The Two Jakes: A Biography of Resilience
My story is not a single narrative, but a bridge between two distinct lives. On one side of the bridge stands a healthy, popular, and vibrant child whose world was defined by the simple joys of the Jersey shore, fast food, trick-or-treating, and the effortless energy of youth. On the other side stands the man I’ve become, forged in the fires of chronic illness—a traveler in a terrain of chronic pain, navigating a world that often feels like a beautiful room I am only permitted to view through a locked window.
The Shattering: The Life Sentence
The transition occurred with devastating speed at the age of twelve. What should have been a decade of growth and self-discovery was instead marked by a violent disruption. I remember being poked and prodded, enduring colonoscopies and endoscopies, all while holding onto the hope that this was just a stomach virus. A bad dream that I would soon wake up from….But the universe had a different plan for me. The memory of hiding under the heavy hospital blanket, trying to make myself invisible, as the gastroenterologist handed down their diagnosis is forever etched into my conscience. Their voices were soft, yet their words carried the weight of the world. They explained to me I had Crohn’s disease—a chronic illness I would have to live with….forever. These were words I was not willing to confront yet alone could barely process. In that moment, I felt myself shatter into a million pieces. I cried uncontrollably as I lay in that bed, weak and unable to move, paralyzed by fear. I looked like a Holocaust survivor—a skeletal, ghostly shadow of the vibrant healthy child I had been just weeks before. I was held captive by my own biology, stuck in a prison with no escape. How could I accept “forever.”
The treatment for my survival became its own form of torment. Prescribed high doses of Prednisone, I experienced a radical personality shift. The medication induced mania, aggression, and a deep, dark depression that saw me hospitalized for suicidal ideation at the ripe age of twelve. I became anesthetized by a cocktail of psychiatric medications that further distanced me from the social butterfly I once was. I found myself losing friends as they did not recognize or understand the changes I was going through. Many of their parents did not want their child around someone who was so problematic.
This isolation was physical as much as it was psychological.In my mind every restaurant and gathering place became marked with a giant, red, blinking “X” through it, letting me know I could not go there. I recall the agonizing addiction to the very things that caused my symptoms to surface….. —the memory of being chased around the kitchen table at Halloween, desperately stuffing candy into my mouth as my parents pleaded with me to stop, worried I would end up back in the hospital. My relationship with my body became a war of attrition, an obsession born of deprivation. After one month long stay in the hospital before my first surgery I made a long list of every food I wanted to eat and the order in which I wanted to eat them, starting with my Mom Mom’s brisket. Thus began a very unhealthy self sabotaging relationship with food. I mean how could anyone expect a child to respond to so much restriction?
College provided a brief, yet cherished window of relative health and a taste of the independence I so desperately craved. I traveled to Australia to study at Bond University, a time that felt like a glimpse into a life untethered from my diagnosis. However, even on the other side of the world, the disease remained my silent passenger.
I reached a physical breaking point there that required an emergency infusion of Remicade just to remain functional. Yet, the moment the medicine took hold and the flare-up receded, I didn’t stay in bed. I headed straight for Snapper Rocks. Challenging those famous point breaks was a turning point for me; it was the first time I realized that while my body might be fragile, my spirit could still dominate the surf with the best of them.

After college, I faced the crushing weight of expectation as I attempted to enter the professional world. My family, naturally desiring my success, looked for me to build a career and achieve the independence that every man seeks at this stage in their life. I threw myself into the world of real estate, using my talent for connection to excel in the world of sales. I was successful almost immediately and even sought after for recruitment by big names in the industry. But my biology was a silent saboteur. The energy required to maintain the facade of a “normal” professional life and keep up with fiduciary duties was a pace I could not keep. I tried to claim my independence, only to have my health collapse like a house of cards. Each failure felt like a disappointment to those I loved—a recurring theme of falling short of expectations because my body simply did not provide the energy required to function. This struggle for independence and self sufficiency would follow me for many years, as I tried to find a stable footing in the traditional world.
The Saltwater Sanctuary: The Blank Canvas of a Wave
In the depth of my incessant suffering I found two portals of transcendence. The first was the ocean. Introduced to surfing by my cousins, the Atlantic became my place of worship. Influenced by the active meditations of Thich Nhat Hanh in Peace Is Every Step, I found that the rhythm of the waves allowed me to enter a state of total mindfulness where all my problems would melt away.
