1 SUMMER 2014 THE NEWSLETTER OF THE WINNIPEG OSTOMY ASSOCIATION, Inc. (WOA) From the President s Desk I was dumbfounded when Jared said the same thing happened to him. ne Sunday afternoon, the video O committee was trying to determine who our target audience should be and what we could do to create more awareness. I mentioned that I remembered an ostomate who had joined one of our meetings for the first time when we were having rap sessions. She said that she had sat out in the parking lot for six months, without getting up enough nerve to come in to the meeting. Finally, she decided on her birthday that she had to make that final step. That night her descriptions of her trials and errors on her journey following surgery made everyone roar with laughter much like comedian, Brenda Elsagher. My heart was sad to think that someone like her would have such difficulty stepping through our doors. That Sunday, I was dumbfounded when Jared Dmytruk said the same thing happened to him. (See his story on Page 4). Only, it took him 17 years to actually try again. How many others have gone through the same process? What can we do to help them take that final step? The stigma surrounding ostomy surgery is slowly breaking down and there is more awareness as more people are willing to share their experiences. But we need to do more. Do you have a similar story? I would love to hear from you. COMPLETE VS. FINISHED Source: Ostomy Association of the Houston Area Dec N o dictionary has ever been able to define the difference between complete and finished. However, in a linguistic conference, held in London, England, and attended by some of the best linguistics in the world, Samsunder Belgian, a Guyanese, was the clever winner. His final challenge was this. What can we do to help them take that final step? (Continued on page 7) Some say there is no difference between complete and finished. Please explain the difference in a way that is easy to understand. His response was: When you marry the right woman, you are complete. If you marry the wrong woman, you are finished. And, when the right one catches you with the wrong one, you are completely finished. His answer received a five-minute standing ovation. Inside this issue: ELECTION RESULTS BRANDON MEETING WE VE GOT MAIL! THE FAP GENE & ME By Jared Dmytruk IT S A BOY! THE NEW PATIENT S GUIDE HELPFUL TIPS 10 SUPER FOODS PREZ. LETTER (Cont d) SUMMER LIVING with an OSTOMY $1000 BURSARIES SUMMER LIVING (Cont d) FAP GENE & ME (Cont d) THE BAG EXPLODED
2 UOA OF CANADA MISSION STATEMENT The United Ostomy Association of Canada Inc. is a volunteer-based organization dedicated to assisting all persons facing life with gastrointestinal or urinary diversions by providing emotional support, experienced and practical help, instructional and informational services through its membership, to the family unit, associated care givers and the general public. WHO WE ARE The Winnipeg Ostomy Association, Inc. (WOA), is affiliated with the United Ostomy Association of Canada, Inc. (UOAC), a volunteer-based organization dedicated to assisting all persons facing life with gastrointestinal or urinary diversions by providing emotional support, experienced and practical help, instructional and informational services through its membership, to the family unit, associated care givers and the general public. Members receive the UOAC s magazine, Ostomy Canada, the Chapter Newsletter, Inside Out, and the benefits of meeting fellow persons with ostomies at our regular meetings. The WOA is a not-for-profit registered charity and welcomes bequests and donations. VISITING SERVICE Upon the request of a patient, the WOA will provide a visitor for ostomy patients. The visits can be pre or post operative or both. The visitor will have special training and will be chosen according to the patient s age, gender, and type of surgery. A visit may be arranged by calling the Visiting Coordinator or by asking your Doctor or Enterostomal Therapist (ET). There is no charge for this service. MEETINGS All persons with ostomies, spouses, family members, interested members of the medical profession and the general public are welcome to attend our meetings and social functions. WELCOME Chapter meetings are held from September through May, except December, in Room 203 of the SMD Building, 825 Sherbrook Street, Winnipeg, MB, beginning at 7:30pm on the 4th Wednesday, of the month. There are no scheduled chapter meetings in June, July or August. A Christmas party is held in December. Free Parking is in the SMD parking lot to the south of the building. You must enter the lot off McDermott Ave. CONSTITUTION Copies of our constitution are available at our Chapter Meetings, on our website, or can be obtained by mail by contacting a member of the Executive Committee. UPCOMING EVENTS September 24th Chapter Meeting, October 22nd Chapter Meeting, November 26th Chapter Meeting December 7th Christmas Luncheon ARE YOU MOVING? If you move, please inform us of your change of address so we can continue to send you the newsletter and Ostomy Canada magazine. Send your change of address to: WOA Box 158 Pine Falls, MB R0E 1M0 LETTERS TO THE EDITOR The Editor, Inside Out Snow Street Winnipeg, MB R3T 0P8 All submissions are welcome, may be edited and are not guaranteed to be printed. Deadline for Next Issue: Friday, September 5, 2014 WORLD WIDE WEB Visit the Winnipeg Ostomy Association Web Pages: DISCLAIMER Articles and submissions printed in this newsletter are not necessarily endorsed by the Winnipeg Ostomy Association, Inc., and may not apply to everyone. It is wise to consult your Enterostomal Therapist or Doctor before using any information from this newsletter.
