Monday, December 31, 2007

2007 Review of the Year

That, then, was 2007. A year of ups and downs, mostly, it has to be said, for my trousers.

JANUARY
Little did I know what awaited me just around the corner. If I had known, I may well have concentrated all my efforts on inventing a time machine, and whenever 1st February approached I would set the dials for 1st January 2007, and forever live in that peaceful, illness free month.

FEBRUARY
The Return of the Blood, Part III. I assumed everything would sort itself out in a couple of weeks just as it had on the two previous occasions. It didn’t. But up my sleeve I had a secret plan of attack that couldn’t possibly fail; I would ignore the problem until it went away. Oh, the naivety.

MARCH
For my birthday I had a trip to New York planned, and not wishing to take my ulcerative colitis along as a traveling companion, I finally went to the doctor. So, armed with mesalazine I looked forward to a Guinness or two on St Patrick’s Day in NYC. I had my Guinness, but I also had a mouth full of ulcers, night sweats, crippling fatigue and the usual bloodbath in the bathroom. It was starting to feel like I was fighting a losing battle.


APRIL
The month the full force of my Flare Up rode into Tum Town looking for trouble; all outlawish swagger, lock-up-your-daughters menace and tobacco chewing bravado. I shat meself I really did, both metaphorically and literally. Mr Bottom was starting to get a little too acquainted with Mr Toilet-Seat. They met up about 10 times a day, with Mr Bottom doing most of the talking. Meanwhile I ping-ponged back and forth between doctors, growing weaker and more frustrated with each visit. I ended April in hospital.

MAY
The NHS released me back into the wild, or as the London A – Z prefers to call it, Walthamstow. Looking back now it seems crazy that no one really sat me down and gave me the UC version of the ‘Birds and the Bees’. I was as much in the dark about ulcerative colitis as ever. Google to the rescue, I started to piece together the jigsaw and a picture emerged of what life with this disease might be like. It was odd to think of myself as someone with a chronic illness. Arrogantly I had always considered myself a bit too rock and roll, windswept and interesting for something as mundane as a long-term health problem. Turns out I was wrong. (And according to my girlfriend I’m deluding myself about the rock and roll, windswept and interesting bit, too.) Ego firmly in check, I began making a record of my daily doings. I find there’s nothing more grounding than writing down how many times a day you do a poo.

JUNE
Back to work, but otherwise living life at a pace more suited to a remote Scottish island than London. Even the smallest of tasks sapped my energy. I became the local mini-cab firm’s number 1 customer. Life was little more than work, sleep, work, sleep, work, sleep. On a positive note, I was making fewer trips to the toilet, but I was also making fewer trips anywhere. I made Howard Hughes look positively sociable. Boring, boring, boring.

JULY
Messing about on my computer one night, and without really thinking about the consequences, I lost my blogging virginity. The name of my blog was the first thing that came into my head; I thought I might change it to something wittier at a later date. Clearly that never happened. I had no grand plan, other than I was going to write about my life with ulcerative colitis and just in case anyone were ever to read it, I should probably try my best to be honest.

AUGUST
Coming off prednisolone was my goal. As my pred intake reduced, my visits to the bathroom increased. It became clear the drugs merely kept the symptoms in check. I had to come to terms with the fact that I might be dependent on medication for quite some time to come. Things pottered along and popping pills became as much part of every day life as brushing my teeth and cursing London Underground.

SEPTEMBER
My girlfriend and I took a 2 week holiday in the Italian countryside. My ulcerative colitis tagged along for the ride, but pretty much kept a low profile and didn’t spoil a single sun-blessed moment. I had my first beers in 5 months, though I rationed myself to 2 a day. We swam and walked and read and listened to music and ate nice food, and I think all 3 of us thoroughly enjoyed our break. Unfortunately my UC decided after much deliberation, that nice though Italy was, it’d prefer to return home with us.


