OFFICERS President:

Webmaster: Janice Winters Paul Rossi 410-647-6171 268 Shakespeare Drive Severna Park, MD 21146 410-255-6802 410-987-0094 410-672-6983 Melissa Blood BOARD OF DIRECTORS Dennis Fila Joan Gardner Ginny Gross Stan Baker Janice Winters Allyn Mellits

Vice President Stan Novack Secretary Jamie Darr Treasurer Lyn Rowell Youth Rally Coordinator

OSTOMY ADVISERS: Irene Repka, RN, BS, CWOCN Michelle Perkins, RN, BS. DIRECTOR EMIRITUS - Mary Lou Thomas, RN, BA, CWOCN

Were on the Web! www.annearundelostomy.com

Volume 38 Number 10 CURRENT MEETIING August 2, 2012 * Roundtable Discussion August 2012

FUTURE MEETINGS September 6, 2012 * To Be Announced

Note: Regular meetings are held on the first Thursday of each month, at 7:30pm on the 7th floor of the new Health Science Building. Check with the 7th floor desk for the room number. See overleaf for directions. If AA County Schools are closed due to inclement weather, there will be no meeting. Q. IN WHAT SCHOOL DO YOU LEARN TO MAKE ICE CREAM? A. IN SUNDAY SCHOOL !

A WORD OF THANKS for their constant support of our Chapter to: The American Cancer Society, especially the office in Gambrills, for essential help with our newsletter; and Anne Arundel Medical Center for providing rooms for our regular meetings and special events. We appreciate their support and assistance. NOTICES The display, description, demonstration or distribution of products at our meetings, or in the newsletter, or by the recommendation of a member of our Association, does not constitute an endorsement of that product by the AACOA. CONSULT YOUR DOCTOR or ET Nurse before using any products or methods published in the AACO newsletter or suggested by a member of the AACOA. Your own doctor or ET nurse provides medical advice that is best for you. Items from this newsletter may be reprinted in other ostomy newsletters, provided proper credit is given as to source of material.

OSTOMY ADVISORS FOR STOMA HELP We are fortunate to have available the services of Enterostomal Therapy Nurses serving our local area: To consult with one of them, a physicians referral is necessary and a fee will be charged. Call for an appointment. BALTIMORE WASHINGTON HOSPITAL Carol Canada RN, BSN, CWOCN 410-787-4578 ANNE ARUNDEL MEDICAL CENTER Irene B. Repka RN, BS, CWOCN Michelle Perkins, RN, BS Kelly Heffron, BSN, CWOCN 443-481-5508

Private Consultants
Joan M. Sullivan, MAS, RN, CNA, CWOCN 410-932-7312

Directions to Health Science Building Anne Arundel Medical Center

From Annapolis and the Eastern Shore: Take Route 50 West to Jennifer Road exit (Exit 23A). Go through the traffic light onto Medical Parkway. From Baltimore: Take I-97 South to Route 50 East, to Parole exit (Exit 23). Turn right onto West Street then right onto Jennifer Road. Go approximately one mile, and turn left at traffic light onto Medical Parkway. From Washington DC: Take Route 50 East to Parole exit (Exit 23). Turn right onto West Street then right onto Jennifer Road. Go approximately one mile, and turn left at traffic light onto Medical Parkway. Alternate to I-97 from Crofton/Odenton area Take 178 South through Crownsville towards Annapolis. Turn left on Bestgate Road and then right on Medical Parkway. REMEMBER!!! The entrance to the medical center is FROM THE SECOND FLOOR OF THE PARKING GARAGE. Once inside the building you will be on its second floor take the elevators inside up to the 7th floor. When leaving, take the elevator the second floor and go through the doors onto the 2nd floor of the parking garage.

Forthoseservingontheboard,thenext boardmeetingisSeptember17that 7:30pm

TRANSPORTATION TO MONTHLY MEETINGS Some are not able to attend the monthly meetings because of transportation issues. Others may be able to give someone a ride. SO if you need help with transportation OR if you can help with transportation, please let us know by emailing us at webmaster@annearundelostomy.com. Please put MEETING TRANSPORTATION in the subject line. Please include your street address and city in your email we are trying to match up individuals with others in the same area. We cannot promise to be able to get you a ride, but we will try.

