So in the long gap between the last two blog posts, quite a lot has happened. I’ve moved house (not far), my youngest child has started school (he has some additional needs so this been quite tricky) and I have been running lots more.

I started running with a group in 2019, having been increasing the frequency of my parkruns. I could probably do a whole post about parkrun and how amazing I think it is. I first went in 2017 when I was recovering from surgery to try and get more active. When I couldn’t walk or run I volunteered, and found it to be an immensely welcoming community and a very rewarding experience – both physically and mentally. Earlier this year I completed my 50th parkrun, and I would highly recommend checking it out. It operates in many countries around the world, you really can go and walk (it’s 5 kilometres/ 3.2 miles) on a Saturday morning, or you can volunteer.

Pre-COVID I entered an event local to me – The Sodbury Scramble – this was also 5km, so I thought with my parkrun experience I’d be OK, I’d done a few longer club runs with the now defunct Brimsham Bullets. It was a bit of an eye opener, because it was hilly and muddy – I had the wrong shoes, my core strength (or lack of) meant I kept sliding down the hill at points. However, I persevered, and when I repeated the event a year later, although I wasn’t much quicker, it felt much better and more comfortable.

I have done various parkruns in different locations, but have really upped my running in 2022, entering several events including two half marathons. On 13th November, I ran, for the second time, The Sodbury Slog with my new running club Riverside Runners. I managed to take 11 minutes of my time from the year before, which I was very pleased with.

There are a number of reasons why the running is important to me. Firstly, it helps me to be fitter and healthier – physically and mentally. There is a social side, particularly if you a club runner, and at my club we are very supportive of each other. It’s also important because 10 years ago I had to sit down for an hour after I’d walked around the supermarket, and on a day I don’t quite beat my PB, that provides me with a level of reassurance that I am so much better off now than I was. I know not everyone with IBD will be able to run, or even want to. However, if you can, I’d really recommend giving it a go.

Over a year in fact. It has been a busy time with one thing and another, and if I told you everything now I’d probably not post again for ages!

A couple of things have brought me back. The first was the domain renewal notice! It’s going to be Crohn’s & Colitis awareness week soon (1st – 7th December) and I’ve seen a few people previewing that.

The final thing that brought me back was a whole range of posts that I’ve seen following the sharing of extracts of Matthew Perry’s book, Friends, Lovers and the Big Terrible Thing. In this book, Matthew talks candidly about his drug addiction and how an overdose led to a coma, and when he then vomited into his breathing tube and swallowed his vomit the toxicity caused his colon to burst. This led to periods of time with a colostomy and ileostomy, and 14 surgeries. What grabbed headlines and a focus was his account of frequently waking up covered in his own poop (’50 – 60 times’) of needing nursing assistance each time, and of a therapist advising him to use the thought of the colostomy bag as a motivator to come off drugs (which he did).

The focus on these ideas (seized upon in The Daily Mail in particular) have caused a flurry of people condemning both the comments and the coverage, but also some well considered posts about how we have to recognise that this has been his experience (my favorite of these is here). So lots has already been said, and I may well not add much to the discussion coming to it as late as I am, but let’s give it a go…

Firstly, it was new to me that someone might need a stoma in these circumstances – even if it was as a complication of the coma rather than the drug use directly. Having not read the book, I am unsure of the exact circumstances at the time, but I wondered if opioids might be causing overflow, making the stoma particularly difficult to manage. When I had my loop ileostomy (between the formation of my internal pouch and it being activated) it was very hard to manage and frequently failed leading to leakage and in turn sore skin.

Secondly, it struck me that Matthew did not appear to be getting high quality stoma care. When a stoma is first formed, it frequently changes size and shape, as well as the body changing shape (swelling from the surgery reducing, weight gain or loss) and the hole cut for the stoma has to be remeasured frequently. I don’t know what kind of hospital he was in, and if it had a stoma nurse to support him, but it sounds like he had a terrible experience. The interpretation of his experience being that having a stoma is terrible has caused some upset, as many people with a stoma see it as either saving there life, or giving them there life back.

If he was willing, I wonder if Matthew could front a campaign in the US, or even globally, to promote the value of high quality stoma nurse care? In the UK there is a national shortage of nurses, let alone clinical nurse specialists, and it would be great to have such a high-profile figure receive some information and education, and then say this is something patients need for quality of life. Could this bag be any stickier?

