G-be

ANl'II"E ARUNDEL
COUNfY
MARYLAND
OSTOMY ASSOCIATION, INC.
P.O.BOX 847
GAMBRILLS, MD 21054
A Chapter of the United Ostomy Association, Inc.

OFFICERS BOARD OF DIRECTORS

President: Paul Ro si 410-647-6171 Dennis Fila Joan Gardner
Ginny Gross Lyn Rowell
Janice Winters Allyn Mellits

Vice President Stan Novack OSTOMY ADVISERS:

Secretary Jamie Darr Irene Repka, RN, BS, CWOCN
Treasurer Stan Baker Michelle Perkins, RN, BS.
Youth Rally Coordinator Melissa Blood
Webmaster: Janice Winters

DIRECTOR EMIRITUS - Mary Lou Thomas, RN, SA, CWOCN

Volume 37 Number 5 March 20i 1

We're on the web! www.annearundelostomy.com

CURRENT MEETIING
March 3,2011 Group Discussions

FUTURE MEETINGS

April 7,2011 Carn Jones form Byrum Healthcare

Note: Regular meetings are held on the first Thursday of each month, at 7:30pm in room A on the 7th
floor of the new Health Science Building. See inside cover for directions. If AA County Schools are
closed due to inclement weather, there will be no meeting.

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t Ita bu,y; derv5 0d i·t 801" CU1.ot~-r. ]) i eke K5

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.

A WORD OF THANKS for their constant support of our OSTOMY ADVISORS

Chapter to: The American Cancer Society, especially the FOR STOMA HELP
office in Gambrills, for essential help with our newsletter; and We are fortunate to have available the services of
Anne Arundel Medical Center for providing rooms for our Enterostomal Therapy Nurses serving our local area:
regular meetings and special events. We appreciate their To consult with one of them, a physician's referral is
support and assistance. necessary and a fee will be charged. Call for an
appointment.
NOTICES
BALTIMORE WASHINGTON HOSPlTAL
The display, description, demonstration or distribution of
Carol Canada RN, BSN, CWOCN
products at our meetings, or in the newsletter, or by the
410-787 -4578
recommendation of a member of our Association, does not
constitute an endorsement of that product by the AACOA. ANNE ARUNDEL MEDICAL CENTER
Irene B. Repka RN, BS, CWOCN
CONSULT YOUR DOCTOR or ET Nurse before u?ing_~1JY Michelle Perkins, RN, BS
[droduct~~ethods ublished in the AACO newsletteL..Qr Kelly Heffron, BSN, CWOCN
~ested by a member of the AACOA. Your own doctor or ET 443-481-5508
nurse provides medical advice that is best for you.
Private Consultants
Items from this newsletter may be reprinted in other ostomy Joan M. Sullivan, MAS, RN, CNA, CWOCN
news/etters, provided proper credit is given as to source of 410-932-7312
material. Mary Lou Thomas, RN, SA, CWOCN
410-255-1149
Directions to H~alth Science Building ~~ ~_ .•••
Anne Arundel Medical Center ;.
~ (
r-
From Annapolis and the Eastern Shore: Take Route .: ~., :.."..) .,
50 West to Jennifer Road exit (Exit 23A). Go through the "".\
tralfic light onto Medical Parkway . ,..
From Baltimore: Take 1-97 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 :... -.' j. n.r- ""

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 1·97 from Crofton/Odenton area - Take
178 South through Crownsville towards Annapolis. Turn
left on Bestgate Road and then right on Medical Parkway.
ti· .... _
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 BOARD MEETINGS - 7:30pm
second floor - take the elevators inside up to the ih floor. For those serving on the board, the NEXT
When leaving, take the elevator the second floor and go board meeting will be on March 21.2011
through the doors onto the 2nd floor of the parking garage.
Northern Pharmacy is your OSTOMY SUPPLY SPECIALIST!

Northern Pharmacy & Medical Equipment

is a full service pharmacy, that is family owned
and operated.

