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Dehydration – The obvious and no so obvious

I am currently starting a new medication for MS called Tecfidera. Much to my chagrin, the first month of this medication has patient reports of mega GI issues. So “mega” that many patients with normal colons stop the medication. Jackie, why are you such a dumb dumb and taking this med? Well, in terms of MS medications the options are limited because I am not “compliant” with taking injections. Which basically means no matter how many times I start an injection therapy, I forget, don’t want to, or whatever other excuse there is for not taking it. Last year I tried Gilenya, which was the first oral medication released for MS, and well…I can’t take that one either. So I’m here, trying Tecfidera and all was well for the first week or so but now, its just dehydration all over. My poop is 100% liquid, and I haven’t been eating much because it makes me feel super nauseous. I even had an accident last night because the stool was so loose. This literally NEVER happens to me. So this brings me to my favorite IBD delimma, to ER or not to ER. Before you give me the lecture, just know that I will probably wait until the last minute to go because its what I do.

BUT the whole point of this thing is symptoms of dehydration because so many are obvious and a few are not so obvious. So when I’m dehydrated, here is what I feel.

  • Extreme fatigue (I’m sleeping like 11-12 hrs a night and its not helping)
  • Nausea
  • Dry and itchy eyes
  • Sore throat or a “sick voice”
  • a heavy head, it feels difficult to keep it held up
  • It feels like I poop liquid more frequently, almost as if my body is tying to deplete itself
  • Contrary to most people, I don’t feel thirst. I actually do not want to drink at all
  • Dry skin on my face and hands
  • Constant headaches all over my head, unlike a cluster headache
  • light headedness
  • difficulty with breathing
  • everything is slow, my walking, my talking, my thinking, everything
  • fever or hot flashes
  • I also feel very cold and get chills often, regardless of the hot flashes
  • heavy heart beat. When I lay still I can feel my heart moving my whole torso when it beats.
  • Sore back between my shoulder blades

So what do I do about it? First I get really frustrated and angry. Then I load up on Smart Water (because I truly believe it works). Then I sleep a whole lot. I’ve been pretty depressed lately, so I’m doing my best not to cry. There are these hydration packets that I think I’m going to try this time. Frankly there is a huge part of me that wants to just give up on the home hydration because its exhausting and very frustrating. But someone once told me the importance of taking control of your health even when its going down hill. I recently learned that the way you do or don’t take care of yourself can frame how someone views you. I always make jokes about my future, and how pitiful it maybe, but I learned that not everyone thinks those jokes are funny.

Frankly, I’m tired of taking care of myself, but you know what? You do what you have to do and hopefully this time won’t involve the ER.

Its raining cats and bowel problems

-kitten-offers-to-help-sad-friendSomething is off in the IBD universe right now and I don’t know why, but I don’t like it. Many of my close friends have been sent to the ER and had hospitals stays for blockages, fistulas and a lot of dehydration. So I’ll preface this with, srsly people. Take care of yourselves. We all need a reminder to take it easy, and to stay on top of our health, and I hope that you take my hospital fun and that of my friends as your own reminder.

So during this period of time I had an interesting situation arise. I would say 90% of my friends have IBD or related health issues. Usually when one of us goes down, be it for IBD issues or life issues, most of us are there to pick them back up. To offer support and to listen to how much life sucks at that moment. But what happens when all of your “pick me up people” are down for the count? How do you pick each other up?

Well I learned that you don’t. I found myself struggling between keeping my own head above water, and sincerely caring for my friends who problems were equally as complicated and sucky. Constantly torn between feeling like a shitty friend and wanting to just be selfish and sick and sad. I would fluctuate between being mad that they didn’t show enough interest or concern in my conditions but at the same time logically understanding why they didn’t and that I was not as supportive as I would have usually been.

So it became this big, mean circle. Where I got sick, and they got sick. I cared for their issues until I had to care about mine. Then I would have less of an interest in their issues, and they’d take less of an issue in mine. Then I would be angry that no one cared as much as I wanted them to. I haven’t confirmed this with any of my other friends, but I almost hope that they felt that same anger, and that I’m not a total asshole.

I am overly sensitive right now. Life is awesome, and I’m doing awesome things but my personal life is a bit of a drag. And it dragged down my health and my attitude all at the same time and I’m working hard to stay on top of it all. But recently I had this power struggle between how I aid my friends and how I aide myself. Quite frankly. I didn’t figure it out. I think I’m past this scenario at least for a while as it seems as though we’re all on the up and up, but damn. That sucked.