August 2012

The Rambling Rosebud

PRESIDENTSMESSAGE As we continue in the summer months, we are holding roundtable discussions in place of having a speaker. At our last meeting we had some good discussions and sharing of information. If youve had your ostomy a long time, please come and share your experiences with those who are just beginning the journey. We also are looking for suggestions for speakers. In the past weve had doctors, nurses, pharmacists, massage therapists, dieticians even a fire marshal. So if you know someone who you think would be an interesting speaker for the group, please let me know. Were hoping to be able to have some of our speakers from previous years return but wed love to hear from some new speakers too. Hope you are having a safe and enjoyable summer,

Paul

EMPIRE
PROFESSIONAL PHARMACY
EMPIRE MEDICAL BUILDING 200 Hospital Drive Glen Burnie, MD 21061

410-787-0030
10% discount on ostomy supplies and prescriptions for members of A.A. Co. Ostomy Association We bill Medicare and Blue Cross for you

NATURA OSTOMY DEALER HOLLISTER BARD

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Two bachelors sat talking, their conversation drifted from politics to cooking. "I got a cookbook once," said one, "but I could never do anything with it." "Too much fancy work in it, eh?" asked the other. "You said it. Every one of the recipes began the same way -- 'Take a clean dish...'

August 2012

The Rambling Rosebud

HOSPITALIZATION GUIDELINES FOR OSTOMY PATIENTS

by Dr. Lindsay Bard; via Chicago (IL) The New Outlook; the North Central Oklahoma Ostomy Outlook & Hartford (CT) The Hartford Ostomy Update

It is important for a person with an ostomy to know how he/she should be handled differently than someone without an ostomy when you need to be hospitalized. Its up to you. It is very important to communicate to medical personnel who take care of you, including every physician that treats you, that you have an ostomy, and what type of ostomy you have. Here are some rules to help you cover the details: Rule 1 The Cardinal Rule! If you feel something is being done or going to be done to you that might be harmful, refuse the procedure. Then explain why to the medical personnel, especially your physician. They will then decide with you if the procedure will actually be in your best interests. Rule 2 Supplies Bring your own supplies to the hospital. Never assume the hospital will have the exact pouching system or irrigation system you use. Most hospitals have some supplies available. These are used for emergency situations. Rule 3 Laxatives & Irrigations Follow the points below concerning laxatives or irrigation practices, according to which type of ostomy you have. Medical personnel often assume all stomas are colostomies. But, of course, practices vary among the various types of ostomies. A transverse colostomy cannot be managed by daily irrigations. The only colostomy that can be managed by irrigations is the descending or sigmoid colostomy. However, sigmoid or low colostomies do not have to be irrigated in order for them to function; many people with sigmoid colostomies prefer letting the stoma work as nature dictates. If you do not irrigate your colostomy, let the fact be known to your caregivers. If your physician orders your bowel

cleared, irrigate your own colostomy; do not rely on others. There is a strong possibility that those caring for you will not know how to irrigate your colostomy. Bring your own irrigation set to the hospital. If you have an ileostomy or urinary diversion ostomy, never allow a stomal irrigation as a surgical or x-ray preparation. Remember that laxatives or cathartics by mouth can be troublesome for people with colostomies. For people with ileostomies, they can be disastrouspeople with ileostomies should always refuse them. A person with an ileostomy will have diarrhea, may become dehydrated and go into electrolyte imbalance. The only prep needed is to stop eating and drinking by midnight the night before surgery. An IV should be started the night before surgery to prevent dehydration. Rule 4 X-rays X-rays present special problems for people with ostomies, again, differently managed according to ostomy type: A person with a colostomy must never allow radiology technicians to introduce barium into your stoma with a rectal tube. It is too large and rigid. Take your irrigation set with you to x-ray and explain to the technicians that a soft rubber or plastic catheter F#26 or 28 should be used to enter the stoma. Put a transparent pouch on before going to x-ray. Have the technician or yourself place the rubber or plastic catheter into your stoma through the clear plastic pouch. When enough barium is in your large bowel for the x-ray, the rubber or plastic catheter can be withdrawn and the open end of the pouch closed. The pouch will then collect the barium as it is expelled and can be emptied neatly after the procedure. Once the xrays are completed, irrigate normally to clean the remaining barium from your colon. This will prevent having to take laxatives by mouth after the procedure.

