Well, I'm back asking questions again.  I went in for my consultation about
a week and a half ago and unfortunately I've had too many days of feeling
bad wasn't able to get back with you all.

In the consultation for the ileovesicostomy the doctor noted that I had had
a previous doctor recommend that I think about doing a colostomy in the
near future.  Well, now they're wondering if I want to consider doing a
colostomy at the same time I am having the ileovesicostomy performed.  I'm
about 90% sure I'm going to have the ileovesicostomy, because I really
don't see any alternative.

As for the colostomy, everyone I talk to down here seems to think it's a
good idea, including at least one quadriplegic who has one as well as
ileovesicostomy.

When the doctor made this recommendation I was having a terrible time with
my bowels.  Fortunately he was able to diagnose several of my problems and
I have improved quite a bit since that time.  I am still having
difficulties though.  The list of fruit and vegetables I can't eat or can
only eaten very limited quantities is much higher than the list the list I
am able to eat.  My lactose intolerance has gotten progressively worse, to
the point where I almost completely have to eradicate dairy products if
possible.  I have difficulty processing tomato sauces and am having trouble
almost every time I go out to be in a restaurant.

Let me put this into perspective.  I don't really have problems with
incontinence, but when I do have problems it's usually terrible pain
followed up by very loose stool.  My bowel program has gotten much longer
over the last year and a half.  A lot of this is because my body produces a
lot of mucus after the stool has passed.  We usually check about every 15
minutes and sadly my bowel program is now averaging around 3 1/2 hours.  We
can probably cut it down to two hours and 45 minutes if I didn't worry too
much about the mucus and then had my caregiver cleaned up in the morning,
but she asked small fingers and I also risk having the mucus attack while I
am seated in the wheelchair if I do this.

I'm leaning towards having the procedure done, but I haven't really heard
that many negatives other than the few comments I saw all on one forum.  I
know darn well there's got to be negatives, so I'd appreciate if you could
pass them on to me.

One of the quadriplegics who I talk to last year told me about some sort of
burping, but he didn't elaborate.  I do not have the ability to move my
hands or arms at all, so I don't know what would happen if I need to do
something like burping.

I'm going to continue to search the web, but I would appreciate some
feedback.  You guys have been great on the ileovesicostomy and I really do
appreciate it.  These are, as all of you know, decisions which we have to
live with.  Sure I guess they are reversible, but I have known one person
who had his colostomy reversed after he went into remission and he had a
horrific time getting his bowels to work properly once again.  In fact, he
ended up in the ICU on life support at one point.

Thanks everyone,
Quadius
PS hopefully there are too many problems with this e-mail.  I am in need of
a microphone change.  :-) actually a soundcard would probably be better,
but I need something which improves my accuracy.

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