Topic Explanation:

The discussion centers around Sharon, who has been dealing with a colostomy since a severe diverticula attack led to emergency surgery. She is struggling with self-blame, depression, and lifestyle changes post-surgery. Sharon is contemplating whether to proceed with further surgery to remove the rest of her large colon, as recommended by her surgeon, but is hesitant and seeking advice from others who have experienced similar situations.

Advice and Insights:

1. Surgical Decisions:
- Consider getting a second or even third opinion from qualified surgeons before making a decision about further surgery.
- Some suggest opting for a permanent ileostomy if the large intestine is to be removed, but emphasize that the decision is personal.

2. Mental Health and Support:
- Depression is common after such surgeries; talking to family, friends, or mental health professionals can be beneficial.
- Engage in self-compassion and avoid self-blame. Recognize the importance of mental health support.

3. Lifestyle and Attitude:
- Small lifestyle changes, like starting with short walks, can improve mental and physical health.
- Maintaining a positive attitude and finding enjoyment in life despite challenges is crucial.
- Stay hydrated and focus on a balanced diet.

4. Community and Resources:
- Utilize support from fellow ostomates and professional resources, such as trained staff from pouch suppliers, for advice and reassurance.
- Sharing experiences and seeking advice from others in similar situations can provide comfort and guidance.

5. Personal Empowerment:
- Embrace the role of being in charge of one's health decisions, which can positively impact outlook and outcomes.
- Acknowledge the importance of self-motivation and personal responsibility in managing health and lifestyle changes.