Umm … CRAP!!!
So last week I went to visit a GI doc that my OB wanted me to see before I got pregnant again, Dr. RunnyBowels.
He was very nice; he listened to my story, didn’t get impatient or anything, and … he was ON-TIME. =)
I told him about my strokes, my heart surgery, my GI bleed, and my pregnancy. He read the file I’d brought from my GI doc in Longmont.
“Well, there are three things that we think of in your situation,” he told me. “The first is Crohn’s Disease. In your case, asymptomatic Crohn’s Disease. The second is an ischemic process, which I’m throwing in there because your doc in Boulder considered it; I don’t think it’s an option. The third is an aspirin intolerance.
“But in the case of the second two, you’d have healed up by the time they did your second colonoscopy. And in 99% of the cases I see of somebody who has a GI bleed at your age, it’s Crohn’s Disease. I’d say four to one that’s what you’ve got.”
“And what about patients taking Plavix and aspirin? What are odds that somebody on my medicine regimen has Crohn’s?”
“That’s harder to say.”
I asked him if it could have caused my strokes. “No, we don’t know of any link between Crohn’s and clotting disorders,” he assured me.
Ben interrupted. “So you’re saying that her bleed was just an unfortunate coincidence? Taking aspirin and Plavix at the same time was just … unlucky?”
He nodded. “That’s what I’m saying.”
Ben looked at me sympathetically. “Gosh, you must’ve really done something to get on the gods’ bad side in your last life!”
“What should we do to confirm the diagnosis?”
“Right now? Nothing. We’ll treat it if you have another episode — steroids are a very safe, effective way to manage it, and there’s a drug [that starts with an "m"] that prevents future breakouts. However, if you’re pregnant, I really don’t want to do a colonoscopy on you. The sedatives we usually use are fatal to the fetus, and I DON’T want to do it conscious — that’s miserable.” I concurred.
“If I find out that I’m not pregnant in the next two weeks or so, may I schedule a colonoscopy?”
“Sure, if you’d like to. But I stress that there’s no need at this point. We can treat it perfectly well even without knowing without a doubt what it is.”
“About the bloodthinners — Dr. Barbour in maternal-fetal medicine didn’t want to put me on too many for fear of causing another bleed, but I’m desperate not to have any more strokes. What would you recommend?”
“I don’t care if you’re on booku bloodthinners. If you have another bleed, we can always transfuse you.” Whew!
“And you think it’s OK to take aspirin while I’m pregnant?”
“Not an adult dose, but a children’s dose — yes, that’s fine.”
Ben and I walked to the car without saying much. As we drove home, I started crying. “What’s wrong?” he asked compassionately.
“I don’t want to have another mystery disease!” I choked through my tears. “It sucks! I’m so tired of being an enigma! Crappity, crappity, CRAP!!!”
“You know,” he replied quietly, “I’m really proud of you. I don’t know how you, of all people, got picked to have Crohn’s on top of three strokes, a heart problem, and a baby that didn’t make it, but … you’re really strong. I don’t know if I’d've had the strength to make it through all that.” Then, as an afterthought, he added, “And you’re going to be a fantastic mom.”
I looked up at him through the rainbows created by my tears. “Thank you,” I whispered.
And I meant it.
