3 PAGE 3 inside/out SUMMER 2014 WOA BOARD ELECTION RESULTS for 2014 PRESIDENT: Lorrie Pismenny 1st VICE-PRESIDENT: Fred Algera 2nd VICE-PRESIDENT: Joe Daley TREASURER: Andrea Bradie SECRETARY: Kim Daley VISITOR COORDINATOR: Joanne Maxwell MEMBER-at-LARGE: Adam Brechmann MEMBER-at-LARGE: Heidi Gerkowski Thank you to all the members who let their names stand for another year. We thank Rollie Binner for his years of service since September 2011 and we welcome Kim Daley who takes his place. **************************** BRANDON MEETING: Reported by Rollie Binner & Joanne Maxwell What a wonderful way to spend a sunny Saturday driving to Brandon with good company and beautiful scenery! n Sat. May 24th, four members of the WOA O Board Lorrie, Fred, Joanne, & Rollie, took the road to Brandon to hold an informal meeting for interested ostomates and their families & friends. With the help of Diane Zachary of Sandy Lake, Helen Rankin, RN, ET, and the Manitoba Ostomy Program coordinator-mary Robertson RN CETN ( C ), we were able to send out invites, rent very accommodating space at the Brandon Nurses Residence and spent the afternoon talking and sharing with 23 wonderful & interesting people. Shonna & Cheryl from Disability Tax Credit Services (DTCS) travelled from Winnipeg as well, to talk about the possibilities of ostomates securing a tax credit and perhaps a refund from previous years available from the CRA. Anyone interested in knowing more had the opportunity to talk to these two women privately. No one in this group had applied for this very lucrative credit and most didn t know it was available. Another invited guest was Emma Church who, along with her mother, told of her camp experiences and the value she has received from the WOA s sponsorship to the United Ostomy Association s Youth Camp held every summer. This meeting was an opportunity to openly discuss one s They said Go West and we did! experiences with having an ostomy. The total day was a fun experience for us and we feel very encouraged by the responses that were freely given and by the latitude of the discussions which went from problems to solutions from questions about appliances to where to buy deodorizers salvaging unused supplies to be sent to FOWC making contact with ET Nurse Helen Rankin and sharing coping methods, - to name a few. Coffee & cookies were served, friendships were made, and laughter was very much a part of the day. A great atmosphere and congenial communication from everyone showed the real need to spend some valuable time with others who have similar health concerns and daily functions. Opening up these opportunities to more people is very rewarding. This meeting is a hopeful beginning for ostomates in and around the Brandon area. There are plans to meet again in the near future and we look forward to reaching out to more ostomates. But the best part of the trip was the gathering. Dear Lorrie, We ve Got Mail! There is something, after all these years, that really annoys me about having an ostomy. When I have dined in a fancy restaurant and the waiter is slow in bringing the bill I decide to go to the washroom. When I return the waiter presents the bill and I have already lost my dinner before I have even paid for it. Jean Morris via .
4 PAGE 4 inside/out SUMMER 2014 The FAP Gene & Me By Jared Dmytruk Needless to say, my family and I were in shock and disbelief. H ello everyone, my name is Jared. I am 37 years old. I work at the Winnipeg Free Press where I have done so for 18 years. I am a Journeyman Mailer and my primary duty is to run machines called bi-liners that insert flyers into sections of the newspaper that then goes out at night when the paper is printed. Before my diagnosis, aside from a little anemia, I was a normal healthy kid. But between the ages 19 and 20, I started having stomach pain and was making frequent trips to the bathroom. As the year went on, the stomach pain and trips to the bathroom increased and now I was seeing blood in the toilet. I made an appointment to have a colonoscopy done. The results to say the least were shocking. The doctor doing the procedure informed me afterwards that my large intestine had polyps in it. So much so that he said he stopped counting after 1000 and estimated that I had upwards of 50,000 polyps. A blood test immediately followed and I was diagnosed later with Familial Adenomatous Polyposis or FAP. FAP is an inherited genetic condition caused by a mutation in my DNA. A flaw in the body s tumour suppressor genes that prevent development of tumours. The flaw allows numerous cells of the intestinal wall to develop into potentially cancerous polyps. The flawed genes do not trigger cancer, but rather, they reduce the body s ability to protect against the risk of aged cells becoming cancerous. Needless to say, my family and I were in shock and disbelief. Surgery was the only option and needed to be undergone as soon as possible. So five days after my 21st birthday, I had my surgery. Going in I was told I would either have my large intestine removed and be reconnected or I would have a temporary ileostomy and reconnected at a later date. But due to an unforeseen problem with me having short blood vessels, several different attempts to reconnect over the course of an eleven hour surgery were unsuccessful. A permanent ileostomy was my only option. I recovered quickly in the hospital and was released just five days later. Recovery at home was hard for me. Physically I was fine but emotionally was another story. I felt alone, depressed, scared and struggled with my self image. Basically that feeling that every kid has of feeling invincible was gone. My parents had colonoscopies done and blood tests were taken to see if I inherited the FAP gene from one of them. The FAP gene was not discovered in either parent. This meant that I was the first in the family. It also meant that if I wanted to have children, they would have a 