#ibd disease treatment

[gastroenterologistinpunesblog]

Best Gastroenterologist in Pune - Dr. Vikrant Kale

If you are looking for the best gastroenterologist in Pune? Dr. Vikrant Kale is a practicing consultant Gastroenterologist, Hepatologist, and Interventional Endoscopist with experience of more than 17 years. At present, he is the Director & Head of the Department of Medical Gastroenterology at the Kaizen Gastro Care Clinic, PCMC, Pune. He has expertise in managing various GI disorders (which include intestine, liver, gallbladder, and pancreas) at a very advanced level.

[drkiranpeddi]

Inflammatory Bowel Disease and its Treatment in Hyderabad - Dr. Kiran Peddi

Inflammatory Bowel Disease (IBD) is a serious condition that affects the digestive system, causing inflammation and damage to the intestinal walls. It is a chronic condition that can cause severe discomfort, pain, and diarrhea. IBD includes two types of diseases, Crohn's disease, and Ulcerative Colitis. While there is no known cure for IBD, the condition can be managed through proper treatment and medication. In Hyderabad, there are several experienced gastroenterologists and IBD specialists who offer advanced treatment options for patients suffering from this condition.

Finding the Right IBD Specialist in Hyderabad - Dr. Kiran Peddi

If you are experiencing symptoms of IBD, it is important to seek medical attention as soon as possible. In Hyderabad, Dr. Kiran Peddi is an experienced Gastroenterologist and IBD specialist who offer advanced treatment options for patients with IBD. When choosing a specialist, it is important to consider factors such as their experience, reputation, and the services they offer

What is Inflammatory Bowel Disease (IBD)?

Inflammatory Bowel Disease (IBD) is a group of disorders that cause inflammation in the digestive tract. The inflammation can affect different parts of the digestive system, including the small intestine, large intestine, and rectum. The exact cause of IBD is unknown, but researchers believe that a combination of genetic and environmental factors play a role in the development of the condition. IBD is a chronic condition, meaning it persists for a long time and may require ongoing medical treatment to manage symptoms.

Symptoms of Inflammatory Bowel Disease (IBD)

The symptoms of IBD vary from person to person and can range from mild to severe. Common symptoms of IBD include:

Abdominal pain and cramping

Diarrhea

Blood in stool

Weight loss

Fatigue

Loss of appetite

It is important to seek medical attention if you are experiencing any of these symptoms, as early diagnosis and treatment can help prevent the progression of the condition and reduce the risk of complications.

Diagnosis of Inflammatory Bowel Disease (IBD)

Diagnosing IBD involves a thorough evaluation of a patient's medical history, physical examination, and a series of tests, including:

Stool sample analysis

Blood tests

Imaging tests, such as X-rays, CT scans, and MRI

Endoscopic procedures, such as colonoscopy and upper endoscopy

Based on the results of these tests, a gastroenterologist can diagnose IBD and determine the appropriate treatment plan.

Treatment of Inflammatory Bowel Disease (IBD) in Hyderabad

There is no cure for IBD, but the condition can be managed through a combination of medication, lifestyle changes, and other treatments. In Hyderabad, experienced gastroenterologists and IBD specialists offer several advanced treatment options for patients with IBD, including:

Medications: There are several types of medications that can be used to manage IBD, including anti-inflammatory drugs, immunosuppressive drugs, and biologic agents.

Dietary Changes: Patients with IBD may need to make changes to their diet, including avoiding certain foods that can worsen symptoms and increasing their intake of fiber and other nutrients.

Surgery: In severe cases, surgery may be necessary to remove damaged sections of the intestine or to treat other complications of IBD.

It is important to work closely with a gastroenterologist and IBD specialist to determine the best treatment plan for your individual needs and to manage the symptoms of IBD effectively.

Contact info:

+91 9390150150 / 9581000505

Yashoda Hospitals - Somajiguda, Raj Bhavan Rd, Matha Nagar, Somajiguda, Hyderabad, Telangana 500082

Gastro Care Clinics, Unit 201, Surya Arcade, behind Labonel Fine Baking, Cyber Hills Colony, P Janardhan Reddy Nagar, Gachibowli, Hyderabad, Telangana 500032

[dynamichealthinsights]

Charting Your Course: A Deep Dive into Personalized Treatment Plans for IBD

Living with Inflammatory Bowel Disease (IBD) can feel like navigating a stormy sea without a map. The unpredictable flares, the persistent discomfort, the emotional toll – it’s a journey that demands resilience and a tailored approach. In this in-depth guide, we’ll embark on an exploration of IBD, unravel the complexities of personalized treatment plans, and equip you with the knowledge and tools…

[kaizengastrocare]

At Kaizen Gastro Care, we provide advanced, comprehensive ulcerative colitis treatment in Pune, Maharashtra, to help you achieve optimal digestive health.