Our Ostomy Department provides a full range of

. , comprehensive services and quality products from
~;-C·i.;. trusted brands you can rely on.
. . ..
j
. . . '.-

PROPuctS: ,'SERVICES:rROSTe:D 'BRANDS INCLUDE:

•. 4nc6ntin~.o~~Panis • Me-dicare andinsurance . ,. -. sglJibl):
. ,an:dP~Vi!;~s:' . ',26~p~Dy,~iI:(i~,9" ."." e:H9111st~f
;. Catheters.. .'.. :: .
. --", .. ": ."":~r~¢)lqITie:delive;ty~fl(fPoext- ., 'jo :00i~ei"
--\?~)\4~lIv¢r.y~:,.:.:... ., ,
'

. ..lrft~rfiii~ioirl1:£aJlJ~ters . ·co.oo ",'00." 00--

:!'NU~~op:~,:
"
.; MaleEXternaI:C~th~ters ...MailiFlgahYWh~r'{{' ' . '.. "':."""':"',:~G"'.·r"I.c:i.,~·.·s:'.·".:.',.·" ..

.• yrigati~1JTr#ys:;:: ' -.,·.-~.::.F".;:..~..:.-.e.',}.~...:.·.::','_li.:o.,;I~....•,c.·...•lrtt.:_.,.~e~.'..,:.!.,:.::, .,_.:.. ':,.'" ..' ' . "', ",,,~ .. 11-.... '.
·~,Gr~~r':
e, braj~a~~,~~9$"
,S>.:.,,;,.~.e.~_;~.9~,",.e,e.p_'.r,f.1.tV1,~,:,ri
..~,}.~.~Yp'
. rc.'.j,"_cia,~_'..•._.(.-.Vi.j
r,~ •. i.S~,-;.·_'_'·.".' ::;;Colbpl~s{
! InsertiolffraY$: . ~10o%S~tisia:c~6-rl',:~' .:";:~:~~iJ¢k':..
-- . .. - _...
• Disposabl~_LJFidergarfnert.ts: .., G:~~r1~t~~d!''.,'. . '., ;Dilhsac
•• UritiaryLi;!gBags
...•• :-" .t : •...

• And much, much morel <·t(}nv~Tee

te .
NORTHERN
'%ii'"
'",' PHARMACY
& Medical Equipment
 4
Marcil 2011 The Rambling Rosebud

PRESIDENT'S MESSAGE
I am sorry I missed the February meeting, I wasn't feeling well and didn't want to pass whatever I had
to anyone else, Thanks to Stan Novack and Stan Baker for taking over in my absence,

Please keep coming to the monthly meetings, Although I am repeating myself, you can always learn
something new from another member or help someone else by sharing your experience or helpful hint.

Paul

~':\:\,\POLIS
EMPIRE
PROFESSIONAL PHARMACY
" if •

EMPIRE Mt=:J!JCAL RUILDING

RE\T.\L· S,\LES " SER,'ICE 200 Hospital Drive
Glen Burnie, MD 21061
\\ alkcrs- \!obilil:- I)~\ ices
410-787-0030
()....(1l11l\- II1C0l1tl11.ncc : lIppli~s
Bathroom Saf'd\ !\id~ .:. 10% discount on ostomy suppl ics and
\.-:buil/cr..,- 13100d Prcs-urc lquipmcnt prescriptions lor members or A,A, Co,
Ostomy Association
l lospual fkds
.:. We bill Medicare and Blue Cross for you

i vVE BILL MEDICARE FOR YOU! N~T~tRA OSTOMY DEALER

HOLLISTER" BARD
SWEEN CREAM SKIN BOND
\, fe'III,'),';" otth« .innc ,lrliildL,f ('0. t Ivt omv
PERI CARE SKIN PREP
1 \\(Jc/(Iliod N,', tlrl' !{}'!": ()j l' SURGI-KLEEN BANISH II
SHUR-CLEANS STOMASEAL
HI BI CLENS HYPO-ALLERGENIC TAPE
~~, SCISSORS Curved & Straight
VISA
410- 295- 7300 Monday through Friday 8:30am to 6pm
117 Gibratter Ave Annapolis, MD 21401 Open Saturdays 9am to Noon
,\ .. ;, ;:vHlapoLshea!thcare con)
Billing Department
Monday through Friday 9am to 4:30pm