August 2012

The Rambling Rosebud Incidentally

A person with an ileostomy may drink barium for an x-ray procedure, but never allow anyone to put barium into your stoma. A person with a urostomy can have normal GI x-rays without any problems. Never allow anyone to put barium in your stoma. At times, dye may be injected through a soft plastic catheter into a urostomy for retrograde ureter and renal studies, often called an ileo-loop study. The same study may be performed on a urostomy patient with a Kock pouch. The dye will be injected via a large syringe; this can be a very painful procedure if the dye is not injected very slowly. Even 50 mL will create a great deal of pressure in the ureters and kidneys, if injected rapidly. Remember to request that the injection be done slowly. For anyone who wears a two-piece pouching system: you may remove the pouch just prior to the insertion of the catheter, and replace the pouch after the procedure is completed. If you wear a one-piece pouching system, bring another with you to the x-ray department to replace the one removed for the procedure. In the event you are incapacitated, and cannot use your hands to replace your pouching system, request that a WOC nurse in the hospital be available to assist you. The WOC nurse will be able to replace the skin barrier and pouch for you before you leave the x-ray department. Rule 5 Instructions Bring with you to the hospital two copies of instructions for changing your pouching system and/or irrigating your colostomy. Provide one to your nurse for your chart and keep one with your supplies at bedside. If you bring supplies that are not disposable, mark them do not discard. Otherwise, you may lose them. Rule 6 Communicate! Again, let me stress that you must communicate with the hospital personnel who take care of you. You will have a better hospital stay, and they will have an easier time treating you.

by Marjorie Kaufman, Los Ileos News, Los Angeles; via Northern Virginia The Pouch

No one can tell me at a glance that I have an ostomy. Only those close to me know it for sure. Perhaps that is why it is difficult for me to recognize a curious fact; some people do not realize its a BLESSING, not a DOOM! One wonders whether this knowledge might have some value to the human raceat least that part of the human race that tends to look upon an ostomy as a disaster. Acceptance is part of being happy. People need happiness as much as they need food; without it theyre devoured by restlessness and discontent. How many people who think they resent an ostomy would, if they were truthful, recognize it as the thing they most needed to enjoy life again? How many could, with a simple change in mental outlook, admit its a BLESSING? Many people never learn; they never achieve the peace of mind and contentment this knowledge brings. They spend their lives in a prison where an ostomy is the eternal punishment. An ostomy is not DOOMthats a mental attitude. Nothing is a joy or a burden; only thinking makes it so. How can we avoid that feeling of compulsion that makes an ostomy a burden? We dont disclaim it. Theres no use kidding ourselves about that. Nevertheless, there are things we can do to take the edge off the feeling of compulsion and make things more pleasant. We need to expend our mental and physical energies. If these energies are not expended in a constructive fashion, they turn inward and poison our minds and bodies with resentment and dissatisfaction. We need that warm sense of accomplishment, to be needed, wanted and useful. We need it to give balance to our lives. Contentment depends not so much on the BLESSING as on the attitude of the person who has it.

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The Anne Arundel County, Maryland, Ostomy Association, Inc. (AACOA) is a non-profit, volunteer-based organization dedicated to providing reassurance and emotional support for people who have had or will have some kind of ostomy surgery, such as a colostomy, ileostomy, urostomy (urinary diversion) or a continent procedure. The goal of the AACOA is to provide moral support, information, and education to people with ostomies and their families and friends. Members receive The Rambling Rosebud newsletter monthly. Please complete the form and send along with your check in the amount of $15 payable to AACOA c/o Stan Baker 958 Fall Ridge Way Gambrills MD 21054-1454

Membership benefits include Monthly meetings Monthly newsletter Support information Social Events

Email any comments or questions to webmaster@annearundelostomy.com Please visit our website at www.annearundelostomy.com

Therewere3tomatoes.Amommytomato,adaddytomatoandJr.tomato,whowasthereson. Jr.tomatostartedfallingbehindsodaddytomatowentbackandsquashedlittleJr.tomatoand said..KATCHUP!