This topic is about a police officer who is navigating the challenges of returning to active duty while living with a temporary ostomy. After undergoing emergency surgery for diverticulitis, he now has a temporary colostomy and is eager to return to his road-patrol duties. However, he has some concerns and is seeking advice from others who have been in similar situations. Here are some helpful insights and advice:

1. Hernia Prevention
- Open abdominal incisions can lead to a lifelong risk of hernias. It's advisable to use hernia or support belts, like the Copper Fit support belt, and avoid heavy lifting or straining.
- If a reversal and hernia repair are needed, they might be done laparoscopically, which can help minimize further muscle trauma.

2. Managing Gear, Body Armor, and Leaks
- Ensure the vest is snug but not too tight to avoid compressing the barrier. Heat can affect adhesive, so plan for extra checks and more frequent changes.
- An officer with a colostomy since 2003 manages patrol duties by having body armor end above the wafer. For on-shift emptying, he uses a method called "tactical reload" to discreetly manage his pouch.
- Consider using Coloplast Y-shaped barrier strips for added leak protection under the armor vest, along with a reliable two-piece pouch system and, if needed, a barrier or "control" ring.

3. Diet and Output Control
- Opt for smaller meals with high protein and adequate fluids. Granola and juice are suggested for one main meal.
- Be mindful that thicker output can clog some stoma guards. Adjust your diet or discontinue the guard if waste does not drop into the pouch properly.

4. Alternative Duties if Necessary
- Consider roles such as detective work, academy instruction, range officer, or school resource officer. These positions can reduce physical confrontations while keeping you in law enforcement.

5. Administrative and Return-to-Work Considerations
- Workers’-comp doctors primarily focus on protecting the department’s liability. Clearance is often granted if you acknowledge and manage your own risks.
- The Family and Medical Leave Act (FMLA) can provide additional recovery time, so don’t rush your healing process before the reversal.

6. Real-World Examples
- There are officers who have successfully returned to full-time patrol duties with permanent colostomies, showing that it is possible to continue in this line of work.