I was diagnosed with UC in 1995. I had an extremely severe case of it. My colon finally ruptured in September of 1999. In February of 2000 I received a J-Pouch. I never had any problems until 2006 when I noticed a lump forming near my vagina. It looks as if it's a fistula. I have had this thing for the past three years and have not been able to have it taken care of because I cannot afford medical insurance. I applied for state assistance, but they denied me. My fistua has gotten worse with time and and it is abscessed and causes me a lot of pain on a daily basis. I've even had to miss work on occasion because of this. My local doctor isn't experience with patients who have J-Pouches. I live in a small community. He has written to several doctors asking if they would be willing to see me for free or on a discount basis because in his own words my condition is "chronic" and I "desperately need help". Not one doctor ever responded to his letters. I am at my "wits end" because I don't know what to do. I am battling with depression now because of this. I feel that there is no help out there for me. I thought I would try to write here to see if there was any way you could help me out. I don't know what else to do. Any help or advice would be greatly appreciated. As each day goes by my condition becomes worse and so does my metal health as well.