I am a 62 year old T5-T6 para 35 year post injury. Have never had any problems with bowel care until the last year or so to speak of. This year has been hell with impactions and laxatives to clear them that work whenever they please. Lately I’ve been taking 4 Bisacodyl tabs along with Milk of Mag every other day. I work full time mostly from home but go into the office a few hours each week. My VA primary care Dr. has me scheduled for a colostomy this next week (Aug 16th). This is a scary endeavor for me. Not only am I concerned about managing the colostomy but how it will affect my appearance and dress. Any comments, suggestions, words of wisdom are welcome. Thanks.