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    During our meetings with various ostomy patients, some valuable suggestions have been made that their experiences have taught them. Some of these suggestions are listed below.

 I. Chemo or Radiation
         If you are having chemo therapy or radiation treatments and eating is a problem, you might obtain a copy of Betty Crocker's "Living With Cancer" Cookbook. It has many recipes to help with your problem.

 II. Appliance Disposal
             I use small "baggies' for the disposal of my used appliance or bag.

III. Blood Relatives
            Bob Pleski was told by a Nurse, when he was having a colonoscopy, that a blood relative of a colon cancer patient may be eligible for Medicare payment to have a colonoscopy examination because the person is considered higher risk to develop cancer of the colon.  Most private insurance companies follow Medicare policy, so they may also cover the cost of this diagnostic procedure.
 
IV. Stoma Paste   
 

    In one of our recent group get-to-gathers we talked about using paste, who does ,who doesn't , etc. The summary was that we all used it originally because the nurse told us to use it. After time most of us have experimented and almost all have quit using it because for most people it did not help and it was just an extra operation.
        If you have deep creases in the skin then some use it to fill depressions or maybe some other reason. If you can stop using it successfully, it then reduces your monthly costs.

V. Pouch Ballooning
   
I want the venting to work for about 7 days, my normal appliance change time, and to neutralize all of the odor, all of the time.
   
I have been using a system for about 6 years that generally meets the above criteria.
   
I start with a Convatec vented pouch 401557 and punch a hole in the top of the removable filter holder and the put on a Coloplast filter #0509 on top of the removable filter holder. I use a couple of squirts of a liquid drop bag de-odorant Hollister M-9 or “STOP”, on each new pouch and again each time that I empty the pouch. 

I remove both filters when showering and cover the opening in the pouch with tape. When done,  I remove the tape, dry the holder and reinstall both filters. Sometimes the inner Convatec filter will get wet from liquid in the pouch working it’s way up after 4 or 5 days. Then dry it the best that you can and install another Convatec filter. ( A box of 5 pouches comes with 10 extra filters) Even if I need to temporally remove the Convatec filter and throw it out and don’t have a spare with me, the second Coloplast filter seems to catch all odors.
    The Coloplast filter and the removable filter holder I keep reusing for months or until it gets wet.
   
If you have questions on this modification I can be reached at Bob Pleski  mailto: pleski@comcast.net or phone at 530-432-3699.
   
The attached photos should help clarify.
   
If anyone knows of a vented pouch that I can buy and that will do what I want, I would like to know who to contact and the part numbers.

(Double click on picture to enlarge it)

  VI. Skin Problems
     I have very sensitive skin so I still use the cut to fit appliance. If I have a problem with skin irritation, I can cut the hole off center which allows me to let the air cure the affected area.

  VII. Colonscope    
    When you are going to go in for a Colonscope inspection, before you start taking the laxative, that you install an irrigation sleeve, a very large container, so that it does not over fill a normal pouch, and cause a mess.

  VIII. Skin Bond

          If you are having trouble with your wafer not sticking to your skin as well as you think that it should you might try Skin Bond to increase the bond and to decrease leakage.

            Skin Bond is a liquid rubber cement, made by Smith & Nephew, Part number 400000 for a 4 oz can. It is brushed on the clean skin and the wafer before it is installed. It needs to dry before you put the 2 surfaces together, and a hair dryer may speed up the drying process.

Some people report a significant increase in wear time of the wafer and improvement in skin quality when Skin Bond is used.

The instructions on the can say “shake well before using” From my experience if you shake the can then cement is on the inside of the cover and drips on the outside of the can and the can becomes very messy after the 2nd or so usage. I recommend that the contents be stirred well before using, not shake well.

A 4 oz can of Skin Bond when purchased through our buying program cost $11.65.

 

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This page was last updated 12/14/2007