Sacramento, Placerville and Carmichael

Ostomy Associations Newsletter

Happy

New Year!

Three Individual Groups With One Mission…

To provide

Encouragement, Education

And support for our members and their Families

Support Group Newsletters from… Sacramento Ostomy Association

Sutter Memorial Hospital

The 2nd Sunday of each month.

Dave Lund 916-996-9680

Placerville Ostomy Association

Marshall Cancer Resource Center

The 3rd Thursday of each month.

Jeff Nelson and Leana Garner

916-687-4800

Carmichael Ostomy Association

Mercy San Juan Hospital

The 1st Saturday of each month.

Linda Fleig 916-435-3038

HOW TO TREAT ILEOSTOMY BLOCKAGE

Symptoms: Thin, clear liquid output with foul odor; cramping abdominal pain near the stoma; decrease in amount of or dark-colored urine, abdominal and stomal swelling.

Step One: At Home

1. Cut the opening of your pouch a little larger than normal because the stoma may swell.

2. If there is stomal output and you are not nauseated or vomiting, only consume liquids such as Coke, sports drinks, or tea.

3. Take a warm bath to relax the abdominal muscles.

4. Try several different body positions, such as a knee-chest position, as it might help move the blockage forward.

5. Massage the abdomen and the area around the stoma as this might increase the pressure behind the blockage and help it to output. Most food blockages occur just below the stoma.

Step Two: If you are still blocked, vomiting, or have no stoma output for several hours:

1. Call your doctor or WOC/ET Nurse and report what is happening and what you tried at home to alleviate the problem. Your doctor or WOC/ET Nurse will give you instructions (ex., meet at the emergency room, come to the office). If you are told to go to the emergency room, the doctor or WOC/ET Nurse can call in orders for your care there.

2. If you cannot reach your WOC/ET Nurse or surgeon and there is no output from the stoma, go to the emergency room immediately.

3. IMPORTANT: On this site there is a CARD that you print and take TO THE EMERGENCY ROOM AND GIVE IT TO THE PHYSICIAN.

4. IMPORTANT: TAKE ALL OF YOUR POUCH SUPPLIES

(eg., pouch, wafer, tail closure, skin barrier spray, irrigation sleeve, etc.)

United Ostomy Associations of America

P.O. Box 512

Northfield, MN 55057

800-826-0826, www.ostomy.orgEMERGENCY ROOM STAFF:

ILEOSTOMY OBSTRUCTION

Symptoms: No stomal output; cramping abdominal pain; nausea and vomiting; abdominal distention, stomal edema, absent or faint bowel sounds.

1. Contact the patient’s surgeon or WOC/ET Nurse to obtain history and request orders.

2. Pain medication should be initiated as indicated.

3. Start IV fluids (Lactated Ringer’s Solution/Normal Saline) without delay.

4. Obtain flat abdominal x-ray or CT scan to rule out volvulus and determine the site/cause of the obstruction. Check for local blockage (periosteal hernia or stomal stenosis) via digital manipulation of the stoma lumen.

5. Evaluate fluid and electrolyte balance via appropriate laboratory studies.

6. If an ileostomy lavage is ordered, it should be performed by a surgeon or ostomy nurse using the following guidelines:

• Gently insert a lubricated, gloved finger into the lumen of the stoma. If a blockage is palpated, attempt to gently break it up with your finger.

• Attach a colostomy irrigation sleeve to the patient’s two-piece pouching system. Many brands of pouching systems have

Tupperware®-like flanges onto which the same size diameter irrigation sleeve can be attached. If the patient is not wearing a two-piece system, remove the one-piece system and attach a colostomy irrigation sleeve to an elastic belt and place it over the stoma.

• Working through the top of the colostomy irrigation sleeve, insert a lubricated catheter (#14–16 FR) into the lumen of the stoma until the blockage is reached. Do not force the catheter.

• Note: If it is possible to insert the catheter up to six inches, the blockage is likely caused by adhesions rather than a food bolus.

• Slowly instill 30–50 cc NS into the catheter using a bulb syringe.

Remove the catheter and allow for returns into the irrigation sleeve.

Repeat this procedure instilling 30–50 ccs at a time until the blockage is resolved. This can take 1–2 hours.

7. Once the blockage has been resolved, a clean, drainable pouch system should be applied. Because the stoma may be edematous, the opening in the pouch should be slightly larger than the stoma.

