Thank you, fellow amhole-spotter! Fixed.
I mean, he chose both. He
wanted the amhole; he got the amhole
and the diverting ileostomy.
Ostomates can be pretty self-sufficient people, but it's a lot like organ transplant recipients: they only do it when the alternative is worse. There's cancer, a gunshot, or bad RNG at birth, but a lot of people ended up with an ostomy only after decades of suffering with UC or Crohn's. As annoying as it is to deal with the appliance, after years of pain, malnutrition and anemia, they tend to say they wish they'd had it sooner.
Someone who's debilitated with cancer at 80 with a new ostomy: probably not lasting long, unlikely to achieve independence in changing it, likely to refuse to look at it and demand the nurses teach their spouse instead. Someone who made the sober decision to get the colon that's killing them yanked at 35: joining online groups for tips and tricks, buying a StomaShield and finally running that half-marathon. With occasional bitching about invisible disabilities, but if you're going to thrive with an ostomy you need an internal locus of control.
The intestine usually doesn't stick out that much, hence his concern. Another note is that ostomy bags come in clear and opaque; clear are for hospitals and nursing homes, where someone else is responsible for checking on your stoma. Opaque is for independent ostomates.
And ostomy bag
covers are for funsies:
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