macomb county michigan ostomy associationostomysupport-macomb.org/spring2016_newsletter.pdf ·...

THE GOOD NEWS Macomb County Michigan Ostomy Association

VOL. XXVIII NO. 5 Spring 2016

President Carol Wheatley (586) 576-0117 Vice President 1 Beth Carnes (248) 812-7715 Vice President 2 Nadine Coleman (248) 399-7073 Secretary Linda Emery (248) 629-5358 Treasurer Suzanne Fleet (586) 747-5983 Advertising Joe Boesl (586) 268-2220 Visitation Beth Carnes (248) 812-7715 Greeter Larry Monette (586) 755-3477 Hospitality Chairman

Norma Monette (586) 755-3477

Supply Donation

Sarah Mays [email protected]

(248) 277-0369

Editor Joe LaFrance (586) 757-1200

CWOCN Nurses See Inside Newsletter

Contact Us: www.ostomysupport-macomb.org

[email protected]

Call Toll Free (877) 849-2076

Meeting Time: We meet at 2:00 PM on the first Sunday of the month, (the second Sunday if the first Sunday is a holiday)

MACOMB CHAPTER CHATTER

There has been a lot of confusion about our April meeting, but we finally have it down pat. 1. It will be April 10

th, not the 3

rd

2. It will be at Botsford Hospital, not St. Mary’s. 3. We will not be carpooling, because we have a chartered bus. PLEASE READ THE DETAILS IN THE MESSAGE FROM THE PRESIDENT inside this newsletter. Macomb Chapter Chatter continued on page 2

COMING EVENTS We meet at 12000 12 Mile Road Warren, MI in the Medical Education Building of St. John Macomb-Oakland, Macomb Campus

March 6, 2016 Tom Cole, CEO of Fortis Medical Products;

Entrust Ostomy Care Products

April 10, 2016 Joint session with Metro Detroit. Please see

message from the president on page 2 for details.

May 1, 2016 Open Discussion

Ostomy Association of Metro Detroit

Serving Southeastern Michigan

Mission: To provide support, information, and assistance to anyone dealing with an ostomy, diversion or continent surgery.

MEETING DATES

March 13 at 1:30 at St. Mary Mercy - Speaker Tom Cole from Fortis Medical Products. April 10 at 3:00pm at Beaumont Farmington Hills (Botsford) - Dr. John Webber from Karmanos. May 15 at St. Mary Mercy - Pizza Party & Open Discussion.

METRO DETROIT CHAPTER CHATTER

MEETING ALERT !!! If there is weather advisory, there will be no meeting. I’m sorry if anyone came to the January meeting. We had no way to reach most of you on Sunday morning. In previous years, we’ve had this warning in the newsletter. We’ll try to remember to include it every year. We hope to see you all this spring when the weather should be better.

Metro Detroit Chapter Chatter continued on page 3

Chairperson Dennis Uren (248) 852-2876 Treasurer Larry Harris (248) 668-0711 Telephone Hotline Toll Free (866) 678-6698 Membership Marge Hamann (586) 799-7360 Speakers Cheryl Pelto (248) 242-0170 Secretary Medical Advisor-Surgeon

Medical Advisor-Gastroenterlolgist

Michael Duffy, MD (248) 273-9930

CWOCN Nurses See Inside

We are affiliated support groups of the of the United Ostomy Association of America (UOAA) Spring 2016

