-"

'Cbe ,.
ANNE ARUNDEL COUNTY
MARYLAND
OSTOMY ASSOCIATION, INe.
~~,~- P.O.BOX 847
GAMBRILLS, MD 21054
ltosebu
A Chapter of the United Ostomy Association, Inc.

OFFICERS BOARD OF DIRECTORS.

President: Paul Rossi Dennis Fila Joan Gardner
" GinnyGross Lyn Rowell.
Janice Winters

Vice President Stan Novack OSTOMY ADVISERS:

Secretary Wilamae Da Irene Repka, RN, BS, CWOCN
Treasurer Stan Baker Michelle Perkins, RN, BS.
Youth Rally Coordinator Melissa Blood
Immediate Past President Webmaster: Janice Winters

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

... II>

Volume 36 Number 11 September 2010

Membership 110 Circulation: 325

CURRENT MEETIING
* Erin M O'Neill, Lifeline
September 2, 2010

FUTURE MEETINGS

October 7, 2010 * To Be Announced

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 page 5 for directions. If AA County Schools are closed
. due to inclementweather,therewill be no meeting.
NOTE: THEY HAVE RENUMBERED THE FLOORS IN THE PARKING GARAGE AND CHANGED THE
TRAFFIC FLOW. GO TO LEVEL 2 OF THE GARAGE AND INTO THE BUILDINGTO THE INSIDE
ELEVATOR AND GO TO THE 7THFLOOR.
r-
II

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 COMMITTEE CHAIRS

support of our Chapter to: The American Cancer
Society, especially the office in Gambrills, for Visiting
essential help with our newsletter; and Anne Hospitality
Refreshments
Arundel Medical Center for providing rooms for
Program I
our regular meetings and special events. We Sunshine Alice Scarborough
appreciate their support and assistance. Newsletter Lyn Rowell, Stan Baker
NOTICES Membership
Library
Finance Stan Baker
The display,description,demonstrationor distributionof
productsat our meetings,or in the newsletter,or by the
recommendation of a memberof ourAssociation, doesnot
constitute
anendorsement ofthatproductbytheAACOA.
MEDICAL
ADVISORS

OSTOMYADVISORS WilliamA. Cassidy,MD

" CONSULT
YOURDOCTORor ET FORSTOMAHELP John E. Danneberger.MD
Nurse beforeusingany productsor We are fortunate to have available the L. DeanHoover,MD
methods publishedin the AACO services of Enterostomal Therapy Nurses J. StephenLattimer,MD
~ewsletter~Qf.,-sl¥1gesteG-aY"-8~
memeer -.-'-SeFVin9"'<>lIr~10eaJ-,-area: ~ Bavid-E.Matteson,MD- - - - -
of theAACOA.Yourowndoctoror ET StephenProshan,MD
nurseprovidesmedicaladvicethat is To consultwithone of them,a physician's DavidStrobel,MD
bestforyou. referral is necessaryand a fee will be RobinM. Ullanow,MD
charged.Callfor anappointment. DouglasDykman,MD
GinaMassogliaMD
BALTIMOREWASHINGTON HOSPITAL EdwardZagula,MD
Itemsfrom this newslettermay be
CarolCanadaRN,BSN,CWOCN
reprintedinotherostomynewsletters, 410-787-4578
providedpropercreditis givenas to
sourceof material. ANNEARUNDEL MEDICALCENTER ATTENTION
IreneB.RepkaRN,BS,CWOCN
If you do not wish to receiveour MichellePerkins,RN,BS Statements, articles
newsletter,pleaseinitial and return KellyHeffron,BSN,CWOCN and comments
the mailingcoverwith the address 443-481-5508 printed in this
attached. newsletter are
PrivateConsultants general information
If you need a ride to one of our JoanM.Sullivan,
MAS,RN,CNA,CWOCN and not printed
meetings,call one of the officers 410-932-7312 with any particular
listedon thefrontpage. Wewill do
individual as the
Marylou Thomas,RN,BA,CWOCN focus.
ourbestto arrangea ride.
410-255-1149

Pleaseadviseus,in advanceif possible,of anyaddresschanges.Thiswillhelpkeepourmailinglist

currentandsavethechapterreturnpostageandaddresscorrectioncosts

-" --
..

. (WishIng-gPou a Q7jaft c6< "'-.