[healthvise]

Inflammatory Bowel Disease: Symptoms, Causes and Treatment

What is inflammatory bowel disease (IBD)? Discover the types, causes, treatments, and symptoms of inflammatory bowel disease (IBD).

[doctorkiranpeddi]

Stomach Specialist Doctor in Hyderabad - Dr. Kiran Peddi

Consultant Gastroenterologist - Dr Kiran Peddi

Kiran Peddi, a Stomach specialist doctor in Hyderabad, is one of the most reputed gastroenterologists in the city. He has been in this field for more than a decade and has treated numerous patients suffering from digestive ailments. The expert provides the best treatments and care for gastrointestinal problems. His services include endoscopic procedures, colonoscopy and abdominal pain treatment.

Dr. Peddi is a senior consultant medical gastroenterologist at Yashoda Hospitals. Previously, he had worked in some renowned institutions in the UK and Australia. However, he has been practicing medicine in Hyderabad since 1995. In the course of his career, he has gained considerable experience and expertise in advanced endoscopic procedures and IBD treatment.

Before he moved to Yashoda, he had already established gastroenterology departments in several other institutes. Furthermore, he has been one of the first to start specialized IBD care in India. At the same time, he was also the first to provide endoscopic ultrasound services in the country.

Apart from being an expert in gastroenterology, Dr. Peddi is also a leader in the field of fatty liver disease and Ulcerative Colitis. Additionally, he is a member of the European Crohns and Colitis Organization. Having practiced in the field for more than a decade, he has successfully treated countless patients overcoming their ailment.

To ensure the quality of the medical service, the hospital is equipped with state-of-the-art infrastructure, modern medical equipment, and a team of experts. It also has robotic and minimally invasive surgery units. Moreover, the doctors at the hospital use the USFDA approved surgical techniques.

Patients can easily book an appointment with the specialist through online mediums, such as the website. For in-person consultations, the clinic is open on weekdays and Sundays. You can also get a video consultation through online mediums. During the consultation, the gastroenterologist will take your health history, discuss your symptoms, and recommend suitable treatments.

After a thorough examination, Dr. Peddi can recommend a specific procedure for your condition. He can also perform surgery if necessary. As a result, the patient can overcome his or her ailment in a short time. Besides, the specialist can help you choose the right foods and lifestyle.

He has a great reputation in the healthcare industry and is known for his innovation and expertise in the field. During his practice, he has treated thousands of patients suffering from digestive disorders. Some of the common health conditions which are caused by digestive disorders are constipation, indigestion, and abdominal pain. Many cases of malnutrition can be traced back to digestive problems. Thus, it is important to consult a gastroenterologist if you or a loved one is experiencing any of these conditions. During the consultation, the gastroenterologist asks you about your family history, symptomatology, and past medical history. Besides, the gastroenterologist can suggest you on diet and other treatments to cure your disorder.

One of the best gastroenterologists in Hyderabad. He provides treatments and solutions to various digestive ailments and has been in practice for over twenty years.

His main areas of interest include biliary disorders, liver diseases and pancreatic disorders. The liver is a major organ that produces protein and metabolizes nutrients into chemicals that are essential to life. This organ plays a very important role in our bodies, so it is a good idea to consult an expert when it comes to diagnosing and treating a liver problem.

One of the many diseases that affect the liver is ulcerative colitis. Ulcerative colitis is a form of inflammatory bowel disease (IBD), which is a disorder of the lining of the large intestine. It is often associated with pain, nausea, and diarrhea. Some patients may experience constipation as well.

Another important function of the liver is producing blood clotting. This organ also performs other important tasks such as producing proteins and iron metabolism. So if you are suffering from any of the above mentioned symptoms, it's a good idea to consult a gastroenterologist immediately.

The KP-3P model is a useful and systematic approach to determining whether or not a person suffers from IBD. The acronym stands for the three phases of diagnosis - provocation, resuscitation and prevention.