The CCFA Ad Campaign: Ain't No Party Like A Butt Hurt Party

Adco-popupAs usual, I’m about 3 weeks late to this party. I tend to avoid controversy while its happening, and then right when you think its over and everyone has forgotten…BAM. Here I am all, “I have an opinion and I’m sure its going to piss you off”. You all know what I’m talking about, right? The CCFA ad campaign.

I’m not going to be delicate with this one.

I don’t understand what everyone is all butt hurt about. Period. Its as simple as that. Don’t we have anything better to do than bitch about the first ever IBD awareness campaign? This all goes back to my theory and post about Invisible Awareness week. This is marketing….real marketing. Perhaps its just because I am a marketing professional but I understand this campaign. I’ve seen many people say that this trivializes IBD. People asking “Why aren’t they showing what its REALLY like to have IBD?”

Well…here’s why:  Its scary.

If you want any kind of response from the masses you can’t scare them. Think about other large disease awareness campaigns, like Cancer and AIDS. Do they show you people literally dying in hospital beds? No. Why? Because its fucking scary. Commercials for St. Judes, show kids with cancer…in the hospital but happy and smiling. Laughing and hugging cuddly teddy bears. If they showed kids post their chemo treatments, when they are sick and puking their guts out do you think people would be receptive? No.

Do you think the families of those children are upset that the “real” side of cancer isn’t being shown? Hell no. They are happy to get donations to St. Jude to help them care for their children. Lets talk about those commercials that ask you to donate your money to the starving, sick kids in Africa or wherever. They give you a sob story about children that can’t afford food or clothes, and who have no parents or education. They show you sad, adorable children. Do they show you the reality? Children emaciated and literally dying in the streets? Do they show violence over limited food supplies? No. Why? Its scary.

The point of the campaign from the CCFA was to raise awareness. Every ad had the letters “IBD” on it and if nothing else its getting that term to the masses. And quite frankly, everyone pissing and moaning about it, just raised more awareness for IBD because your blog posts, and reposts of those photos just make the terms show up more in Google. Perhaps behind the scenes, they were hoping this campaign would be controversial. Controversy raises conversation, and conversation raises awareness.

Think about this campaign as a first step. It is step one to telling the world about IBD and telling our stories. You can’t scare the world or else they won’t listen, won’t donate, and won’t give a crap. I asked a few people I know who don’t have IBD what they thought about the ads, because everyone keeps saying “People will think that this disease revolves around the bathroom” (News flash: It does). Well the first person I asked, said, and I quote,” I don’t get it, so those people have IBD?”

I think we’re all a little sensitive to the whole “being tied to the toilet” thing, and as a result we think that everyone else must think that IBD is a toilet disease. That’s why I tell my story and why you should too. Talk about it…tell people what its like. Why does it seem like this is one of those “I can make fun of my sister but you can’t” things? In the IBD community we make butt/toilet jokes all the time. We do it because its funny, and because its a coping mechanism. I learned to laugh at this a long time ago…but here’s the thing. The ads don’t make me laugh. They aren’t funny. No one is making fun of us or trivializing anything. Why can we talk about our realities (being stuck in a stall) but no one else can? And if you say because people will just think its the same as IBS then I’ll drop kick you in the face because I have NO Idea how anyone can deduce that from these ads. “IBD” is written all over them, and the info on the bottom gives more info about IBD. I have no clue where the hell IBS comes into this, and I think its just another reason for people to complain about things they can’t control. Was every IBDer consulted on these ads? Nope. Should they have been? Nope. Why? Because you can’t please everyone.

Do you really think that a full account of what IBD is like can be depicted in an 8×10 printed ad? If so, make one. Hell, I’ll fund it and shop it out to ad agencies if you think you can accomplish the following:

  •  A non-threatening or scary account of life with IBD
  • Information/stats/facts about IBD and what it can really do to your body
  • Images depicting IBD in a non-offensive manner and in a way that won’t embarass patients or viewers of the ad
  • Resources for those who have IBD
  • Individual stories about how it affects people differently
  • Information about how IBD can affect your mental state in addition to your physical state
  • A list of all other ways IBD can affect your body
  • Information about PICC lines, TPN, NG tubes, surgery, ostomies, and JP drains
  • A list of all the side effects of the medication

 Gee that sounds like an awful lot, right? This is a list that I complied from those who are complaining about these ads. I’m telling you right now, its impossible. You cannot fit all of that into a single marketing campaign. Since you can’t, does that mean we shouldn’t market IBD at all?