;
aJeapppdall Q7jeason
.. Autumn 5onus Special
..
1 0% OFF An~ F urchase*
*Not applicable on items billed through insurance. Applicable to Out at F ocket purchases ani:!.
l
SERVING ALL OF YOUR OSTOMY AND MEDICAL SUPPLY NEEDS

Carrying Ostomy, Fistula and Wound Supplies By The Following Manufacturers

Bard * Blairex * BSN Jobst * Colo-Majic * Coloplast * Convatec * Cymed * Hollister
Marlen * Medline * Molnlycke Wound Care * MontrealOstomy * Nu-Hope * Osto-Fresh
Penna Type * Smith & Nephew * Safe N'Simple * StomaCare Laboratories * Torbot * 3M

f .AYSlin~kmntfcp c&' c::M'odicalOfJupplies

6723. g,oork C32..oad
c58altimore, e:)..{cupland 21212

(pJ ifJ0-311-S300
(jJ if J 0-311-S302
J~800-S26-1flf32
I
September 2010 The Rambling Rosebud 36.11.4
",-",--,""_."""""~-,~""-"",~",,~-",~-,,,,,,,,"-,,",',",,"."""" " " ,.-.,,-.,,.,"-"'-"'-"-~'--~"""""""'~"'--"-"'-'--"'.""--"'-,-_." ~.~".~.-

PRESIDENT'S MESSAGE

Itis hardtobelievethatthesummeris almostover.Whileweallenjoyhavingdiscussion groups

duringourmeetings,it is alsoniceto haveguestspeakers.SoI wouldliketotakethis
opportunity tothankIreneRepkaforarranging thismonth'sspeaker.Ireneis alsotryingtobook
otherspeakersforthecomingmonths.Ifyouhavea particulartopicyouwouldliketo have
addressed ata meeting,pleaseleta memberoftheboardknowandwewilltryto arrangefor
someone tocomeandaddressthattopic.Evenbetter,pleaseletusknowif youcanrecommend
anindividual to beaspeaker.

Don'tforgettheUnitedOstomyAssociation ofAmericaMidAtlanticRegionalConference
willbe
heldattheHolidayInnatDullesAirportonOctober15and16. Compared tothelocationsof
otherconferences,
thisoneis reallycloseby!

Paul

ANNAPOLIS.n ~
Healthcaf,e~ SuppJJes.
.timller/y. It/wllS .\It'ilim/ =eR~~~-l NAL PHARM CY
RENTAL. SALES. SERVICE EMPIRE MEDICAL BUILDING
200 Hospital Drive
Walkers-Mobility Devices Glen Burnie, MD 21061
Ostomy- Incontinence Supplies 410-787 -0030
Bathroom Safety Aids
Nebulizers- Blood Pressure Equipment .:.10% discount on ostomy supplies and
Hospital Beds prescriptions for members of A.A. Co.
Ostomy Association
. . .:. We bill Medicare and Blue Cross for you
. WE BilL
~ MEDICARE FOR YOU! .
~

. . NATURAOSTOMYDEALER
HOLLISTER. BARD
Members of the Anne Arundel Co. Ostomy SWEENCREAM SKINBOND
Association Receive 10% OFF! PERICARE SKINPREP
SURGI-KLEEN BANISHII
SHUR-CLEANS STOMASEAL

I~I
HIBICLENS HYPO-ALLERGENIC
TAPE
SCISSORSCurved&Straight
410- 295- 7300
117 Gibralter Ave Annapolis, MD 21401 MondaythroughFriday8:30amto6pm
www.anna.Qolishealthcare.com OpenSaturdays 9amto Noon

BillingDepartment
MondaythroughFriday9amto4:30pm

- --
September 2010 The Rambling Rosebud 36.11.5
,--,-- - -'--- --- -- - - -- ---, - --- --- - --.,'
FUTURE MEETINGS

