I went on my first long train journey (about 5 hours) since having my j-pouch yesterday. It envolved a lot of changes and I was a bit worried about possibly needing the bathroom whilst rushing to get a train. Thankfully, I don’t really need to use the bathroom much during the day where as when I had my bag, I’d need to empty every few hours. I got hungry halfway as I’m used to eating four times a day now but I forgot to bring any snacks so we had to buy food at one of the stations (which was not cheap). The journey was surprisingly pleasant though, despite being hungry, and I’ve learnt to bring food whenever I’m going on a long journey.
Tag: colitis
Starting a New Job with Chronic Illness
I was diagnosed with Ulcerative Colitis (UC) in April 2016. By that time, I had been working for the same company for almost two years but had had several sicknesses due to my (at the time undiagnosed) UC. I was working in a retail environment as part of a small team of around five or so people so I was in direct contact with the general public and worked closely with my direct manager. She was understanding when I was suffering with symptoms but she didn’t really understand. By now, I had a high level of sickness and my HR had flagged it and had told my manager to put me on a sickness plan for the next six months. She told me she wouldn’t have done so if HR hadn’t flagged it but she had no choice in the matter. This lasted about a month.
After several tests (including blood and stool), I finally had a colonoscopy which showed signs of mild Ulcerative Colitis. I immediately took this diagnosis to my manager who sent it to my HR who decided there wasn’t much point in a sickness plan now that I had a chronic diagnosis.
From there, I endeavoured to learn as much about my disease as possible. In meantime, my manager had been offered a role in a different location (but still within the company) and we were to get a new manager from with the company. I met this new manager when she came to see the store and talk to my previous manager about the team. My manager told the new one about me and my condition and as I walked with her to the train station (we both lived outside the city), she asked me about it. I explained briefly what my symptoms were and what the disease was and she said something along the lines of “that’s like what I’ve got”. I couldn’t help but think “yeah, sure”. As it turned out, she did in fact have undiagnosed UC. Not as severe as mine but it meant she completely understood. She got her diagnosis about a year later, after I had given her loads of information about UC and what reasonable adjustments could be made should I require them (I didn’t, thankfully). Because she understood, it made things a lot easier for me if I was flaring (which I was doing a lot) so I was glad I had told her about it and that we could talk so openly about it.
The question is though, do you have to tell your employer/s of you condition?
Well, no, of course you don’t have to. I only did because it got HR off my back. I didn’t really have a say in my new manager finding out but I’m glad she did because it made it so much easier if I needed a day off or if I was running later or needed to run to the bathroom midsentence (all of which happened a lot). It also meant that when I had emergency surgery, she was 100% supportive of me. She fought my corner and we got on really well. I could talk to her about it and she knew she could come to me if she needed to as well.
If you choose to tell your employer, make sure they have all the information they need to help and support you. If they require more, link them to association websites or get your specialist to write a letter. If you choose to keep your condition to yourself, that’s fine too. Just make sure that if you are sick and need time off because of your condition, that you tell you HR.
As for telling colleagues, only do this if you feel comfortable doing so. And if you have told your supervisor/manager but don’t want your colleagues to know, tell you manager so.
My colleagues all know about my condition; it was a bit hard to hide it when I was spending half my time at work in the bathroom. I also didn’t hide what surgery I had had. When we had two new people start, I wasn’t going to tell them unless it came up in conversation. One of them used to work in health care and so it ultimately did come up so she found out pretty early. The second newbie only found out because I talking to him and another colleague and it came up in conversation. I just briefly explained I had a stoma bag due to IBD and that was all the explanation he got. His reaction was pretty much “oh, ok”.
Now, that’s my old job. I will be starting a new job with a completely different company but within the same industry. Their recruitment if pretty thorough so my condition of course came up. I had several conversations with HR and my new supervisor about reasonable adjustments and so on so the people who need to know, know. As for my new colleagues, I won’t be starting any conversations with “hi, I have UC. What’s your name?” but I won’t hide it if it comes up in conversation. Of course, I won’t go into details (because, honestly, who wants to know about another’s bowel movements?) but I won’t miss the opportunity to educate someone on IBD.
What about you? Have you told your employer? Are you open or more reserved about your chronic illness? Would you want people to know about it or not? Let me know.
First day back!
I returned to work today. I’m starting slightly later but otherwise doing normal hours for the time being. My hours will likely go back to full time next week but it’s not long until I finish there and start working at the local hospital. I’m a little nervous about starting a new job because of my UC and recent surgery but at the same time really looking forward to it. (I’m going to do a post about starting a new job with chronic illness later).
Anyway, back to today; today went really well. We weren’t too busy so I was able to take it easy. I was able to stand longer than I thought I would so that’s a bonus, and it felt good to be getting back into the swing of things. I’m very tired now but not more than is normal for me.
