 He was seen back by Dr. X in April 2008 and hopes that Dr. X may reverse his colostomy and repair his hernia since he did his initial surgery, but because the patient has lost his job and has no insurance, he was referred to our clinic by Dr. X.  Currently, the patient does state that his hernia bothers him more so than his colostomy, and if it were not for the hernia then he may just refrain from having his colostomy reversed; however, the hernia has grown in size and causing him significant discomfort. 
He was seen back by Dr. X in April 2008 and hopes that Dr. X may reverse his colostomy and repair his hernia since he did his initial surgery , but because the patient has lost his job and has no insurance , he was referred to our clinic by Dr. X. Currently , the patient does state that his hernia bothers him more so than his colostomy , and if it were not for the hernia then he may just refrain from having his colostomy reversed ; however , the hernia has grown in size and causing him significant discomfort .