been opening up to me about their belly issues. UC and Crohn's Disease is scary, especially if left untreated. It can lead to colon cancer or toximegacolon. Talking to doctors about your bowels and poops and other gross stuff can be embarassing, but we all have a sense of humor! I urge all people over the age of 50 to get checked for colon cancer regularly. I really urge all young people with any bowel pain to get checked out as well.
Okay, I'm off my soap box! My next post will be about the roommates I had during my stay. The chatty, the miserable, and the smelly.