As for how my general recovery is going, it’s going pretty well. My stomach is still swollen, particularly around my wound, but the wound is looking more like a scar and less like I’ve just had surgery. I don’t need to keep a dressing on it now which is great because I have a slight allergy to the adhesive. The skin where my ostomy bag used to sit is super itchy at times but e45 cream works to cool it down.
Day 20 – an update
It’s been almost three weeks since I had my stoma closed and things are going fairly well; I haven’t had any accidents (yet) and I’m slowly reintroducing foods I enjoyed with my stoma. I have found that if I eat too much though (for example a whole oven pizza), I don’t have a fun night. And what I mean by that is a lot of discomfort in both my stomach and my pouch as that much food travels through my gut. I am able to control this with painkillers, though.
My wound was checked by my GP nurse last week. It’s healing nicely but the middle was still a bit open so she left in four of the clips. I’ve got another appointment with her tomorrow where, hopefully, she’ll remove the rest of the clips. I’m looking forward to it being fully healed so I can have a nice bubble bath, something I haven’t been able to do for quite some time.
As for my mobility, unlike last time, my legs haven’t atrophied so walking or standing for any length of time is a lot easier than it was after either of my previous surgeries. My stomach is also not as sore as it was last time. I think both of these are because of how simple and straight forward this last surgery was. Where as back in June, the surgery was quite a bit more complicated (they were reconstructing a lot and moving my guts around quite a bit) and the recovery directly after was difficult due to the aforementioned moving of my guts making them shut down temporarily (otherwise known as ileus). This time was easier as the surgery itself was only two hours long and it involved a lot less handling of my gut meaning I was less likely to develop ileus.
For the most part, I feel fine. I’m able to walk around and do a few household chores but this does tire me out and I find I need to rest for a while before trying to do anything else. I spend a lot of time sitting at the moment (mostly reading or on my computer) but I am starting to go outside. I was able to go for a short walk the other day but, again, this made me quite tired. I’m sure this will improve overtime as it has in the past so I need to be patient, recover isn’t linear.
Day ten of being a j-poucher
Today marks just over a week since I had my loop ileostomy closed and my jpouch put to work properly. I’m not going to lie, it’s been a weird experience gaining back control over when I poop; weird and a bit painful.
I expected it to be painful so I’m not surprised. It’s similar to the pain I had when I still had my colon but it’s in a more concentrated spot.
I’m taking painkillers regularly but it’s difficult to get comfy, both during the day and at night. I’m finding ways around this though with cushions and laying on my side instead of my back (which I’ve found causes pain in my stomach as well as near my pouch).
As for food, I’m eating four to five small meals/snack during the day, with the last of these being no later that eight in the evening so as to lessen the risk of issues at night.
Speaking of night time, I was terrified I would have leaks and accidents while I slept but, so far, everything’s been fine. I have a pack of incontinence pants just in case but I’m hoping I won’t ever have to use them.
I am home!
Sorry for the lack of updates the last few days, there hasn’t been much to report. But now, I am home. I have been signed off work for the next four weeks so I’ll have plenty of time to adjust and get used to my new “plumbing”.
So far, everything is going well but it’s early days. Hopefully, things will continue to go smoothly and I’ll have little to no issues with my j-pouch.
Seen the consultant this morning…
I’ve started passing tiny bits of gas the last couple of days, as well as green mucus, which the consultant is quite happy with. I’m being changed to free fluids and my PCA pain button will be reduced over the next day. They recon I will be home within forty-eight hours but, knowing my stomach, it’ll likely be longer.
I’m trying to stay positive though, so I’ll give myself until Wednesday next week. That’s when I think I’ll be well enough to go home. If it’s earlier though, great!
Surgery update.
Everything went as planned on Wednesday. I’ve had my stoma reversed and I now have a lovely line of staples running across one side of my tummy.
I’m nil-by-mouth because there is still a lot of gas trapped in my gut but once that passes, I’ll be able to start eating a soft diet. (I’m so bloated, I look like I’m three months pregnant).
Other than that, I’m moving around quite independently and, although I get tired quickly, I’m staying awake for longer now.
It’s the weekend now so I’m going to rest and go for short walks up and down the ward corridor so by Monday, hopefully, I’ll start paying some of that gas.
Pain update
The pain around my stoma has lessened over the weekend and the amount of gas passing has also reduced a bit. I suspect there was a tiny blockage that was preventing gas from passing and that was causing the pain.
Quick pre-surgery update
The last few days I’ve had a pain just above and/or to the left of my stoma. It feels like a partial blockage but it’s not moving and my stoma is still working. I find laying down makes the pain a worse but my hot water bottle helps ease it enough to sleep. I’m avoiding food that can cause blockages or are hard to digest and drinking plenty so hopefully it’ll pass.