With all due respect…fuck no. I want people to know about my disease. I want them to know its name. I want them to know that it DOES involve a bathroom so when students in a classroom bolt out the door, their teachers don’t punish them. I want people to know that IBD can alter a life. To me…that is a good starting point and these campaign do exactly that.

The NEXT ad campaign perhaps can give more information. Yes…I said the NEXT one because I’m hoping this is the beginning of many campaigns, campaigns that will make IBD a household name and one that will no longer keep us in hiding. So that we can Escape The Stall…whatever your stall may be.

I think that the CCFA took a risk on this campaign and I think it was worth it, and if you don’t like….fund your own damn campaign or find someone to do it pro-bono. Go find your own celebrity with IBD and have them jump on board to be your spokesperson because that is what awareness takes unfortunately.  You have to make your disease sexy. Right now IBD is not a designer disease…but with this campaign it can be. That sounds shitty, right? Well that’s marketing people.

I know many people feel like this campaign depicts our disease in a negative light. Whelp….get over yourself. Period. This campaign is not about you and its not about me. Why? Because it affects us all differently, so one blanket campaign is not going to tell your story or mine. Its a collective voice just telling the world that IBD exists and a lot of different kinds of people live with it.

I’m glad that they took a risk, and put these ads out there. All that I see with these ads is a chance for conversation. A chance to talk about it, share your story, and raise awareness. Whether you like the ads or not, they have done exactly that.

Guest Post: Justin Berkman Goes Abroad

Justin in Egypt
Justin in Egypt

Traveling with a J-Pouch can be nerve-racking and a tad more difficult than it is for healthy-coloned folks, but from my personal experience, J-Pouch travel is infinitely easier and more pleasurable than traveling with active ulcerative colitis. I would compare traveling with UC to getting a colonoscopy with absolutely no pain medication or anesthetics while traveling with a J-Pouch is like getting a routine pouchoscopy.

As a comedian, I spend a great deal of time on the road. My last UC flare began in the spring of 2008 and continued until I underwent my first surgery in December of 2010. Even though I feel incredibly grateful that people pay me to tell jokes, my “business” trips were not that fun during those two and a half years. Often, to get to my gigs, I have to take two flights, then rent a car, and then drive two to four hours to reach my destination. Doing these marathon trips while experiencing intense stomach pain and defecating 30 times per day was pretty brutal. There would be times when, after the plane landed, I had to push old women aside as I made a mad dash to the nearest toilet. There were tons of uncomfortable and worrisome moments, but a few will always stick out in my mind.

I’ll never forget the time I was driving from Albany, NY to Canton, NY, when I was in the middle of nowhere and I knew that I only had minutes (if that) to reach a restroom. I’m sweating, clenching every muscle I could possibly clench, and envisioning the worst-case scenario. Thankfully, I spot a gas station, do that uncomfortable walk/run while attempting to keep my butthole closed and just make it to the facilities, barely avoiding having to get the rental car detailed. I know I’ll never make a more satisfying trip to a gas station bathroom. Then, there was the time when I was driving from Milwaukee, WI to LaCrosse, WI and faced a very similar situation. On this occasion, I found myself running through a fancy hotel, hoping to make it to a toilet before I soiled the marble floors of the hotel lobby. I think many of you know that having UC involves a series of close calls and unfortunate mishaps.

A few months ago, I was asked to go on an overseas tour of the Middle East to entertain the troops during the holidays. I would be going to Lebanon, Jordan, Turkey, and Egypt. I immediately accepted and was excited about the opportunity. Since my J-Pouch surgeries, I have resumed my frequent travel schedule and I haven’t had any real problems while traveling. However, all my trips had been domestic and I was aware that I had to take extra precautions with international travel. I would be going to places where the food and water have wrecked the stomachs of people without my issues, and I would be visiting countries where there probably wouldn’t be a surgeon or doctor around who knew anything about J-Pouches.