MACOMB CHAPTER CHATTER continued...from page 1

January: Our scheduled January speaker was ill and couldn’t come, but we had Kevin Bonikowski, WOCN, come with a slide presentation of some of the problems that can occur with ostomates. I was a little concerned that some of the slides might scare some of our new people, but fortunately, most of those problems are rare, and all of the problems are fixable. Kevin is a home health nurse from Troy Beaumont and had even attended to some of those in the room after their surgeries. He mentioned that he is seeing more people now getting temporary ostomies, and then getting them reversed at a later date. He said the most common cause for this type is due to diverticulitis. February: President Carol was not able to come to the February meeting, so upcoming president Beth Carnes presided. The speaker was Joan Van Heck, BSN, RN, CWOCN from Henry Ford Macomb Hospital. There was a good discussion on a variety of topics. Here are a few highlights. Joan told us that Henry Ford Macomb now has an ostomy clinic at the 19 Mile/Garfield location, as well as the one at the wound clinic in Chesterfield. She wants to help ostomates go on with their life styles, and is even willing to provide phone assistance. See ad elsewhere in the newsletter for the details. Joan mentioned that the disposable pouches have been discontinued in certain European countries because they were plugging toilets. We cannot stress enough that if you use the disposable ones, you should not flush them into a septic system, or in communities with older plumbing. Rather, put them in a zip lock or other disposal bag and throw them in the trash. Someone asked about the protocol for irrigating their stoma. Joan stressed that one should get trained by a WOCN before trying to do that. And importantly, ONLY colostomates can irrigate. It will not work for ileostomates. Sarah Mays reminded us that the “Blue Ribbon Walk” is scheduled for March 26. This is the first colon cancer awareness walk in Michigan. She has been working with CRAN (Colo Rectal Awareness Network), sponsored by the Cancer Society in

organizing this walk. It is a fundraiser that will benefit both us and CRAN. So help us and help yourself by participating or donating. There is a donation slip, along with the official ad in this newsletter. See page 8.

Message from the president Macomb Chapter IMPORTANT MESSAGE ABOUT APRIL MEETING PLEASE READ

We want to keep reminding everyone about our planned April (field trip) meeting. It will NOT be held on the 3rd, the first Sunday, but it will be on the 10th, the second Sunday, so that we can have a joint meeting with the Metro Detroit Group at their scheduled meeting time and place. So we will gather at our St. John location by 2:00 on the 10th to board a chartered bus to take us to the old Botsford Hospital, (recently changed name to Beaumont Farmington Hills), to hear Dr. John Webber, a surgeon with the Karmanos Group, who has performed many of your surgeries. If you want to drive yourself, the address is: Beaumont Hospital, Farmington Hills (Botsford) 28050 Grand River, Farmington Hills, MI 48338 Go to the: Administration and Education Center Building East of the Main Hospital, directly opposite the Emergency Room. (Classroom B & C). Please be there by 3:00 p.m. We recommend you eat lunch before you come, as we are not planning on having refreshments other than bottled water, and we may not get back to St. John until 5:00, considering travel time. (We have no objections if someone wants to bring cookies, etc. but keep it simple.) This is a first for us, and will give us a chance to meet and mingle with the Detroit Group, as well as hear an informative presentation by Dr. Webber. I will send a group email reminder toward the end of March. If you don’t do email, you may receive a phone call. I don’t want anyone to be able to say they didn’t know about it, and show up at St. John on the 3rd. This will also be put on the website meetings link. If you have questions you can Call Carol, Sarah, or Beth, (see front page Macomb officers list) or Dennis or Marge, (front page Detroit officers list). Thanks


METRO DETROIT CHAPTER CHATTER continued...from page 1

In February, we went over the FEMA recommendations for things to have on hand in case of an emergency. Most of their recommendations are common sense. For us, the most important things to have are our medications, ostomy supplies and water. Your hot water tank is a very good source of drinkable water. Other things to consider are what you may need in case of a 911 or medical emergency. A list of your medications, doctors and emergency contacts, plus any other needed medical information such as allergies should be readily available, either in our wallet or on your refrigerator. Medic alert type tags or bracelets can also have this kind of information. In April, we will have a joint meeting with the Macomb Chapter at Beaumont, Farming ton Hills. It will start at 3 PM instead of 1:30. Dennis and Marge will be there at 1:30 if you have questions. Our speaker will be Dr. John Webber from Karmanos. The meeting will end shortly after 4 pm so the Macomb group can get back by 5 pm.