Or is it Summer? Or after a week of snow showers is it Winter? When they say lockdown makes you lose track of time, they were not kidding!

So hello lovely readers. Apologies for another extended absence. As you will know, the global pandemic has not yet abated. Here in England (because the restrictions are different in different areas of the UK) we were, when I last wrote, getting ready for Christmas with contact allowed for a brief period. This was then stopped, and then after the oldest boy went back to school for 1 day the schools were closed in January. We then had a period with him at home for home learning whilst we worked, and his brother at nursery. He returned to school in March. I have now had my first dose of vaccine (with my second dose due next week) – although this is because of my job rather than my IBD (I am not on any immunosuppressants or other treatments). If you are in the UK then it is recommended if you have IBD that you get the vaccine. There is also research in support of that position.

Within that time we have had periods of isolation when the youngest child developed one of the key symptoms (a temperature, new continuous cough or loss of taste or smell) and we had to get him tested. My wife also then tested positive, but recovered quickly. I am taking lateral flow tests twice a week (because we have a child at school) but, as the hairdressers and beer gardens reopen tomorrow, it does feel like here in the UK we might be getting on top of things (finally – I won’t go into my thoughts about the handling of the pandemic here today. If you want to know, bring booze).

I have another week of isolation looming ahead of an Exam Under Anesthetic (EUA) at the end of April. This is a follow up from last summer when in August what is presumed to have been an abscess burst our of the scar where my anus was. I had an MRI shortly afterwards to check there was no collection (there was not) – however the wound has periodically leaked/ oozed since then, and so needs looking at which I am looking to forward to having done so hopefully if anything needs to be done it can be.

Since February my running has taken a big pause. Work has been very busy, and my motivation, alongside the restrictions, have meant it has been tricky to get doing things outside of the home. I am looking forward to May, when my isolation will be done and I can get back to that. I have put on some weight over this period, and a clear out of my wardrobe last week means I would like to lose some weight before I return to the office, or I will need to buy new clothes. I’m not sure if the running events I have entered will take place, but in theory I’ll be running Westonbirt 10K in May and Chippenham Half Marathon in September – so will need to get my training going.

Anyway, I will also try and post more regularly – let me know what your interested in!

I was very pleased to have got a blog post on, even if it was short, in January already. It’s been a very busy week this week, with work (just one of those weeks) life and volunteering. The children have been waking up very early too!

Last weekend I was volunteering at a residental for the church youth group which was amazing – not done one for a while, and it was nice to flex the old youth worker muscles. I’ve been volunteering with the church youth group for about 18 months having stopped full time youth work in 2013 after I had my first huge abscess and the late nights were not working well for me with the pouch complications. Today I was supporting recruitment of a youth minister which was a very interesting process, and the young people had some great insights to offer.

It’s also been a funny week ostomy wise. I had to change my bag each day from Monday – Wednesday (usually I change every 3/4 days) and eventually worked out that one of the dips by my stoma had reduced, so no longer needed paste. Because I’ve been doing more running I’ve lost some weight/ improved my body tone. A little change can make a big difference! I shall do a future post about my current Ostomy appliance and accessories soon.

Coaching

I am determined to get my coaching qualification finished off, and have dedicated Monday evenings, as well as a week in February to this. I started work with a new coaches this week, and it reminded me how much of a difference it can make to the coachee, but also how great it feels to have a good session with someone.

Running

I have entered the Old Sodbury Scramble again this year, which takes place in March, and then got a place for the Westonbirt 10k in May too. I’m really enjoying running, and hoping to make it to 50 parkrun’s this year too. You can follow my running activity on Strava if you are so inclined.

I’m going to set up a JustGiving page for my running activities this year and raise some money for Crohn’s and Colitis UK.

#IBDHour

IBDHour hasn’t happened for a while now, and maybe post coaching qualification it could make a reappearance… Or be reborn as a podcast! I’m a fan of podcasts, and have a few ideas for theme and content / but no idea how to get it going!

Friends

One regret from 2019 is not being in touch with my friends as much as I would like, so this is something that needs to change this year. No excuses, just one of the things that you never seem to get around to with young children, which also makes travelling that bit more difficult.

