Topic Explanation:
Sadie, a 31-year-old with Crohn's disease, has had an ileostomy for 5 years and is considering reversal surgery despite existing inflammation. She is frustrated with the lack of progress and is seeking advice on medication options.

Advice and Insights:
- Reversal surgery with existing inflammation is risky and has a high recurrence rate.
- It's important to research and understand the risks involved in reversal surgery with ongoing inflammation.
- Some individuals have found it challenging to accept their situation but have ultimately decided to focus on their current health and well-being.
- Remicade treatment has been suggested to stop inflammation and promote healing before considering reversal surgery.
- Some individuals have had negative experiences with reversal surgery, including complications and the need for a permanent ileostomy.
- It's important to carefully consider the potential risks and benefits of reversal surgery, especially when feeling healthy with the current situation.
- Living pain-free and being healthy is a significant factor to consider when making decisions about reversal surgery.