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What's in a Name? Does the diagnosis matter?
Vicky Grant
Founder of the Knowing as Healing project
Living well with Irritable Bowel Syndrome
@missvagrant
hil@sheffield.ac.uk
IBS Network Anniversary Conference 16
th
April 2016
What’s in a name?
Irritable Bowel Syndrome
What’s in a name?
“I hate the word "syndrome" in #IBS.
It marginalizes patients as not having
a disease. #changethenameofIBS”
Mark Pimentel
Gastroenterologist
“IMO "syndrome" is apt for
#IBS: means a condition w. a
set of consistently associated
symptoms. "Irritable" not as
apt.”
Olafur Palsson
Gastroenterologist
Image by Joy Spencer. Included with permission.
“What the hell is going on in there?”
Joy Spencer
IBS patient and artist
“Machete Shreds the Gut Syndrome”
Sophie Lee
IBS patient and author
“Angry Bowel Syndrome”
Anne
IBS patient and
Knowing as Healing project participant
“Dear God Just Shoot Me Now Bowel”
Sophie Lee
IBS patient and author
Irritable Body Syndrome
Vicky Grant
IBS patient and action researcher
Irritable Bowel Syndrome
“It marginalizes
patients”
Mark Pimentel
“Any name with the word
irritable and syndrome in
it will never be taken
seriously by anyone”
Joy Spencer
What some students in my university think
about irritable bowel syndrome
New worst email from the uni -
'Do you have irritable bowel
syndrome?'. Who the hell even let
that be sent out?!”
“Who even gives these morons
access to a computer”
“Do I have irritable bowel
syndrome? Hahahahaha”
What the Royal College of Physicians think
doctors should say to patients with IBS
“I have examined you
thoroughly and cannot
find anything wrong …”
“I am pleased to say
that I do not think
there is anything
terrible going on here”
“This is good news …”
“You do not have a
serious disorder
such as cancer”
What do IBS patients say
they want more than
reassurance or even
possibly more than a cure?
“I’m not asking for a solution,
I’m not asking for a cure. I’m
asking you to believe me”
Sophie Lee
IBS patient and author
“IBS is a terrible
condition”
Emily
IBS patient and
Knowing as Healing project participant
Homonym
Emily
IBS patient and
Knowing as Healing project participant
Image created by Joy
Spencer to support
the IBS Network’s
change campaign
#notjustIBS
Provocation one: A change of name will not improve
the health of people living with irritable bowel
syndrome. A change in attitudes will.
Question one: How can we change attitudes surrounding IBS?
Provocation two: The Royal College of Physicians does
not understand patients with irritable bowel syndrome.
Question two: How can we encourage the Royal College of Physicians to
train junior doctors to treat IBS as a serious condition?
Provocation three: Modern medicine is preoccupied
with curing diseases and is not inclusive of people living
with chronic syndromes.
Question three: How can practitioners and patients collaborate to create
a healthcare system that is more inclusive of people living with IBS?
Today’s talk
Vicky Grant
@missvagrant
Knowing as Healing: living well with irritable bowel syndrome.
Recruiting now. Email: hil@shef.ac.uk to apply for a place.
Reference list
Collier, J. D. ed. (2004) Medical masterclass: Gastroenterology and hepatology, London: Royal College of Physicians of London.
Keshav, S. ed. (2008) Medical masterclass: Gastroenterology and hepatology, 2nd ed., London: Royal College of Physicians.
Knight, J. (2013) New worst email from the uni - 'Do you have irritable bowel syndrome?'. Who the hell even let that be sent out?! [Twitter]. 28
January [online], available: https://twitter.com/Mr_Jack_Knight [accessed 29 January 2013].
Knight, J. (2013) Who even gives these morons access to a computer, let alone the uni-wide email system? [Twitter]. 28 January [online],
available: https://twitter.com/stuhill90 [accessed 29 January 2013].
Lee, S. (2011a) Sophie's story : my 20-year battle with irritable bowel syndrome, Sherman Oaks, CA: Health Point.
Lee, S. (2011b) 'Why patients with irritable bowel syndrome are angry at their doctors', KevinMD.com [online], 10 Nov, available:
www.kevinmd.com/blog/2011/11/patients-irritable-bowel-syndrome-angry-doctors [accessed 16 Nov 2014].
Lee, S. (2015) '10 things you'll only know if you've got IBS', The Metro [online], 2 October, available: http://metro.co.uk/2015/10/02/10-
things-youll-only-know-if-youve-got-ibs-5415251/ [accessed 17 October 2015].
Palsson, O. (2015) “@MarkPimentelMD IMO "syndrome" is apt for #IBS: means a condition w. a set of consistently associated symptoms.
"Irritable" not as apt.” [Twitter] 11 November [online], available: @DrPalssonUNC [accessed 31/03/2016].
Pimentel, M. (2015) “I hate the word "syndrome" in #IBS. It marginalizes patients as not having a disease. #changethenameofIBS” [Twitter] 20
October [online], available: https://twitter.com/MarkPimentelMD [accessed 31/03/2016].
Spencer, J. (2014) Chronically me: flushing out my life and time with IBS. A memoir in comics.

