Topic Explanation:
The discussion revolves around a patient's concerns and experiences related to undergoing a CT scan with oral contrast for monitoring a potential fourth hernia. The patient expresses anxiety about the procedure, the taste and amount of oral contrast required, and the implications of the scan results. There is also mention of the patient's frustration with the surgeon's indecisiveness about using contrast and the overall stress of dealing with multiple health appointments.

Extracted Advice and Helpful Insights:
1. Oral Contrast Experience:
- Oral contrast is typically consumed a few hours before the scan. It is described as having a thick consistency, similar to a shake, and comes in flavors like banana. The taste is not particularly sweet but is generally tolerable and not unpleasant enough to cause vomiting.
- The amount of oral contrast usually equates to around 20 ounces, and patients may need to fast for several hours before consuming it.
- Some patients find the oral contrast chalky and difficult to drink, comparing the experience to consuming colonoscopy prep. Taking large gulps every few minutes can help manage the intake.

2. CT Scan Procedure:
- The CT scan itself is quick and straightforward. If IV contrast is also used, it may cause a sensation similar to urinating, although this is just a sensation and you remain dry.

3. Management of Hernias and Ostomy:
- The general approach to managing hernias in patients with an ostomy is to monitor the condition as long as it does not affect the stoma's output or cause issues with pouching. Surgery is typically considered only if these problems occur.

4. Handling Medical Appointments and Stress:
- It's important to manage stress by taking one appointment at a time and trying not to get overwhelmed. Comparing one's situation to others' can sometimes add to stress, so focusing on one's own challenges and addressing them systematically can be more beneficial.
- Seeking support from therapists or changing therapists if the current one isn't providing the needed support can be crucial in managing mental health during stressful medical processes.

5. Contrast Use in Scans:
- There is some inconsistency in whether oral or IV contrast is used, as decisions may change based on the specific diagnostic needs and patient's health condition. If a patient can tolerate IV contrast, it is preferred for a clearer image, although alternatives like oral contrast are used if IV contrast is unsuitable due to allergies