There are a variety of tests and procedures that can be administered in order to determine whether or not someone has IBD. However, this is not an exhaustive list.

If you are looking for a stomach specialist in Hyderabad or any gastric problem you can always visit the clinic of Dr. Kiran Peddi.

[gastroenterologistinpunesblog]

If you're experiencing any of the symptoms of #CrohnsDisease, OR If you have symptoms that aren't going away, feel free to Consult the experienced #IBD specialist, Dr. Vikrant Kale, and get expert advice today.

Early diagnosis and treatment are essential for managing Crohn's disease and improving your quality of life.

[guiian-pie]

Please don’t scroll. Odin can really use your help. 💔😭

He is a 4 year old golden with a history of acid reflux and gi issues suspected to be IBD. This all began when he was about 1 year with cont'd chronic flare ups despite our drs best efforts to resolve it. On Friday 12/20 he started showing signs of a flare up and we started treating him with his regular gi meds and by Tuesday 12/24 my family and I were sitting in the er with him admitting him for liver failure, jaundice & hepatic encephalopathy.

Today is day 6 of him being in the icu and they still don't know exactly what is wrong with him. He's had 2 ultrasounds that show pancreatitis & gallbladder inflammation but no blockages to explain why the labs are elevated. In 6 days, ALT went from 3600 to 955, bilirubin increased daily and peaked at 19 yesterday but finally came down to 17 today, both still very high but improvements we'll take. Red cells are very low and white cells are very high. The kidney levels skyrocketed to 42.6 but were normal all the other days.

Symptoms that came out mid treatment making his case more of a mystery include: vasculitis, heart murmur, and subcutaneous bleeding

Our family is extremely devastated to say the least. Just last week he was playing his favorite frisbee game and now he's fighting for his life. Our home feels so empty and it's sad to see his wrapped Santa presents still waiting for him under the tree. 💔

As of today, the treatment plan for another 48 hours has our total balance at $13,606-$15,647.

We got a care credit line increase but it's now maxed out at $6,600 and we were also able to muster up a total of $3,300, leaving us short $3,600-$5,600 for this current, and probably last, treatment plan.

At this point, they are leaning towards Odin having an autoimmune disease or lymphoma since they've exhausted all other considerations. Likely the cause for all his gi issues from the start. 😭

Today they placed a feeding tube in order to naturally hydrate him and give him the nutrition he needs. The plan is ultrasound again tomorrow, more labs, have internist needle aspirate the liver and lymph nodes to biopsy so we can hopefully find out what we're dealing with of the two evils, and once they get that sample they will start steroids.

Any amount would greatly help because we are stressed to the max looking for ways to pay for this and desperately need to find out what's wrong with our boy so we will know how to help him at home for whatever time he may have left.

Thank you so much for considering. ❤️

Donations can be sent to:

PAYPAL HERE - PLEASE SEND IT THROUGH FRIENDS AND FAMILY THAT WAY WE CAN IMMEDIATELY RECEIVE THE FUNDS AND AVOID HAVING TO WAIT FOR 14 BUSINESS DAYS BEFORE IT GETS AVAILABLE. 🙏

[lifewithchronicpain]

FYI not all IBS is controllable through lifestyle and diet. I have a lot of comorbid disabilities that prevent doing certain things to reduce symptoms. I also have to take medication that worsens my constipation. I have no choice but to take a strong medication for my IBS-C - Linzess, plus Miralax to be able to go the bathroom. I suffer from flares too. Most of this is accurate to me, just not the part about IBS treatment.

[yrfemmehusband]

It's endometriosis awareness month! Here's some general knowledge on my condition, as misinformation is constantly spread about it.

Endometriosis is a disease affecting 1 in 10 people with uteruses. A tissue similar to the endometrial lining, of period blood, grows and sheds on the outside of the uterus. As the menstrual cycle comes, the blood has nowhere to go. This causes intense pain and irritation to surrounding organs. It is one of the most painful diseases recorded.

Endometriosis was first discovered in 1860, though it was recognized in the Hippocratic Corpus around 4,000 years ago. Treatments have varied through the years, starting out with bloodletting, leeches, hanging upside down, exorcisms, genital mutilation, and chemical douches. During the Middle ages, the perception of chronic pelvic pain shifted from a recognized condition to something caused by hysteria, promiscuity, or it was made up. In the hayday of Hippocratic practice, Endometriosis was more common than it is today, likely due to the inaccessibility of diagnosis compared to 4,000 years ago. Somehow.

