This topic is about an over-the-road truck driver who is preparing for colorectal cancer surgery, which will result in an ostomy. He is concerned about how this change might impact his ability to continue working as a truck driver, especially since he has been in the industry for over 30 years. He is seeking advice and experiences from others who have been in similar situations to help him navigate this new chapter.

Here are some helpful insights and advice:

1. **Type of Ostomy**
- If the colon can be reattached, a temporary loop ileostomy might be performed; otherwise, a permanent colostomy may be necessary.
- People with rectal cancer often find managing a colostomy easier than an ileostomy.

2. **Pre-surgery Learning Resources**
- Check out the United Ostomy Association of America (UOAA) and Ostomy101.com.
- Join local support groups or online forums for practical tips and support.

3. **Questions for Your Surgeon or WOC Nurse**
- Ask about the exact type and location of the ostomy.
- Find out if the ostomy will be temporary or permanent.
- Discuss stoma placement to avoid interference with the seat-belt line.
- Inquire about the possibility of irrigation, which is only possible with certain types of colostomies.

4. **Product and Supply Guidance**
- Arrange for a supplier before surgery; many companies offer free sample kits.
- Start with cut-to-fit barriers as the stoma size will change during healing.
- Consider moldable or convex barriers if the stoma is flat.
- Two-piece systems offer flexibility, and closed-end pouches are convenient for quick changes.
- Some recommended products include ConvaTec, Hollister, Coloplast, and various barrier strips and deodorants.

5. **In-cab Emptying/Changing Techniques**
- Keep a five-gallon bucket with doubled garbage bags and a tight lid in the sleeper area.
- Use surgical gloves and consider a snap-on toilet seat for added ease.
- Alternatively, empty directly into a small container lined with a plastic bag while seated.

6. **Daily Management Tips**
- If applicable, irrigation can help provide predictable output.
- Plan meals around your driving schedule to manage colostomy output.
- Warm a barrier with a hairdryer before applying to improve adhesion.
- If you notice any odor, assume leakage and change promptly to prevent skin issues.

7. **Reassurance on Livelihood**
- Many people continue to drive, camp, or travel extensively with ostomies.
- An ostomy does not disqualify you from holding a CDL as long as you meet overall health standards.
- Staying positive and being prepared with supplies will help you continue your career.