Monthly Meetings are held on the 7th floor Alternate to 1.97 from CroftonlOdenton area -
of the Health Science Building. Take 178 South through Crownsville towards
Annapolis. Turn left on Bestgate Road and then
right on Medical Parkway.
Parking is available behind the Health
Science building and can be accessed via
Jennifer Road or Medical Parkway. The REMEMBER!!! The entrance to the medical
Building is right next door to the Sajak center is FROM THE SECOND FLOOR OF THE
Building. PARKING GARAGE. Once inside the building
you will be on its second floor - take the elevators
September 2, October 7, November 4, inside up to the 7thfloor. When leaving, take the
December 2 elevator the second floor and go through the doors
onto the 2nd floor of the parking garage.
Directions to AA Medical Center
From Annapolis and the Eastern Shore: Take
Route 50 West to Jennifer Road exit (Exit 23A). '\ '% D':' ,,- ..t-;'"
q ""~" '~ ",'
Go through the traffic light onto Medical .'
~""-"'..
\e~d \,
.,,~
I!»
.J-' Q
Id" '&"
Parkway. ." G'i ,1.<.. 0- ~!", ~.,,-
.. '~,,~ "...,'~">
(>.' ,%
From Baltimore: Take I~97South to Route 50 "~ ,~ "">Qt,
Q:~)I ,,-=~jjQi~'6!Et
East, to Parole exit (Exit 23). Turn right onto . ~il.' i..r'
i~o,"J P!i/
'"
"
West Street then right onto Jennifer Road. Go J AMc A,undel'
J'~.dic.IC.nter '
approximately one mile, and turn left at traffic \"
light onto Medical Parkway.
From Washington DC: Take Route 50 East to
" "- - > ,"",\.'
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"
'
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Parole exit (Exit 23). Turn right onto West Street
i I
/1 ,
~ ii!ff
,
,. ,,
,j
'..." 301 ," , ,
",

then right onto Jennifer Road. Go approximately ~::: ",i:'l

I' ,/;<;J
/

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one mile, and turn left at traffic light onto ';' 1 " ' o1~.t
"",
, -<:"

Medical Parkway. Loretta

Heighls ,~
§,

BOARD MEETINGS 7:30pm -

For those serving on the board, the
board meetings will be on:
September 20, and November 15.