I returned from my twelve day trip on Friday, and I’m happy to report that I’m doing just fine. I made sure to pack everything that could help me if any J-Pouch related issues arose. I brought Lomotil, Immodium, Cipro, Protonix, and my butt-burn ointment. Because I performed at the American embassy in Lebanon and on military bases in Jordan, Turkey, and Egypt, I had American medical personnel available if I ran into any issues. Also, the military has evacuation plans in place if you run into a serious medical problem so that they can get you to a hospital that can provide adequate care. I avoided drinking the water and tried to only eat foods that I thought were safe.

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Making the locals angry!

My trip wasn’t completely problem-free. I experienced some stomach pain that was alleviated after I popped a Protonix and got some serious butt-burn. However, I was more than willing to experience some butt-burn in exchange for such a remarkable, fun, and fulfilling trip. I was able to snorkel in the Red Sea, visit the place where Jesus was baptized, do some karaoke with Russian tourists in Egypt, and joke around with a two-star general from New Zealand. More importantly, I was able to meet and entertain hundreds of troops who were incredibly appreciative to be able to see some comedy while they were away from their friends and families over the holidays. So, even though I became a little worried when the troops stationed in Sharm Al Sheikh, Egypt told me that the food they ate there had given them what came to be known as the “Sharm Shits”, I was confident that the “UC Shits” were much worse and I’d survive if I was to be afflicted with this unfortunate ailment.

If any of you are contemplating any sort of trip or excursion, but are concerned about traveling with a J-Pouch, I strongly encourage you to go on your adventure. Although I still worked as a touring comedian while I had active UC, ulcerative colitis robbed me of so much and kept me at home and in pain way too often. Now that I have a J-Pouch, I am unwilling to let my health situation deter me from living the life I desire (I try to avoid doing anything too stupid, though). I feel like I’ve been given a new opportunity and another chance to truly live. I want to make sure that I take full advantage.

Check out what Justin has wrote for BPT in the past.

 

Why I DO fundraise

In February I did this post about why I don’t fundraise. Well as many of you might have noticed….I am fundraising for Team Challenge.

So, what gives?

Well, I still feel exactly the same way I did when I made that video and posted that blog. I think many fundraising events are boring and uninspired. Ask people to raise a bunch of money, walk a few miles and chat with their friends. Meh. Put all that money towards “research”, whatever the hell that means. Find a “cure”, and whatever other bullshit there is.

Now don’t get me wrong. It is important that people do these events because someone somewhere is actually doing research. So you know, good on you guys for that.

But it’s just not my thing. Also…again. I have boat loads of diseased friends. I couldn’t possibly financially support ALL of their walks, golf events, runs…etc.

So Jackie, why the hell are you doing Team Challenge?

I started running and all of my runner IBD friends have done Team Challenge and told me how amazing and life altering it is. And when I made that video I was still like..uh…fuck that.

Then I ran some more and then I learned more about Team Challenge. I like the money structure of TC because literally 75% of the money raised goes to research and more importantly camp. Camp is what struck the chord. 2 Years ago we had to cut back the number of kids we brought to the MI camp because of a lack of funding and that broke my heart. So when I started to run, and kinda liked it, and then realized I could raise money for camp, I was like….whelp…I guess I’m doing it.

Also, for me, this is about me too. I’m not just walking a few miles and chatting with friends. I have to push myself. I have to work. I have to want it or else it wont happen. Its about how far my body has come in the last few years from death bed to potential 1/2 marathon.

So it is mildly selfish because I want to do Team Challenge for ME. But at the same time, the cause means so much to me. It was like serendipity that it all came into my life right now. I met my great “crazy ass gazelle” friends, as Charis calls them. I made that fundraising video. Then all of us met up in Chicago and at that time they were all training for a different Team Challenge event and I kept making jokes about getting donuts while they would be out running.

And now. I’m one of them. I’m a crazy ass gazelle. Team Challenge gives me the opportunity to raise money for a cause that changed my life. It gives me a reason to continue running and to do it further and harder than I ever have. And in the end, it also gives me an experience. It brings me together with my old friends and new friends and lets us share something that is really special.

That is why I am fundraising for Team Challenge.

And by the way…I am at 48% of my goal already! Which is sort of amazing.

If you’re a Team Challenge participant I am making/selling these bracelets to help me raise money.

I am also making ones that say “I run for _____” and insert your person/place/thing on the line 🙂

If you’re interested in buying one, please donate and make a note, or just email me. Thanks guys!

