The topic at hand is about the challenges and considerations of returning to work after undergoing ileostomy and rectal closure surgery. This can be a complex decision, especially when dealing with ongoing health issues and financial pressures. Here are some insights and advice that might help:

1. Legal and Employment Considerations:
- If you resigned, it might affect your eligibility for long-term or job-related disability benefits. It could be beneficial to consult with a labor or disability attorney to explore options like wrongful dismissal or reinstatement. Many attorneys work on a contingency fee basis.
- In the U.S., applying for Social Security Disability Insurance (SSDI) can be challenging, as many are initially denied. Persistence is key, and reapplying or seeking help from firms like Binder & Binder might be necessary.
- Familiarize yourself with the Social Security Administration's medical-listing rules to understand the criteria for qualifying for benefits.
- If considering a return to education, look into roles that are less physically demanding and stressful, such as curriculum development or personnel management.
- In countries like Canada and the UK, government disability or early-medical-retirement benefits might be available, and similar principles apply in the U.S., such as doctor certification and persistent paperwork.

2. Medical and Surgical Advice:
- Continuous leakage or non-healing openings should not be considered normal. Seeking a second opinion from a colorectal surgeon experienced with Crohn’s and ostomy closures is advisable.
- A supportive surgeon is crucial for disability documentation. Some have found surgeons more helpful than gastroenterologists for ongoing care after ostomy surgery.
- Healing times can vary greatly. Some people return to heavy work within two months, while others may need a year or more. It's important to go at your own pace.
- After hernia repair and with low body weight, additional recovery time before engaging in activities like lifting or prolonged standing is recommended.

3. Practical Coping and Quality-of-Life Tips:
- If a physician downplays your condition, calmly explain the daily challenges you face. One suggestion is to give the doctor a water-filled latex glove to wear in their waistband to simulate living with leakage.
- Keep detailed records of symptoms, dressing changes, and limitations to support any disability or workplace-accommodation claims.
- For those who can work, develop a standard response to intrusive questions and adjust clothing to conceal appliances. Elastic ostomy belts can help reduce visibility and support the abdomen.
- Emotional readiness might take longer than physical healing. Allow yourself time, consider counseling or support groups, and maintain regular contact with healthcare providers.
- Weigh the balance between income and health. Some have chosen reduced hours, volunteer work, or medical retirement to maintain a better quality of life.