New Newsletter Name

We are thinking of revamping the newsletter and have gleaned ideas we liked from some of the other newsletters. We also would like to have a common name for it instead the two names we have on the front page now. We want a new name instead of just dropping one of the group’s name. We are open to suggestions. If you have an idea for an uplifting, clever name you may submit it to [email protected] or bring it to a meeting. Some examples of other groups newsletters: Ostomy Outlook, The Ostogram, The Promoter. The changes should all be in place by the summer issue. We are excited about our new ideas and think you will like them, too.

METRO DETROIT MEETING LOCATIONS St Mary Mercy Hospital 36475 5 Mile Road Livonia, MI 48154 734-655-4800 Classroom #1, Women’s Birthing Center 1st floor, South Entrance off Levan Road (South of Emergency Room Entrance Beaumont, Farmington Hills. 28050 Grand River Farmington Hills, MI 48338 248-471-8000 Administration and Education Center Building at right of Main Hospital Meeting dates and location: Meetings will be held the second Sunday of each month at 1:30 PM, unless indicated. If you need transportation, please call Dennis Uren or the Hotline and we will try to help. In case of weather advisories, meetings will be cancelled. Please call Dennis or Edna to verify. Everyone is welcome! You do not need to be a member to attend. Please note some meeting time or location changes Newsletter update: We are always available on the phone. Do not hesitate to call a board member with questions or problems, Please help us consolidate our mailing lists by informing Marge Hamann or a member of the board if you receive duplicate newsletters, have any changes, or wish to be removed from the mailing list, Member dues/donation: In order to save time and postage, we will not be sending bills. Please remit dues or donations to insure that our chapter remains solvent and that the toll free telephone number is available to all. Send your checks to: Larry Harris, 3220 Mimosa Drive, Commerce Twp. MI 48390-1133 World Medical Relief distributes medical supplies and assistance to those in need. They are a local agency which serves our area and the entire world. If you have medical supplies or any kind, please call Edna Rubin at 248-968-1011 or bring them to a meeting.

Quarterly Newsletters No, we haven’t skipped sending out any newsletters.

We have just switched our delivery to quarterly issues: Fall,

Winter, Spring, and Summer. Issues are sent out in

February, May, August and November. Same great articles

and information

This newsletter sponsored and printed courtesy of:

LLC Your Business Technology Partner Enertron LLC 24705 Mound Road (586) 757-1200 Warren, MI 48091 (586) 757-6740 Fax (877) 907-1200 http://www.enertronllc.com e-mail: [email protected]


1938: Mabel’s Ostomy From Living Bigger With Colostomy, a blog by Paul Riome

My Grandma Mabel had ostomy surgery in 1938,

and was sent home with no ostomy equipment.

How did she cope? How did she live with her

ostomy? I have tried to re-create her experience.

Grandma Mabel, 2 years after ostomy

surgery…living contently….without Ostomy

equipment.

Let’s try to imagine 1938, and imagine living with

an ostomy in 1938. This was before the internet,

before cellphones, before microwaves, before TV,

before plastics. The stock market had crashed in

1929, followed by a decade named the Great

Depression. In parallel, there was a decade of

drought and crop-failure in the entire Midwest of

North America, aptly named the Dirty 30s. This

was before the 2nd World War! It was a

challenging time to live.

This was also before Flanges and Pouches and any

other Ostomy gear was invented. Ostomy patients

were sent home after surgery, with no collection

device.

No collection device !?!!

How did Mabel live with an ostomy, without

ostomy equipment?

Mabel lived on the prairies in Western Canada,

where summer temperatures rose to +40 degrees C

(+104 F) and winter temperatures dropped to -40

degrees C (-40 F). The only heat in the house was

the stove, which burned coal when they had money,

wood when they could scrounge, and buffalo-chips

(dried cow manure) when there was nothing else.