Today, treatments include birth control, surgery, hysterectomy, and pain relief. There is no cure.

It takes an average of 7-12 years for someone to receive a diagnosis.

Anyone can get endometriosis, including cis men

A hysterectomy is not a cure, as endometriosis will continue to grow and spread to other organs

The pain one experiences due to endometriosis does not correlate with staging. Staging reveals how extensive endometriosis lesions are, not pain. Someone with stage 1 could experience excruciating pain, while someone with stage 4 and frozen pelvis can experience no pain.

Endometriosis lesions are not endometrial lining. The tissue is similar, but not the same. Thus, no one actually knows what endometriosis actually is.

It is only diagnosable through laparoscopic surgery. It can be detected via imaging such as ultrasound or MRI, but more often than not, it isn't seen. You can have completely clear tests up until your surgery and still have even the higher stages of Endo (like me!) (this one was for all you undiagnosed people, you're not crazy!)

Endometriosis is comorbid with many things, including pelvic floor dysfunction, adenomyosis, vulvodynia, uterine cancer and fibroids, ovarian cancer, many autoimmune and inflammatory conditions (rheumatoid arthritis, MS, IBD), and cardiovascular disease.

I've provided links in each point and I deeply encourage you to read my sources, whether you have endo or not. Not enough people understand endometriosis so a lot of us who deal with it don't get grace or compassion, be it in our work lives, relationships, friendships, or family. People with endo, happy endometriosis awareness month.

[mad-hare]

@arabellameyer

immunology is so cool because it's like, endlessly complicated, and i romanticized this A LOT because it's really easy to romanticize things from afar, so I decided to get into it... and now my life is like an up and down of "i figured it out!" *reads new sentence* "i don't know anything!" and it's like good then awful

Inflammatory Bowel Disease is sooo cool and complicated because the combination of your immune cells + microbiome influence makes it so like... you could almost say every person with IBD has their own unique disease as there's exceptions to like everything we know about it...

right now I'm writing a research proposal regarding a drug that has been used for about 25 years to treat IBD patients with a lot of success, and a lot of success means about 60% of people respond to it positively and we have no way of knowing if someone is going to respond to it or if they won't, we just haven't figured it out after a quarter of a century (you could even argue we don't know exactly what pathway in the body it's affecting that reduces IBD symptoms because it affects a huge component of your immune system).

and i think the power of machine learning, or ai or whatever, might be vital in analyzing these complex things because like, I see so many graphs that look like this

where the red line is the average, each dot is a person (this is just a sketch i made in paint) and the conclusion is like through the power of statistics we've determined that IBD patients have higher ___ than control. but the RANGE of differences in these patients is so big, it just seems like this classical type of statistics is too reductionist to understand this disease

so we can start to split disease a bit more, we can split IBD into the main subtypes of Crohn's disease and ulcerative colitis and that can help sometimes but not always. studying human populations is incredibly difficult because people have a lot of complexity to them (ie once you start dealing with older patients you have things like diabetes, heart disease, that are altering your population so you can't say for sure X is caused by IBD and not by heart disease + IBD skewing your data)... the fact that once you've treated IBD once (successfully or unsuccesfully) you've potentially permanently altered the immune system of that person (so some papers like to focus on "treatment naive" patients who have been freshly diagnosed which is good but also people with IBD have it forever and often have to go through multiple drug changes and surgery so that is also important to study)

what I'm interested in is finding a way to create new populations of IBD patients that are sorted in a useful way (ie being able to predict what drugs will work on them) and this involves potentially looking beyond the traditional classification system of "ulcerative colitis" or "crohn's disease" and using factors like treatment history, blood test results, endoscopic scores, populations of immune cells... and somehow plugging all that into a computer and telling the computer to sort them into little groups that make sense in a way people haven't figured out yet

so like.... idk

[arctic-hands]

Long ass post about being a sick and disabled child with pediatric imposter syndrome and inattentive and flat out ableist adults ahead. It got ahead of me but there's nothing I want to cut. No I'm not putting it under a read more. Look at my post, boy.

I wonder if my childhood fascination with wheelchairs was based in the chronic pain and exhaustion I was feeling even by the age of seven.