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What's in a name? IBS Network 25th Anniversary Event 16 April 2016

  • 1. What's in a Name? Does the diagnosis matter? Vicky Grant Founder of the Knowing as Healing project Living well with Irritable Bowel Syndrome @missvagrant hil@sheffield.ac.uk IBS Network Anniversary Conference 16 th April 2016 What’s in a name?
  • 3. What’s in a name? “I hate the word "syndrome" in #IBS. It marginalizes patients as not having a disease. #changethenameofIBS” Mark Pimentel Gastroenterologist “IMO "syndrome" is apt for #IBS: means a condition w. a set of consistently associated symptoms. "Irritable" not as apt.” Olafur Palsson Gastroenterologist
  • 4. Image by Joy Spencer. Included with permission.
  • 5. “What the hell is going on in there?” Joy Spencer IBS patient and artist
  • 6. “Machete Shreds the Gut Syndrome” Sophie Lee IBS patient and author
  • 7. “Angry Bowel Syndrome” Anne IBS patient and Knowing as Healing project participant
  • 8. “Dear God Just Shoot Me Now Bowel” Sophie Lee IBS patient and author
  • 9. Irritable Body Syndrome Vicky Grant IBS patient and action researcher
  • 10. Irritable Bowel Syndrome “It marginalizes patients” Mark Pimentel “Any name with the word irritable and syndrome in it will never be taken seriously by anyone” Joy Spencer
  • 11. What some students in my university think about irritable bowel syndrome New worst email from the uni - 'Do you have irritable bowel syndrome?'. Who the hell even let that be sent out?!” “Who even gives these morons access to a computer” “Do I have irritable bowel syndrome? Hahahahaha”
  • 12. What the Royal College of Physicians think doctors should say to patients with IBS “I have examined you thoroughly and cannot find anything wrong …” “I am pleased to say that I do not think there is anything terrible going on here” “This is good news …” “You do not have a serious disorder such as cancer”
  • 13. What do IBS patients say they want more than reassurance or even possibly more than a cure?
  • 14. “I’m not asking for a solution, I’m not asking for a cure. I’m asking you to believe me” Sophie Lee IBS patient and author
  • 15. “IBS is a terrible condition”
  • 16. Emily IBS patient and Knowing as Healing project participant
  • 18. Emily IBS patient and Knowing as Healing project participant
  • 19. Image created by Joy Spencer to support the IBS Network’s change campaign #notjustIBS
  • 20. Provocation one: A change of name will not improve the health of people living with irritable bowel syndrome. A change in attitudes will. Question one: How can we change attitudes surrounding IBS?
  • 21. Provocation two: The Royal College of Physicians does not understand patients with irritable bowel syndrome. Question two: How can we encourage the Royal College of Physicians to train junior doctors to treat IBS as a serious condition?
  • 22. Provocation three: Modern medicine is preoccupied with curing diseases and is not inclusive of people living with chronic syndromes. Question three: How can practitioners and patients collaborate to create a healthcare system that is more inclusive of people living with IBS?
  • 23. Today’s talk Vicky Grant @missvagrant Knowing as Healing: living well with irritable bowel syndrome. Recruiting now. Email: hil@shef.ac.uk to apply for a place.
  • 24. Reference list Collier, J. D. ed. (2004) Medical masterclass: Gastroenterology and hepatology, London: Royal College of Physicians of London. Keshav, S. ed. (2008) Medical masterclass: Gastroenterology and hepatology, 2nd ed., London: Royal College of Physicians. Knight, J. (2013) New worst email from the uni - 'Do you have irritable bowel syndrome?'. Who the hell even let that be sent out?! [Twitter]. 28 January [online], available: https://twitter.com/Mr_Jack_Knight [accessed 29 January 2013]. Knight, J. (2013) Who even gives these morons access to a computer, let alone the uni-wide email system? [Twitter]. 28 January [online], available: https://twitter.com/stuhill90 [accessed 29 January 2013]. Lee, S. (2011a) Sophie's story : my 20-year battle with irritable bowel syndrome, Sherman Oaks, CA: Health Point. Lee, S. (2011b) 'Why patients with irritable bowel syndrome are angry at their doctors', KevinMD.com [online], 10 Nov, available: www.kevinmd.com/blog/2011/11/patients-irritable-bowel-syndrome-angry-doctors [accessed 16 Nov 2014]. Lee, S. (2015) '10 things you'll only know if you've got IBS', The Metro [online], 2 October, available: http://metro.co.uk/2015/10/02/10- things-youll-only-know-if-youve-got-ibs-5415251/ [accessed 17 October 2015]. Palsson, O. (2015) “@MarkPimentelMD IMO "syndrome" is apt for #IBS: means a condition w. a set of consistently associated symptoms. "Irritable" not as apt.” [Twitter] 11 November [online], available: @DrPalssonUNC [accessed 31/03/2016]. Pimentel, M. (2015) “I hate the word "syndrome" in #IBS. It marginalizes patients as not having a disease. #changethenameofIBS” [Twitter] 20 October [online], available: https://twitter.com/MarkPimentelMD [accessed 31/03/2016]. Spencer, J. (2014) Chronically me: flushing out my life and time with IBS. A memoir in comics.

Editor's Notes

  1. Let’s see what people say about it …
  2. This is what we are more often told though and perhaps this is why our illness is seen as either stupid or a joke or perhaps a stupid joke. Our illness is trivialised, it is not serious. It is ‘just IBS’ Emily very eloquently describes in her image how IBS patients are treated, and how that feels We are dismissed and then through this stigma we are silenced (see how Emily portrays herself as headless. That is typical if the imagery used in IBS. A person with no head also has no voice) This image intrigues me and we are using it as the symbol of our project. But not because we want to trivialise IBS! I have a question for you now … Could this word ‘just’ have two meanings?
  3. As an English student I have developed a love of words and a homonym is my favourite type of word What are the two meanings of the word just? Homonyms allow us to change the meaning of words without changing the words themselves