There was no cold running water. Water was

pumped from a well – winter and summer. There

was no hot running water; they heated water in a

large pot on the stove. Outhouse….There was no

shower….There was no bathtub.

There was no bathroom in the house. There was

just an outhouse – a seat perched over a pit, in a

small building 50 yards from the house. This

outhouse experience, in winter when it was -40

degrees, was the origination of the expression “so

cold it would freeze your ass off!

With no collection device supplied, available, or

even invented yet, Mabel made do with rags and

towels [try to imagine her angst]. Mabel’s husband

Walter was a practical and inventive man, and soon

devised a tin-can with a belt-strap, to contain the

stool. This was leaky and stinky, but a big

improvement over the very messy rags. Personal

ostomy cleanup was in the outhouse, probably with

a pail of cold water. Summer and winter.

The tin-can had to be strapped tightly around her

waist to reduce the leakage. (not prevent leakage …

just reduce leakage). The edge of the tin-can bit

harshly into Mabel’s skin, and left a nasty red

compression ring on her skin. Walter was a

horseman who made his own horse-harnesses, so

he built a leather collar to cover the tin-can edging.

This was certainly more comfortable and leaked

less. But it was difficult to clean the leather collar,

and the device was still stinky.

Mabel considered a glass container which would be

easier to clean than the tin-can. But adding a

leather collar and attaching a belt would be

difficult. And the risk of glass breakage and serious

cuts to her stoma would be a big concern. The tin-

can with leather-collar, strapped around her waist,

was Mabel's best-and-only ostomy equipment.

The 4 inch circle around her stoma was constantly

covered with stool, and I expect she had many

rashes, breakdowns, infections, and damages to her

skin. The salves used for harness-burns on horses

would have been Mabel’s only relief from these skin

problems.

Mabel never talked about her ostomy. My father,

who lived in her home for the first 6 years of

Mabel’s ostomy, was never told about her ostomy,

never saw anything that would indicate an ostomy,

never saw a bulge on her dress. While her husband

designed and built her ostomy-gear, that would be

the last time he participated and the last time they

would talk about it. It just wasn’t ever discussed.

For 15 years, Mabel lived silently with the

inconveniences of an ostomy without ostomy-gear

with no-one to talk to.

My grandma Mabel was one tough lady. Mabel was

British, Victorian, stoic, and content ... and she

never complained. And she was so thankful that

her ostomy gifted her 15 years of good living.

There have been days I have complained about my

colostomy. With the imagination to re-live Mabel’s

ostomy experience, I will not complain again. Ever.

Via www.livingbiggerwithcolostomy.com


Certified Wound Ostomy Continence Nurses (CWOCN) If you need assistance in an area not listed, you can find WOC Nurses at 888-224-9626(888-

224-wocn) or wocn.org. At the bottom of the screen, click on “Patient Care and Information” Then click in the right hand column, “Find a WOC Nurse in my Area”. You can also speak to a WOCN or ET Nurse by calling customer service at Hollister at 800-323-4060 or ConvaTec at 800-422-8811or Coloplast 800-533-0464. You can speak to a nurse 24/7 at AARP Nurse Health Line about any subject at 888-543-5630. The uoaa.org is a fabulous web site, and don’t forget ostomysupport-macomb.org.

Beaumont, Troy Catherine Dzus, RN, CWOCN 248-964-8882 Carole Bauer, ANP-BC, MSN, OCN, CWOCN 248-964-8882 Maureen Rosette BSN, RN, CWOCN 248-964-8882 Beaumont, Grosse Pointe Outpatient Wound and Ostomy Treatment Center