In second grade we had a "disability week" (tho I wouldn't be surprised if they had called it "differently abled" but I can't remember for certain) where we had disabled adults come to speak to our (allegedly) able-bodied class and the school as a whole. The ones i remember were just explaining the disability and a simplified ways to treat it and things like it's rude to stare and such. Not too too glurgy in that out of context...

...but the memories about it are def tainted by the fact that any kid who was sick or disabled was forced to give presentations on their medical conditions to "educate and de-stigmatize" the students.

This wasn't part of Differently Abled Week, we were just forced to present when we just got diagnosed or whenever the condition got noticed by anyone. The first one i saw was in first grade as a fifth grader gave all the individual classes a presentation on her diabetes. I was forced to give one in third grade after I came back from being dramatically rushed to the hospital after my heart started beating so fast and hard that you could see it thru my shirt, and after about a week out of school in another hospital in the bigger city two hours away because my hometown hospital wasn't equipped to treat pediatric cardiac problems. My third grade presentation on supraventricular tachycardia was well-received, and the school was sympathetic because all my classmates and teachers were like omg this angelic little child has a heart condition and everyone was scared that I might die 😢

... Next year's fourth grade presentation on I Shit Too Much Disease was less well-received, even as I tried to self-censor the inherently disgusting details. To add to that, my SVT had been corrected (for a few decades, it appears to be coming back after 2) by an ablation in late third grade, so the Scary Heart Explodey (not really) Disease had been tied up neatly and I was free to live as a Normal Child. But Crohn's disease was something else, something relatively new to the lexicon in the early millennium and I constantly had to explain my health to strangers as the unwilling IBD Ambassador of the town. This would be and still is life-long and particularly hard to treat (my Crohn's was once compared to brittle diabetes in the way it never did and still doesn't respond to treatment), and the sympathy of the ableds is fickle and short lasting. Even just a year after my Diagnosis, my teachers stopped caring WHY I was missing school and sleeping all the time and in the bathroom too long and only saw these as delinquent behaviors to be punished, and my classmates no longer had sympathy for the perceived special treatment I barely got and were convinced I was faking it all for attention

Anyway I'm digressing, but I did need to feel the need to give context to my school's attitude towards sick kids. Back to Disability/Differently Abled Week

...We were allowed to play with mobility aids. Yeeeah. To de-stigmatize of course, totes not to keep us occupied. At one point we played with wooden beads of different shapes to make "hearing aids" and microphones in the style of the day, and each class was allowed one wheelchair, two sets of crutches, and a few arm slings for kids to be assigned to use for half the day.

I had seen these before. There were only a few sick kids in my school and none in mobility aids, but 7 year olds do have some life experience in being in the outer world, and my hometown was a city and not insular, so I had been exposed to disabled people before. My grandmother's best friend was an old lady with a basic prosthetic foot and used a cane, and she was patient and i daresay a little proud to show it off when i was really little and we'd go to have tea/hot chocolate with her and i stared in fascination and asked innocently offensive questions. At seven I hadn't been diagnosed with SVT or Crohn's yet and my intense and agonizing leg pains had been dismissed by my pediatrician as a hysteric and melodramatic little girl's response to "growing pains" (I've stopped growing but still feel them, I'm just used to them enough after thirty years that I barely notice them unless my legs are touched). I knew about broken bones and as someone who still had potent memories of toddler ear infections that were bad enough to send me to the E.R, I had even taken a few rides in wheelchairs.

But being in a wheelchair constantly was a new experience for me, especially as this was a manual wheelchair that you pushed yourself with the big wheels in, not the hospital kind that nurses push for you. The thought of never having to use my legs was an intoxicating thought, and I had childhood delusions of being strong and muscley enough to be able to handle maneuvering it with my scarily emaciated noodle arms.

