I didn't know this thread existed. This will be fun to share. It's loooooong.
I was diagnosed with inflammatory bowel disease when I was 16. One Fall, we were dropping my brother off at Georgetown for the school year, and on the way home, I had the absolute worst, constant gas. No abdominal pain or anything, but an overwhelming amount of gas that smelled really awful, a sick smell, for the entire four-hour ride home. When we were in Georgetown, I felt a little under the weather and I didn't have much of an appetite. I had always been really thin. Like, 105 lbs. at 5'10".
Things took a sinister turn when we got home. When I went to the bathroom, blood just poured out of me. I had issues with anal fistulas when I was like two years old, and they're a symptom of Crohn's Disease, one of the forms of IBD, but beyond that, and being underweight, I didn't exhibit any obvious symptoms. But after that day, my life wouldn't be the same. I started my junior year of high school that same year, but the bleeding didn't stop. My parents were averse to putting me through diagnostic tests like colonoscopies at the time, and I had a severe phobia about needles, so we started trying to deal with it by going to my pediatrician. She was woefully ill-equipped to handle it, and honestly came across like she thought my mother was exaggerating my symptoms, and just suggested that I add more roughage to my diet, which is actually one of the precise things you do not want to do. At this point, my memory starts to get bad. I know I continued at school for a couple months. One day I woke up before school and noticed a very fine, light rash, but I went anyway. When my mom picked me up afterwards, it was everywhere, and deeply red. She couldn't believe no one at school mentioned anything to me about it, or called her, or tried to send me home. But they didn't. I think that was the last time I went to school for nearly a year. My mom had our neighbor, a wonderful man who was a dermatologist, come over to our house to look at me. He didn't say anything in front of me, but he told my mom that he thought I had cancer and that I needed to be hospitalized right away. I think, by this point, we had started seeing a pediatric gastroenterologist, but I don't remember. My mom recently looked through my records, and the Gastro actually noted that he thought I may have contracted Scarlet Fever. No one ever told us this. I started getting tests done, and I had to overcome my fear of needles really fast, because IVs weren't optional, at this point. After a colonoscopy, I was diagnosed with ulcerative colitis, a form of IBD that exclusively attacks to large intestine. It was so bad that the doctors were afraid I could suffer from something called toxic megacolon, where, if I correctly recall, your intestine is so damaged and broken that it essentially evaporates and your waste enters your body cavity.
So, in retrospect, it kind of amazes me that I was going through all of this, and no one asked to see a fucking stool sample. You'd think that would be important, right? But it never came up, to my knowledge. My parents and I would describe how much blood there was when I went to the bathroom, how much time I spent on the toilet trying to go something besides blood clots, but I was always under the impression that the doctors thought that we were just startled by the blood, or the disease, and we were overstating the severity, despite seeing my declining appearance, or looking at my actual intestine. Anyway, I was placed on a HUGE dose of prednisone and other auto-immune suppressants to try to get things under control, as well as iron supplements, because, unsurprisingly, I was incredibly anemic. It's worth noting, I was barely eating, so putting large amounts of steroids and iron into a stomach that was always empty was really unpleasant.
We tried this at home for a bit of time. I don't know how long. I remember thinking, things could have been worse. This was late Summer and early Fall or 98, so I got to stay in bed and play Klonoa, Metal Gear Solid, Xenogears, Tenchu, Ocarina of Time, and so many amazing other games during what I still contend was the best year for video games, without having to do anything else. Of course, I didn't get better, and I was getting so sick that I couldn't even focus on, let alone enjoy, reading or writing or playing games. I dropped to 79 pounds. I wasn't eating. I was so thin, I was essentially a skeleton covered with skin. It hurt to stand. It hurt to sit. I had no meat on my bones, there was nothing to pad my body. Throughout all of this, and this is something I'll come back to again and again, I never thought I could die. It wasn't even a consideration, and I don't know if my ignorance is really what allowed me to keep powering through. I just thought, this sucks, but something will change and I'll get better.
I was hospitalized, the first of dozens of times in my life, although I think it was my longest stint, or second longest. It was not a good experience. It's never fun being in a hospital, but depending on the nursing staff and your physical ability, you can take walks and talk to people and you can try not to lose your mind. I was really, really sick. They tried to do things to get me to show any signs of joy or happiness. They brought a TV in my room, and my parents brought my Saturn and PlayStation and hooked it up, hoping having my beloved video games in my hospital room would improve my mental state. I didn't think I was going to die, but I wasn't happy. We were getting into winter at this point, but the idiotic nurses told my parents I was depressed and needed to go outside the urban hospital and walk around the block to get in better spirits. 79 pounds, I was. And it hurt to just lay in bed. Standing to get into the bathroom, which I had to do frequently, was a battle. I remember one time, I was so fed up and tired that I just shit in my bed. My mom let me have it for doing that, and so I never considered doing it again. I had a tube through my nose into my stomach at this point; and they were pumping me with Ensure because of the high calorie count, to try to put weight on me. But high sugar content + empty stomach + diseased, hemorrhaging digestive tract do not mix. I would throw up, or suffer through excruciating pain. Or both. Generally just both.