CHOOSE WHO YOU WANT TO TALK TO…FROM COLOPLAST CARE TEAM

When discussing your condition with anyone, you

are putting yourself in a vulnerable position. You

can't control the way someone reacts to your

information, so you will want to be careful about

whom you choose to include. Not including any

children or grandchildren, you should have these

conversations for your sake, not for others. If the

person you are talking to is not being understanding of

your feelings or responding with compassion, feel free to

end the conversation and look for a more caring ear.

A good place to start could be United Ostomates

Association of America (UOAA) at www.ostomy.org.

Other suggestions….From COA/ Linda Fleig

Contact your support group leaders you have many

friends here that would love to listen or share concerns.

Also try Inspire.com, a wonderful format to talk to

others who have an ostomy and share your feelings.

Year 4 –

Issue 12- January 2015

A very special Thank you to Leanna, Jeff and Joe for taking over this wonderful group!

Since the Placerville Ostomy Association does not meet

in December I thought I would write some of my

thoughts and feelings about this wonderful group.

I have reached the conclusion that Ostomates are gifted

with so many special gifts…love, caring, empathy,

gratitude, understanding and appreciation of life. Their

willingness to give and to help one another is so evident,

and so remarkable. I see it frequently in so many, and I

am quite inspired by their acts of human kindness. When

I think about the happiness of life I know what is the

most meaningful…a smile, a loving touch, a helping hand,

a word of praise, a moment of shared laughter and a

sharing heart.

I want to take this opportunity to thank each and every

one of our members for your selfless and caring ways that

you give to new members, those in the hospital, home

visits and phone calls to check on their well-being, but

most of all the hugs and love for one another.

We have experienced debilitating chronic illness and

cancers, and received the news that our hope for a

healthy life was ostomy surgery. For many this is a life

changing event, both physically and emotionally, not only

for us, but our family and friends as well. We go through

all the stages of grief, anger, sadness, disbelief and finally

acceptance. We run into a few “bumps” in the road but

in the end we are blessed with a healthy body!

The most significant and positive outcome is when we

find a support group. We are welcomed into a safe and

caring atmosphere. We are with understanding friends

that offer hope and knowledge in a non-judgmental

atmosphere. We are free to ask questions and state our

fears and concerns. The warmth and love of our group is

who we are. Remember, what is said at a meeting stays at

a meeting!

I am in touch with Sherron and she sends her love to all,

and best wishes for a wonderful Christmas and healthy

and happy New Year. Sherron was our fearless leader for

twelve years and her love and leadership will forever be

missed. What will make her happy is if we carry on as she

would want, and I know without a doubt, we will remain

on the path she paved for us. She is still having

difficulties keeping her electrolytes within the normal

range. Since moving to Idaho she has had two visits to

the hospital for this problem. She will be very grateful if

you will keep her in your thoughts and prayers. She

misses and loves you all. Barbara Hoffman

With the new day comes new strength and new thoughts.

- Eleanor Roosevelt

You are never too old to set another goal or to dream a new dream.

- C. S. Lewis

Placerville Ostomy Association

…More Than Survivors!

BAGPIPER EXPRESS

Sherron's last meeting with the Placerville Ostomy Association. October 2014

Sherron sent this to us…

VOLUNTEERS HANDS THAT SERVE

HEARTS THAT CARE

) Volunteers lift people's spirits with the good they do.

) The gifts they share with others are invaluable.

) They offer their time to assist people in the community.

) They reach out to those in need.

) They are always there to lend a hand.

) They encourage others to succeed.

) They are respectful of those they are helping.

) They work to create brighter futures for others

) They do their part to build strong communities.

) They always have a smile on their face

Article by Irene Mazzoni

Lately I've been getting bowel obstructions caused by scar tissue (adhesions) from colostomy surgery five years ago. One landed me in the hospital in August. The doctor said not to eat raw fruits or vegetables or nuts ever again unless I put them through the blender because of the fiber that doesn't get digested. Cooked is ok. Having a hard time accepting this, last month when my trees produced some fine persimmons which were very soft and ripe, I happily ate them right from the trees. Who would think they would get stuck in there, but they did. Luckily the horrendously painful blockage cleared itself but I nearly had to go to the ER again. When I Googled "bowel obstruction persimmons", I found that they contain a very large amount of fiber that can create clumps called phytobezoars. These can cause acute intestinal obstruction even in normal people and children. A common place is the narrow area near the illeocecal valve where the small intestine joins the colon. Not so good for a person like me with a kink in her intestine! I have read that Coke will dissolve bezoars but I suppose if you drink it after you get a blockage, it might not reach it. For those wishing to avoid surgery, there is a company called Clear Passage offering the Wurn Technique, a type of massage to loosen and free up adhesions. Their website is www.clearpassage.com.

