28 December 2006

Top 10 Tips

1. Stay Active
Staying active has actually been a two-fold therapy for me. First, doing some level of physical activity (no matter how hard the day) has helped me gain confidence in overcoming my condition. This can vary upon how I feel: an intense training session on a good day, a simple walk on a bad day, or even just push-ups and crunches at home when I am suffering a flair. Secondly, I have found that after some types of exercise my actual condition improves. It may just be a placebo effect, but after a cycling workout I often feel much better. Gauge the appropriate activity for yourself and how you feel and be active everyday.

2. Consume UC-Friendly Foods
Probably everybody knows to do this, but it is harder to do than said (at least for me it is). I often want to eat corn on-the-cob or a bowl full of blueberries, despite knowing that this will cause major problems in the near future. This just proves that my belly is my weakness in more than one way. What is a UC-friendly diet? This will vary from one person to the next, but can easily be determined by keeping a log of the foods consumed and taking note of those that cause problems. Once identified, play it safe.

3. Regularly Take Medication
It can be tempting to stop taking medication while feeling better. However, this can abruptly reverse any progress made in keeping the disease in remission. At times it can be difficult to remember when to take medication and inadvertently skip a dose. Early in my treatment I was taking 26 pills each day at various time intervals. I found my condition improved greatly once I kept a log of my doses and made it a high priority to stay on schedule. Of course, if you feel that your medication is causing more harm than good you should immediately contact your doctor and discuss the issue.

4. Recognize Daily Patterns
My early struggle with ulcerative colitis coincided with the first year of my daughter's life, so recognizing daily patterns was natural. As I was recognizing her daily patterns of when to feed her, when to put her down for a nap and when I could expect a dirty diaper, I began to recognize my own patterns. As an example, I know that the first hour after I wake-up is when my condition is its worst. If I have an early morning meeting, I know to wake-up a couple of hours before to reduce the chance of any discomfort during the meeting. Or, I know not to plan a running workout when I first wake-up.

5. Plan Ahead
Before my family goes anywhere we always pack my daughter's diaper bag. We joke and say that we need to pack my diaper bag as well. In other words, bring with you everything you may need. I always pack food and water and will bring other items depending on where we are going. Planning ahead is not exclusive to packing needed supplies, but also includes necessary preparation days in advance. For instance, starting three days before a big race I will begin a very restricted diet of only foods that I know will not cause any difficulties; I will not take any risks on these days. If I know that I am going to have a very busy day, I may take Imodium in the morning even though I am not experiencing difficulties. So, play it safe and plan ahead.

6. Talk About It
Do not be afraid to speak to others about your condition. I found that as I began to open up and discuss my problems with my family, friends and even colleagues that I began to feel less worry and less stress. Nearly everyone has been supportive and understanding. Some have even began to tell me about their own medical conditions that they previously were apprehensive to talk about. In addition, I have met quite a few individuals who have the same or similar condition as me. Talk about your condition openly; it is liberating and will build a support network.

7. Find a "Partner in Crime"
Finding someone who experiences the same or a similar condition helps in many ways. I am lucky to have a good friend and colleague who has Crohn's Disease, very similar to ulcerative colitis. Many times I approached him with questions like, "Does this work for you?", "Have you experienced ...?" or "Do you have a suggestion for ...?". There are many ways you can find someone with a similar condition: after talking with people somebody you already know may have a similar condition, attend a Crohn's and Colitis Foundation of America [link] event, or respond to this blog and I can talk with you (nothing is posted without my approval first, so if you don't want it posted just say so). You are not alone and you should not have to go through it alone.

8. Have Patience
Having patience in my treatment was the hardest thing for me. Eventually, with many calls and discussions with my doctor, the right treatment was found and I was able to control the condition. It is very frustrating to know that an effective treatment is not established immediately upon diagnosis. Since everybody responds differently to the many available treatments there is a little guess work in finding the right treatment. Compliance, open discussion with your doctor and a whole lot of patience are critical in getting ulcerative colitis into remission.

9. Eat Yogurt
Okay, so this may just be specific to me, but I found that in the 1-2 days following a single serving of yogurt that my condition is at its best. Give it a try! However, if you experience problems when ingesting dairy products, this may be one tip to ignore.

10. BE CONFIDENT
Ulcerative colitis at times can be debilitating and embarrassing. However, if there is anything that I have learned from my experiences it is to be confident in myself. Early in my diagnosis I felt bad for myself, resulting in low confidence and a domino effect of unnecessary stresses that worsened my condition. Do not let your psych be the limiting factor, be confident!


In the News

Due to successfully qualifying to represent Team USA at the 2006 Duathlon World Championships I have had a few news articles written about me. A couple of these stories are available electronically and I have provided the link below.

