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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

📌 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

📣 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

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

Wrestling the Octopus (IBD)