 

Great day. That is all.

It is 9:00pm on a Saturday night of a holiday weekend and I’m home blogging. Why? Mostly because I miss you guys. I feel like BPT has become my neglected little step child in the last few weeks. I haven’t had enough time to put anything worth reading out there, and let me tell you….the numbers show. 😦

So since I don’t have anything really insightful today, I wanted to tell you guys about my day. It was a pretty solid day. I did a lot of fun stuff but honestly my jpouch was a rockstar. I freaking love that thing.

Part of the TC Michigan team

Today was my first day of training with my Team Challenge team. We did a 4 mile run which is longer than I usually go just for my “fun runs” when I do them. I had a hard time getting in the groove and a frankly I didn’t actually want to run today. I woke up at 6:30am to drive an hour to go run with people I didn’t know. Early this morning, that sounded like an awful idea. But I got up, packed up all my crap and road my motorcycle to training. It was a nice, quiet ride with minimal traffic and I was pretty calmed down when I got there. We got there, and did the run which I didn’t do very well. It just wasn’t an “on” day for me. But I did it, and like always, I was happy I did it when it was over.

Lake St. Clair in Michigan. Be jealous.

So I left training, hopped on my bike and road another 20 minutes to the east side of Michigan and went out on the lake for a few hours. I ate a piece of pizza before we got on the boat and never even thought about how or when that would need to come out. Headed out there, hung out, met some friends, had a couple drinks and before I knew it, it was time to head back in. Still didn’t have to use the bathroom! So after we got back to the house, I finally went.

Ponchos. Om nom nom nom.
But then I dove straight to the best Mexican food on the planet. Oh.em.gee. you guys. Delicious. And the mexican came out a little sooner than the pizza did, but it was totally reasonable. Then…I swapped motorcycles with a friend and headed an hour back home. Again…no pouch problems.

So today…I rode my bike for about 2.5 hours. I ran 4 miles. I spent 5 hours out on the lake. I drank alcohol. I ate pizza and mexican. And most importantly, I used the bathroom a few times, when I wanted to.

Disclaimer: I swear I don’t normally eat shitty food and drink all in the same day. 🙂

It was a good day. Thanks jpouch.

Insert innuendo about being dirty here

This past weekend, Charis came to visit so we could work on some Girls With Guts stuff, and more importantly so we could have a little bit of fun. It seemed like we’ve been working our asses off lately, so it was nice to just hang out and have a few laughs. We did more planning for upcoming big changes, but we also met with our location for our event next year! More info to come! I really think everyone is totally going to love it!

What I really want to write about is the mud run we did. It was the Down and Dirty Mud Run and the breakdown is a 5K with obstacles along the way. This is the race that I started running for. Initially I thought that I would just run this race over the summer and train for months to get ready for it….the reality is that I did a “test” run in June as my first official 5K….and the rest as you all know is history. I started running, learned to love it, and the mud run just ended up being an added bonus!

The race started with a huge hill a few hundred yards in front of us, and if you’re a runner like me, seeing a hill like that is annoying and frustrating. I equate a hill like that to pure dread that does nothing but make me huff and puff. So we get up the first hill and I’m all “YAY the hill was conquered!”. Haha, joke was on me. The whole first mile or so of this race was mountains. I have lived in Michigan my whole life, and my geography teachers should be shot in the face because they never taught us about the mountains that are hidden within our Metro Parks. Those shit heads. The good news is that it wasn’t just me, Charis had a hard time with the hills too, and so did everyone other freakin person in the race. I’ve never seen so much walking at a race. I am an expert at this point…as this was my 4th race, so clearly I know everything at this point.

Anyway…the obstacles were pretty awesome. There was a lot of climbing, and crawling and such. There was a big walk through the lake and of course the mud. Mud is an interesting substance. It has the ability to seep through skin tight clothes and clump under the material. When I eventually changed my clothes…I was astounded as just how much mud had made it into…other parts of my body. Like my ears. Just my ears people.

I was surprised at how easy I found the obstacles, considering they were where most of my fear was directed. I was afraid I’d be too tired to complete them well…or even at all. But I gotta tell you Internet, I felt like a damn rockstar. It was like the obstacles weren’t even there. Up and over cargo nets, climbing walls, slippery walls, whatever. I did it, and I did it well.

