This topic is about someone who recently had a colonoscopy after undergoing colostomy surgery a year ago. Their doctor mentioned that their colon looks healthy enough for a possible reversal of the colostomy, which was unexpected news for them. They had come to terms with having a permanent colostomy and are now feeling uncertain about whether to pursue the reversal. They are planning to meet with a colorectal surgeon soon to discuss their options.

Here are some points to consider:

1. The individual has rheumatoid arthritis and is concerned about how their condition and medications might affect the healing process after another surgery. They plan to discuss these concerns with both their colorectal surgeon and rheumatologist.

2. They have found support from a community that has helped them prepare the right questions to ask their doctors.

3. They are feeling emotionally conflicted, describing their feelings as "bittersweet." They are excited about the possibility of reversal but also anxious, wanting to explore all options to avoid future regret.

4. Choosing between a reversal and a permanent stoma is a deeply personal decision. It's important to weigh the pros and cons carefully. Potential complications like bowel irregularity, leakage, or the need for another ileostomy should be fully understood.

5. Different surgeons have different approaches, such as using colostomies when permanence is expected and loop ileostomies when a reversal is planned. It's crucial to clarify the surgical intent and feasibility with your own surgeon.

6. Chronic conditions like rheumatoid arthritis and medications that suppress the immune system can slow down healing. It's important to coordinate closely with your rheumatologist about any necessary medication adjustments before and after surgery.

7. Take your time to process all the information, list your questions, and make a decision that aligns with your lifestyle and comfort level.

8. One person shared their experience of having two resections and a colostomy for diverticulitis. They recently had a reversal and, three months later, are satisfied and "don’t miss the bag at all," showing that positive outcomes are possible.