Aides were assigned by last name down the list, and the teacher just arbitrarily decided which one you'd get. My last name is fairly down the list, so I waited the better part of a week to get assigned, all the while eyeballing the wheelchair enviously as my classmates assigned to it got to play disabled in it. I wondered how to pop a wheelie in it (for the record, my immediate reaction to being given roller skates on my fourth birthday was to immediately try to do a trick jump off the porch and landed hard on my ass with miraculously intact bones and face). But mostly I was fascinated by the thought of never having to use my legs for an entire half a day. I kept my composure at school so not to be labeled a crybaby, but by the time I got home I sometimes couldn't even focus on Pokémon because my legs were too agonizing and I'd be crying. My parents were sympathetic enough to my leg pains that they bought me hot water bottles to sooth my knees and tried to get me to take my mind off it by meditating the pain away (I'm too bipolar to focus in meditation even then but everyone's reaction to my bipolar is another long ass post in the making). But they didn't care enough to advocate for me against my pediatrician, even as he ignored all my other dramatic symptoms that were beginning to become un-ignorable. It took until my heart emergency for any adult (ily Dr. Stein, my pediatric cardiologist who immediately realized I needed more help than just for SVT) to notice the misery I was in and get me the right help (ily Dr. Maizle, my first pediatric gastroenterologist and the only one who actually listened to me when i said some of the meds felt worse than the disease).

Anyway I was assigned crutches when my name was called and i nearly did finally snap and cry at school. Nearly. And the crutches (basic under armpit ones, not forearm crutches) sucked. They were painful in my armpits, they weren't adjusted to my height properly, and I fell a few times because I was trying to swing both my legs at the same time because BOTH my legs were in constant agony and I was trying to alleviate my body's pressure on them both. I had a miserable time "pretending" to be disabled, but I was the only one who complained about the crutches and so I went ignored, setting up the theme for my childhood.

This fascination with wheelchairs stuck with me and as I became a bigger kid and my body just piled on more illness and pain, but despite all that my legs were technically functional so I kept my yearning for a chair quiet for fear of being offensive (didn't know what appropriation meant back then but that was the feeling) and an actual attention seeker like my classmates accused me off. Sure, I was sick and constantly in pain, but at least I wasn't actually "stuck in a wheelchair". Could be worse. At least it's not cancer, after all.

It got to the point that by middle school i was having idle fantasies about being grievously and dramatically injured to the point I lose my aching leg(s) and thus was finally granted a wheelchair. In my darkest moments I wondered how much pain doing it myself would be in the moment, but the thing that snapped me out of crippling (I use that word deliberately) myself was that I genuinely love the feeling of sand beneath my feet and the way beach sand (I wouldn't see the ocean until my twenties, but the artifical lake we went to had sand) felt in between your toes and how my feet didn't ache so much as the hot sand conformed around them. I still kept this quiet because I knew it was crazy and was beginning to realize that I as a whole being was crazy, but I didn't want to be treated as crazy so I kept my fantasies secret.

I've lost the point I was trying to make as I ramble on about these physically painful memories but I'm going to end by saying lmfao I've been using a cane for my pain (to not great success tbh) and have been told I'll prolly need a wheelchair in the next few years. My trepidation about this is totally devoid of any "be careful what you wish for!" karma and everything to do with how infamously inaccessible the Atlantic Coast of the United States is for mobility access. The buildings are all old and pretty and no one wants to ruin the aesthetics of the rowhomes and the shops (except the liquor stores, make of that as you will) don't want to put in the money to add or replace the stairs getting up to the shops with ramps.

This is really dumb even before I started using aides, because EVERYONE can use a ramp while only SOME people can use stairs. And that's not even the end of it, if you manage to get into the shops the aisles are too small to get even a folding chair in between, and no one wants to put in the extra work to rearrange the store to cater to those seeking "special treatment". For years I thought the A.D.A had a grandfather clause that said historical buildings didn't have to adapt unless they renovate and that's why the older cities on the East Coast are the way they are. Nope, that clause doesn't exist. But no one is willing to enforce the A.D.A except SOMETIMES for federal buildings. Even some medical facilities are on stairs with no ramp. Baltimore IS in the middle of a years-long A.D.A lawsuit, but it's only for the absolutely abysmal sidewalks that prevent wheelchairs from going over them at all and makes it treacherous for canes and crutches. I see people in wheelchairs on the road more than I see them on sidewalks because it's the only way to get a wheelchair to move. Baltimore drivers are legitimately and legendarily terrifying. I wouldn't even want to ride a bike (were I still able) in the bike lanes, let alone wheel myself IN a major road. This is going to be a terrifying experience here, unless something very much changes and soon. But will the abled leaders care enough even if they're under lawsuit? I don't feel optimistic. But what choice do/will I have? It doesn't HAVE to be hard, but it WILL be because ableds don't care enough to make even the slightest change to make it easier for EVERYONE if it takes even the slightest bit of effort. See: their collective response to covid