Renee Mende, BSN, RN, CWOCN 313-473-6960 Michelle Childs, RN, BSN, CWOCN 313-473-1968 Beaumont, Royal Oak Susan Veltigian, WOCN 248-898-0019 Garden City Hospital, Westland Mary Lou Whalen, RN, BSN, CWOCN Jane Kuzak, MS, CWOCN, BC 734-762-9935 Karmanos Cancer Center Stephanie Kearney, BSN, RN, CWOCN 313-576-9103 Sinai-Grace Hospital Shirley A. Evans, MS, RN, CWOCN, CRNI 313-966-3629 St. John Macomb-Oakland Hospital Michelle Glowala, RN, BSCN, WOCN 586-573-5992 St. John Hospital & Medical Center HoneyLyn L. Lerias, RN, BSN, CWOCN 313-343-3665 Jessica Kreig, RN, BSN, CWOCN 313-343-7313 Patricia Morrish RN, BS, CWOCN Providence Hospital Stoma Clinic Sandy Miller CWOCN 248-849-3435 Kathleen Stevens, BSN, RN, WON

___________________________________ Ostomy & Wound Treatment Center McLaren Medical Center-Macomb Kathy Selden, RN, BSN 586-493-1760 Providence Park Stoma Clinic, Novi Carol Stoller MSNRN, WOCN 248-465-4859 Henry Ford Hospital Main Campus Judith Kelley, CWOCN 313-916-5259 Henry Ford Macomb Hospital Ostomy Clinic Mary Gerlach, MSN, APRN-BC, CWOCN Joan Van Heck, BSN, RN, CWOCN 586-263-2641 Emily Lowry, BSN, RN, CWOCN 586-263-2077 Henry Ford, Fairlane Medical Center Katherine Zimnicki, DPN, ACNS-BC, CWOCN Stoma Clinic: 313-916-5089 St. Mary Mercy Hospital Donna Choma, MSA, RN, CWOCN 734-655-3338 VA Medical Center Janeice Hampton, RN, BSN, CWOCN 313-576-1000, ext. 64112 VNA of Michigan Shirley A. Evans, MS, RN, CWOCN, CRNI 248-819-0596, 800-696-0903 Advocate Home Care Eileen Blodgett RN, WOCN 586-751-8127 Harper University Hospital / Hutzel Woman's Hospital Kathleen Herman, MS, RN, ANP-BC, CWOCN 313-745-1846 [email protected]


Hypothermia happens fast. Look for these signs via www.selfreliancecentral.com

Shivering is a sign that you're cold. Warm the shivering person up NOW. But shivering alone does not mean hypothermia. You need to look for the "umbles"- That's stumbles, mumbles, fumbles, and grumbles. These show that the cold temperature is a problem. Check for:

• Confusion or sleepiness

• Slowed, slurred speech, or shallow breathing

• Weak pulse

• Change in behavior or in the way a person looks

• A lot of shivering or no shivering; stiffness in the

arms or legs

• Poor control over body movements or slow

reactions

Remember, the only way to tell for sure that someone has hypothermia is to use a special thermometer that can read very low body temperatures. Most hospitals have these thermometers. In the emergency room, doctors will warm the person's body from inside out. For example, they may give the person warm fluids directly by using an IV. Recovery depends on how long the person was exposed to the cold and his or her general health. So stay safe! And remember to check on seniors, they are more vulnerable to the cold. Also, a cold building such as an under heated nursing home is also a hypothermia risk! You may not always be able to warm yourself. Pay attention to how cold it is where you are. Wear several layers of loose clothing. The layers will trap warm air between them. Don't wear tight clothing because it can keep your blood from flowing freely and lead to loss of body heat. If you're on a medicine regimen, ask your doctor how the medicines you are taking affect body heat. Some medicines can increase the risk of accidental hypothermia. These include drugs used to treat anxiety, depression, or nausea. Some over-the-counter cold remedies can also cause problems. Stay warm. Stay safe See Facebook or Twitter? Become a friend of the UOAA on

