As I begin to close out my posts related to Heart Month, health and iron deficiency, I want to take this opportunity to share with you my own personal health story. This is possibly one of the most difficult articles I have written. I live my life by a very simple guideline; I face each issue actively and decide if it’s:
- an insurmountable obstacle that will stop me in my tracks
- a temporary impedance that may slow me down, but not permanently stop my progress
- a crutch which I may choose to use to curry sympathy
Most of my issues are temporary impedances, which is why I have difficulty sharing them. I do not cope well with sympathy, however, I have been told that sharing my struggles may encourage others to carry on in spite of their barriers, and perhaps lend a bit of extra credibility to my knowledge. You see, I am not just an expert in the field of iron deficiency, I am profoundly iron deficient, and this is my story…
I am the youngest of a “working poor” family, whose parents taught me to laugh at adversity rather than cry. At 16 I was diagnosed with inflammatory bowel disease (specifically ulcerative colitis) which was fairly well controlled by diet – with the exception of annual compliance issues every August when corn on the cob was in season – oh, if I knew then what I know now… nope, I likely would have done the same thing! I was young and invincible, future issues were someone else’s dockets, not mine.
I studied nursing, graduated and began my career in emergency services. Coinciding with my early career was endometriosis and polycystic ovarian disease, frequent surgeries for ruptured cysts, and heavy monthly bleeding. My hemoglobin never came above 90. The only iron supplements available were iron salts, but their primary side effect of constipation (not the best when one has ulcerative colitis) further imposed compliance issues. When I was 26 I lost my female organs due to complications of polycystic ovarian disease.
While working on the Texas/Mexico border, I drank the water and developed dysentery (intestinal inflammation) and Amoebiasis (infection) which began cyclical exacerbations of my ulcerative colitis. This cycle of repeated exacerbations culminated in the perforation of my colon, and end loop ileostomy in late 2001, which was reversed to a pelvic pouch in 2002. After that, my health was stable until 2007 when, at age 43, I was diagnosed with insulin resistant type II diabetes. I had really packed on the pounds until finally getting a date for bariatric surgery in 2009.
Because of my history, I was required to have a vertical sleeve gastrectomy (VSG), which eliminated 90% of my stomach. This meant that there was no intrinsic factor to help with the digestion and absorption of bound B12, and a proton pump inhibitor also impeded the absorption of iron. Fortunately for me, I was also learning about iron deficiency and anemia because of my new role in patient blood management. I got myself on a non-salt iron supplement (FeraMAX® 150) and sub-lingual B12 supplement and began educating other bariatric patients about our special nutritional needs.
The fight wasn’t over just yet. The year 2012 saw another health crisis that required two surgeries to revise my VSG to a gastric pouch with several intestinal bypasses. As a result of this surgery, I developed micronutrient malnutrition related to malabsorption secondary to bariatric surgery. Before this diagnosis was made I had progressed into bone marrow failure, and a splenic abscess for which I needed several units of blood. I am now intravenous-nutrition dependant. On a side note, when I taped the Canadian Health and Family program with Dr. Marla Shapiro, my hemoglobin was 76 and ferritin level was less than 2. I couldn’t remember “difficulty concentrating” as one of the symptoms of the triad of iron deficiency. Now, my iron supplementation regime includes the use of FeraMAX® Powder (1.5 tsp. twice a day) and intravenous (IV) iron once every six weeks. Without the use of FeraMAX® I would need IV iron much more frequently. I am happy to report, that for the first time in decades, my hemoglobin is over 130 and my ferritin level is over 50!
In conclusion, I want to say that I did not write this for sympathy, but to inspire others to rise above their respective challenges and to remind my readers that the light at the end of the tunnel is not necessarily a train. May you all have courage in your journey and stay strong!
Top left: August 2009 (Pre-op)
Top right: March 2011 (This coat was a 6x and could not close it day of surgery)
Bottom left: March 2014
Bottom right: June 2011