The reason women over 50 don't have babies is because we would put them down and forget where we put I
them,

It's time to give up jogging for your health when your thighs keep rubbing together and starting your pants
I on fire,

Why is it harder to lose weight as you get older? Because by that time your body and your fat have become
really good friends,

I read some article which said that the symptoms of stress are impulse buying, eating too much and driving
too fast, Are they kidding? That's what I call a perfect day,
March 20] J Ah The Rambling Rosebud
Ordering Supplies ~ this closing ring. Some two-piece pouching systems
Via Ostonoma News
When placing phone orders, all suppliers say they
are busy the first week of every month. To receive
speedy service, call to reorder at the end of the
month for the following months order.
Call your supplier during non-peak hours. Mondays
and Fridays are typically the busiest days of the
week. Early morning is a good time.
Plan ahead for vacations and business trips. Be
sure to order early and order more than you would
usually require.
Do not allow yourself to get caught short on suppies.
Always have some on hand when you reorder.
Keep a list of all the equipment you use, with the
number, size and manufacturer. Let a family
member know the address or phone number of the
supplier and how to place an order.
Types of Pouching Systems
OuPage County Ostomy Association
Pouching systems may include a one-piece or two-
piece system. The pouch (one-piece or two-piece)
attaches to the abdomen by an adhesive skin barrier
(previously called a faceplate or wafer) and encloses
stoma to collect the diverted output, either stool or
urine. The skin barrier is designed to protect the
skin from the stoma output and to be as harmless to
the skin as possible.
Colostomy and ileostomy pouches may be
drainable, vvith a spout or tail at the bottom that is
kept closed with a clamp or a tail clip or they may be
closed-end pouches, which are emptied when they
are removed. Patients with colostomies who can
irrigate and patients who have regular elimination
patterns are more likely to use closed-end
pouches. Closed-end pouches are usually
discarded after one use.
Patients who use a two-piece system can change
the pouch without removing the skin barrier. The
pouch part has a closing ring that fits into a mating
piece on the skin barrier. Often, a pressure fit snap
ring, similar to that used in Tupperware ™ is used for
~ 5
use an adhesive to seal the skin barrier to the
pouch.
In one-piece pouching systems, the skin barrier and
pouch do not separate. When the patient changes
the entire pouching system is removed.
Both two-piece and one-piece pouching systems are
available in drainable and closed styles.
Some people with colostomies irrigate the stoma to
wash stool out of the colon, much like using an
enema to irrigate one's bowel. Irrigation requires an
irrigation bag with a connecting tube (or catheter), a
stoma cone and an irrigation sleeve. A special
lubricant may be used to help insert the catheter into
the stoma. In between irrigations, some people with
colostomies can wear a stoma cap to cover and
protect the stoma (not a recommended practice) or
wear a regular pouching system
Patients with urostomies any use either one- or two-
piece pouching systems to contain urine. In both
systems, the pouches have a spout or valve that can
attach to a leg bag or a drainage tube that leads to a
large collection bottle for use at night.
These are the major types of pouching
systems. There are also a number of styles. For
instance, there are flat skin barriers and convex
ones. There are rigid and very flexible ones. There
are barriers with or without adhesive backing and a
perimeter of tape. Some manufacturers have'
introduced drainable pouches with a built-in tail
closure that does not require a separate clip. Each
person must find the pouching system that performs
best for him/her.
The larger mail order catalogues will illustrate the
types and styles from all or most of the
manufacturers. If you have any trouble with your
current pouching system, discuss the problem with
an ostomy nurse or other caregiver and find a
pouching system that works better for you. It is
common to try several types until the best solution is
found. Free samples are readily available by calling
Q
the manufacturers for you to try. There is no reason
to continue using a poorly performing or
uncomfortable pouching system.
March 2011 The Rambling Rosebud
A man goes into a bar with his dog. He goes up
to the bar and asks for a dri nk.
The bartender says "You can't bring that dog in
here!" The guy, without missing a beat, says
"This is my eeing-eye dog."
"Oh man," the bartender says. "I'm sorry, here.
the first one's all me" The man takes his drink
and goes to a table near the door.
Another guy walks into the bar with a
Chihuahua. The first guys sees him, stops him
and says "You can't bring that dog in here
unless you tell him it's a seeing-eye dog."
The second man graciously thanks the first
man and conti nues to the bar. He ask for a
drink. The bartender says "Hey. you can't bring
that dog in here!"
The second man replies "This is my seeing-eye
dog." The bartender says. "No, I don't think so.
They do not have Chihuahuas as seeing-eye
dogs."
The man pauses for a half-second and replies
"What?')! They gave me a Chihuahua?"!"
How Do I Clean This Pouch?
Via UOA Chicago
When you are cleaning a drainablc two-piece
pouch for reuse. use warm. rather than hot or
cold water. Cold water does not lift stool or
urine as readily from the plastic and the pouch
is less pliable. Hot water will cause the pouch
to wear out faster and may increase the
likelihood of odor.
When you want to rinse the pouch while you
are still wearing it. you may use a small squirt
bottle to get the water into it, slosh it around by
holding the end and t ten empty it into the
toilet. Jnless you have no option, it is best to
6
remove the pouch entirely for cleaning. A bit
of ordinary dish detergent with warm water, or,
if bacteria are a concern, a bit of white vinegar
mixed with water will do the trick. Fill the
pouch with the warm water/soap/vinegar
solution; slosh it by hand while holding it over
the bathroom bowl, in case a little is spilled,
empty out the rinse water and repeat.
It is not recommended that you wash these
things in the sink-the drains are usually 100
small to handle this sort of waste and the result
may not be hygienic. Once you have things
reasonably clean, you can hold the pouch under
the bathtub faucet and let it rinse. Tub drains
are larger and so long as you let a good flush of
water follow and serub the bathtub on a regular
basis. which you do anyway. your bathtub will
be dean.
Your bathroom will not smell. Baking soda in
the wash water and down the drain is an
excellent deodorizer. You can hang the wet
pouch by the ring on a hook to dry or just leave
it flat on a towel and it will be ready for use the
next day. The inside does not have to be bone
dry for use, but the outside and ring should be.
You should know that Hollister. Inc. does not
recommend rinsing out pouches. Poor pouch
performance can result. Reasons include over
zealous rinsing or contraindications due to
body shape or body chemist/yo
********
What happens if you confuse your
Valium with your birth control pills? You
have 12 kids, but you don't really care.
*********
March 20]1 The Rambling Rosebud 7

