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Crohn's Disease Forum

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Joined
Nov 24, 2011
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42
Location
Pittsburgh, PA
Hi everyone :)

I'm PGHCrohnsGirl and I'm a 29 year old living in Pittsburgh, pursuing my BA in Psychology & Women's Studies and learning how to adjust to the transition of a life with Crohn's. One of the things that I have yet to do was to join any sort of support groups - online or IRL - for people with IBD or Crohn's, so, here I am. :)

I was diagnosed in 2009 and have not had an easy journey, though, mine has been easier than many others I have read about. An excruciatingly painful day in the ER led to a CT scan that indicated I had inflammation in my terminal ileum that was indicative of Chron's, so, the ER docs wanted me to go to a GI for a follow-up. One GI didn't believe I truly had Crohn's, but, I found another GI who decided to run a few more tests (small bowel series, colonoscopy, etc.) to determine if I did or not. And, well, I'm sure you can all guess what my final diagnosis was considering I'm registered on this board :ytongue:

After diagnosing me, my doctor put me on two different mesalamine meds only to discover that 1) I was allergic to one of them, Apriso (yippy?) and 2) that the other one, Pentasa, didn't even absorb into my system properly to maintain therapeutic levels. All those little white beads inside of the Pentasa capsules? Yea, those would go right through me. I felt like complete garbage all of the time. I lost a ton of weight (I went from 170 to 135), I barely had the energy to do any of the things I normally wanted to do. I slept a lot - usually passing out on the couch or in bed for hours at a time when trying to do simple things like read for school or watch television, and I would often have to take many breaks doing something as easy as dust my bedroom - and I could barely eat. I remember my mom saying often that she didn't have any idea it would get this bad this quickly.

After about a year of hoping and praying the Pentasa and all of the other supplements I tried would start working - yea, I waited a year...I had no health insurance and was scared of the next steps of treatment possibilities, lame reasons, I know - I decided to throw in the towel and go back to my GI for a new approach. He decided to put me onto prednisone to see if that would help alleviate my symptoms. He started me off at 40MG a day for two weeks and then told me to call him and tell him how I felt.

I felt FANTASTIC. I had my energy back, I could eat again, I was able to do everything I wanted to do. He told me to start tapering it down 5mg a week and to call him immediately if any of my symptoms came back. All of the time I kept hoping that the prednisone would kick it into remission.

I managed to get all the way down to 20mg a day before my symptoms came back. Devastated, I called my doctor. He told me to go back to the dose where I still felt OK (25mg) and to stay on that until I could get on Humira. 6 months of prednisone was torture. I could barely sleep, I had trouble trying to concentrate on school, the mood swings drove me nuts, the acne and the moon face - oh, the acne and the moon face - it was all just awful for me.

6 months after starting prednisone, I finally got to start Humira and, once we knew it was helping, I got to taper down and eliminate prednisone from my treatment plan. I'm coming up on the one-year mark of being on Humira and, so far so good. Although there is a slight possibility that I may have to switch to taking it weekly rather than fortnightly as I find myself feeling pretty damn awful by the time I hit the in between week, but, I'll have to wait till my next GI appointment.
 
:welcome: to the forum! Yikes you did lose all of weight , I did too waiting for a diagnosis, lost 40 lbs in a month and a half. I was so sick and in and out of hospitals. I am so glad you finally found something that works, Humira was good for me but peter'd out. Alot of peole dop well on the biologics...good thing you got off the Prednisone, it does work till you taper down to 20mg for most of us. However it is the worst for side effects, the less you are on it, the better. Cheap drug, but deadly on the bones.

I hope to see you around and join our great community!
 
HEY! and welcome! I am 21 and pursuing a degree in Psychology in hopes of eventually getting my Ph.D. I also have crohn's so I know exactly what you mean when you say how hard it is to focus on school.

You'll find a lot of help here, and if not already, you'll get to the point where you can say anything on here without people judging you. Everyone has a very open mind with whatever you have to say.