~1tiku61Mm 1;tkt kcZ~wt OH-ttlto t~ etehievemett,tof

8reed- t~~6 b~ to t1u,Clttcmpli,ltmeltiof ~tkitty
""",.tit wkIte.. - .5 o.>!f.\.lR.! gokiw ~'"
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 --- ~ ---
The Rambling Rosebud
September 2010
'" ---,-~,-,.,, '-'-~--""--"'-"--"'~---'--'---~--'..,
Blood Pressure
Lyn Rowell
Everytime you go to see your doctor, they take
your blood pressure. Ideally,blood pressure
should be 120/80. However, "normal" blood
pressure is considered less than 130/85 while
"elevated" blood pressure is over 140/90. Ifthere
is a history of high blood pressure in your family,
you may be prone to high blood pressure
yourself.
Highblood pressure may have no symptons and
for this reason it is called the "silent" killer. Even
slightlyelevated blood pressure can have long
term adverse affects. Untreated high blood
pressure can lead to heart and kidney disease, or
stroke.
Howcan you lower your blood pressure?
Restrictingsalt in the diet, maintaining a healthy
weight, exercising and stopping smoking are
among the firsffhings thaf can help reduce blood
pressure. Eventhen, some individuals may need
medication in addition to these steps, to help
bring their blood pressure down.
While your blood pressure numbers may
currently be in the ideal range, it is still a good
idea to limit salt intake, exercise, keep a good
weight and give up smoking if you smoke. Many
of us consume a lot of processed foods on a
regular basis and these are frequently high in salt
- check the label when you buyI Salt is is
absorbed in the large intestine which has been
removed in an ileostomate, so they should
consult with their doctor before reducing salt
intake.
~~~
- ~
- ~.
36.11.6
" ".,-,."..-,..,,, "",-,",",
TRUST YOURSELF
By Robert Eisman, RN/ET via Metm Maryland
Regardless of the type of ostomy you have, your
prime concern must be placed on getting to know
yourself. Anyadvice you are given should
coincide with you as an individual. Life-style,
-
activities, weight at! play an important part in
determining which product willwork best for you.
Jumping from product to product without being
truly aware of the differences, the advantages, or
the disadvantages of each can be a costly and
dangerous practice.
Assuming that you have been taught how to are
for your ostomy, how to use your appliance, and
where to purchase your supplies, you ~hould
become thoroughly familiar with the
recommended procedure and equipment before
experimenting with a new product. After you've
gained the confidence that comes with
expe~ience, th~!Jl£~f! ~~e.given to exploring
other products and procedures. Learning new
. .
and better ways to care for yourself can be fun
and very rewarding, but guidelines should be set
and observed with safety being the paramount
concern.
Remember, the ostomy has not changed you as
an individual. Youstill have the same strengths
and weaknesses, the same needs and desires as
before. So walk slowly at first, but increase the
steps and strides as you gain more confidence in
your own ability and get back into the
mainstream of life as quickly as possible.
"=~---".~-"~~~:~~.-:>
-' '.

September 2010 The Rambling Rosebud
._~,--,-'"-~ ~.~~-~
WHICH POUCHING SYSTEM IS RIGHT
FOR YOU?
By Gwen Turnbull, BS (a pioneer ostomy nurse) Via:
Northern Virginia Pouch
With so many ostomy products available, it's hard
to know which one is right for you. Regardless of
the brand of product or type of surgery you have,
there are a few basic features an ostomy pouching
system must have to give you a sense of security
and confidence. First, it must contain urine or
stool, gas and odor without leaking. Second, it
must help protect the skin around the stoma from
damaging effects of stool or urine. Third, the
...
systems should remain in place for a sustained and
r.'
I
predictable wear time. Wear time- This means
you should be fairly certain your pouching system
will remain intact withoutleakage for a definite
period of time. That time period varies among
individuals and ranges from 24 hours to 7-10 days.
Wear time- has a lot to do with the amount and
r. character of your output, the climate in which you
live, your daily activities, and the type of skin
barrier you use.
Output - High volume liquid output will melt
standard, pectin-based barriers faster than the
more modern synthetic extended-wear.barriers.
Using a skin barrier paste as "caulking" around the
stoma or a "bead" on the back of the skin barrier,
can help increase wear time and skin protection.
Visibility/Intimacy/Cost - Once the above
criteria have been met, look at other pouching
system features that might impact the way you feel
about yourself. For example, is the pouch visible
under your clothing, and does that determine your
feelings about yourself during periods of
intimacy? Do ostomy supply costs, or worry about
them, overwhelm you?
Your Adjustment - Researchers believe that
such concern can affect your adjustment to, and
satisfaction with, your life after ostomy surgery.
That's why it's important to look at the fine
,-
36.11.7
~.~ "-_.,--'""-=---'--'--'"-'--"'-' ' ,-----...--.
distinctions about ostomy pouching systems.
Consider a system's wear time as it relates to its
costs. Calculate your ostomy supply costs on a
yearly total-cost basis rather than a cost per change
basis. You may find that an inexpensive pouch that
must be changed daily costs more in the long run
than the more expensive pouch you can wear for
three days.
Conclusion - Investigate the size, shape, color,
contour, profile and ease of application and
emptying of a variety of pouching systems. Which
one will be right for you? The one YOU FEEL is
right for you!
Note: All ostomy manufacturer's will be glad to
send you free samples if you will contact them.
Most manufacturers advertise in the Ostomy
Quarterly magazine and have toll free numbers.
Your ostomy nurse can also make suggestions.
When I was a youngminister,a funeraldirectorasked
meto holda gravesideservicefor a homelessmanwithno
familyor friends.The funeralwasto be at a cemeteryway
out in the country.Thiswas a newcemeteryandthis man
wasthe first to be laidto restthere.
I was notfamiliarwiththe areaand becamelost.Being
a typicalman,of course,I did not ask for directions.I finally
foundthe cemeteryaboutan hourlate.The backhoe was
thereand the crewwas eatingtheir lunch.The hearsewas
nowhereto be seen.
I apologizedto the workersfor beinglate.As I looked
into the opengrave, I sawthe vaultlid alreadyin place.I told