50/50 chance of also being diagnosed with FAP. About 1 to 2 years after my surgery, I heard about the Winnipeg Ostomy Association from one of the ETs. So I went down on the date I was given to go and check it out. But I struggled walking through the main door and only made it as far as the hallway. I think I stood there for a bit, then turned around and left. I think, looking back, I wasn t ready to talk about it or even admit that I had an ileostomy. I started going to the gym and doing weights when I was 21. As time passed, I started to know what I was doing and began to enjoy it. It allowed me to take out all my frustrations on the weights and in the process, made me feel better about myself. Fast forward 16 years and I am still training and enjoying it more than ever. I am happy for what it has done for my self confidence, and for what it has taught me that with hard work and dedication you can achieve anything. I am even toying with the idea of competing in a body building competition someday. But for right now, it is just a thought. Last year, I went to see a geneticist to see if anything could be done about reducing the risk of passing on FAP if I had a child. I am happy to say that after a series of tests, they were able to locate, isolate, and remove the FAP gene and I could have a healthy child through in vitro fertilization. So the FAP that started with me would also end Physically I was fine but emotionally was another story. I felt alone, depressed, scared and struggled with my self image. (Continued on page 9)
5 PAGE 5 inside/out SUMMER 2014 A warm welcome to new chapter members: Allan Chalmers Judy Cowell Marilyn Hargot Gilbert Jeannotte Irene Lacoste Kathleen Schaime Brian G. Smith J. Douglas Walker Mary Zuk Our hearts are bursting with pride & joy as we announce the birth of... Nolan Robert Daley Born: Sunday, July 20, 2014 Weight: 5lbs, 14 oz. The members of the WOA send congratulations to parents, Kim & Joe Daley on the birth of their son and a little brother for Ava. Joe reports, For all the medical staff involved, it was their first baby delivery involving an ostomate. Sometimes the littlest things take up the biggest space in our hearts. Proud parents, Kim & Joe, serve on the Board of the WOA. THE NEW PATIENT S GUIDE By Mary Robertson RN, CETN( C ) Program Coordinator, Manitoba Ostomy Program (MOP) CARING FOR THE SKIN AROUND YOUR STOMA The skin around your stoma, known as the peristomal area, should look like the skin on the rest of your body. It should be free of rashes, sores or skin irritations. This is the area to be cleaned during a pouch change, right up to the edge of the stoma. The stoma itself has a protective covering of clear mucous that does not need to be washed away or cleansed. The stoma is the bowel and very used to being in contact with the waste. This means that there really is no need to wash the stoma. Products that can be used for cleaning the peristomal area: Warm tap water that is safe for drinking. Wash cloths or any soft lint-free cloth (can be laundered & re-used. J - Cloth type of towel (easily cut into small squares, can be discarded in trash, good for traveling, dust/lint free) Toilet paper can be rolled up to form a wick that is helpful to control the drainage during the cleaning of the peristomal area, especially for a urostomy where the flow may be more continuous. Products to avoid when cleaning the peristomal area: Lint or dust producing items such as paper towels or tissues. Sterile gauze or wound care products such as nonsterile 4X4s. Personal hygiene or baby wipes. Alcohol based products. Hydrogen peroxide. Products that are labeled antibacterial or antimicrobial. Lotions or creams not approved for use under ostomy appliances. Old newspaper/flyers covered by a paper towel can be used in the place of a blue pad in the home setting. Gloves and blue pads are not available through the Manitoba Ostomy Program. Contact your ET nurse if you notice any problems with your peristomal skin or your stoma.
6 PAGE 6 inside/out SUMMER 2014 HELPFUL TIPS Ileostomates: if you empty your pouch more than 7 times a day, you might be losing valuable nutrients and are susceptible to dehydration. Replace nutrients in the body with liquids or foods such as oranges, tomato juice, Gatorade, and water. If you are an ileostomate, gelcaps, capsules, or time release pellets may not dissolve fast enough to be absorbed by those who have little or no colon. Remind your doctor of this when you need prescriptions. In MEMORIAM Jeanne Twa We extend our sympathy to her family and friends 10 Super Foods You Should Eat Courtesy of the New Life Newsletter (NC) via Centre for Science, Washington, DC; via Rose Bud News, February Sweet potatoes one of the most nutritious vegetables you can eat loaded with vitamin C, potassium, and fiber. 2. Whole grain bread higher in fiber and about a dozen more vitamins and minerals than white or wheat. 3. Broccoli lots of vitamin C, carotenoids, folic acid. 4. Watermelon excellent source of Vitamin C. 5. Beans low in fat, rich in protein, iron, and folic acid. 6. Cantaloupe a quarter of a melon supplies as much vitamins A and C as most people need in a day. 7. Spinach and kale loaded with vitamin C, carotenoids, calcium, iron and fiber. 8. Oranges rich in vitamin C, folic acid and fiber. 9. Oatmeal whole grain oatmeal is inexpensive and no added sugar or fat. 10. Fat free (skim) or 1% fat milk excellent source of calcium, vitamins, proteins with little or no artery-clogging fat and cholesterol. Source: Ostomy Association of the Houston Area. We re all smiles because you are so generous! Don Breen Philip Furkalo Bill & Aileen Webster - In Memory of Marvin Eyolfson Camp Fund Jean Morris Leinita Woods- In Memory of Hugh Woods Stoma Anniversary Evelyn Waldera 68 Years Diane Zachary 1 Year Your donations are greatly appreciated. Learn from yesterday, Live today to the max, Look forward to tomorrow.
