Wrestling the Octopus (IBD)

#20 Nigel reflects on 15 years post-Crohn's op, and a life-changing experience

• Rachel (@bottomlineibd) and Nigel (@crohnoid)

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The tables are turned in this episode! Now Rachel interviews Nigel about his life-changing bowel surgery in 2010. Fifteen years on, Nigel reflects on the symptoms that led to his Crohn's surgery, the emotional and practical preparations, and the highs and lows of recovery - including living with a temporary stoma and navigating postoperative ileus. 

With his trademark candid storytelling and humour, Nigel shares how planning, shared decision-making and trust in his healthcare team helped him transform fear into confidence. A must-listen for anyone facing IBD surgery or supporting someone who is.

🧠 Key Discussion Points

  • The inflammatory bowel disease symptoms that led to surgery: stricture, pain, fistulas, and the infamous “octopus” scan
  • What “semi-elective” surgery means and why it matters
  • Emotional and practical preparation: writing a will, planning recovery, and managing expectations
  • The psychological impact of being treated at St Thomas’ Hospital
  • Nigel’s experience with a temporary stoma - from initial shock to newfound confidence
  • The challenges of postoperative ileus and nasogastric tubes
  • The importance of shared decision-making and asking the right questions
  • How surgery reshaped Nigel’s relationship with healthcare and his own resilience

đź“Ś Listener Takeaways

  • Surgery can be life-saving and life-enhancing - not just a last resort
  • Planning ahead (emotionally, practically, legally) can ease the stress of major treatment
  • Hospital environment and staff support play a huge role in recovery
  • Temporary stomas can offer unexpected benefits - including confidence and freedom
  • Postoperative challenges like ileus are real and difficult, but manageable with support
  • A positive surgical experience can reshape your relationship with healthcare
  • Ask questions, understand your options, and prepare realistically
  • Shared decision-making empowers patients and improves outcomes

đź“Ł Where to Listen

All episodes of Wrestling the Octopus are available on Apple Podcasts, Spotify, Amazon Music, or wherever you get your podcasts.

Follow Rachel at @bottomlineibd

Follow Nigel at @crohnoid