It went on like this for a couple months. I switched gastros a couple times, but my case was so serious that I eventually ended up with a team of specialist doctors. You're probably thinking that I had the absolute worst doctors in history, or terrible medical care, or idiotic parents, but I didn't. The doctors are considered some of the best in their fields to this day, and my parents spared no expense in taking me to the best treatment facilities and did everything to help me and abide by my wishes, and to try to prevent my life from just derailing irreparably. I don't have any issues with how this went down. I will, eventually, have issues with my family and my doctors, but it wasn't because of anything that happened to this point. My case was abnormally severe. There were so, so many things that happened to me, where doctors would explain side effects or potential risks from medicines or surgeries, but then say, "but this only happens to like a fraction of the fraction of the people that do this," and I always fell into that small percentage. Always. Stuff they never dreamed could happen to a patient, it happened to me.
So, finally, luckily, at one point, one of my doctors came into my room when I was going to the bathroom and saw the contents of the toilet. He had what I can only describe as a panic attack. He came rushing out of the bathroom, essentially shouting that there was no hope for recovery through medications and I needed to go into surgery. I don't think I saw him again after that. We didn't rush right into surgery. I got a new team doctor lead, and the guy was brilliant. Great bedside manner, hugely intelligent. I still wanted to try to get better without surgery. But it didn't work.
So, because they thought I had colitis, I was a candidate for what I think was a relatively recent new surgery where they remove your entire large intestine and convert part of your small intestine into something resembling a colon. It's called an ileo-anal pouch. My large intestine was completely beyond repair, so I was totally fine with this, as I wouldn't end up with a bag. I did not want a bag. I was 16, and the thought of living my life with a plastic bag of shit hanging off my abdomen was unimaginable. Typically, the procedure would be two parts, one to resect the large intestine. They would construct the internal pouch from my small intestine, but divert a portion of the bowel to a temporary ileostomy while the small bowel pouch healed. Then, in six months or a year, they'd reconnect the resected bowel and reverse the ileostomy. However, the surgeon, for whatever reason, thought that they could pull it off with one surgery. This is where things start to turn, and my life is still affected because of it, to this day.
I think it was June of 99 by this point. I'm not sure. It was a while after I first got sick. I had the surgery on a Tuesday, and afterwards, everything seemed fine. I had a lot of pain and bloating, but after my body went through what it did, then having major abdominal surgery and removing a large organ, that seemed par for the course. I only remember little snippets here and there. I remember one of the old nurses stepping on my urinary catheter while I was sitting in a chair a day or two after surgery. I remember laying in bed, watching a Penguins hockey game while my dad sat at my bedside, reading Hannibal. And I remember going into shock. I was laying in bed on that Friday, and I started to shake. I've always been shaky, but this was different. It was so violent that the bed shook, and my entire family, my brothers and my parents, turned to look at me because it was so obvious. I remember my mom asking me if I was okay, and me answering, in a fog, that I was fine. Just cold. They ran to get a nurse. I had a fever of 107 F.
This part probably deserves its own little section. So, the surgeon that operated on me, he was part of this two-person surgical team at the hospital, and they were really highly regarded. But he was not the superstar surgeon. The other guy was. But the other guy was also a raging egomaniac and a misogynist. However, the day after my surgery, my surgeon left for Oklahoma City. We would later find out, although not much later, that he was leaving Pittsburgh and going to OKC to start his own surgical group there. It's also why he tried to do my stuff in one surgery, instead of two. He knew he wouldn't be there for the follow-up stuff, and he knew I didn't like the other guy. But when I went into shock, my surgeon was gone, so the technically better surgeon was who we dealt with. I remember he didn't want to do anything until after the weekend. He wanted to let things play out, and he thought I would be fine until Monday. My mother yelled at him. My mother saved my life. He told her to go shop for some groceries and go home and clean our house, get out of the hospital and do things she was supposed to do. My father, a real shitheel and actual criminal in his own right, thought this was hilarious. He laughed. But my mom didn't budge. Because of her, they put me on high doses of antibiotics over the weekend. I would have died without them.