What are your plans for 2020? Leave a comment!

I’m old enough to remember a time when a new year began, you’d write the new year date in a few cheques in your cheque book to make sure you didn’t get the date wrong, and give someone a cheque they couldn’t cash. I can’t now remember the last time I wrote a cheque, although I still recieve the odd one at birthdays and Christmas. I’ve never been one for new years resolutions, but I did want to try a few things this year.

I wanted to lose some weight/ get fitter, so was aiming to run twice a week, raising to three times. To support this, I entered the Old Sodbury Scramble, which took place in March. This would be my first non parkrun 5k, and it was certainly different. A very slippery course over what was effectively farm land, with some steep climbs. However, I managed to get around, and even enjoyed it from time to time – and didn’t fall in the mud. I am enjoying the running, and also trying to do one lunchtime run at work – which makes sure I take a break as well as getting some exercise. You can follow my running adventures on Strava if you’re interested. My wife also set me a chalenge of doing 30 parkruns in 4 locations – I’m a bit behind so need to keep it up, but my time has been coming down nicely.

The second thing I wanted to attempt was a Bullet Journal. Apart from tracking my parkruns and the books I’ve read, I have to say I haven’t really got into it – but a bit more on that in a while.

Third was finishing my ILM Coaching qualification. Since the arrival of baby number 2 in July, this had taken a back seat – mostly because of tiredness/ holding the baby. However, it is something I really enjoy doing, so I’m determined to finish it.

Stoma and IBD are all under control – I’ll be doing the Bristol WalkIT event in May for Crohn’s & Colitis UK with the family.

Once again it has been too long, so thanks for bearing with me. In case you missed it we had our second child in July, and after two weeks of paternity leave it was back to work. My wife is breast feeding, so I’m still mostly able to sleep, although the broken sleep is probably more tiring than a lack of sleep.

Eldest started school in September and has been pretty whacked, so early to bed but still early to rise. So over the last 3 months both my wife and I have got more and more tired. Then you might get a night when the baby is unsettled, and the toddler wakes up a few times too.

I’ve been trying to eat healthily, but can’t survive without energy drinks – although I am now on sugar free ones.

That of course is par for the course for any new parent unless they are blessed with a child who sleeps through. However, with IBD and a Stoma fatigue can be an ongoing issue, as well as dehydration which also leads to tiredness. And that can take many forms.

There is physical, not wanting to get up in the morning tiredness. Or can only manage to sit on the sofa and watch TV or read a book I’ve read before tiredness. The no energy to exercise tiredness – even though I know if might help.

Brain fog, and a lack of being able to prioritise tasks – book a haircut. And as for creative things like blogging and poetry – forget it.

So what’s the solution? I could get up, go to work, come home, and then go to bed shortly after the toddler – but I don’t think my marriage would last long if I didn’t do some of the baby childcare too. Work is non- negotiable, though I have cut down on my evening and weekend work. I could stop the energy drinks, as I know there is a drop off – but not sure I can get by without them yet, or try and do some exercise.

I think it is all probably just parenting fatigue, but it is very draining. My wound has stayed healed, and the occasional discharge I had is less frequent. I don’t have any other IBD symptoms.

I’ve probably not been the best friend recently, so apologies to those I’ve not caught up with. Sometimes I struggle to recognise when I’m just tired and what might be low mood creeping back in.

I’m currently being used as a bed by a baby who won’t sleep in his bed. I shall try him again in a while, as he is now snoring away.

Tomorrow I have a day off and so will be doing some half term activities with a 4 year old, and hopefully some as a family.

So how do I feel? Exhausted.

For anyone else who has been there, how do you tell the difference between IBD fatigue and just being tired?

Q1 Please introduce yourself – what’s your name and where do you come from? Share your dx if you like, or your relationship with IBD.

Q2 Where do you find community and support for your journey with #IBD?

Q3 If you could tell everyone one thing about #IBD, what would it be?

Q4 What’s the most useful piece of advice or information you’ve received since #IBD diagnosis?

Q5 Have you ever taken part in a research study?

Q6 We’ve got a lot to do in the years ahead. What do you think our number 1 priority should be?