7 PAGE 7 inside/out SUMMER 2014 (Continued from page 1) I have been in contact with Joyce from Dryden, ON who writes.. I am very lucky, usually I can go 7 9 days without a change, but when I am on chemo my skin changes and I have to do a lot of changes. I would be interested in any information from ostomates who have been on chemo and how they managed. As editor, I can say that I have not come across very much on this subject. I am sure there are many of you who can provide some great advice for Joyce and other ostomates out there. My contact information is on Page 2, under Letters to the Editor and my phone number is on the last page. Please get in touch with me and I will publish the replies. On another note although we are called the Winnipeg Ostomy Assoc. we are the only support group in Manitoba. As more members outside of Winnipeg have been getting in touch with me lately, I took a quick look at our membership list. I found that we have members from as far north as Churchill; as far west as Flin Flon; as far south as Deloraine; as far east as Pine Falls, and one or more members from 54 other towns in between not counting Winnipeg. Added to that list, are members in Ontario from Keewatin, Dryden, St. Frances, Ignace, and Red Lake. On behalf of the WOA Board of Directors, I send you greetings and hope that you have a great summer! Lorrie SUMMER LIVING WITH AN OSTOMY By Gwen B. Turnbull, RN, BS, ET Reprinted from Re-Route, Evansville Ostomy News, via Contra Costomy News. Summer is here. People flock to the beach, languish by the pool, or head out for vacation. However, summer with all its related activities, can produce a great deal of anxiety for someone living with an ostomy. One of the major concerns for a person with a stoma is body image and fear of public embarrassment (e.g., noise from flatus, leakage, odour, or possible appearance of the pouch under clothing). Summer means wearing thinner clothing, bathing suits, and shorts, which can increase the level of unease surrounding these already angst-ridden circumstances. Selecting a bathing suit for a woman or man with an ostomy is somewhat easier than it was several years ago. Men s swimming trunks tend to be patterned and knee-length. Flowered, patterned, or textured materials often serve as camouflage for a pouching system. Today, women have a variety of bathing suit styles from which to choose many find a one -piece patterned suit appealing while others choose boyshort bottom tankinis or two-piece suits with a chemisetype top and/or skirted bottom. As temperatures rise and exercise increases, so does perspiration. Individuals with an ileostomy must be instructed to carefully monitor fluid intake and stoma output, especially during periods of exercise or extreme heat. Many senior citizens live in homes without air-conditioning. Water alone is not sufficient it does not replace the extra sodium and potassium lost in sweat as well as what is normally lost in ileostomy or high-output effluent. Sports drinks, tea, or colas should replace plain water because they contain valuable electrolytes. Patients should be taught the signs and symptoms of dehydration as well as preventative measures. Should dehydration develop, patients need to contact their physician or report to an emergency room for rehydration with IV fluids. Higher environmental temperatures and increased perspiration also may decrease the wear time of solid skin barriers or skin barriers with a flange. Patients should anticipate this phenomenon, perhaps reducing wear time during the summer or switching to extended-wear skin barriers that are more resistant to meltdown (i.e., erosion) from increased body temperature, high volume liquid output, and increased perspiration. The need to change pouching systems before entering into physical activities should also be stressed, particularly if the individual is near the end of the usual wear-time. Summer also produces a bounty of fresh fruits and vegetables, such as corn on the cob, watermelon, peaches, green beans, cherries, okra, plums, tomatoes, foods that potentially create more gas, and/or difficulty with digestion, especially those foods with an abundance of seeds and skins. This is usually more of a problem for people with an ileostomy but an increased amount of fresh fruits and vegetables also can cause problems (e.g., diarrhea, excess gas) for people with a colostomy. If gas and odour become a problem, patients should be familiarized regarding closed-end and drainable pouching systems with effective gas relief and (Continued on page 8)
