A 501 (C) (3) nonprofit organization, (tax deductible donations)
Tuesday February 13th 2018, 2:00PM
South Port Square 23023 Westchester Blvd Port Charlotte Fl
Gables East 2nd floor alcove
Paul Bixler, Hollister rep will be our speaker
$10 Morgan’s Café
2 Subway sandwiches at Harbor Subway
$25 Winn Dixie
Our January speaker, Dr George Hoffman, a retired urologist, came well prepared to explain the digestive system to enable the group to understand how we receive and digest foods.
He explained that the PH in our digestion system should be somewhat acidic at 7 PH The alimentary canal begins at the mouth and ends at the anus. He brought a picture of the alimentary canal making it easy to understand his explanations of digestion.
Digestion begins in the mouth where saliva helps to break down food as you chew. It is important to chew your food well to give this start of digestion a good start.
From there food goes to the stomach There is an acidic environment (Hydrochloric acid) that breaks down the lipids. It mixes with the food at this junction just before entering the colon from the ileum. It is here that Vitamin B12 is absorbed. In many Ileostomates this area has been removed and it is important for these persons to take B12. This can be administered as an injection. When taken by mouth the absorption can be a problem. You can talk to your pharmacist, being sure that he or she knows that you have an ileostomy.
When food leaves the stomach it enters the Duodenum, the first part of the small intestine. It is here that food becomes alkaline fluid. Lipase, a digestive enzyme, breaks down fats. The gall bladder holds bile salts and recirculates 6-8 times daily. Next the fluid enters the small bowel. The small bowel can measure anywhere from 9 feet to 28 feet in length. The first part of the small bowel is the Jejunum.The ileum makes up 3/5 of the small bowel. The Ileo-cecal valve separates the small and large intestines. The Cecum is the first part of the large bowel. When the valve closes it prevents intestinal content from reversing back to the small bowel.
Water is absorbed in the large colon. The bacteria in the feces is important here in its defense against pathogens. It is in the gut floor where metabolic diseases can occur. Bleeding may occur here. (For many IIeostomates it is the bleeding and frequent stools that necessitated the need for removal of the colon to cure the disease.)
The lower the opening for the ostomate the easier it is for management. For some colostomates they may have only lost the anus and a small portion of the bowel, making life easier as the body adjusted to this change.
In the right side, as stool travels into the small intestine, it is soft and sometimes watery. Water
isn’t absorbed until it reaches the large intestine, explaining why the ileostomate has a more
difficult management scenario. There are digestive enzymes present and if the skin isn’t totally protected the enzymes will digest the skin.
For the urostomates stones can occur. Dr Hoffman explained how a portion of the small intestine is used as a conduit to shuttle urine from the kidneys to the stoma. Infections can be a problem, so most urostomy pouches have valves that don’t allow the contents to run back up.
Keeping the pouch empty at night is also a help. It is recommended that the pouch be hooked up to a night drainage bottle to keep the pouch empty and to allow for worry free sleep.
Hernias can be a problem for any ostomate. Repairs utilize mesh around the stoma area. If any ostomate has been told to avoid lifting heavy weights it is important to follow this advice. Repairs can often be accomplished with minimally invasive surgery.
Many questions were answered as Dr Hoffman, in his relaxed manner, had attendees feeling comfortable getting their questions answered by a great profession
COPY OF “I’m a Stoma”
Hi! I’m a stoma! I am great when you think about it. I must admit I have upset people Some even consider me crude, rude, and socially unacceptable. Well, excuse me!
Just about everyone gets bent out of shape when their doctor says “it may be necessary to create a stoma. They make it sound like a dirty word. Listen, it isn’t the greatest for me either; I’m usually created from a piece of your intestines. I guess you know all about that, and then,
just maybe you don’t.
Becoming a stoma wasn’t my original job or function. I used to just lay there in your abdomen mining my own business. Then BOOM! Some surgeon decided – lets make a stoma. He had his nerve. Why? How could they consider such a thing. Well I guess it was because you
hurt so much, were so sick from disease like cancer, or from a trauma like that automobile accident, or from a birth defect. Your surgeon knows that by putting me to work you could be free of discomfort and problems. In truth , so you could get along living, which is your main
function. Well, you know, because you are a people.
That is why I was created. Then why do so many people complain about me? Did you know I am not just given to anyone. You see there is a lot of planning and evaluation of each human being before I am created. So I know you can say only a chosen “Million” or so can say they are
lucky enough to have me. That’s a relief . You see my people are special. My people are not like the run-of-the mill people. I must say, it takes them awhile to recognize that fact. And sad to say, there are a few who never do.
It isn’t easy being a stoma. Some of you just don’t understand what a miracle I am. Listen, before creation I just laid quiet and usually content in your abdomen. Now I work! It’s rather easy when fecal waste comes through because that’s what I’m supposed to do, but some dude
decided why not water waste as well. Come to find out that dude was very wise, because that works too. You think YOU have problems adjusting! Phooey! Did you realize that I am a delicate mucous membrane! Yet I am durable. But some people think I’m asphalt tile. Thank God I don’t
have feeling, but my friend, the skin, does. You want complaints listen to her! She really gets upset because of ulcers, fungus, irritants, barriers, etc. We are a team, and a darned good one! I’m moist; she is dry. I’m pink red. She is natural. I’m smooth, she is a bit bumpy.
One of my biggest problems is my size. I am not always the same size form human to human; I am not always round. I don’t always protrude nicely. Then why do some of you insist that my pouch opening is always the same? You need to check my size once in awhile and fit me
appropriately. Your shoes fit, don’t they?
Some of you complain because I’m not pretty. Well your anus wasn’t miss America. I think I’m attractive. I am light red like a rose. I am always moist if I’m healthy, and I don’t smell. My discharge can’t help but be what you put in your mouth. If you care for me with thought and
keep my equipment clean, that just about covers it. In closing let me say that you can live a good life, and a productive one. It’s up to you. I’m just a part of you, trying to do my job.
Tender loving care. Your stoma needs it too!
Most ostomy patients would agree that there is no substitute for tender loving care. That is one of the reasons that the specialty of ostomy nursing exists. It ensures that nurses with a special sense of caring and special education are taking care of the ostomy patient’s needs. Remember your stoma needs TLC too.
Generally speaking it is good to set aside a time for giving priority to stoma care. It might be during the morning shower. After breakfast, or at bedtime. It is important to make it fit your routine. Don’t change your routine for your stoma. Make it change for you. Have a regular time
for pouch changing; helps put some order into your schedule. It will ensure leakage or other problems can be kept at a minimum. If you know that your pouch always leak on the fourth morning, then begin changing it on the third night, if that time is convenient.
Don’t be rough on your stoma. It’s not unusual for it to bleed a little when washed. Just be careful not to be too brisk with the washcloth or whatever you use, or that may cause irritation.
Eat a well-balanced diet; follow special instructions from your physician, stoma nurse, and dietitian. Drink sufficient water and fluids unless you are medically limited. Persons with ileostomies and colostomies should chew their food well, and avoid eating too many hard to
digest and gaseous foods at one meal.
See you in February. Gloria Patmore RNET (Retired?)