OCTOBER
I tried and failed to come off the prednisolone. I think it was my 2nd or 3rd attempt. I had hoped that if ever I were to become addicted to drugs it would be something marvelously decadent, literary and mysterious, like opium, administered by a snaggle-toothed Chinaman called Ming, but no, I get my fix from a grandfatherly man in a white coat on the High Street. Pete Doherty I am not.

NOVEMBER
I’m not saying the doctors have chucked pills at me willy-nilly, but at times their eagerness to dish out new tablets has been a bit billy-nilly, willy-nilly’s slightly less slap dash cousin. And so it was I came to be prescribed azathioprine. Only time will tell if it’s a success, but if nothing else I’ve learnt a new word.

DECEMBER
The season to eat, drink and be merry. Throwing caution to the wind I have indulged a little in the festivities, resulting in, rather appropriately, quite a lot of wind. Though I somehow doubt I’m the only one trumping profusely at this time of year. So, it’s been a funny old 12 months, really. My body has had me reeling at times, on the ropes I was, bewildered and befuddled and bloodied. But despite all the pain, confusion, worry and stress, I wouldn’t say it was a shit year per se. A year of much shitting, granted, but there have been many positives too. I no longer abuse my body in such wanton fashion, I’m far more respectful about what I put inside myself, and without wishing to get all evangelical and ‘born again’, ulcerative colitis has made me reevaluate my life. I have a better understanding of what’s important to me than I did this time last year. (Don’t tell anyone, but I think I might have grown up a bit.) And finally, without my UC I would never have started this blog. I’m quite proud of the fact I’ve written something like 27,000 words, mostly about poo. Before Christmas, I got speaking to someone who has written and published a book, and thinking he might have some advice that might help me write this blog, I asked him if he had any tips. He said the most important thing is to edit ruthlessly and cut out all the crap. I thought, that’s alright for you to say, mate, but if I cut out all the crap there’ll be bugger all left.

Happy New Year from Switzerland.

Friday, December 28, 2007

Ulcerative colitis travel tip

I’m off to Switzerland today for the New Year, but before I go I’ll leave you with a little travel tip. Take all your medication onto the plane with your hand luggage. That way if your bags don’t arrive at the same destination as you, at least you’ll have your tablets. Sounds a bit bleedin’ obvious, I know, but sometimes them’s the things you forget.

Thursday, December 27, 2007

Boxing Day's diary on a Thursday 2.4

Turkey, stuffing, roast potatoes, roast parsnips, chipolata sausages wrapped in bacon, sprouts, some other vegetables, erm, new potatoes, gravy, Abbott Ale, Christmas pudding, brandy butter, chocolates, stilton, cheddar, biscuits all went in...now let's see what came out...
Wednesday 26th December:
9.55am Loose stool, light blood
4.15pm Firmish stool
9.50pm Firmish stool

Medication:
6 x Mesalazine 400mg
3 x Prednisolone 5mg
3 x Azathioprine 50mg
3 x Ferrous Sulphate 200mg
2 x Calcium Carb 1.25g

Comments:
As I loosen my belt a notch I worry for my Vivienne Westwood shirt.

Thursday, December 20, 2007

Wednesday's diary on a Thursday 2.3

I found this quote from some UC website or other. It's quite a good way of explaining how food can affect things, I think.

As an analogy, think about a cut on the skin. If lemon juice is squeezed over the cut, the cut will burn and hurt. The cut skin is not necessarily worse in terms of inflammation nor will it take longer to heal, it just temporarily hurts more because of the lemon juice. The same is true of various food effects on the colon in UC. When the colon is inflamed, ingestion of gas producing foods containing lactose or high fibre products may result in abdominal cramping and discomfort. These foods, however, will not cause the lining of the colon to develop more ulcers or bleeding.