8 PAGE 8 inside/out SUMMER 2014 Advice is what we ask for when we already know the answer but wish we didn t. -Erica Jong Old age isn t so bad when you consider the alternative. -Maurice Chevalier WOA VISITOR REPORT Submitted by Visiting Coordinator Joanne Maxwell April: Colostomy 4 Ileostomy 8 Urostomy 1 Referrals from: HSC 5; STB 9; VIC. 1; VALUED VISITORS: Ion Parrish, Fred Algera (2), Jared Dmytruk, Bonnie Robertson (2), Mike Leverick, Sandy Owsianski, Lena Harder, Joanne Maxwell (2), Chuck Lefley, Joanne Liberty. May: Colostomy 3 Ileostomy 5 Urostomy 1 Referrals from: HSC 2; STB 7; Note: 2 visits not completed due to early discharge. VALUED VISITORS: Ion Parrish, Hope Lawson, Laurel Purling, Betty Andrews, Kim Daley, Joanne Maxwell, Rollie Binner June: Colostomy 6 Ileostomy 3 Urostomy 0 Referrals from: HSC 3; STB 5; Calgary AB 1; VALUED VISITORS: Sandy Owsianski, Angie Izzard, Bonnie Robertson (2), Dennis Dempsey (2), Fred Algera, Joanne Maxwell (2). (Continued from page 7) odour-reducing filter systems. Activities in the summer (or any other season, for that matter) may drive the individuals pouching system choice. Some people with an ileostomy may choose to use a closed-end pouch under a bathing suit or switch from a drainable pouch to a closed-end pouch while on vacation (for convenient disposal on the road ). One piece pouching systems may also be appropriate during these times. Visiting with friends and family can become problematic for people with an ostomy, especially with regards to emptying and/or disposing of soiled pouches. Sadly, many people choose to avoid situations (e.g., visiting, sharing bathrooms, and the like) because of these issues. Clinicians should teach their clients to put the soiled pouch in a zip-lock bag or aluminum foil for sanitary and odour-proof disposal to avoid embarrassment. A sense of freedom can easily be restored if people with an ostomy are educated about various pouching options. Some individuals choose to alternate pouch types depending on the activity, output, and the setting in which they find themselves. These are personal lifestyle decisions that can only be made if people with a stoma are shown a variety of pouching options. Something as simple as a different type of pouch can make a huge difference in someone s life and what better time to feel better about oneself than during the summer. Source: The Roadrunner of Albuquerque May 2012
9 Page 9 inside/out SUMMER 2014 (Continued from page 4) with me. Getting sick and overcoming it, was one of the hardest things I ve ever gone through. But it has helped me grow as a person and has taught me a lot about myself. Now, in life, I try not to sweat the small stuff and live with no regrets. But if I had one regret, it would have been that I didn t walk into that WOA meeting so many years ago. So the FAP that started with me would also end with me. Jared Dmytruk Editor s note: Jared finally made it through our doors at the insistence of his ET who felt he would make a great visitor. And she was absolutely right! With his marvelous attitude, great smile and young age, he is in great demand and has helped many a young patient work through their anxieties and questions. Jared attends meetings on a regular basis, is always ready to help out in any way he can and now is on our video committee bringing many great ideas with him. Did you know.... Store your opened chunks of cheese in aluminum foil. It will stay fresh much longer. Time decides who you meet in your life. Your Heart decides who you want in your life. And your Behaviour decides who will stay in your life. Text Message: Wife: Windows frozen Husband: Pour lukewarm water on and try to open. Wife: Computer really messed up now! THE BAG EXPLODED ALL OVER HER STREET CLOTHES. By Cindy Civa, Greater Seattle (WA) Ostomy ASG The bag exploded all over her street clothes a line that can strike terror into any ostomate. This was gently whispered to me by a tech on a recent 6 month check up, CT scan, and I wanted to know more. If you ever had a CT Scan you are aware that a contrast drink is given an hour before you can even begin. Most patients are required to drink 4 glasses of this, 2 glasses at 2 different intervals. I had thought of myself as most patients and continued to drink the 4 glass minimum after obtaining my ileostomy. I guess I will just have to adjust to this I remember thinking as I wiggled quickly to the restroom after the procedure with the entire contents of the glasses in my bag. The contrast went right through me. I finally made a comment to a knowledgeable tech (yes there are some of them) and she said you need to inform the receptionist when you make the appointment. Those with ileostomy (and maybe other ostomies but please check with your doctor or ET nurse) need only drink 2 glasses of contrast. Then she said, I had a patient who had an ileostomy who drank the 4 glasses of contrast and the bag exploded all over her street clothes. I know accidents are not 100% avoidable but any time we can prevent one, I am all for it. So if you see me wiggling down the hall at my local clinic it s only because I have had one too many cups of tea and I know how to avoid that also. Source: Greater Seattle Ostomy Association The Ostomist via Winnipeg Ostomy Assoc. Inside/Out Summer 2014 STOMA ANNIVERSARY CLUB The anniversary date of my stoma is and to celebrate my second chance for healthy living, I am sending the sum of $ per year since I had my ostomy surgery. NAME: AMT. ENCLOSED: Official receipts for tax purposes are issued for all donations, regardless of the amount. My name and the number of years may be printed in the INSIDE/OUT newsletter. YES NO Clip or copy this coupon and return with your donation to: Winnipeg Ostomy Association Sherbrook Street Winnipeg, MB R3A 1M5 Proceeds from the Stoma Anniversary Club will continue to go towards the purchase of audio & video equipment to promote the Winnipeg Ostomy Association and its programs.
