Azathioprine Plus Metronidazole Lowers Post-Op Risk of Crohn's Recurrence

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CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 11/6/2008 1:55 AM (GMT -7)   
Gastroenterology 2008;135:1123-1129.
 
 
 
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 11/6/2008 8:42 AM (GMT -7)   
Hey C2 thanks for sharing the article. How are you doing? Whats the status of your stop smoking clinic and surgery? We were looking for you recently. Hope all is well.
Been living with Crohn's Disease for 33 years.  Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium.  Resections in 2002 and 2005.  Also diagnosed with Fibromyalgia and Osteoarthritis. Currently my Crohns is in remission.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 11/8/2008 6:16 PM (GMT -7)   
Well, my last cigarette was 24 Oct 08 at 4:35 PM. *sigh* That doesn't mean I'm happy about it. I'm armed w/double nicotine patches, the nicotine puffer and even the nicotine nasal spray. I'm a witch to put it mildly.

The program is GREAT, the staff is GREAT, the doctors were great, the rooms were nice. They kept us BUSY. And I do mean busy! From 6:30 AM to 5:30 PM you didn't have a minute to yourself. The group of 10 of us really gelled! Even staff said they'd never had a group gel as quickly and as well as we did. I made several new friends, three of them quite special, we really developed a rapport in short order. It is a great program w/a 45% success rate.

The gastro and I had our most productive consultation yet. Very promising. He even conceded that since I am doing so well my reasoning about delaying surgery once again was sound! I gotta tell you tho, he sure put me thru my paces! I hardly had a minute to myself from my first appointment on the 20th to my almost last appointment on the 23rd. They had to steal a few minutes from my first day in the in-house smoking cessation program for my last test and consult! (That's how I managed to sneak in chain smoking 3 cigarettes before reporting back to the "dry out tank" for smokers on the first day of the program!).

Drove straight thru on the way there. Had good company so the time went fast and I was still feeling fresh when we hit Rockford, IL so continued on to Rochester.

But the trip home provided more excitement than I planned on or cared for. Our "dry out tank" graduation was at 11:30 on Friday, 31 Oct. Yeah, Halloween. We had our last lunch as a group and then I headed out for home. I was anxious to get on the road! We made good time coming back and I was so pumped at the thought of getting home we opted to drive straight thru again. Things went great until we hit I-94. I hit a fresh deer carcass about the 44 mile marker just before midnight. *sigh* Called 911, Sheriff's officers came out and we filed a report, they called a wrecker for us. We had the car and us hauled to the Super 8 in Paw Paw, MI where we spent the night. Then had the car hauled to the GM dealership Saturday morning. Hubby came down to rescue us and brought us home. *sigh* No car and no cigarettes. I'm a witch!!

Car should be ready Monday. NOT looking forward to the 3-4 hour drive down and 3-4 hour drive back but it sure will be good to get my car home!!! I feel caged w/o it.

All in all a good trip - especially since the gastro and colorectal surgeon FINALLY agreed w/me that I was doing okay and not in too much danger of a surprise trip to surgery. The gastro described the likely surgery rather than the surgeon which didn't make me all that confident in the surgeon. She was more into what could happen to cause removal of the TI,ICV, cecum. I'd have felt better if the SURGEON had described the likely surgery as the gastro did. So ..... but still, we did finally have a meeting of the minds and I feel more confident that when the time comes my wishes might well be respected. And there is one more colorectal surgeon on the gyn onco's rotation that I haven't "interviewed" yet ....

I also had a consultation at their sleep center and a bi-level titration. Whilst the sleeping room was very nice and clean, comfortable bed and had a private bath and shower as you would expect at Mayo, my sleep center experience was a REAL DISAPPOINTMENT, NOT AT ALL UP TO WHAT I've come to expect of Mayo thru the years. I've had better at our local independent sleep lab and the sleep doctor was run of the mill like the locals. And they are trying to tell me that they can not provide me w/a copy of the full scored data summary report!!!! That rocked me on my heels! Mayo??? Good gawd, I can get a copy from my local hospital's sleep clinic and from our local independent sleep lab and Mayo tries to tell me they can't provide a copy??? Even the Mayo Patient Advocate couldn't get a copy for me! I've sent a written request to the sleep center adminstrator and if she can't come thru w/it I'll file a complaint w/HIPAA thru the Department of Health & Human Services. This is so FOREIGN to ANY experience I've ever had at Mayo for me or for my family!!!

Did I mention I am an absolute WITCH now?? Its not physically hard to go w/o a cigarette but .... it sure is hard on my psyche!! I hate the whole world and everyone in it 'cause I'm not supposed to smoke a cigarette! I'm on my own 10 acres, in my own house, and I'm not supposed to smoe a cigarette. That torques my jaws no end. I HATE my lungs for turning traitor on me! Did I mention I am feeling spiteful, moody, hate the whole world and everyone in it and am a real witch now?