the workersI wouldnotkeepthem long,butthat this wasthe
properthingto do. Theworkers,still eatingtheir lunch,
gatheredaroundtheopening.
I wasyoungand enthusiasticand pouredout my heart
and soul as I preached.The workersjoined in with, "Praise
the Lord,""Amen,"and "Glory!"I got so intothe servicethat I
preachedand preachedand preached,from Genesisto The
Revelation.
Whenthe servicewas over, I said a prayerandwalked
to my car. As I openedthedoor, I heardone of the workers
say, "I neversawanythinglike that beforeand "ve been
puttingin septicsystemsfor twentyyears."
http://www.jokesclean.com/
 September 2010 The Rambling Rosebud
., , -- ,. . - -
OSTOMATES NEED FAMIL Y SUPPORT
Via: Greater Cincinnati Chapter & The
Hamilton/Fairfield Chapter of UOA
"Spouse and Family Support for Ostornates"
produced by UOA for spouse and family,
members, was written especially for those new to
the ostomy experience. Even those who have had
years of experience as an ostomy family member
may also find it valuable.
Introduction: The spouse of a person with an
ostomy plays a vital role in the rehabilitation
process. It is important to understand basic ostomy
information and the psychological impact of the
procedure. Spouses may experience feelings of
grief, guilt and anger. These feelings are perfectly
normal and will lessen in time as both parties
adjust to the ostomy.
Role of Spouse: Your role as a spouse is one of
support and encouragement. These elements are
vital to any relationship and provide a basis for an
emotional recovery and acceptance of the ostomy.
- .~ This life-;o-sa~~!}g,~b.Qdy,-alt~rj!1KProcedure .Gan
affect people in different ways. How you react to
the physical changes from surgery will be
pP conveyed to the ostomate in many ways. Watch
your body language. If you were a person who
liked to cuddle before the surgery, then continue
to reach out to your spouse. Couples have a
tendency to "proteCt" each other and not be
truthful about their feelings. Initiate open
communications with your spouse and discuss any
concerns either of you may have about the surgery
(I.e., fear, anger, resentment, relief). Ask questions
about changes you do not understand.
Remember...the person with the ostomy has not
changed, only their anatomy has. How you and
your spouse accept that change will influence your
quality of life. Armed with adequate information
and a positive outlook, you may find that having a
family member who has survived body-altering
surgery often leads the entire family to a greater
appreciation of life.
THOUGHTS ON ODOR MANAGEMENT
36.11.8
, ~-~, ~ ,--~ ~_..".,.."."
by Rosemary Van Ingen, EY, Via: Northern
Virginia Chapter Pouch
Isn't it interesting that people with normal intact
bowel tracts and urinary systems manage odor
problems in an acceptable manner in our society?
But when disease or trauma strikes, and the person
is the owner of an ostomy, the one big concern is
the fear of offending society with an odor.
What's an ostomy? Basically an ostomy is a
man-made exit site that changes the point of exit
from the bottom or back of our body to the front.
Our eyes and noses are obviously on the front of
our body, which leads us to be more aware of our
changed body image and our odor-producing
products. I'm sure you've heard the statement,
"You've come a long way, baby." Yes, ostomy
management has come a long way-considering
that as little as ten years ago, we had very few
100% odor-free pouching systems.
Ostomy Collecting Receptacles When ostomy
surgery was first developed, ostomates wore
anything to collect output. Tin cans, rubber gloves,
-cuJfs~6falrsnapesaillrsl.zes, oread wrappers, and
plastic margarine cups just to mention a few, were
standard equipment for the ostomate. Not only the
feasibility, but the odor problems this type of
equipment produced, was enough to give ostomy
surgery and people who had an ostomy a very
deplorable place in our society. Presently, almost
all the ostomy pouching systems available to us
today are made of odor-barrier materials.
Odor Detective Work Therefore, if an ostomate
does have a fecal or urinary odor about them,
some detective work should be done: Check out
the application of the pouching system to the
body. Is it leaking? Check out the closure of the
pouching system-is it closed properly so that no
fecal matter is oozing out after the closure? Do not
put holes in the pouch as gas will seep out
continuously.
Urostomy Odor Cautions The urostomate should
rinse or wipe off the spout of the pouching system
with a bathroom tissue after emptying. Those few
drops left in the spout after closing the pouching
system can cause a urine odor under clothing It is
'" '-
 September 2010 The Rambling Rosebud 36.11.9

"" k

interestingto note that most urostomy pouching
systems on the market are odor-proof, but the
connectingtubing and bedside and leg bag are not.
You must dispose of and replace these products
when they take on urinary odors, or else your
entire living quarters will smell.
... Elimination in Ostomates vs Non-Ostomates
Emptying an ostomy pouching system is
~ comparableto a person with an intact bowel or
l urinary tract having a bowel movement or
emptying their bladder. How does the non-
r ostomate handle the odor produced by the normal
function of their body? Room deodorizing sprays
r .\ are popular; a quick flush of the toilet when
defecation occurs, and opening a window are
some acceptable methods that have been used for
odor management.
Why are Ostoroates so uptight about
elimination odors when our pouching systems
are emptied? This constant complaint has
encouraged ostomy supply manufacturers to create
products to meet the need for odor control. Just
remember, there is not a man or woman on this
earth whose wastes do not smell. If someone tells
you that their waste products are odorless, then a
nose overhaul is in order for them!

r 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 Th~ Rambling Rosebud monthly.

11-
CompleteI,the form and send
'. it "[ith
,t yopr chrckt9r
; tl $15.00 made payable t9 ""
."
AACOA
c/o Stan Baker
I
958 Fall Ridge 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 identify)

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

( ) finance () hospitality () library () membership () newsletter
( ) program () refreshments () sunshine () visiting
II
!

-~
A.A.C.O.A.
i ' ~<P.O" B,oX 847 .
" 'GAMBRILLS, MD 21054

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