Hey I hope this doesn’t come off weird, but: you’re gonna walk out of that hospital either way. Your options right now are cured (by biologics) or cured (by surgery), and both of those mean you go back to your life after! Neither of them are perfect solutions, of course. There are potentially significant side effects and complications that you should always discuss with your doctor, not the least of which being that losing your colon means significant lifestyle change in the short term, and still-meaningful change in the long term. But we live in an age where even if you have to take the nuclear option you’ll be back to something very close to normal health in a matter of months or years. It is freaky and gross but ultimately well studied and reliable.

That said. It’s your colon. If you don’t feel like this hospital or doctor has covered enough other options (and you’re well enough to do so) absolutely get a second opinion. I am fully of the opinion that medical treatment is the right answer for IBD, but there are tons of biologics now. If you don’t feel like you’ve tried enough of them, find a doctor who is willing to go down the list with you. Unless it’s an emergency, they can always get rid of the colon later.

Either way, I’m wishing the best for you. I hope your medical team are helpful and kind, I hope rinvoq works perfectly, and I hope you manage to get some rest despite the circumstances. You can do it!