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

Post Edited (CrohnieToo) : 11/8/2008 6:22:40 PM (GMT-7)


Jack S.
Regular Member


Date Joined Feb 2004
Total Posts : 351
   Posted 11/8/2008 8:55 PM (GMT -7)   
Hi C2,
Sorry you are going through the hard times. I will never forget when I quit smoking.
It's been 35 years and is as fresh on my mind as can be! I believe if I smoked 1 I'd
be back on3 packs a day. Hope things go well. No surg. no cig. no pain.
You have my prayers. GOD bless
JACK


Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 11/8/2008 9:04 PM (GMT -7)   
C2 - My arms are wrapped tight around you hoping to provide you with strength to get you through without the evil nicotine [except the prescribed kind - LOL]. However, you probably would smell the smoke on my breath, wrestle me to the ground, and steal my pack. Hang on tight there - you are an inspiration - if you can do this, there is hope for me. [BTW, after getting inside of house painted I have not smoked indoors and am down to 15 a day. That is progress from the 40+ pre-paint job.] I'll be thinking about ya....Ides
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.
 


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 11/9/2008 7:45 PM (GMT -7)   
Ahhh, Jack, thank you for the good wishes. That is so sweet of you.

Ooooh, yer so cuddly, Ides. And you smell soooooo goooooooooooooood! Congrats on cutting down to 15 a day. That is what I had done once or twice before. From 2 packs a day for 52 years. *sigh* I'm proud of you. One of the things they do in the "dry out tank" for smokers is a blood draw for Nicotine and Cotinine your first day. They use those levels to determine how many nicotine patches you need. I was the only one on two patches a day. *weak smile* Then on our last day they do another blood draw for nicotine and cotinine so they know what strength patches & meds to script for you at home. After you "escape" the "tank" they call you at home once a week for the first few weeks or as long as needed to see how you are doing and offered continued support and encouragement.

For me, they've suggested I go w/2 patches (42 mg) a day for 4 weeks then taper by 7 mg steps every 6 weeks until off. The puffer they've suggested 4-10 cartridges a day for 12 weeks then taper and discontinue by 6 months. The nasal spray as needed (not to exceed 40 doses per day) for 12 weeks then taper and discontinue by 6 months. Altho they did say that actually you could use the nicotine aids for the rest of your life if needed w/no harm. Drink lots of water, low fat foods, moderate carbohydrate intake and 30 minutes of exercise 5-7 days a week. (Yeah, sure). You taper the patches, NOT by cutting them, but by cutting the backing to expose only the amount you are supposed to use and using Duo-Derm patches to hold the nicotine patch on.

I HATE IT! Growl. Snarl. Snap.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 11/9/2008 9:04 PM (GMT -7)   
Did you never consider Chantix? I think that stuff is amazing. I don't smoke, but my Hubby did for MANY years (35+), since his late teens. He had tried many, many different times to quit and every different way imagineable. (I did not nag, much.) Anyhow, everything failed as soon as things got the slightest bit 'tough'. Chantix, however, changed everything. He only needed 7 weeks and he was done. That was just over a year ago, in August that he started Chantix. Since then, he has been around smokers and even taken a drag or two. He says ciggies taste 'nasty', now.
My sister also tried it. She only did 4 weeks of Chantix, because of the high cost. She began Chantix in June of this year and is still smoke free.

Even though I don't smoke, I saw how hard it was for those close to me to try quitting. Best wishes for your continued success with quitting smoking.
Heidi
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry. 
I'd much rather laugh.
2001 Dx'd with UC.  No remission.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returning after resuming 6MP.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 11/10/2008 7:24 AM (GMT -7)   
Thanks, SilvAnn, but I had an paradoxal reaction to Chantix: I used the first dosing box and 3/4 of the second dosing box and CRAVED a cigarette MORE THAN EVER plus I was grazing on junk foods like mad, not a good balanced meal 2-3 x a day but constant grazing of junk I don't even normally like. I also tried Wellbutrin (Zyban) and that just messed w/my Crohn's. My family doctor has only had one other patient who had that paradoxal reaction to Chantix. Leave it to me to do things the hard way!!
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 11/10/2008 8:03 AM (GMT -7)   
Hugs C2 I understand how you are feeling. I quit smoking cold turkey on Dec 31, 1999 at 11:55 pm. I had smoked for 29 years and let me tell you it was the hardest thing I have ever done. The hardest part for me was when I get ticked off. Its been almost 9 years and when I am angry I STILL crave one. But what stops me is knowing I will go thru the horrible withdrawals again, and I just can't do it.

Will add my hugs to you with IDES and keep you in my prayers.

God Bless
Gail *Nanners*
Been living with Crohn's Disease for 33 years.  Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium.  Resections in 2002 and 2005.  Also diagnosed with Fibromyalgia and Osteoarthritis. Currently my Crohns is in remission.


Sniper
Veteran Member


Date Joined Feb 2004
Total Posts : 6518
   Posted 11/10/2008 8:44 AM (GMT -7)   
BIG HUG (((((((C2))))))) so good to see you back. I can tell you that the need to light up will ease more the longer you go without one . I have stumbled a few times too but all in all I have not smoked more than 1 or two in a long long time. Not sure I really needed those but I am the type that hates to be told not to do something. On those occasions when I slipped I have been left with a bad taste in my mouth and the feeling that I did something dumb just to rebel . Sorry you hate the world, and not sure thats a bad thing at times. If it helps you can pull out the old broom and womp me a few times. I probable deserve it anyway and I'm willing to work for the cause. So if you just have to light up something , make it a politician . We all could benefit from a few of those going up in smoke.
If we would read the secret history of our enemies,we would find in each mans life sorrow and suffering enough to disarm all hostility.

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