My surgeon came back over the weekend, and when everyone was back on Monday, they ordered what's called a gastrografin enema. Essentially, they give you enemas with radioactive dye, then a radiologist takes pictures and they try to determine where problems are. I'm sure you can guess, but my pain was... it was bad. I'm crying on the train right now, just thinking about it. I could lay in the fetal position. That was it. But this test required me to straighten out my legs and roll over from side to side, and I couldn't do it. I just couldn't. But that didn't stop the radiologist. He manhandled me. Forcibly held my legs down, hit my legs and abdomen with the camera, threw me over from side to side. I know that I have not been the same since all of this happened, since I was subjected to the levels of pain I barely endured. Psychologically and emotionally I'm different, my personality is different. I'm aware of it. I know it broke me in some way. But I still never thought, at the time, that I was going to die. The radiologist lost his job. My mother saw to that. He already had complaints, apparently, on his record, but despite the fact that I was totally out of my mind at the time, I was still able to relay to my parents how he treated me.
Anyway, a catheter that they had put up my anus perforated the wall of the ileo-anal pouch that my surgeon built, my feces was leaking into my blood. I had sepsis. If not for the antibiotics, I would've been dead. My surgeon came to me, right after I got out of the room with the enema test, and told me that I had to go into surgery. Immediately. He then turned around and told my parents, who were standing probably five feet behind him, that I probably wouldn't make it. They said their goodbyes. But I didn't think dying was possible.
Somehow, I woke up. The proud owner of a temporary ileostomy. They fixed the hole, they said, but they were going to do it right this time. In three months, they would bring me back, reverse the ileostomy, and I would get better. I would be able to serve in the military, if that's what I wanted to do. I didn't, but I appreciated the encouragement. Those three months with the ileostomy, oh, man. The ileostomy products that companies offer to people, they're not good. Bags constantly leak or fall off, my skin was raw and bleeding from having stool constantly on my skin. I don't remember a lot of specific things about this time, but I know I was miserable and counting the days until my surgery, so that I wouldn't have to deal with it anymore. My family had money, so my mom tried to do what she could to raise my spirits. She bought me an import Dreamcast when it launched, and a bunch of the games, but I was too sick to play, so my friend would come over and play and I would lay in bed and watch. That's how I experienced most of the original Soul Calibur and Sonic Adventure. A shrink also started coming to my house, and I had in-home nurses.
I had the surgery. I never really got completely better. I had missed a year of school. In the Fall, I was homeschooled through the local school district for credits towards my private high school. I think in January or February, I went back to my regular school as a junior again. Only one of my old school friends treated me the same. He's still my friend, to this day. I don't talk to anyone else that I knew from high school. I still managed to finish in the top five of my class and get into a great college. But I was never right. My health still wasn't good. I still had pain, still had a small or nonexistent appetite, still had very little energy. Still didn't weigh a lot. I think I was around 110 to 115 pounds by this point. In spite of all of it, I managed to get a girlfriend and lose my virginity that summer! And the girl was cute, too! Huzzah! Of course, she was crazy and she would cause me headaches for nine years, but who thinks about consequences when you nearly died and you can get laid?
I went to school in the Fall, still didn't feel right. Had health issues through the year and a half that I was there, and I eventually transferred back home to a different school. In fact, I probably should not have gone to college right out of high school, given what happened to me and where I was mentally at the time, but my family insisted. I still had frequent appointments and diagnostics and all kinds of stuff done, but they never found anything, or so they said. Because I continued to complain about pain and fatigue, they started painting me like I was a headcase, like I was depressed, like I enjoyed being sick and the attention that came from it. My family, undoubtedly sick and tired of dealing with me by this point, also turned on me. My girlfriend was my problem. I was lazy. I had no direction. I liked being sick, I liked being in the hospital. Etc. Etc. Even my mom, my biggest advocate, lost her patience. In their defense, doctors kept saying they couldn't find anything wrong with me that would cause my severe symptoms. At one point during these years, I don't remember when, specifically, they switched my diagnosis to Crohn's Disease. Crohn's, unlike Colitis, can go anywhere in your digestive tract, from your mouth to your butthole. I was getting abscesses and fistulas, things I should not have gotten if I had Colitis, because the disease was apparently gone after taking the organ out. I had several surgeries over the next decade on smaller things, getting rubber bands through fistulas to help them drain, getting pill endoscopies removed from my small intestine after getting stuck. Twice during procedures, my heart stopped and I had to be resuscitated. I was going to college and working through all of this, as well as dating and other stuff, believe it or not. Although going to college or working wasn't exactly working well for me. I would start classes for a couple weeks, then I'd end up in the hospital and have to take Ws on my transcript to withdraw. I wasn't earning a ton of money, either, because they wouldn't be able to schedule me for months at a time. But I wasn't allowed to ease off. My family wouldn't allow it. My parents were divorced by this point, and they both threatened to stop supporting me if I didn't go to school. I relied on them for health insurance and housing, and my medical bills certainly weren't cheap.
