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Josh Cagwin (Acct’27)

Josh Cagwin

For Josh Cagwin, a sophomore at Leeds studying accounting, Crohn’s disease may be a defining factor of his life’s journey, but courage is the defining factor of his character.

It took courage for Cagwin to stand in front of several hundred people at the Rocky Mountain Chapter of the gala recently to deliver a speech, sharing his story of resilience and determination in dealing with Crohn’s, an incurable, inflammatory bowel disease (IBD).

Cagwin was the Patient Honoree at the September 14 event, aptly named “Night of Hope: Sparking Change for a Brighter Tomorrow,” held at The Cable Center in Denver.

In some ways, Cagwin’s speech seemed like destiny. He has been involved with the foundation for a decade, since he was 9—not just as a member, but also as a dedicated fundraiser and advocate for its work.

“As soon as I got diagnosed, my mom was really into it. She found the organization right away. So, it’s always been a part of my life,” he said.

“I’ve seen people doing speeches at the events, and they always told me that I’d be one of the people going up there. I never thought I would be, but now, I’m doing that.”

Pushing through fear

Pushing through feeling nervous about public speaking is one more thing to add to the activities where Cagwin has proven his courage. He remembered feeling “terrified” when he was first diagnosed with Crohn’s. He had experienced a rapid weight loss of 20 pounds, and a sudden abscess required emergency surgery. Vivid memories include waking up in the hospital to a sterile smell, the sounds of beeping machines and an IV in his arm.

In an essay Cagwin wrote for his writing class last semester, he described a family trip to Hawaii that occurred right before his Crohn’s diagnosis. His dad was excited for the family to go out on an outrigger boat (like a canoe), even though the waves that day were higher than usual, and most boat owners were unwilling to take passengers out.

“The first time riding back on the waves was great; you got the same effect of a surfboard with less work. The second time back was the moment that my mom says was like how I got Crohn’s. We were riding a huge wave, and as we went over the wave, the tip of the boat went into the water. It all happened so fast: We were riding the wave, and the next second we were in the water,” Cagwin recalled.

Gold bar


“When I first got Crohn’s, I felt like I wasn’t going to be normal ever again.”

Josh Cagwin (Acct’27)

He got through his first infusion of Remicade, the drug Cagwin’s mother refers to as a “miracle drug.” The pinch of the needle, knowing that his mom had to leave once it was inserted, waiting two hours until the infusion was done, and then removing the tape at the end, which also inevitably took the hair off his arm, all added up to a ”terrifying“ first experience. Cagwin still has infusions every eight weeks now, but he is getting a drug called AVSOLA.

There were other scary firsts along the way: going to overnight camp alone to Camp Oasis, a camp for kids with Crohn’s—where Cagwin one day wants to return as a counselor—and starting college in a different state away from his hometown of Atlanta.

Cagwin, a cross-country runner since high school,also persevered when completing five half-marathons with Team Challenge, a fundraising arm of the Crohn’s and Colitis Foundation. His first half-marathon was in New Orleans five years ago when he was only 14.

“By the end of the half marathon, I was chafing so bad I thought I was bleeding. But I always like to finish what I start. So, for the last mile, I was walking like a penguin ...I was still so proud of myself for finishing a half-marathon, no matter how much pain I was in.”

Learning from transformative exper