The Sacramento Ostomy Association is a support group for people who have had or will have intestinal

or urinary diversions. Family members are also welcome. Meetings are typically held on the 2

nd Sunday

of each month at 2:00 pm unless otherwise stated. Meetings are held in the auditorium at Sutter Memorial Hospital located at 52

nd and F Street

May your New Year flourish with new

discoveries, wonderful inspirations, and

happiness to fill your heart.

I am looking forward to getting further

involved in the Sacramento Ostomy

Association. I have personally benefitted

greatly over the past 6 years from the

support group and hope I can help other

people with issues and concerns with having

an ostomy. This is a great organization with

many wonderful people. My number one

goal is to help those that are new to this

situation, providing encouragement and

support, as life can be great after an ostomy,

but often there are many challenges both

psychologically and physically. And, this

can be a great learning and sharing

environment for everyone. I look forward to

seeing you all in January!

Dave Lund

Congratulations Dave We look forward to a wonderful new year!

Sacramento Ostomy Association

January 2015 Congratulations to Sacramento’s new President Dave Lund

FROM YOUR EDITORS Do you have a story to tell, an experience or

concerns to share with other ostomates? Each month we will feature an article from

one or two of our members. Please write your story, comments or suggestions

regarding our group newsletter, or your group meetings. We look forward to hearing

from you.

YOU'RE NOT MR.(OR MS.)CLEAN

Household cleaners don't kill all the germs

In the house anyway, and those sponges and

cloths

Can actually spread germs around your home,

says Charles Gerba,A microbiologist at Arizona

State University.

If you must...Focus energy on sanitizing some of

the dirtiest spots

in your house: Faucet handles, meat and

vegetable fridge bins,

and tooth-brush holders are top germ trappers.

Taken from AARP, Dec. 2014 Unconventional

Wisdom Article“The good news about bad

habits”

Please remember before acting on a

suggestion about medication to first check

with your Physician or WOCN. Something

that works for one may not be suitable or

healthy for you. We all love to help our

ostomate friends but our health conditions

are different and what may work for one may

not for another. It is prudent to not take

medications or health supplements before

consulting with your physician.

O T H E R T I D B I T S

UNITED OSTOMY ASSOCIATIONS OF AMERICA, INC.

HTTP://WWW.OSTOMY.ORG

PHOENIX MAGAZINE

HTTP://WWW.PHOENIXUOAA.ORG

WOUND, OSTOMY AND CONTINENCE NURSES SOCIETY

(WOCN)

HTTP://WWW.WOCN.ORG

Professional Village Pharmacy - 916-483-3455

Sacramento, CA 95825

Thank you so very much Janet and Joe

We all would like to Thank Joe and Janet so very much, for their leadership, and guidance. The hours of work and love they have put into this group will always be appreciated!

Janet and Joe e-mailed this message regarding their Christmas meeting and pot luck. “There were 20 at the party. There was a lot food and singing. They gave us a card and picture that was very nice.” Here we are with another new beginning for the Sacramento group. The love and kindness of Janet and Joe will always be remembered. I know how hard it is to step down from a group that you love, yet I am sure Janet and Joe are very confident with leaving Dave Lund in charge. Congratulations Dave! Jerry and I hope to make more meetings in 2015. SOA was our first group, and we love and miss seeing all of you. Our appreciation and love to Janet and Joe. Love, Jerry and Linda Fleig.

George Simpson presented us with this beautiful hand craved wooden plaque.

He is truly a skilled craftsman. Thank you so much, George

We are looking forward to a

wonderful year with many

exciting and fun meetings!

Just some of the food we collected

for the Hungry! Thank you.

Carmichael Ostomy Association

Newsletter for October 2014 Our mission is reaching out to others…touching lives…

Hopefully making a difference.