Enjoy your stay :)
 
Thanks for the welcome, Pen & KWalker :)

Pen: Yea, prednisone was absolutely awful after a month or so. My GI wanted to put me on the better alternative (I don't even know what it was called) that has the benefits of Pred with minimal side effects, but, since I didn't have insurance at the time, he couldn't justify it. Ah well, at least it is all over and done with. I just wish it didn't take so dang long for the side effects to wear off, I still had a bit of a moon face in my graduation pictures when I got my associates degree this past May.

KWalker: I'm so looking forward to having a place where I can talk about Crohn's with people who will understand and won't judge. I have to say, I have been blessed with amazing friends & family who do try to understand but, unfortunately, those without chronic illnesses - or without loved ones who have one - just don't always get it. That, and, they don't always like hearing me talk about my poop. I can't imagine why haha. And, can I just say awesome on the pursuit of your Ph.D eventually! I am hoping to continue on to obtain my MAP and a PsyD at the school I am presently enrolled in. *high five for Crohnie psych majors!*
 
My GI wanted to put me on the better alternative (I don't even know what it was called) that has the benefits of Pred with minimal side effects,

It is Entocort, and yes very expensive! But for mild to moderate cases.
 
Yay for Crohnie psyc majors! LOL. You'll get used to the word "butthole" around here lol, and if you have questions about your poop, someone will have an answer, as embarrassing as it sounds. I've really learned to overcome my embarrassment with it, because with doctors, theres no way of getting around it, and on here, every single person knows exactly how you feel.
 
Pen: Aha! Yes, quite cost prohibitive for someone without insurance. Thankfully, I have insurance now (yay!) so I can get all of those lovely blood tests and colonoscopies that my Pittsburgh GI wants me to get. I swear, his eyes lit up on my first visit with him when I said "I have good insurance through my school". He couldn't wait to get my upstairs to the lab for bloodwork and scheduled for my colonoscopy haha.

KWalker: Yes, there is definitely no getting around it with doctors. I've a few close friends who hear about my poop occasionally. My family is all used to it because my grandmother has ischemic colitis and my grandfather had a colostomy. My domestic partner always tells me that he has never discussed poop so much in his life before he met me, but he doesn't mind. Though I think he'll secretly be glad that I have somewhere to talk about it all to my heart's content haha.
 
Hi! I had the same experience with pred but my doctor tries to get me off of it as quickly as possible (he will not let me stay on it for more than 2-3 months). Weaning down is so awful, I just don't even want to take it to control serious flares any more. I haven't been able to achieve remission in five years and will be trying Humira next. Right now I'm on Remicade and Imuran and I've tried methotrexate in the past. But I wanted to add my support on the horrible pred! I had the nice buffalo hump and everything. It was super demoralizing to look in the mirror. Even my husband couldn't deny my sexy moon face. ;)
 
Hi Sybil! I'm sure if my GI had had his way, I would have been on it for only a few months, too. Actually, if he had his way I would have been on Entocort and never would have been on pred at all. First, I had to get a PPD test, a Hep immunity test, and all of my vaccinations updated before I could start Humira - the basic steps before starting any of those meds. Then, I had to go through the Humira patient assistance program as I didn't have insurance when I started taking it, which takes a smidge of time to apply and get approved. We made the collective decision in mid October, and I didn't start Humira until January 13th. So you can only imagine how awesome my moon face was.

At first, with the pred, I was stoked because I wanted to eat everything and I gained weight back and fit into all of my old jeans again. But then, I started getting acne, moon face, and, instead of the hump, I got awesomely sexy fat all over my midsection. Oh, and I almost forgot about the darkened facial hair. Yea, I was a sexy beast. Woo-hoo! I also get constant reminders of my pred days whenever I have to present anyone with my student ID on campus as I got the picture taken in the beginning of April, about a month after tapering down. The acne had cleared up by then, thank goodness, but I was still rocking my chubby pred moon face. I also got to rock my moon face at my community college graduation.
 
