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Quote by Sally Hepworth

“They’re service dogs,” Norah said, without missing a beat. “So they have to stay with us.” Patel looked at the mutts dubiously. “These are service dogs?” “Yes,” Norah said serenely. One of the things that Alicia had always admired about Norah was the fact that she was a committed liar. Not to be confused with a good liar; Norah’s gift was the ability to come up with a lie on the spur of the moment and remain committed to it against all logic and reason. “For…?” The pause was negligible. “Irritable bowel syndrome.” The detectives exchanged a look. Hando, still stroking the dog’s chin, snorted. “You have service dogs for IBS?” “Of course.”

Quote by Sally Hepworth

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Darling Girls

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Sally Hepworth

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“The typical medical interpretation of microscopic colitis does not include the possibility of constipation as a symptom, nor alternating diarrhea and constipation, and yet many MC patients have those symptoms rather than chronic diarrhea. ...Unless a patient comes to a gastroenterologist complaining of watery diarrhea, MC will probably be completely off the doctor's radar. Few colonoscopies are done to investigate cases of constipation, and without a colonoscopy or sigmoidoscopy plus biopsies, diagnosis of MC is impossible. In cases such as these, the default diagnosis will almost surely be irritable bowel syndrome (IBS), so the patient will be very unlikely to receive any treatment that is effective at relieving the inflammation that's causing the symptoms.”

“It is known that if the symptoms of MC remain untreated indefinitely, additional autoimmune issues are likely to become a reality, and even if the issues are later resolved, permanent damage can remain, especially in the case of arthritis symptoms. In addition, permanent residual neurological damage can result from untreated gluten sensitivity. (Hadjivassiliou, Grunewald, & Davies-Jones, 2002)”

“After discovering Wilhelm Reich's insights on natural motility and blocked spontaneous movement, I connected IBS to his concept of Vegetative Equilibrium. Reich taught that neuroses arise when the body and mind lose their balanced energy state, stifled by social and religious repression. This creates physical armoring. The imbalance blocks natural energy discharge and fluid expression. It breeds psychological strain and physical ailments like mine.”