Founded in Jan. 2013 by Kelly Sparks CWOCN January 2015 Vol.20

We were overwhelmed at the meeting on Saturday by the beautiful gifts we received and cards showing our members appreciation. There are just no words to describe how much we have enjoyed working with all of you. These last two years have brought a new meaning to our lives. I have never attended any other meeting group, of any kind, that has touched my heart the way this truly beautiful group of people have. You thank us for our commitment to you and time spent in planning meetings, but you will never know the depth of gratitude we hold in our heart and how much it has filled our life with joy with just being able to help in this way. I encourage everyone to get more involved, even with just reaching out to one other person in need this coming year. It fills your heart with such appreciation and gratitude it improves the quality of your own life while making someone else feel better. So while Jerry and I have the energy it takes to run this group for one more year, we appreciate you having the confidence to re-elect us as president. I do share this title with my husband because without him doing all of the grunt work that I am not able to do.....it could not get done. He does so much for me every single day to enable me to be your President. It is a huge commitment that we realize not everyone is able at this point, with their health or just everyday life to take on, but you are all such important parts of this successful group whether you have a title or not. Just talking and giving positive encouragement to others at the meetings is a huge help to our members and can give you so much satisfaction in return. At our January meeting we look forward to having Candice Miller and Joyce Moss speaking to us. We know this will be another exciting meeting with valuable information. Please join us if you are able. We wish you all a Wonderful Holiday. Please stay safe, hydrated, and positive and enjoy every moment enjoying the true and most meaningful gifts of this lovely season. We love all of you. Thank you again jerry and Linda

Our new list of officers for 2015 are: President: Linda Fleig Assistant to President : Jerry Fleig Vice President: Barbara Hoffman Assistants to Vice President: Donna Gutierrez, Lenore Jensen, Joan Bories Treasurer: David Bories Secretary: Beth Kalbus Hospitality Coordinator: Diane Gerken and Joan Bories Meeting Coordinator: Stan Rothstein and Shirley Alexander Team Coordinator: Deborah Landis

HAPPY NEW YEAR!

Thanks everyone for your dedicated

commitment to all three Ostomy Groups.

Swabbing’s done by TSA…Web Article

Some airline traveler’s organizations say they

support the TSA effort to do random swabbing.

They reason that it just adds one more

deterrent to catch potential terrorists. “This is

perfectly acceptable to us,” says David

Stempler, president of the Air Travelers

Association in Potomac, Md. “We are a little

skeptical of effectiveness, since the TSA has

announced what they are doing.”For example,

Mr. Stempler wonders if a potential bomber

could scrub explosive residue off his or her

hands to remove traces of a bomb.Mr.McIndoe

says the machines are “incredibly” sensitive.

For its part, the TSA will not say comment on

the sensitivity of the machines. However,

McIndoe says terrorists are now starting to

plant bombs inside body cavities, inserted by

surgeons. Terrorists recently tried to kill a

Saudi prince that way. “There is a precedent to

use this technique,” he says. “The person

carrying the bomb may never handle it. They

fire up their cell phone, punch in a code, and

set off the explosion.The random swabs can

pick up false positives as well. If an individual

is using certain medicines or has handled

fireworks, for example, they may light up the

machine. However, Soule says, TSA employees

are trained to resolve an alarm with additional

screening of the passenger or their property.

Very Interesting morning at The Sacramento Airport.

Checking road conditions was our main concern. Then hurrying our little Annie off to her

weekend resort home with her best little furry friend, her blanket and all her many needs.

We are finally on the road with very safe driving conditions. We arrived at the airport in

plenty of time, actually two hours to spare. I used a wheel chair for many reasons this trip,

and all went smoothly. Found someone to help us with our extra Christmas luggage and

even stopped at the nice family/handicap restrooms on the way to check in. Wow, at the

gate and thankful. Check in has always gone smoothly on many previous trips to Phoenix. I

just show my blue card and courteous people do a little pat down and dust my hands …a

breeze until this trip! They took us through the line without even removing my boots.

They sent for a female to take care of me and she said all I have to do is dust your

hands…she was so kind. She did the new swabbing over my hands and to my complete

surprise I FAILED.

