Topic Explanation:
The initial post discusses the decision to keep a colostomy due to the risks associated with reversing it, particularly related to the use of prednisone for severe psoriatic arthritis.

Replies - Advice and Insights:
- It's important to proceed with eyes wide open when making decisions about medical treatments.
- The decision to keep a colostomy is a personal matter, and it's heartening to hear the reasoning behind it.
- Prednisone can have significant long-term effects and may not be a good long-term treatment, but sometimes it's the only option that works.
- Quality of life can sometimes outweigh the potential side effects of certain medications.
- There are various medications available for psoriatic arthritis, and it's worth discussing different options with a healthcare provider.
- It's beneficial to explore different medications for psoriatic arthritis, as treatment options have expanded in recent years.

Replies - Similar Advice:
- It's important to proceed with eyes wide open when making decisions about medical treatments.
- The decision to keep a colostomy is a personal matter, and it's heartening to hear the reasoning behind it.
- Quality of life can sometimes outweigh the potential side effects of certain medications.
- There are various medications available for psoriatic arthritis, and it's worth discussing different options with a healthcare provider.