Hello and welcome!

I'm also from Pittsburgh, but I go to college in a different state.

Prednisone was a wonder for me when I was diagnosed in 2003, and it also helped me climb out of my flare before surgery in August. But I can't even imagine its effects for 6 months! (Glad you're finally off!) I was on Entocort for several months before, and that was definitely easier to handle because it doesn't become as systemic as prednisone, but I don't think it was as effective.

Do you know why your doctors chose Humira over Remicade? I was going to start biologics this summer (but ended up needing surgery -- just waiting to see how long I last on 6-MP before I need to consider them again) and my doctor suggested Humira just because it would be easier to administer myself at college, but he said that he thought that either would be good.
 
Hi Feather :)
When my GI told me he wanted to put me on Humira, he said that it was due to being easier to administer (self-injection fortnightly vs. infusions) and less cost prohibitive when compared to Remicade. As I didn't have insurance at the time we started treatment and were not 100% certain that I would be able to get patient assistance, it would have a been a difference between hundreds a month (Humira) or thousands a month (Remicade).
 
Ha!! I was on pred last Christmas and even my picture-loving mother-in-law wouldn't take pictures of me. Every time she looked at me, it was with a look of pity, as if she was looking at the Elephant Man. :)
 
Ha!! I was on pred last Christmas and even my picture-loving mother-in-law wouldn't take pictures of me. Every time she looked at me, it was with a look of pity, as if she was looking at the Elephant Man. :)

Aw, man lol. You'd think your MIL had never seen a sexy moon face before. I bet your moon face brought all the boys to the yard. :ybiggrin:

Funniest part of it, for me, was all the people who told me how "great" I looked on pred, how it was so great that I had gained back all that weight I lost and, so, must be doing better. Wow, great, I'm so glad you think I look awesome with a moon face, acne, and a 'stache! And then I would tell them that I was on a long-term course of pred waiting to start Humira...sheepish looks all around.

I think the reactions I get are funny. About half the people I know would tell me I looked better on pred, all swollen and bloated, and the rest would tell me I looked better all super skinny before finding a treatment that works. Silly people.
 
I think it was my buffalo hump that brought all the boys to the yard! ;)

I lost 25 lbs this summer after my last surgery and I sh*t you not, everyone kept telling me how great I looked. I just stared at them. I was walking around, hunched over with two drains in my body from abscesses and a PICC line and all of a sudden I'm a sexy beast because I lost 25 lbs. Even my husband would get angry when someone would say that I looked good. He would point to me and practically scream, "Look at her!" and then feel guilty, but I knew what he was saying and I agreed. I looked like walking death. It was so ridiculous and just reinforced for me the values of this culture. It doesn't matter if your skin is yellow and you can't walk upright or even that you almost died--if you managed to lose some weight, your golden. Ugh!
 
Seriously...ugh! Skinny =/= good/healthy

My partner gets annoyed by people who tell me I look good when I lose weight, too.

This past summer, my partner and I were at a BBQ and someone who hadn't seen me in a while, but knew I had Crohn's, was telling me how fantastic I looked now that I lost weight since she last saw me (it had been almost 4 years and I was about 165-ish at that time) and asked me what my secret was.

He gave her the most befuddled look and said "Well, while I will agree that she looks better now at 150lbs than she did 2 years ago at 135lbs, having gained weight back, you do realize that she has Crohn's and wasn't trying to lose weight, right?"

Thankfully, my friends that I've made in Pittsburgh who know about my condition (which is like, all of them, haha) express concern when I lose weight rather than tell me how fabulous I look.
 
Your partner sounds like a good guy! And I'm like you--all of my friends know about my condition, too. I can't help bringing my bowels into every conversation. ;)
 
Greetings and a hearty welcome to you :) I'm so glad you joined!

