We are here to help and keep you safe. We will do our very best.

An ordinary Thursday, yet today was extraordinary. A morning of planning, an afternoon of clinic. A hospital full of life, full of activity. Amidst the familiar routine something subtle has shifted. But it is there, noted in all the little interactions.

My job, my duty, my role. I am a doctor; a gastroenterologist; an IBD physician. My duty is to my patients, our patients, all our patients. And to my colleagues, not just medical but all the multi-disciplinary team. Everyone is looking for answers, for guidance for leadership.

For people living with IBD I would like to reiterate my important message posted last week. Please continue to take your medicines. The biggest risk of picking up an infection of any kind is having active disease, or the steroids used to treat a flare.

If we could work out what dietary aspects cause IBD could we prevent this rise? Hmm … the lessons from obesity and diabetes where we know the cause are salient. The prevalence is only going UP. And here we don’t even know. We need robust models and biomarkers to fix this problem.

We can (and with the requisite funding will) utilise the scalable technology and data collection methods we have developed to tackle these questions. For now, it is across the UK. Next we should go global.

Every person with IBD is different; every flare is different (is it even a flare if there are no symptoms? — this is increasingly common …. And yes, it is a flare … but I think we need new definitions urgently to help in clinic). Robust longitudinal data that captures key clinical parameters, patient report outcomes (not forgetting QoL, pain, fatigue, sleep, impact on work / life etc) and biological inflammation (CRP and calprotectin) is so important for every person with IBD

There is a lot of talk about finding a cure for IBD. What might this look like? IBD is more than just Crohn’s disease and ulcerative colitis … it is a spectrum of heterogeneous of clinical, environmental, microbiological, immunology and molecular pathways that combine to present in different ways in every single person who becomes unwell. 

A few words of hope to the millions of people around the world living with Crohn’s disease and ulcerative colitis. A rallying cry to the many healthcare professionals looking after people with inflammatory bowel disease.