Gary Franchi, a columnist at the Pueblo Chieftain, headlined one of his columns with a short story that was later featured on the Southern Colorado Runners website. The article is titled Former Rye Athlete Gains World Duathlon Birth [link]. I grew up in the small town of Rye, Colorado and was happy to see that the community still supports my pursuits (as they always had).

The Brown Daily Herald is a student ran paper at Brown University. They run a single summer edition of their paper each year and I was fortunate to be featured in the sports section. Madeleine Marecki, both writer and cross country athlete, wrote the article Reineke Chases World Duathlon Title and Doctorate [link].

Other articles were written in the Greenhorn Valley View, the weekly local paper for Rye, CO, and in EastSide Monthly Magazine, a wonderful periodical serving the east-side of Providence, RI. Although I was not mentioned in the article, a few body parts (forehead and shoulder) were in a picture of the fall 2006 edition of the USAT-ran magazine Triathlon Life, see image below.

24 December 2006

2007 Race Scedule

22 April - Wrentham Duathlon (R3mi, B11mi, R2mi) - Wrentham, MA

5 May - Dave Zucconi 5km Run - Providence, RI

10 June - New England Triathlon (S0.5mi, B12.8mi, R3.2mi) - Worcester, MA

24 June - Lions Club of Rumford 5km Road Race - Rumford, RI

30 June - USAT Triathlon National Championship (S1.5km, B40km, R10km) - Portland, OR

8 July - SoBe Mossman Triathlon (S0.5mi, B12.5mi, R3.2mi) - Norwalk, CT

15 July - Lowell Mill City Triathlon (S1.5km, B40km, R10km) - Lowell, MA

29 July - USAT Duathlon National Championship (R10km, B40km, R5km) - Mason, OH


2 September - Triathlon World Championship (S1.5km, B40km, R10km) - Hamburg, Germany


About Me

Joshua Reineke

Family
I am fortunate to have two beautiful women in my life; my wife Noi and daughter Jaixai. Noi is a very loving, passionate and hardworking person. Although, when asked what she does I usually respond that she is waiting for me to graduate. Somewhat true, but she is also a talented web designer (among other things). Noi provides much of the motivation I have in my life. Jaixai is full of life; singing, dancing and playing. She keeps us smiling nearly every moment. We also have a cat, Sagwa, who we affectionately call our first born.

Graduate Work
I am a graduate student at Brown University working towards my PhD. I work in the Department of Molecular Pharmacology, Physiology and Biotechnology. In case that name was not long enough the lab I work at within the division is the Artificial Organs, Biomaterials and Cellular Technologies Lab. The focus of my work has been on microsphere drug delivery systems for oral administration, but I have done a range of projects in the fields of tissue engineering, biomaterials, drug delivery and biophysics.

Athletics
The Duathlon and Triathlon have been the recent focus of my athletic pursuits. In 2006 I was a member of Team USA and competed at the Duathlon World Championships in Corner Brook, Newfoundland, Canada. A former NCAA track and field athlete, I wanted to continue competing and staying healthy after my collegiate career ended. The triathlon was appealing to me because I felt that the training for multiple disciplines would be the best way to maintain an overall healthy body and take the boredom out of running everyday (even though I enjoy a long run a few times a week). I go to races for the camaraderie and to get that addictive competitive rush.

Scientific Consultant
Additionally, I work as a scientific consultant for biotechnology companies in the Providence area (diapers are expensive on a graduate student budget). Although there are more small jobs, the three main companies I work for are Freedom 2, Bio-Tree Systems and Living Cell Technologies. Freedom 2 kindly funds my graduate studies for work in developing safe, removable tattoos (no mom, I don't have a tattoo yet). They have been in the press a lot recently (NPR, Fortune Magazine, New York Times, NBC) and have a newly posted website www.freedom2ink.com if anyone is interested.

Ulcerative Colitis Patient
In the summer of 2005 I was diagnosed with a severe case of Ulcerative Colitis (UC). UC is an inflammatory disease of the large intestine causing abdominal pain, frequent and urgent diarrhea and bleeding. The process of diagnosis was, frustratingly, nearly a year long. I had many symptoms and often visited doctors who dismissed it as "runner's diarrhea" due to my intense training. However, I knew that there was something else happening with my body. Regardless, once I saw a specialist I was diagnosed and immediately began treatment. This disease can be very debilitating in all aspects of life. I was able to continue my active lifestyle with much support from my family, adhering to a healthy diet and taking my medications as directed by my doctor.




Cutting the Red Tape!!!

This is it; my first blog post. Starting a blog has been on my "to do" list for awhile and now, with some extra time during the holidays it is finally getting done. This particular blog is mostly for formatting purposes as I arrange my site. Be patient and check back as it will be updated regularly as I complete the construction phase.