10 Page 10 INSIDE/OUT SUMMER 2014 THE WINNIPEG OSTOMY ASSOCIATION, INC. (WOA) Sherbrook St., Winnipeg, Manitoba, Canada R3A 1M5 Phone: EXECUTIVE OFFICERS President; Lorrie Pismenny st Vice-President Fred Algera nd Vice-President Joe Daley Secretary: Kim Daley Treasurer: Andrea Bradie Visiting Coordinator Joanne Maxwell Member-at-Large Adam Brechmann Member-at-Large Heidi Gerkowski MEDICAL ADVISORS E.T. NURSES Mary Robertson, RN, ET MOP Carisa Ewanyshyn RN, ET MOP Rhonda Loeppky RN, ET MOP Marcie Lyons, RN, ET St. Bon Angie Libbrecht, RN, ET St. Bon Jennifer Bourdeaud hui, RN, ET St. Bon Bonita Yarjau, RN, ET H.S.C Elaine Beyer, RN, ET H.S.C Tina Rutledge, RN, ET H.S.C Helen Rankin, BN, ET Brandon, R.H.C PHYSICIANS Dr. H.P. Krahn: Dr. C. Yaffe Dr. R. MacMahon: COMMITTEES REFRESHMENTS/SOCIAL CONVENORS: Vacant RECEPTION/HOSPITALITY: Ken Andrews PUBLIC RELATIONS: Vacant MEMBERSHIP: Rosemary Gaffray LIBRARY/TAPES: Ursula Kelemen TRANSPORTATION: Vacant CARDS: Grace & Barry Cox NEWSLETTER: Editor: Lorrie Pismenny Mailing: Bert & Betty Andrews WEBMASTER: Mike Leverick VISITING ASSISTANT: Vacant SASO: Nurit Drory FOW SUPPLIES PICK UP Helmut Friesen OSTOMY SUPPLIES HSC MATERIALS HANDLING 59 Pearl St., Winnipeg, MB. ORDERS: or Monday to Friday 8:00am to 4:00pm PICK-UP: Monday to Friday 8:00am to 11:00pm WINNIPEG OSTOMY ASSOCIATION MEMBERSHIP APPLICATION Current Members PLEASE WAIT for your green membership renewal form to arrive in the mail. Your renewal date is printed on your membership card. New Members: Please use this form Please enroll me as a new member of the Winnipeg Ostomy Association. I am enclosing the annual membership fee of $ WOA members receive the Chapter newsletter Inside/Out, become members of UOA Canada, Inc., and receive Ostomy Canada magazine. Please send me the Chapter Newsletter, Inside/Out, via , in PDF format. YES NO NAME: PHONE: ADDRESS: CITY: PROVINCE: POSTAL CODE: I have a: Colostomy : Ileostomy : Urostomy : Ileal Conduit : Cont. Diversion: : Pelvic Pouch : Other : YEAR OF BIRTH: Please make cheque/money order payable to Winnipeg Ostomy Association and mail to: WOA c/o Box 158, Pine Falls, MB R0E 1M0
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Day Surgery Guide to your Colonoscopy or Upper GI Endoscopy Pre-Admission Phone Interview Date & Time: (you will be given the time of your procedure on this call) Date of Procedure: with Dr. Your Upcoming
TEACHER NOTES WHAT IS A HEALTHY LIFESTYLE? A HEALTHY LIFESTYLE Indicators Reads information about a healthy lifestyle. Critically analyzes examples of lifestyles and suggests improvements. Teacher information
Nutritional Glossary This glossary provides nutrition information about the nutrients commonly found in fruits, vegetables, and other plant foods Each glossary definition has a long and a short version.
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Prepared in collaboration with High Blood Pressure in People with Diabetes: Are you at risk? Updated 2012 People with diabetes are more likely to have high blood pressure. What is blood pressure? The force
Getting Ready for Your Colonoscopy (PEG) - APC To help you get ready for your procedure; we, the staff of the Ambulatory Procedure Center at UW Hospital have made this handout for you that has information
What to Expect While Receiving Radiation Therapy for Prostate Cancer Princess Margaret Information for patients who are having radiation therapy Read this pamphlet to learn about: The main steps in planning
CSM Celebration Student Ministry Volunteer Application Packet Celebration Church Blountville, TN Dear Potential Youth Leader, I M GLAD YOU RE INTERESTED IN WORKING WITH OUR STUDENT MINISTRY! Our church
Emergency Department Patient Guide Information FOR PATIENTS & Their FAMILIES in SEVEN OAKS GENERAL HOSPITAL s EMERGENCY DEPARTMENT A Winnipeg Health Region Hospital If You Have a Concern about Your Care,
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2015 Information for Patients Receiving Radiation Therapy: External Beam Treatment for Prostate Cancer Why is radiation therapy used to treat prostate cancer? Prostate cancer may be treated with a combination
Black Hills Healthcare System Methicillin Resistant Staphylococcal Aureus (MRSA) Patient and Family Information What is MRSA? Staphylococcus Aureus, often referred to simply as staph, is a bacteria commonly
Information for patients Preparing for an Examination of Your Colon (Colonoscopy) Endoscopy Unit Tel: 01473 702352 DPS ref: 03394-16(RP) Issue 4: August 2016 Review date: July 2019 The Ipswich Hospital
Cytotoxic Precautions at Home A Guide for Cancer Patients and Families Your cancer treatment... 1 What are cytotoxic precautions?... 1 What body fluids are cytotoxic?... 1 How do I handle my body wastes?...
