Just let me mourn.

1,657 days.

I’ve never cried.

“She’s stoic,” a specialist once told my mom. “She’ll never let you see how she feels.”

She’ll never let anyone see how she feels. She’ll be called cold, accused of not having a personality. No one will understand why.

After all– “It’s only ulcerative colitis.”


You will almost never see anything written about ulcerative colitis that doesn’t mention Crohn’s disease. For better or worse, they go together. When you have ulcerative colitis, “for worse” seems to be pretty accurate.

Many articles that compare the two (as if they must always be compared, to establish some sort of hierarchy) liberally use the words “just” and “only.” “Only affects the colon,” as if that somehow makes a diagnosis of severe pancolitis any more comforting. Here’s the real “only”: “only” seeing blood in the toilet, nothing else. “Only” consuming Saltine crackers and Gatorade. “Only” 60 milligrams of prednisone per day, you can handle that, can’t you?

But it doesn’t matter. You’re fine. Even when you’re not. Because you can “just” get your colon out. That’s fine, right? You don’t need a colon to live. Just try a few things first– handfuls of pills, methotrexate, biologics that have no effect on your disease progression. It doesn’t matter that you’re not getting better. You were never sick enough to begin with.


I met a woman once who told me she’d had ulcerative colitis since she was a child. She started apologizing as she said it– “I know it’s not that bad.” She later admitted that although she’d had it for many years, she knew very little about it other than what doctors had told her at diagnosis. “It’s not as bad as Crohn’s,” they consoled a very sick little girl.

We all have our own stories, of times when we realized we would be perpetually dismissed and cast aside. A doctor once left my appointment to take a phone call. “It’s about my patient with Crohn’s. Be glad you don’t have that,” he said. I waited in the room for 40 minutes before I realized he wasn’t coming back, phone call and appointment long forgotten.

When you have the disease no one cares about, you get used to being treated that way. Doctors will bust out comparisons completely unprompted. Support group attendees will look at you funny, making bitter comments until you realize there’s no support to be had here. You will have to decide– do I fight the realm of public opinion, who haven’t even heard of my disease half the time and brand it minor when they do? Or do I give up and let them think what they want, because no one’s going to understand anyway?

They don’t understand. No one does. “But you shouldn’t be this sick,” they keep saying, doctors and colleagues and neighbors alike. “You only have ulcerative colitis. It can’t be that bad.”

“You’ll be fine,” the doctors say, when you’re less fine than you’ve ever been in your entire life and headed for surgery. “You’ll be cured now.” No explanation on how they’re planning on stopping your immune system from attacking your skin or joints or eyes. No warning on how your body may respond to the intrusion of surgery by screwing with your other organs. Who cares? Go have surgery. You’re “cured” now, whether you feel it or not.


I never had a chance to mourn.

I was diagnosed, but– “at least it isn’t Crohn’s.”

I lost jobs, friends, relationships. “But you can’t really be that sick. Not with UC.”

I spent the better part of my twenties in bed, at the pharmacy, screaming into my fist on the bathroom floor. “So just have surgery. At least you have a cure.”

And I got surgery, which left me with a permanent ileostomy and changed my entire life, but– “What are you so upset about? You’re fine now.”

Please.

Doctors, friends, family.

No stipulations, no comparisons. Don’t tell me it could be worse. Don’t try to downplay the last four years of my life. Allow me my emotions. Just let me mourn.


1,657 days.

I never cried.

4 thoughts on “Just let me mourn.”

  1. Wow. Well done. I’ve had a permanent ileostomy for 30 years due to Ulcerative Colitis. I’ve always felt the same way about Chron’s is always present when speaking about UC and it seemed to be the more recognizable or at least more sympathized with disease. Thanks for writing this. Have u considered doing a podcast?

    1. Hi Brad,

      Thanks for your comment. I have never done a podcast before. Might be something to consider for the future, though.

      Sarah

  2. I was originally diagnosed with UC in 2001. I knew nothing about it except what my surgeon told me (and he was head surgeon at Vanderbilt then). He told me he could remove the rest of my colon (transverse was taken in an emergency surgery), give me a j pouch, and I would be free of uc. I would just have to adjust my diet some. So I was one of the people you talk about who thought I was lucky it wasn’t Crohns, that I’d have the surgery and be just fine after the recovery. Well, 2 years after the surgery I started having really bad pain in my si joint. The surgeon said that it wasn’t uncommon because my immune system was looking for something to attack. I met with a rheumatologist, who put me on Remicade, but also set me up with a gi who had just started an IBD Clinic at Vanderbilt. My first meeting with him he told me that he told my surgeon that I had Crohns and not uc. So the surgery was unnecessary,and has actually caused me more complications. Plus I do have a pretty severe case of Crohns. My reason for sharing this is to let you know I sympathize and empathize with you and others that experience what you do. I remember early on actually wishing to myself that I did have uc and not Crohns. That it wasn’t as bad, and at least there was a cure. It didn’t take long for me to realize how ignorant and dismissive I was being. I know how frustrated and angry I get when people tell me I don’t look sick, or just change my diet, etc. And I figured people with UC heard the same things. What I didn’t realize, until reading your story, is that it’s worse for you because people do think of uc as not as bad, and easier to deal with Crohns. But it’s not, it’s just different. So am glad you shared and I wish you the best health you can achieve. And anyone who reads this and wants to talk more feel free to email me. Danmartin74@yahoo.com

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