FUTURE MEETINGS Next meeting is March 3, 2011

Monthly Meetings are held on the 7th floor of
the Health Science Building. Meetings in 2011, April 7, May 5, June 2, July
7, Aug 4, Sept 1, Oet 6, Nov 3 and Dee 1.
Parking is available behind the Health Science
building and can be accessed via Jennifer
Road or Medical Parkway. The Building is My mind doesn't wander, it leaves
right next door to the Sajak Building. completely.

*********************************************

Join the Anne Arundel County, Maryland, Ostomy Association, Inc.

The Anne Arundel County. Maryland, Ostomy Association, Inc. (AACOA) is a volunteer-based
association dedicated to providing education, information, support, and advocacy to people who have
had or will have intestinal or urinary diversions. Members receive The Rambling Rosebud monthly.

Complete the form and end it with your check for $15.00 made payable to
AACOA
clo Stan Baker
958 Fall Rjdge Way
Gambrills, MD 21054-1454
Anne Arundel County, Maryland. Ostomy Association - Membership - Please Print

Last name First name Initial

--------------------------------- ----------------
Address
---------------------------------------------------------------------
City _ State ----- ZIP _

Telephone Age Gender -----

E-mail

Kind of ostomy: _ colostomy _ ileostomy _ urostomy _ other (please identity) ----

( would like 10 help with the following committee(s) or activities:

( ) finance () hospital ity () library ( ) membership ( ) newsletter
( ) program ( ) refreshments ( ) sunshine ( ) visiting
A.A.CO.A.
P.O. BOX 847
GAMBRILLS, MD 21054