In the water, the “X-ed out” world vanished. I wasn’t a sickly individual to be pitied by others,”; I was an artist. Every wave presented itself as a blank canvas, an opportunity to transmute my emotions into raw individual expression. Here my limitations were irrelevant. On that canvas, I could draw lines of strength and grace that my terrestrial life denied me. I realized that peace is not a destination I will reach when I am finally “cured”; peace is the quality of the struggle itself, the ability to thrive within the struggle of the storm. The bond formed with my cousins became my bedrock, providing a passion I could turn to for the rest of my life. A gratitude that could never be repaid.













The second portal was sound. After my professional careers were cut short, I leaned heavily into my creative endeavors during my 20s and 30s. Using the inescapable reality that I had physical limitations and therefore inevitable downtime, i was able to harness this new found down time to acquire new skills like playing the piano by ear, and music production using synthesizers and software such as Ableton Live. Combined with my love for poetry, lyricsim, fashion, and all creative arts This would soon pave the way to finding myself In a band in Philadelphia called Histrionica with a sound all our own. On stage, the solitary depleted figure was replaced by a presence that was loud, confident, and successfully able to communicate with others through music. Beautiful musical relationships formed that would give birth to many creations that i was proud to be a part of. Music allowed me to take the raw, jagged pieces of my trauma and forge them into something resonant. Histrionica gave me an incredible outlet and allowed me to reclaim a sense of identity and success that was entirely my own. An ability to transcend the calamity within my life.

The Modern Philosopher
Today, I live on a metaphorical tightrope. After five major surgeries—including four small bowel resections and a rectal fistula abscess surgery—I have learned that my health depends on maintaining a very strict balance. Every choice—what I eat, how I move, how I manage my stress—is a high-stakes calculation. One wrong move can result in the most serious of outcomes. I have moved beyond the anesthetized state of my youth into a life of extreme discipline and deep philosophical contemplation.
My creativity is my transcendence; the ocean is my sanctuary; and my struggle is my philosophy. I no longer seek to hide my condition. Instead, I use my creativity as an outlet to transcend the trauma. I am a writer, a creator, and a surfer who refuses to accept defeat. While the challenges of Crohn’s disease are insurmountable, I have developed the resilience necessary to navigate them and continue to find new ways to thrive despite the hand I have been dealt. This is done not by ignoring the opposing forces of my life, but by navigating them with the same precision and courage I use to drop into a wave. I am still here, balancing on the wire, watching the tide come in.
Journey to Diagnosis:
The year 1996 was supposed to be the pinnacle of a suburban childhood. At twelve years old, life was a series of low-stakes adventures, and there was no better theater for those adventures than the New Jersey shore.
For years, summer meant one thing: the boardwalk. It was a world of salt air, neon lights, and the heavy, sweet scent of fried dough. My friend David Lippoff and I were the kings of that wooden stretch. We spent our nights chasing the thrill of being twelve—patrolling the boards, trying to catch the eyes of girls, and navigating the crowded aisles of arcades with the kind of boundless energy only a healthy kid possesses.
Our ritual was sacred, and it always centered on Mack & Manco pizza. There was something about that thin, crispy crust and the swirl of sauce that tasted like freedom. We’d grab our slices, the grease soaking through the paper plates, and walk for miles without a single care in the world. Back then, my body was an afterthought; it was simply the vessel that carried me from the beach to the boardwalk and back again.
But that summer, the rhythm changed.
It started as a dull hum of discomfort that I tried to ignore, unwilling to let anything sideline me from the season. But soon, the “normal” summer I had known began to rot from the inside out. The abdominal pain didn’t just arrive; it invaded. It was a sharp, unrelenting agony that made the very idea of pizza or the boardwalk feel like a lifetime ago.
I remember being at a friend’s house when the floor finally dropped out. The vomiting was constant, a violent purging that left me hollow and trembling. I slipped into a state of delirium, the lines between the room I was in and the nightmares in my head beginning to blur. I didn’t know where I was. I didn’t know what time it was. The world had shrunk down to the size of my own pain.
When my parents arrived to pick me up, I was a ghost of the kid who had been chasing girls on the boardwalk just weeks prior. I was completely out of it, drifting in a haze of fever and exhaustion as they rushed me toward the hospital.
That was the day my reality as happy health kid was shattered into a million pieces. .