Facebook and interact with thousands of other ostomates. Go to

Facebook.com/UOAAinc. Or follow them on twitter. Get update,

links to photos or articles, and much more. Go to

Twitter.com/UOAA

ALZHEIMER'S DISEASE UOAA Update March 2015 With Alzheimer's disease - one of the most common forms of dementia - memory, reason, judgment, language and mental ability are eventually destroyed when nerve cells in the brain, called neurons, degenerate and die. The brain can't replace the nerve cells, so brain function is lost. Scientists and researchers still don't know why Alzheimer's disease occurs. Although age and heredity are two proven risk factors, Alzheimer's disease is thought to be the result of a combination of elements. Diagnosis is made by careful examination of the symptoms and by eliminating other causes. Symptoms of Alzheimer's Disease:

• Short Attention Span • Gradual loss of memory • Inability to learn • Decreased bowel or bladder control • Depression • Disorientation/confusion • Forgetfulness • Inability to handle minor tasks • Irritability or hostile behavior • Lack of spontaneity • Neglecting to perform routine tasks • Paranoia •

Older Women and Alzheimer's Disease: Some research has shown that women who use estrogen replacement after menopause may be reducing their risk for Alzheimer's disease by as much as forty percent. Estrogen replacement therapy has been shown to improve mental ability and memory. Work Your Brain: Keeping your mind mentally fit may help delay the onset of dementia, including Alzheimer's disease. Mental exercises and learning seems to promote the growth of additional synapses in the brain (the connections between neurons). How Alzheimer's is Treated: At-home care during the early stages should be under-taken only under the supervision of a doctor. Some medications, such as antidepressants, mild sedatives or antipsychotic drugs, may be used in low doses to help control behavior. Physical therapy, simple directions for routine activities and clear communication from caregivers can often help. Environmental cues, such as clocks, calendars and familiar bjects, can help the patient with orientation.


UROSTOMY REVIEW Via GAOA Newsletter: UOAA Update March 2015

Diet: There are no eating restrictions as a result of Urostomy surgery. (If the kidneys have been severely impaired, your physician will monitor your protein and salt intake, but the functions of your kidneys are not affected by the surgery.) The urinary tract and digestive tract are separate. A few foods and certain medications may cause urine odor or a change in urine color (such as asparagus, fish and certain spices). Drink plenty of liquids each day following the health care team's recommendations. Mucus: You normally have some mucus shreds in your urine. If the amount increases, if the urine changes color and has a strong odor, it may signal that you have a urinary tract infection. Be sure to drink six to eight glasses of liquid a day, unless your physician instructs you otherwise. Drinking fluids helps to decrease the amount of mucus in your urine. Acidic Urine: Drink cranberry juice in place of orange juice or other citrus juices which tend to make the urine more alkaline. Take vitamin C daily (if approved by your physician). Keeping your urine acidic may help to: (1) prevent urinary tract infections, (2) prevent damage to your skin, and (3) decrease odor. Check the pH of your urine about twice a week to be sure the urine is acidic, with a pH of less than 6.0. Most fruits and vegetables actually give an alkalinized ash and tend to alkaline the urine. Meats and cereals will usually produce an acidic ash. Unless otherwise indicated, the urine should be maintained in an acid state. Fluid & Infection Management: People with urinary diversions no longer have a storage area, a bladder, for urine. Urine should flow from the stoma as fast as the kidneys can make it. If your urinary stoma has no drainage after even an hour, it is of serious concern. The distance from the stoma to the kidney is markedly reduced after urinary diversion surgery. Any external bacteria have a short route to the kidney. Since kidney infection can occur rapidly and be devastating, prevention is essential.

