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Hey everyone, I'm P.J. Sheesh, I really don't know where to start but here goes. I was diagnosed with UC around 2003 during college. I struggled with getting it under control for the first 4 yrs. Many doses of Prednisone, sulfasalazine, asacol, and immuran. Things would calm down for a while, but eventually flare up. Fast forward to '06/07, I deteriorated to the point that I weighed about 135 lbs (normally 170lbs), and basically living on very limited diet. My GI suggested that I give Remecade a try. At that point I was willing to try any drug, no matter the risk. As luck would have it, the Remecade made me feel better within days of my first injection. My disease seems to be very persistent. In order to keep it at bay, I received Remecade every 6-weeks, @ 10mg/Kg. My life was normal. I ate and drank whatever I wanted, was very active...I love to wakeboard and be on the water, and worked out. In May of 2013, I started to notice some blood in my stool and immediately notified my GI. They thought it could be because of a lack of fiber in my diet. Adding more fiber made no difference and quickly I knew I was starting to flare. More phone calls to the GI, canasa, back on prednisone, cortisone enemas, nothing seemed to slow it down. By the last week of June I had lost 40lbs and was in the ER. I spent 7 days in the hospital, came home and was off work for another 6 weeks.

While I was in the hospital is was discovered that I had developed a resistance to the Remecade treatments. My GI suggested a new biologic drug called Symponi. The great part of this drug is that I could administer it myself via an auto injector. I've been on it for about 7 months. Now, I'm not saying that it hasn't helped. I have gained some weight..up to about 148 lbs. But I still have UC symptoms, mainly stomach cramps (some that bring me to my knees)and unformed stools. When I started Symponi my GI basically told me if it doesn't work, that it would probably be time to think about surgery, but in the same sentence he said that I need to give the drug a fair shot and be patient.


When my GI mentioned the possibility of surgery, he recommmeded another GI Dr. at the Cleveland Clinic. I met with him in early December where he advised me to give the Symponi "a few more months" but to give him a call if/when I new it was time for surgery.

Well, to be perfectly honest, I'm at the end of my rope. It's getting close to being a year without much improvement, and in the last couple weeks, I feel like my health has taken steps backwards. I’d rather have this surgery while I’m in better health rather than waiting until i’m in the situation I was in last summer. AND, I want my life back.

Also, I just want to mention, Pluot (Liz), I read through your entire blog. It gave me the extra push that I needed to make my decision. I have my consultation with the surgeon on Thursday. Thank You.

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Welcome to the forum! Your story is very similar to mine (and probably most folks on this forum). One morning I woke up and knew I couldn't continue like I was. I had my surgery consult, loved the surgeon, and two weeks later my colon was gone. I haven't looked back. I love my j pouch....quirks and all....and I'm grateful every day that this procedure even exists. It quite literally has given me my life back.

Best of luck with everything! Smiler
mgmt10
Hi P.J. My name is Wendy. My story is also very very similar to yours. I was diagnosed in 2008-2009 and also tried several drugs. At the end, I was on Humira, Imuran, prednisone (high doses), Ambien (to sleep due to the prednisone) and Cortifoam. I have been on prednisone so often that three years ago I was diagnosed with osteopenia due to bone loss. Last year, I had another bone density scan and had lost another 10% of my bone density. In addition, I started having severe hip pain, blurred vision and joint pain due to the prednisone. I have had 3 G.I. doctors since I was diagnosed (my first one passed away, the second one I left voluntarily and the third one I still have) - all 3 told me that I was just probably one of those patients that is resistant to the medications and all recommended surgery. Finally, my current G.I. doctor told me that I have just been on prednisone too long and he will no longer prescribe it for me. He said it is doing too much damage to my body and isn't worth the limited relief I was getting between flare ups. This is when my husband and I made the difficult decision to have surgery to remove my colon. In addition, I also wanted my life back. When friends would ask us to buy concert tickets 6 months in advance or family members would ask us to plan a vacation, my answer was always, "if I'm not sick that would be fun....." We would only book vacations with refundable tickets and we would make sure that everyone knew we were totally committing to anything. The last time I went to Florida and Las Vegas, I couldn't eat, I couldn't drink and I felt bad because we would have to go back to the hotel early so I could do a cortifoam enema trying to get things under control. It was absolutely horrible.

I had surgery on January 24, 2014. It was a very very difficult surgery. Thankfully I had this forum, a friend I met prior to surgery who already had the surgery and a man named Alex that I met on this forum that is in the same boat but a few months ahead of my progress. Alex and I have become friends and send email messages all the time. I can't tell you how helpful it has been. People talk about it being a tough surgery but let me tell you that it is tough! Also adjusting to having a stoma and figuring out what appliance to use is also difficult. Prepare for a very emotional couple of months after surgery. It is manageable but I was not quite prepared for how difficult it was going to be.

Almost everyone I have talked to has had positive results with their J-Pouch which is promising. I am confident that I will have the same good experience. I actually have an S-Pouch not a J-Pouch. My surgery was at UW-Madison. I am very happy with my surgeon and am looking forward to my takedown surgery which is currently scheduled for April 4th.

I wish you the best of luck with your appointment and feel free to PM me anytime or to continue posting on the forum. I completely understand the state you are in - I want my life back and am hopeful that I am almost there too!

Wendy
W
Sounds like my story too! I got the flare from hell February of 2013. Did rounds and rounds of prednisone (which always got me into remission within days in the past). Didn't work. In May I started Humira and Imuran. Didn't work. Started remicade, did the infusions 4 times, although by the third time of it not working everyone pretty much knew it wouldn't work.
I was incontinent, had little appetite, was constantly fatigued, had anemia (did iron infusions at the hospital), stayed at home pretty much the whole year except for a vacation to Turkey that we had planned since January (oddly, I was pretty darn well for those two weeks, no accidents). By October, I was fed up and met with Dr. Friedman at Brigham and Women's in Boston for a third opinion (had a second opinion from a well known Dr in Turkey). They both recommended surgery. What sealed the deal for me was getting arthritis later in October. I woke up one morning and could not even walk down the stairs. No way, I have a two year old who needs me!
Met with Dr Hodin at Mass General and he was great. Had step one surgery done on November 26th. Was in the hospital for four days. Everyone at the hospital was outstanding. Once the surgical pain was gone, I felt soooooo much better. Such a huge difference. I had no trouble with the ileostomy bags either. It was much easier than I expected.
Had the reversal done at the end of January. I'm still trying to get used to the new plumbing. For the first month, I was having accidents still, which really frustrated me to the point of actually missing the bag. However, it is getting better. Some people don't have incontinence issues at all.
As of a week and a half ago, I was having 15-17 bowel movements a day. Dr Hodin had me start taking lotomil with the Imodium I was already taking, and it's decreased now to 10-13 times....I'm hoping it decreases further!
It is taking time to get used to, but I know I made the right decision for me and for my family.
Best of luck to you!
Bebekspor

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