Also, shockingly, I didn’t sound like a cow in heat while doing it either. Due to the nature of the race, I could bring along my precious headphones. I was horrified at the prospect of listening to myself gasp for breath for 3 miles. But yet again, I surprised myself. Once I got my breathing steady, not only did I not really pay attention to it, but I didn’t have to think to keep it steady. This shit is starting to come naturally, ya’ll.

I do want to clarify one thing about all of my recent posting about running. I remember very clearly a time in my life when all of this was not possible. Not even fathomable. I hope you all don’t feel like I’m posting these stories and photos because I’m bragging or flaunting how great I feel. My intention is to tell you all if you’re in the hospital or feeling awful…I’ve been there too. Remember me? 6 surgeries, 3 ostomies, complications, the Multiple Sclerosis patient? Its not like I’m the epitome of health over here. But I really WANTED to be able to do this…so I trained. When I feel good…I train. When I feel like shit..I don’t. Simple as that. I want you all to know that you CAN do this. Its not a matter of your IBD being better/worse than mine. Its not a factor of how out of shape you are or how weak you feel. What it all comes down to is the effort you put into it.

Right now, I’m still pretty amazed at how far my body has come. I’m even more shocked at how important I find “fitness” to be now. I have always been told how much exercise helps patients with MS and the key to maintaining my mobility in the future is moving. That was never enough motivation for me. Doing it…and the feeling I get after doing it is enough for me now. Working out and training to run is hard. Its not always fun, but after doing a race, or accomplishing something in the gym, I feel pretty awesome. Just remember if you’re in a bad place with your health right now, it doesn’t mean you’ll always be there. Set goals and do what you can to achieve them. I’m telling you, it works.

The toddler inside me

I have seen a lot of women talk about how their jpouches go completely out of whack when they are on their period. I, too, am one of those women. I understand that my uterus and my jpouch share the same real estate, but they just cannot seem to get along…at all. They remind me of two siblings sitting in the back of a mini van on a long road trip, and one yells out “She’s touching me”. I get it…you two are touching each other …all the time. But can’t we all just get a long?

This is what I imagine the toddler inside of me looks like

I think this sibling rivalry going on in my lower abdomen is what causes my jpouch to turn into an unruly toddler. I seriously feel like I have an unpredictable 2-year-old living inside of me. My jpouch throws tantrums which make me late for things, specifically work in the morning because for whatever reason it has an issue with mornings. My jpouch is generally a total rock star, but in the morning it’s so indecisive. I feel like I empty 3+ times within an hour span in the morning, but ONLY in the morning. The rest of the day is totally fine. I feel like this is totally aggravated by my pissed off teenager of a uterus.

So I have a teenage girl…and a toddler sharing my abdomen, clearly it is a recipe for disaster. The toddler throws a fit, the teenager gets all pissed off because as the oldest she never gets anything. The toddler gets all of my time, love and affection. I spend all my time bragging about the toddler, how great it is and how it’s getting along so well with my other organs. And the teenager is just something I ignore until it causes me some discomfort. Ugh. …kids.

I’ve realized that I think about my jpouch and refer to it like a foreign entity in my body. It’s almost like a prosthetic arm or something… it’s just a piece of me that I know is different and functions independently of what I really want it to do. I swear sometimes it has its own brain, which is why I think of it as just something living inside me. Does this make sense? Does anyone else feel that way? I think this is probably why I say “empty my pouch” versus “take a shit”. You guys know me, you know I like colorful words but it doesn’t really fit. For me, my jpouch is basically like how my ostomy was but on the inside. I don’t think about it as apart of my body but as something that helps me. It’s a device. I’m not sure any of this makes any sense.

On that note…my toddler is starting to yell at me. Hopefully I’ll have something worth reading next time.

Post for The Gutsy Generation

I have been asked many times why I am an advocate or why I spend my free time and money on raising awareness for IBD. I have a long winded, drawn out answer for this question and depending on my audience it can be really inspiring and technical, or loaded with swear words and jokes. I like to think that I understand my audiences. I have this same strategy when people ask me what a Jpouch is. I have loaded responses ready to be verbally vomited into the ear canal of the unsuspecting question asker. Depending who asks, they will either get my medical jargon-ed response, or something about how my colon is gone, yadda yadda, new internal plumbing, yadda yadda, wham bam poop chute answer. I’m really quite eloquent with words.

Read the rest of this post at The Gutsy Generation!!

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