Wearing a clean pouch and frequent emptying are vital. Adequate fluid intake, particularly fluids that acidify the urine, will decrease problem odor. In warm weather, with increased activity or with a fever, fluids should be increased to make up for body losses due to perspiration and increased metabolism. It is important that you be aware of the symptoms of kidney infection. Elevated temperature, chills, low back pain, cloudy bloody urine and decreased output. If you experience these symptoms, see your physician. Sterile urine samples should never be collected from an existing pouch. The best way to collect a urine specimen is for a medical professional to obtain it by catheterizing the stoma under sterile conditions. OSTOMATES GUIDE FOR HOSPITALIZATION By Lindsay Bard, MD: UOAA Update March 2015

It is important for a person with an ostomy who needs to be hospitalized, to know that he/she should be handled differently than someone without an ostomy and how. Rule 1 - The Cardinal Rule!: If you feel something is being done or going to be done to you that might be harmful, refuse the procedure. Then explain why to the medical personnel, especially your physician. They will then decide with you, if the procedure will actually be in your best interest. Rule 2 - Supplies: Bring your own supplies to the hospital. Never assume the hospital will have the exact pouching system or irrigation system you use. Most hospitals have some supplies available. These are used for emergency situations. Rule 3 - Instructions: Take to the hospital two copies of instructions for changing and irrigating your pouch. Rule 4 - Communicate!!! Again, let me stress that you communicate with the hospital personnel who take care of you. You will have a better hospitalization and they will have an easier time treating you.


Southeast MI CRAN

Mission: The Colorectal Cancer Awareness Network of Macomb County is dedicated to the promotion of awareness of colorectal cancer and the importance of screening through public education. Mitzi Cardona | Health Systems Manager, Primary Care Lakeshore Division | American Cancer Society, Inc. 20450 Civic Center Dr. Southfield, MI 48076 Phone: 248.663.3439 | Fax: 248.663.3409 cancer.org | 1.800.227.2345 FEATURED QUOTE

Blue Ribbon Registration Form

Name:___________________________________ Phone: Area Code _____ Number:____________ Address:__________________________________ City, State, Zip:____________________________ Sex: Male____________ Female______________ Shirt Size: S_____ M_____ L_____ XL_____ 2X_____ 3X______ 2X or larger there is $2.00 additional charge. Registration Fee: $25.00 Signature:________________________________ Date:_____________________

APPLES-APPLESAUCE via Grand Traverse Area Ostomy Club

Both are very good for you, the ostomate. Eating applesauce and the pectin it contains makes a natural smooth digestible product for ostomates and babies. In ostomates it helps the digestion of the ileostomate and helps to curtail odors in the pouch. Eating applesauce on a somewhat regular basis will keep things going smoothly. As an ileostomate who gets in trouble every time I have much fiber in my diet, applesauce is a life saver. Also, to make baked goods lower in fat and calories, use ¼ cup of applesauce in place of some of the shortening. It helps make a moist product and is better for you.


Think Spring

UNITED OSTOMY ASSOCIATIONS

28620 Palomino Drive

Warren, MI 48093

Return Service Requested

NON PROFIT ORGANIZATION

U. S. POSTAGE

PAID

WARREN, MI

PERMIT NO. 57

MEMBERSHIP APPLICATION

YOU MAY JOIN EITHER GROUP

Annual Dues - $15.00

1.Macomb County Michigan Ostomy Association: Send check payable to MCMOA, along with application to:

Suzanne Fleet, 31630 McNamee, Fraser, MI 48026 or 2. Ostomy Association of Metro Detroit: Send check payable to Metro Detroit, along with application to: Larry Harris, 3220 Mimosa Dr., Commerce Twp., MI 48390

Name:____________________________________________________ Phone: Area Code______Number:________________________________ Address:___________________________________________________ City, State, Zip:_______________________________________________ How did you hear about us? Doctor___Hospital___Medical Supplier___Friend___ Internet___Other___ Email Address:________________________________________________ Signature:_______________________________Date:_________________

Birth Date: Month_____Day_____Year_____ Sex: Male______Female______ Type of Ostomy or Affliliation: (Please Check One) Colostomy:_____Ileostomy:_____J Pouch_____ Urostomy:_____Non-Ostomate:_____ Do You Have Any Special Skills?: Yes______No______ If So, Please Let Us Know:______________________

Note: All Information Remains Confidential

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