Living With Congestive Heart Failure Information for patients and their families Patient information developed by EPICORE Centre, Division of Cardiology, University of Alberta The REACT study: supported
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Healthy Eating after Colorectal Cancer A dietary guide for optimising health after treatment for colorectal cancer Introduction Eat your way to a lower risk of cancer recurrence! Following treatment for
South of Tyne Bowel Cancer Screening Programme How to prepare for your colonoscopy using bowel preparation Type 1 and type 2 diabetes - insulin treated diabetes management (Evening appointment) December
June 2015 Inside this issue: Toy Insurance 2 Grilling Safety 3 Home Safety 3 Cooper s Review Summer 2015!! Referral Program 4 Dear Clients and Friends, Elizabeth Davis Welcome to our summer client Newsletter.
HOSPITAL TO HOME Plan for a Smooth Transition R et urning home from a hospital stay can result in unexpected challenges for many seniors. Finding themselves back at home after a hospital stay, many older
How to Support Someone During the Bariatric Surgery Process UHN Information for family and friends When someone you care about is going to have weight-loss surgery, you may have many questions. Read this
Getting Ready for Your Colonoscopy One and Done Let s do this once and let s do it right! Inside you will find: How to prepare for your colonoscopy Information about your colonoscopy Answers to commonly
PRIMARY LUNG CANCER TREATMENT Cancer Care Pathways Directorate Tailored Information in Cancer Care (TICC) Sir Anthony Mamo Oncology Centre December 2014 Contents About this booklet 1 Types of Lung Cancer
Colon Screening Program Colonoscopy Patient Education www.screeningbc.ca/colon Colon Screening Program of BC The patient coordinator (a Registered Nurse) works together with the patient, family doctor,
Mental Health Role Plays Goals: To discuss various mental health issues and mental illnesses. To discuss stigma, support and treatment options surrounding mental health issues and mental illnesses. Requirements:
BuyNuezdelaIndia.com The information provided in this guide is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions.
Peak Development Resources, LLC P.O. Box 13267 Richmond, VA 23225 Phone: (804) 233-3707 Fax: (804) 233-3705 After reading the newsletter, the nursing assistant should be able to: 1. Describe the normal
Colon and Rectal Cancer What is colon or rectal cancer? Colon or rectal cancer is the growth of abnormal cells in your large intestine, which is also called the large bowel. The colon is the last 5 feet
You CAN raise $1800 (and MORE!) in just 4 weeks! Step-by-Step Instructions This package includes: Fundraising 101 and getting prepared Plan of action calendar Two options for follow-up letter/email Final
High Blood Pressure and Chronic Kidney Disease For People With CKD Stages 1 4 National Kidney Foundation s Kidney Disease Outcomes Quality Initiative (NKF-KDOQI ) The National Kidney Foundation s Kidney
Be Active Your Way A Guide for Adults Based on the 2008 Physical Activity Guidelines for Americans Be Active, Healthy, and Happy! Be Active Your Way A Guide for Adults Wondering about how much activity
Mini Medical School Lesson The American Osteopathic Association s (AOA) Mini Medical School Lesson is designed to help educators teach children about health and fitness. This lesson is aimed towards elementary
Patient Education CARE AND TREATMENT Urinary Indwelling Catheter This information will help you care for a urinary indwelling catheter at home. It will answer many of your questions. Please ask your doctor
Ben s Stem Cell Transplant A guide for children who are having a stem cell transplant (SCT) www.leukaemia.org.au About you This booklet is yours to help you to understand why you need a stem cell transplant
ISCW Intermittent Self Catheterisation for Women National Service, Locally Based www.fittleworth.com Opening hours: 8am - 8pm Monday to Friday 9am - 1pm on Saturday Freephone National 0800 378 846 Scotland
12 High Dose Radioactive Iodine (I-131) Therapy for Treatment of Thyroid Cancer Please arrive 15 minutes early to allow for parking and registration. If you have questions or need to cancel your appointment
H Moving to a hospital or skilled nursing facility What to expect when you have MRSA (Methicillin-resistant Staphylococcus aureus) A booklet for patients, residents, family members, and caregivers About
South of Tyne Bowel Cancer Screening Programme How to prepare for your colonoscopy using bowel preparation Type 1 and type 2 diabetes / insulin treated diabetes management. (Morning appointment) June 2012
BankersHub.com January 2015 Newsletter Page - 1 COURTING SMALL BUSINESS BANKING PROSPECTS IS LIKE DATING! By Julie Dunn Story Newsletter Article January, 2015 ABOUT THE AUTHOR Julie Dunn Story brings years
Volume 1 Issue 1 May 2015 Autumn 2015 Harcourt s Hoops Adding Value to Your Life with News, Tips, and Entertainment Financial Freedom Tip of the Month Nobody sets our to get deep in debt. It just seems
Frequently Asked Questions: Gastric Bypass Surgery at CMC Please feel free to talk with any member of the Obesity Treatment Center team at Catholic Medical Center regarding any questions, concerns or comments
First 100 Instant Words the had out than of by many first and words then water a but them been to not these called in what so who is all some oil you were her sit that we would now it when make find he
RADIATION THERAPY SYMPTOM MANAGEMENT Managing Acute Side Effects of Colorectal & Anal Radiation Therapy In this booklet you will learn about: Common side effects when you receive radiation therapy to your
After Your Gastric Bypass Surgery UHN Information for patients and families Read this information to learn: what problems to look out for how to care for yourself at home about your follow-up appointment
Web Sites Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/norovirus/index.html Your Local Health Department http://www.azdhs.gov/diro/lhliaison/countymap.htm What Is Ocument dn Norovirus?