Entering the hospital wasn’t just a medical necessity; it was the formal end of my childhood. I went in as a boy whose biggest worry was which ride to hit next at the amusement park, and I woke up to a diagnosis that would redefine my very existence: Crohn’s Disease. The vibrancy of the Jersey shore, the taste of Mack & Manco, and the easy laughter with David were all left on the other side of that hospital door. My childhood wasn’t just interrupted; it had become a casualty, the first in this war, replaced by a clinical reality I was never supposed to have to understand. Thus began my journey…….
Treatment
What is your treatment history? Which treatments worked or didn’t work?
It has been a long arduous journey of trial and error when it has come to finding a successful treatment option. I have actually tried every single biologic available including the newer pill form Jak inhibitor drugs. I have tried and failed the following medications although each has worked to some degree before losing their effect. I started with Pentasa after being diagnosed which had little to no effect. Prednsione was on board as well from my first flare up. My very first biologic was none other than the OG, Remicade, which worked amazingly well, seemingly stoping my flare up over night and improving all markers of symptoms from diarrhea to stomach pain etc. It was touted as a miracle drug and that certainly was my experience as symptoms from flare ups were stopped dead in their tracks, reviving my energy like it was bringing me back from the dead. I could feel my intestine start to open more and food and fluid starting to move properly through my intestine again. After failing Remicade after 4 years of being on it I then qualified for another study and switched to Humira. This also worked to some degree but never seemed to last as long only giving me relief for the week after I took it and then wearing off. After Humira I switched to Cimzia injections which worked much in the same way not lasting more than a week or two before reverting back to being symptomatic. After that I decided to give Enytvio a try for about 6 months and did not notice any change in symptoms and I always felt uncomfortable given the types of side effects it could pose specifically when it came to Progressive Multifocal Leukoencephalopathy (PML), caused by the JC virus. After stopping this medication I then made the decision to give Remicade a re-try being that it was the one that worked the best up until this point. Again I had a little relief but it was not enough to continue and after about 6 months of that I then made the decision to try Stelara. I did feel like this drug gave me some relief but it was always short lived with symptoms diminishing directly after the infusions and even during I could feel a change taking place in my intestine, almost as if I could feel my intestine starting to open up and increase peristalsis. Again this was short lived as I dealt with flares the whole time I was on this medication. The search continued and with the drug class of JAK inhibitors I now had a new drug to try in a pill form called Rinvoq. I did feel like this medication provided me some relief at first and even rescued me during a flare up I was having in the hospital. This drug was never able to keep me in remission however as I continued to experience flareups there after sporadically almost every three months or less. It was then I decided I was going to either try skyrizi, which my brother Eli who also has Crohn’s disease was currently taking and doing quite well on, or its sister drug Tremfiya. I ended up choosing Tremfiya being that it worked on two pathways rather than one like skyrizi, by both blocking the IL-23 cytokine and binding to the CD64 receptor as I thought this could lead to a better outcome. That brings me to now. Currently doing very well on Tremfiya after starting it in September. I have been declared to be in remission although I can have some GI symptoms at different times depending on what I eat etc. It is important to make the differentiation between experiencing GI symptoms from a true pro inflammatory flare up of IBD. Nothing is ever going to be perfect and I can’t expect it to be after having four separate small bowel resection’s since I was 12 years old and one rectal fistula abscess surgery with seton placement that id rather forget!! I am en extremely self disciplined individual when it comes to all that I have to take on and believe that food is thy medicine. I constantly keep a food journal to correlate all symptoms I experience with what is causing it so I can avoid making mistakes in the future. I am also very well educated and interested in holistic healthcare and nutritional and supplemental nutrition to add to the overall health picture for my chronic illnesses. My life has become a roadmap of awareness and experiential wisdom, that can only help to benefit those that have not yet walked the path that I have. This is my purpose.
The Game of Crohns

Welcome to the Game of Crohns, where navigating IBD is the ultimate quest for resilience. This guide is designed to be your companion through the most challenging…
Chronic illness isn’t just a physical battle; it’s a strategic game that requires the right gear, a solid alliance, and a deep understanding of the terrain. Whether you are currently in the “ER Level” or strategizing for long-term “Wellness Victory,” this guide provides the maps and maneuvers you need to take control of your story.From managing clinical trials to mastering the mind-gut connection, we are here to ensure that while Crohn’s may be the opponent, you are always the hero of your own journey. Success doesn’t always mean conquering the game. Sometimes success is measured in our ability to survive it and even learn how to thrive within it. Let’s play.
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