We're sunsetting PodQuest on 2025-07-28. Thank you for your support!
Export Podcast Subscriptions
cover of episode You Might Also Like: Symptomatic: A Medical Mystery Podcast

You Might Also Like: Symptomatic: A Medical Mystery Podcast

2024/12/1
logo of podcast Club Random with Bill Maher

Club Random with Bill Maher

AI Deep Dive AI Insights AI Chapters Transcript
People
D
Dr. Brian Bosworth
J
Jose Torres
L
Lauren Bright Pacheco
Topics
Jose Torres: 我在18岁时被诊断出患有严重的肠道疾病,经历了反复的腹痛、疲劳和便血。起初我忽视了这些症状,因为我来自一个不太重视就医的拉丁家庭。病情严重影响了我的学业、工作和拳击训练,我甚至无法正常通勤。在经历了多次住院和各种检查后,我被确诊为溃疡性结肠炎。最初的治疗方案并不理想,我的病情反复发作,体重骤降至100磅,最终不得不进行全结肠切除术以及后续的J袋手术。手术后,我经历了各种并发症,但最终康复。这段经历让我对生活有了新的认识,也让我更加珍惜当下。 现在,我已经在克罗恩病和结肠炎基金会工作多年,帮助其他患有类似疾病的儿童和成人。这段经历让我能够感同身受地理解他们的痛苦,并给予他们希望和支持。 Araceli Torres: 作为Jose的母亲,看到儿子饱受疾病折磨,我感到非常痛苦和无助。起初,我并不知道他的病情有多严重,直到他无法起床去上学,我才意识到问题的严重性。在漫长的治疗过程中,我始终陪伴在他身边,尽我所能地支持他。我为他四处寻找医疗资源,并最终找到了一个合适的医疗团队,为他的病情确诊并提供了有效的治疗方案。虽然治疗过程非常艰难,但我们从未放弃希望,最终儿子康复了,这让我感到无比欣慰。 现在,看到儿子能够帮助其他患者,并过上正常的生活,我感到非常骄傲。 Lauren Bright Pacheco: 本期节目讲述了Jose与溃疡性结肠炎抗争的故事。他的经历体现了慢性疾病患者在诊断、治疗和心理方面所面临的挑战。许多人因为羞耻或文化原因而忽视症状,导致病情恶化。准确的诊断和积极的治疗至关重要,同时,患者的心理健康也需要得到关注。Jose的故事也展现了希望和韧性的力量,即使面对最艰难的挑战,也能找到战胜疾病的方法,并最终帮助他人。 Dr. Brian Bosworth: 炎症性肠病,包括克罗恩病和溃疡性结肠炎,是一种自身免疫性疾病,会导致肠道炎症。溃疡性结肠炎的炎症主要发生在大肠表面,而克罗恩病的炎症则会穿透整个肠壁。诊断需要结合多种检查手段,包括结肠镜检查、活检和影像学检查。治疗方案因人而异,可能包括药物治疗和手术治疗。对于严重的溃疡性结肠炎患者,全结肠切除术和J袋手术可能是必要的。除了身体上的治疗,心理健康支持也至关重要,因为患者可能会经历羞耻、焦虑和抑郁等情绪。我们致力于为患者提供全面的医疗护理,帮助他们控制病情,提高生活质量。

Deep Dive

Key Insights

What were Jose's initial symptoms that led to his medical journey?

Jose first noticed blood in his stool, followed by intense abdominal pain, cramping, and debilitating fatigue. These symptoms persisted and worsened over time, leading to frequent restroom urgency and an inability to maintain his daily routine, including attending college classes and boxing training.

Why did Jose delay seeking medical help despite his symptoms?

Jose initially dismissed his symptoms as a stomach bug or something he ate, believing it would pass. Additionally, cultural factors played a role; in his Latin household, visiting the doctor was avoided unless absolutely necessary. This mindset led him to delay seeking medical attention until his symptoms became unbearable.

What was Jose's initial diagnosis, and how did it impact him?

Jose was initially diagnosed with Crohn's disease, a chronic inflammatory condition of the digestive tract. The diagnosis was devastating, as it meant lifelong management of symptoms like abdominal pain, diarrhea, fatigue, and weight loss. At 18, Jose feared how the disease would affect his future, including his education and boxing career.

How did Jose's condition worsen after his initial diagnosis?

Despite the diagnosis, Jose's symptoms persisted and worsened. He experienced severe fatigue, weight loss (dropping to 100 pounds), and frequent hospitalizations. Treatment plans, including medications and dietary changes, provided little relief, leading to a decline in his overall health and quality of life.

What was the turning point in Jose's diagnosis and treatment?

Jose and his mother sought a second opinion at a pediatric gastroenterology center, where he was correctly diagnosed with ulcerative colitis, another form of inflammatory bowel disease. This new diagnosis came with a more effective treatment plan, including medications that provided temporary relief and a better understanding of his condition.

What surgical interventions did Jose undergo for his ulcerative colitis?

Jose underwent a three-part surgical sequence: a total colectomy (removal of the large intestine), followed by the creation of a J-pouch, and finally, the reversal of his ostomy. These surgeries were necessary to manage his severe symptoms and improve his quality of life, though they came with significant physical and emotional challenges.

How did Jose's experience with ulcerative colitis shape his career and outlook on life?

Jose's journey inspired him to work with the Crohn's and Colitis Foundation, where he supports others living with inflammatory bowel disease. He volunteers at camps for children with IBD, sharing his story and offering hope. His experience taught him resilience, gratitude, and the importance of community, transforming his struggle into a source of strength and purpose.

What advice does Jose offer to others facing chronic illnesses?

Jose emphasizes the importance of maintaining faith, hope, and an attitude of gratitude. He encourages seeking help, resources, and support, and never giving up, even in the face of adversity. His story serves as a reminder that challenges can lead to personal growth and positive change.

Chapters
Jose Torres, a young aspiring boxer, experiences sudden abdominal pain, blood in his stool, and debilitating fatigue. His initial attempts to dismiss the symptoms and cultural reluctance to seek medical attention lead to a worsening condition that severely impacts his life.
  • Jose experiences severe abdominal pain, blood in his stool, and fatigue.
  • Cultural reluctance to seek immediate medical attention delays diagnosis.
  • Symptoms worsen, impacting his boxing career and education.

Shownotes Transcript

Introducing Case #19: Jose from Symptomatic: A Medical Mystery Podcast.

Follow the show: Symptomatic: A Medical Mystery Podcast)

At 18, Jose faced a whirlwind of hospital visits, severe abdominal pain, and debilitating fatigue. Having already given up his dream of becoming a professional boxer and now risking his education, Jose was desperate for answers. At his lowest point, the fighter in him emerged, pushing him and his mom to seek solutions before the unknown illness could take even more from his life.

See omnystudio.com/listener) for privacy information.

DISCLAIMER: Please note, this is an independent podcast episode not affiliated with, endorsed by, or produced in conjunction with the host podcast feed or any of its media entities. The views and opinions expressed in this episode are solely those of the creators and guests. For any concerns, please reach out to [email protected].