So, right before New Years Eve 2010, I stopped going to the bathroom. Like, I couldn't go. I don't know if anyone has experience with a pouch like I had, but going to the bathroom is not a problem. Slowing your digestion down and lowering your output is the goal. Unfortunately, I stopped going because I had developed a blockage in my intestinal tract. I had to be rushed into surgery, so my bowels didn't burst. I still had the same gastro that guided me through my surgeries in high school, although the relationship wasn't great because he became dismissive of my complaints. But I had a new surgeon, and he was amazing. He's one of my heroes. Anyway, he told me mother after my surgery that he could still see remnants of my Thanksgiving dinner backed up in my digestive tract, that's how long the blockage was building up. But more importantly, he revealed something else that vindicated me. He had to take about 12 feet of my small intestine out after the blockage, and I once again woke up with an ileostomy. But the ileostomy was significant, not because my intestine had to heal from being chopped up and put back together, but because the hole in my intestine from when I was 17 never healed completely. That's right. The perforation that caused my sepsis and near death in high school was never totally fixed. It was a tiny pinhole, but it was there. My gastroenterologist had kept me on antibiotics and steroids for the 12 years since, and they masked the issue.
This is where things get (even more?) interesting. In 2004 or 2005, I don't remember exactly, I had an MRI with contrast dye, because I recently had an abscess and I was still experiencing discomfort, so they were checking to make sure everything cleared up. The radiologist noted on his write-up that it looked like there could be a pocket of bacteria behind my pouch, possibly due to a small leakage. My gastroenterologist never told me this, and apparently opted instead to read it as a shadow on the scan. The radiologist wasn't positive that it was a leak or a pocket of bacteria, it wasn't a certainty. But the gastro opted not to follow up on it at all. He just kept me on steroids and antibiotics. My surgeon, a colleague of the gastro, flatout said that the gastro was wrong and that they screwed up. I asked my gastro why he wouldn't even follow up with it, and he couldn't give me an answer. Just something fuzzy about not wanting to put me through anything invasive after everything else I'd gone through. I personally feel like he realized that they royally screwed up, and tried to cover for everyone involved. But I don't have any proof of that.
So, the ileostomy I had was hopefully temporary. My surgeon fixed the pouch that I had, but cautioned that it had suffered significant damage from being surrounded by infection for so long. However, he knew that I didn't want to live with a bag, and promised to do everything that he could to save it. He asked me to live with the bag for more than a year, at which point hopefully the pouch would have healed, and he would reverse it, if I wanted to try again. I went a year without being on medications for my auto-immune disorder, the first such prolonged period since I originally got sick in high school. I managed to finish school and get a decent, regular job. But I hated the ileostomy all the same, so after a year, my surgeon kept his word and reversed it. Almost immediately, within a couple months, we knew it was untenable. My body developed multiple fistulas and abscesses simultaneously. The pouch couldn't handle holding my feces. And that was that. I no longer had the luxury to mess around. Through the course of my ordeals, I had lost so much intestine that I am in danger of not having enough to absorb a livable amount of nutrients through eating and drinking. If I lost any after the diseased pouch was removed, I'd be eating through a tube in my arm for the rest of my life. So, back I went for one more surgery. The pouch was removed, I was given a permanent ileostomy, and my anus was completely sealed. I no longer have a butthole.
I wish I could say my issues ended there, but due to repeated abdominal surgeries, I now suffer from neuralgia and chronic pain. I'm no longer on any medications related to IBD. In fact, at no point have I ever tested positive for Crohn's, despite that being my diagnosis for almost 15 years now, since it was switched from Colitis. I had a surgery last year to remove scar tissue, sutures, and three hernias. I wanted to be a doctor or a Japanese teacher, but I was told that I wouldn't be able to do either. I lived in Japan for a few months, but had to come home because of health issues. That bridge was burned. Because of physical restrictions due to lack of a muscle wall in my abdomen and the danger of additional hernias and other complications, I wouldn't make it through medical or nursing school, where I'd be required to move and lift patients, and the odds of me tolerating just the general physical and mental stress are slim. I was told to just let it go.
I realize that this is long. This is my first time writing down even this much. I've talked about it here and there on Era and on GAF previously, but never to this extent. I don't even think my wife knows the full extent of everything I went through. I should probably be dead, but I was too dumb and infantile to ever think dying was a possibility. Things didn't turn out the way I wanted my life to end up, but I have a wonderful wife, a beautiful son, a decent job, and a house in a good neighborhood. I've traveled the world. I've found some modicum of peace after everything, but I can't say I'm satisfied. Thanks for reading. Sorry if this is gibberish. I didn't have time to proofread or go over it all.