"Keith was diagnosed with UC shortly after Labor Day 2007. Although he had a 103-degree fever and frequented the bathroom 20 times a day, he still commuted to work by train and bus—neither of which had a toilet. After Keith's first hospitalization, during which his doctor told him UC patients have an increased risk of colon cancer, he gave up meat, except fish, a significant decision for a person who considered buffalo wings a delicacy.

"A typical 20-something guy, Keith surprised me by taking responsibility for learning about his disease and for seeking help when he needed it. He read books about UC and about dealing emotionally with a chronic illness. And he confided his doubts and fears to me. Each weekend became a celebration as he tapered off his medication. And yes, even each bowel movement was a kind of success, as first the mucus and then the blood disappeared. Even in the midst of a frightening time, Keith showed me that small changes can mean big success."