Radiation Therapy for Palliative Treatment at The Carlo Fidani Peel Regional Cancer Centre Introduction...2 Patient Education and Information...2&3 Treatment Planning...3&4 Your Appointments...5 Radiation
Living and succeeding with a gastric band Practical advice for patients page 2 Living and succeeding with a gastric band Bariatric surgery (weight loss surgery) is currently the most effective treatment
After Bladder Surgery (TUR-TransUrethral Resection) Discharge Information General Information (for either procedure) TUR (Transurethral Resection) Bladder Neck may be done to remove scar tissue blocking
Ben s Stem Cell Transplant A children s guide to stem cell transplant www.cclg.org.uk This booklet was originally produced by the UK Paediatric BMT Nurses Group and CCLG Publications Committee. This version
Fry Instant Words High Frequency Words The Fry list of 600 words are the most frequently used words for reading and writing. The words are listed in rank order. First Hundred Group 1 Group 2 Group 3 Group
Are you feeling... Tired, Sad, Angry, Irritable, Hopeless? I feel tired and achy all the time. I can t concentrate and my body just doesn t feel right. Ray B. I don t want to get out of bed in the morning
The 12 Step Follow Up System Finally A Follow Up System That s Simple, FUN and Most Importantly PROFITABLE! Copyright 2013, All Rights Reserved Nancy Matthews Page 1 Congratulations! Welcome you to the
presents Best Practices of Diocesan Outreach Ministries or, Some Really Good Ideas to Make Your Program Run More Smoothly! Fall 2010 Fall 2010 Dear Outreach Ministry Leaders, is so pleased to offer you
Issue 3 Healthy at Heart Reduce Your CV Risk FEELING GOOD It s Not Just Your Body. It s Your Outlook, Too. Inside: Tips for staying active and feeling good all over Speak to your healthcare provider before
Personal Planning Book The Personal Planning Book was originally written by Barbara McIntosh and Andrea Whittaker. Several revisions and additions to this book have been made since the original version
Patient Satisfaction Survey March 2014 Number of responses = 229 Survey Tool: GPAQ V3 Analysis by Andrew McHugh using Adobe Acrobat Pro and MS Excel 1 of 25 Subject Page Front Cover 1 Contents Page 2 Explanatory
Ben s Bone Marrow Transplant A children s guide to BMT 2 Children s Cancer and Leukaemia Group Third Floor, Hearts of Oak House 9 Princess Road West Leicester LE1 6TH Tel: 0116 249 4460 Fax: 0116 254 9504
Use this checklist to make sure that supporters and individuals take actions necessary to prevent a UTI. When reviewing prevention steps for a specific person, you may record your answers to the questions
BNA, INC. Workforce Strategies A SUPPLEMENT TO HUMAN RESOURCES REPORT VOL. 29, NO. 7 ISSN 1523-2832 JULY 2011 Reproduced with permission from Workforce Strategies, 29 WFS No. 7, pp 10-14, 07/01/2011. Copyright
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1 A guide to prostate cancer clinical trials In this fact sheet: What is a clinical trial? Why are trials done? What are trials looking into at the moment? How are clinical trials done? Should I take part
THE 5 BIGGEST MYTHS ABOUT POTTY TRAINING ŒŒŒŒ AND THE TRUTH ABOUT GETTING DIAPER FREE IN JUST ONE DAY! Dana Obleman B.A (Psych.) B.Ed. (Elem) www.nosweatpottytraining.com The 5 Biggest Myths About Potty
Guidelines for drinking fluids to stay hydrated Fluids come from the beverages you drink and the foods that you eat. This handout will focus on the fluids you drink to stay hydrated. How much fluid you
Sample Process Recording - First Year MSW Student Agency: Surgical Floor, City Hospital Client System: Harold Harper, age 68, retired widower Date: November 18, 20xx Presenting Issues: Cardiologist observed
People who have a stoma often share many of the same questions and concerns. This best practice document provides answers to some of the common questions that people ask about the day to day care of the