I always manage to worry about the wrong things….this should teach me a lesson not to

worry at all …it is useless! Unwise energy spent worrying. She said, “I have to pat you

down completely and walked me over to a corner.” She kindly whispered the complete

procedure in detail. She said, “I must go down your back and legs, around you, under your

bra and breast area, head and waist pouch area and legs and feet. You must remove boots,

sweater, and scarf.” I was thinking please no more. “We also must go through all of your

carry-on luggage, yours and your husbands.” Jerry was off to the side collecting his things

and having some hearing issues of his own? The wheel chair assistant helped him

understand what was going on. She also asked me if I would like to go into a private

screening room. I said no this if fine. The process began, hard down the back and back of

legs. She apologized for having to press so firmly continually asking if I was okay. I did ask

her at that point if she could go over the pouch more gently when she got to it. She

whispered, “of course I will.” I explained to her that someone in a medical lab had pressed

firmly on it and my plastic air vent had cut my stoma. She gasped, probably not knowing

what I meant at all and maybe a bit too much information. She may have been clueless but

she had so much kindness and sensitivity. I did not want this to happen again and be

worried about the bleeding. Oh, see, I forgot again, not to worry! She moved over my

pouch gently and then asked me to run my hands over the entire area. Then she tested my

hands once again. A friendly male agent rummaged through all of our personal belongings

in the carry-on luggage and my large purse. He was very nice and didn’t disturb a thing.

Even when he came to the extra underwear he showed no facial expressions, just kindness.

ALL GOOD… I PASSED. YEA! She kindly explained that common house hold agents even

make up and creams and boots can cause failure of the powder test. Another wonderful

reason, if we needed one, is to thoroughly wash your hands with soap and water before

going through security.

Now, all I had to do was put everything back on, get in the chair and we are off to the gate.

The attendant stayed with us the entire time to help make sure we had all of our

belongings. (Except for our car ticket that Jerry had lost while putting his items in the

bowl.)

This experience was not only a positive one but one that taught us so many important

lessons. I am especially thankful for my sweet husband’s passion for always getting to

places very early. We learned so many things and I am so thankful for the wonderful

treatment from beginning to end. Probably helped that we remained in a good mood,

smiling and enjoying the process .We were told that crazy people do try to hide explosives

in their phony pouches. Life can be crazy these days but also wonderful if you just will stop

worrying and remain positive! Since re- searching this procedure more Baby Powder can

also be sensitive to this process…which I used before going to the airport! Please see part

of an article I found when researching this topic on the web.

Okay….AFTER this trip I commend all of

you, my ostomate friends, who have

changed your pouch on a full airline in the

crowded restroom. I am amazed how you

have accomplished this task. Even going to

the bathroom and emptying is a challenge for

me. The longest flight I plan to take is to

Phoenix.

I was in this tiny, tiny restroom thinking about

all of you, brave adventuresome travelers,

who go to all these exotic places. I must say

this is not for me as many people were

waiting to use the restrooms and I decided not

to even empty my pouch since it’s less than a

two hour flight. I could imagine shouts of

frustrated travelers waiting for me to exit and

wondering what was taking me so long.

I always pre board and I asked the flight

attendant if I could use the restroom right

away when I boarded (easier and less

embarrassing for me as passengers don’t see

me enter as they are busy getting to their

seats.) She cheerfully says of course. On this

particular flight when I came out of the

restroom the attendant, whom I believe was

really a want to be comedian, and was

actually very entertaining the entire flight,

said, “You almost had company in there, the

Pilot. You forgot to lock the door!” ;]

Needless to say I am glad to be home, but

every moment of seeing our loved ones was

well worth the whirlwind three day trip. But

again, I must congratulate all of you brave

souls who love to travel and are able to use an

airline restroom without difficulty. I

wondered if you all wear two pieces…would

that make it a bit simpler.

The Flight was well worth seeing our

little great grandson Mason

Taken from Deborah Landis articles on INSPIRE.com

UGH it’s been 25 hours and my output has slowed to less than 1/2 cup total in that time.

2PM Yesterday while cutting up a rotisserie chicken the wing fell off and just like when

carving a turkey at thanksgiving I couldn't help but plop the meat and skin right into my

mouth. I did not chew well and as I swallowed I thought to myself, shouldn't have done

that. I am thankful for my local Ostomy support group president. She walked me through

what I need to do because I was unable to read due to migraine and have not done this

before. The advice nurse says to go to ED. I asked the nurse if she knew what if anything

the ED could do for me that I couldn't do at home? She did not know. I called my sister

that has worked in an ED for 25 years. She agreed that there isn't much they do other than

support with IV fluids and nutrition till things clear, and look for cause of blockage. This

was self-induced nothing wrong. So warm compresses massage and warm clear liquids till

things get moving again. Just a reminder chew chew chew. I have so learned my lesson.

