This topic is about a UK ostomy patient who shares their reflections on gratitude and Thanksgiving, extending warm wishes to American members and inviting everyone to express what they are thankful for. Here are some of the things they are grateful for:

- Living a pain-free and unique life with a permanent ostomy bag.
- Returning to college and achieving high marks, like getting an A in math after missing exams before.
- The health and happiness of family and friends, and the return to normal life after being hospitalized.
- The friendships and inspiration found in the online ostomy community, which encourage travel and personal growth.
- Maintaining a generally positive outlook, being happy 99% of the time, and wanting to hear more positivity from others.

Here are some pieces of advice and insights shared:

1. Take time to reflect on and express what you are grateful for; it helps reinforce optimism and well-being.
2. Support from the ostomy community, including family, friends, and online peers, is invaluable for maintaining normalcy and happiness.
3. Choosing or accepting an ostomy can significantly improve the quality of life after years of illness.
4. Cultivating contentment, even if not 99% happiness, can make everyday life more comfortable and fulfilling.
5. Long-term ostomates emphasize the importance of a positive attitude, regular exercise (like swimming, dancing, and walking), meditation, travel, and maintaining close relationships to thrive with an ostomy.