Well, on Tuesday night I squeezed lemon juice over the cut. My girlfriend and I had our Christmas early because she's going back to Germany for the holidays. So we had a very nice, fancy-pants meal out, which included a whole host of things I shouldn't really touch with a barge pole, let alone a knife and fork. And yes, the dreaded sprouts were consumed, along with a few pints of Christmas Ale. I paid for it yesterday mind, but what the heck, Christmas only comes once a year. Or in mine and my girlfriend's case, twice.
Wednesday 19th December:
4am Loose stool
5.30am Loose stool
7.30am Loose stool, light blood, mucus
12.10pm Loose stool
11pm Loose stool

Medication:
6 x Mesalazine 400mg
3 x Prednisolone 5mg
3 x Azathioprine 50mg
3 x Ferrous Sulphate 200mg
2 x Calcium Carb 1.25g

Comments:
Bah, humbug.

Tuesday, December 18, 2007

I'm all ears

For many years I stubbornly refused to listen to what my body was trying to tell me. My standard response to any niggle, itch, twitch, twinge, throb or ache was la-la-la-la-la-la-la-can’t-hear-you- la-la-la-la-la-la- can’t-hear-you-la-la-la-la. My body’s cries for help would go unheard. Like many a man before me, I cocked a deaf ‘un. It’s what us boys do. Rather than face up to reality, we’d prefer to slip out the back door unnoticed, preferably to the nearest pub. But just as the habitual flat-capped drinker never escapes his rolling pin wielding wife for long, one can never truly hide from a nagging body. So it was only a matter of time before mine caught up with me and forced me to listen to what it had to say. Now this is where it can get tricky. If your body could sit you down and explain in plain English, maybe over a cuppa and a Rich Tea, exactly what was on its mind there would be no confusion. But your body doesn’t speak English. Instead it communicates in its own curiously oblique fashion. It’s a form of sign language, I guess. Like, you’ll suddenly get lots and lots of eye-wateringly painful mouth ulcers. This is your body speaking to you. But what’s it trying to say? That you have a problem in your mouth? Oh no, no, no, no, that would be far too simple. No, mouth ulcers might not have anything to do with your mouth at all. It could be anything. Imagine a red warning light appearing on the dashboard of your car, but it doesn’t tell you if it’s oil, petrol, water, brakes or the bag of Murray Mints in the glove compartment you should be worrying about. That’s how your body talks to you. So now every time I get a spot or blemish or my hair starts falling out, I have to try and interpret what it means. I haven’t the foggiest half the time. My body could be trying to tell me I’ve got bird flu for all I know. It seems mastering German is the least of my worries, first I need to understand body language.

Monday, December 17, 2007

A hairy tale

Could this be a precious lock of my truelove’s hair, kept inside a locket worn around my neck, a keepsake of our fervent union pressed tenderly against my fragile, fluttering heart for all eternity? Nope, I fished this little lot out the plughole this morning. They’re my hairs. By all rights they should still be on my head. That’s where they were when I got in the shower, but by the time I got out, they’d jumped ship. I haven’t counted them yet, but it’s a good old clump; more than an Action Man’s handful. At the very least a Bobby Charlton combover’s worth of hair. And this is from just one shower. If I carry on at this rate I’ll be able to re-thatch Right Said Fred before the year’s out. But why is my barnet doing a bunk? Naturally I’m keen to get to, ahem, the root of the problem. Is it a side effect of one of the drugs I’m taking, for instance? And if so, which one? The way I’m golliping down pills it’s hard to isolate a particular side effect and attribute it to any one drug. One thing I have noticed though, is since I started losing the hair on my head I’ve started growing it on my cheekbones. You may laugh at the irony of my predicament, but spare a thought for me. I’m the one who is going to have to go through life with the face of Teen Wolf and the head of Kojak.

Thursday, December 13, 2007

Wednesday's diary on a Thursday 2.2

If anyone ever finds my 2007 Diary in a hundred years time it's going to make for very strange reading.
Wednesday 12th December:
6.50am Firmish stool
4.10pm Firmish stool

Medication:
6 x Mesalazine 400mg
4 x Prednisolone 5mg
3 x Azathioprine 50mg
3 x Ferrous Sulphate 200mg
2 x Calcium Carb 1.25g

Comments:
Can't complain, but I have been here before...