Good morning thank you for your support. My heart has been changed by this blockage. I

have struggled with having and excepting my stoma. Finding my success of having no

pouching issues a great way to avoid having to look at or embrace this little one, now her

name. I found myself willing to except rather severe pain versus truly dealing with her

today. Once I got my boy to bed I finally followed the advice of taking of my pouch and

getting into the shower that didn't work. Then into a hot bath. We got to know each other

last night. I saw not this disgusting thing on my side but a very sick little stoma, with no

movement. I knew that I had reach the point that if I could not get this little one working

we would both be going to the hospital for a very unpleasant time. I found myself getting

rather protective of this little one not wanting anyone to touch without knowing what they

were doing. My time in the warm water massaging and truly looking at her for the first

time since her arrival June 19th brought tears of heartfelt gratitude and sincere prayers that

everything would be ok for this little one. After some time she really became active,

moving and it seemed struggling to move the blockage through. I watched as this little one

worked very hard to clear us of this problem that I caused. A literal time in watching what

our stomas do. I was amazed and so very grateful for the first time for my little one. A very

eye opening 27 hours. What a gift.

Kelly Sparks modeling her beautiful

gift made by Diane Gerken.

THE FINE PRINT

These three ostomy associations are part of over

300 Chapters affiliated with the United Ostomy

Associations of America, (UOAA), 2489 Rice St.

Suite 275, Roseville, MN 55113. Phone (800) 826-

0826. The UOAA is an association of nonprofit

support groups who are committed to the

improvement of the quality of life for people who

have, or will have, an intestinal or urinary

diversion. The UOAA is a IRS 501(c) (3) charity

that its affiliated support groups can use as an

umbrella.

_______________________________

Disclaimer: Material contained within these

pages is for informational purposes only. In

no way are any of the materials presented here

meant to be a substitute for professional

medical care or attention by a qualified

practitioner, nor should they be construed as

such. ALWAYS check with your doctor if you

have any questions or concerns about your

condition, or before starting a new program of

treatment. POA,SOA, COA are not

responsible or liable, directly or indirectly, for

ANY information contained in or implied by

this document.

Sutter Auburn Faith Hospital (530) 886-6750

WOUND AND OSTOMY CARE CENTER

The Wound & Ostomy Care Center is a specialty service Sutter Auburn Faith Hospital offers to

patients with infected or slow-healing wounds and ostomy difficulties.

Available through doctor referral, the center provides you with personal care, treatment and

education throughout your healing process to not only help heal your wound, but to also teach you

how to help yourself heal and avoid problems in the future.

The center is staffed by physical therapists that specialize in wound care and treatment, and a

registered nurse with specialized training in caring for patients with wounds and ostomies. The staff

works closely with the referring doctors, keeping them informed of their patients’ progress.

Why We’re Here

A wound that won’t heal or an ostomy that’s causing problems can prevent you from fully enjoying

life. At the Wound and Ostomy Care Center, our goal is to provide treatment and direction for home

care that will eliminate or prevent infection, promote healing of troublesome wounds or keep your

ostomy functioning properly.

Who We Help Our wound patients include many with diabetes or other peripheral nerve damage or

blood vessel insufficiency that slows healing, as well as trauma patients and those with mobility issues

or surgery incisions. Ostomy patients include those with permanent or temporary colostomies (large

intestine), ileostomies (small intestine), and urostomies (bladder). Common ostomy issues addressed

include poorly fitting appliances that leak and decreased wear time. Our familiarity with those issues

enables us to discover the cause and find solutions to your pouching problems.

What We Do

Because each patient and every wound or ostomy is completely unique, we work with you individually

and develop a treatment plan specific to your situation. Developing an individualized plan may

include some noninvasive tests to ensure we are using the best treatment approach. It will also

include talking with you so that we have a clear understanding of your activities and lifestyle, general

health and specific concerns, and any challenges you face coming in for care.

How to Access Our Services We work by referral from doctors throughout Auburn and the

surrounding areas. If you have a wound or ostomy causing you concern, please talk with your doctor

about referring you to the Wound and Ostomy Care Center. We will work with you to schedule the

most convenient appointment times and guide you in completing any necessary paperwork. Your

health and well-being are our primary concerns and we welcome all questions you may have about

your care.