Out of curiosity, have you been getting your vitamin and mineral levels such as vitamin B12, Vitamin D, iron and folate checked?

See you 'round!
 
When my GI told me he wanted to put me on Humira, he said that it was due to being easier to administer (self-injection fortnightly vs. infusions) and less cost prohibitive when compared to Remicade.

Thanks! I think my doctor had similar reasons.

Is your GI in Pittsburgh? I'm in the process of switching from a pediatric GI to general, so I'm always interested in hearing about good adult-GIs in town.
 
Thanks! I think my doctor had similar reasons.

Is your GI in Pittsburgh? I'm in the process of switching from a pediatric GI to general, so I'm always interested in hearing about good adult-GIs in town.

Yep, he is located in Pittsburgh. I see Dr. Swoger with the UPMC gastro group at the Monroeville office. GREAT doctor. You know, except for sending me for bloodwork and wanting me to get a colonoscopy after my first appointment with him haha.
 
jumping in: I see Dr. Binion at UPMC Presby and I love him. He is just amazing and I've never had anything but perfect care from him. If your still looking Feather, I recommend him highly.

But welcome PGHCrohnsgirl :) Im a PGH crohns girl too! There are apparently a lot of us on here! Glad you are taking Humira and have a really supportive partner and everything. Nice to meet you and its great that you joined the forum! It's amazingly helpful and nice to have people here who can wholly relate to this stuff. :hug:
 
jumping in: I see Dr. Binion at UPMC Presby and I love him. He is just amazing and I've never had anything but perfect care from him. If your still looking Feather, I recommend him highly.

But welcome PGHCrohnsgirl :) Im a PGH crohns girl too! There are apparently a lot of us on here! Glad you are taking Humira and have a really supportive partner and everything. Nice to meet you and its great that you joined the forum! It's amazingly helpful and nice to have people here who can wholly relate to this stuff. :hug:

:ywow: Dr. Binion was almost my GI here in PGH, but, they had to squeeze me in to see Dr. Swoger at the Monroeville location so I could get a refill for Humira before the start of December.

I'm glad I found the UMPC Presby DD group - my GI from NJ had only one recommendation for me as far as finding a GI in PGH and it was to find one through UPMC. I wound up lucking out with my GI in NJ as he came recommended by my cardiologist and I wound up with the top GI in the state. I definitely think I lucked out again with the group my PGH GI is in :)

I'm so glad I found this site, in the few days that I've been on here, it has already been quite helpful and uplifting for me :)
 
Thanks! I see Dr. Keljo at UPMC Children's and he's amazing (I've also worked with Dr. Goyal there). I also saw Dr. Regueiro at UPMC Presby before surgery, and I really liked him, too (but I haven't made the switch to an adult GI yet). I feel so lucky to have such great care options here!
 
Feather & PGHCrohnsGirl, aren't we so lucky to have UPMC? they are amazing! I know someone who sees Dr. Reguiero also and I have heard he's really good. We have really good care here no matter who you see!
 
Greetings and a hearty welcome to you :) I'm so glad you joined!

Out of curiosity, have you been getting your vitamin and mineral levels such as vitamin B12, Vitamin D, iron and folate checked?

See you 'round!

I actually just got those done at my last appointment :D Everything else came back OK, but, I've got a vitamin D insufficiency (I measured in at 24ng/ml) and so I've been taking 4000IU a day.
 
Feather & PGHCrohnsGirl, aren't we so lucky to have UPMC? they are amazing! I know someone who sees Dr. Reguiero also and I have heard he's really good. We have really good care here no matter who you see!

We really do have great care here in PGH :) Dr. Reguiero is the current National Chair for Professional Education on CCFA's Medical & Science Advisory Board, he's rock star good. And I'm pretty sure he's still a feature writer for Crohn's Advocate magazine.
Just one of many reasons why I couldn't have hoped to wind up in a better city.
 

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