Tyler Jankiewicz and his mother, Ann, describe the toll of Crohn’s disease, and how doctors at Rush helped him get better.
At first, I was just having stomachaches — maybe one or two a day. They weren’t too bad, and if I went to the bathroom, they went away. This was in the fall of 2012, during basketball season my freshman year of high school. When the symptoms first started, I still felt mostly fine; I was still able to get through practices and games.
But toward the end of the season, around December, the symptoms really started affecting my physical abilities. My coach was very understanding. He said if I needed anything, like in the middle of a game if I needed to use the bathroom, to just give him a signal and he’d take me out. I couldn’t play in the last few games, though, because I would get winded quickly and felt weaker.
I had planned to play volleyball in the spring, but by then I was really sick and had lost so much weight, about 40 pounds. I’d lost all the muscle I had, so I wasn’t in good enough shape to even try out. The coach said, “If you get better, you’ll be able to play.” I sat in the bleachers and watched practice for a few weeks, but after a while I didn’t want to be there because it was too hard to not be on the court.
I still didn’t know what was wrong at that point. So my mom took me to see my pediatrician at Rush. Mom works at Rush, and I’ve been going there for care my whole life. The pediatrician thought it might be a virus and wanted to wait and see if it would go away on its own. When it didn’t, my pediatrician sent me to the pediatric GI program.
In January 2013, I had an upper endoscopy and colonoscopy. It showed there was inflammation in my small intestine and colon, and that’s when I found out I had Crohn’s disease. It was kind of a relief to know what was causing the symptoms. Dr. Randolph McConnie talked to me and my mom, and then his team came up with my treatment plan.
In the beginning the medications weren’t helping, but later Dr. Anil Kesavan, who was part of the team, kept searching for the right combination. It took a while, which was really hard. I had to be hospitalized at times and have blood transfusions. But I’m grateful that Dr. Kesavan didn’t give up and eventually found the right medications to send me into remission.
I wasn’t really myself when I was sick. Because I lost so much weight and had constant stomachaches, I just wanted to be by myself all the time. The hardest part was not being able to eat what I wanted and only being able to eat through a feeding tube. I had the feeding tube for almost six weeks, and I had to go to school with it.
Feeling normal again
But as the treatment started working and I got better, I started to feel normal again. I started talking to my friends, hanging out more and just being a normal teenager. I was able to resume all the sports I couldn’t play while I was sick. Now, I can eat whatever I want, and I’ve gained all the weight back — and more. Basically, I’m able to live my life again.
In May, I graduated high school, and now I’m a freshman at Marquette; I’m studying to be a physical therapist so I can help people like Rush helped me. Everyone was very caring, especially Dr. Kesavan. He has been more than just my doctor. He’ll talk to me about the Crohn’s, but he also talks to me as a friend. He asks how I’m doing, how school is going, what my plans are.
I haven’t had any symptoms at all since October 2014. I feel the best I’ve felt in the past three years, and I owe it all to the doctors and everyone else who took care of me at Rush. They’ve done an amazing job getting me from where I was to where I am. I’ll always be thankful for everything they’ve done.
As a pharmacist at Rush, I’ve always felt connected to the Medical Center and trusted the quality of care here. When it was clear that Tyler’s stomachaches and diarrhea were getting worse — and he was losing a lot of blood, which really concerned me — I talked with my Rush colleagues to see where I should take Tyler. We went to Dr. Randolph McConnie, a pediatric gastroenterologist, who did the colonoscopy and diagnosed Tyler’s Crohn’s disease, and Dr. Anil Kesavan was brought in to consult, so we had a good team in place to guide the treatments.
Unfortunately, most of the early oral medications failed. We switched to an injectable medication, which was difficult. I wanted him to stay in school and not have to miss a lot, but he had to come to the hospital periodically to get both infusions and blood transfusions because he was losing so much blood.
He also couldn’t eat and had to have a feeding tube inserted to get nourishment because he was losing so much weight. He was down to 115 pounds, which was just terrifying. That was the hardest part: He could only be fed through a tube. I didn’t want to eat in front of him, so my husband and I would eat in another room. We tried to be sensitive and not to eat in front of him, knowing that he couldn’t eat.
Tyler had always been so active, always playing sports, and to see him on the sidelines unable to compete was heartbreaking. I worried about him just walking through school and getting up the stairs to his classes, but for the almost six weeks he had the feeding tube, even though he was anemic and really weak, he still went to school.
Dr. Kesavan knew I was a pharmacist and worked at Rush, and he treated me as a professional. He knew I was reading and doing research on my own, so from the first day we met with the pediatric GI team, we had many discussions about what would be the best therapy and the best medication doses for Tyler.
When Dr. Kesavan was trying to change Tyler’s medications, he did it very thoughtfully and very slowly just to make sure that Tyler stayed healthy. And he made sure Tyler was involved in the conversations so he understood what was going on.
Crohn’s disease is a chronic illness, and you never know how long he’ll stay in remission for before they have to change his regimen. But Dr. Kesavan constantly checks Tyler’s labs and follows him very closely, and we also see him for regular checkups. Tyler has been in remission now for more than 18 months, and it’s great to have him back to normal. When Tyler started to gain his weight back, I was really happy to see him being able to participate in sports again and being more lively.
‘Great care at Rush’
We’ve always received great care at Rush. The staff was wonderful about helping us schedule appointments around Tyler’s school and sports, and my work. When Tyler was in the hospital, the nurses and doctors not only took great care of him, but took an active interest in Tyler himself and what he was doing: school, his sports. They were able to interact with a teenage boy and make him feel comfortable. And any time I have a question or concern, I know I can call or email Dr. Kesavan or one of the nurses and they will respond quickly, which helps me feel less stressed.
My greatest hope for Tyler is that he stays in remission. He’ll continue to have checkups with Dr. Kesavan to make sure that if anything happens, we can address it quickly. We actually looked at colleges that were close enough to enable him to stay at Rush for his care. I’m just happy that he’s been able to go away to college because three years ago he was so sick, I never thought it would be possible.