Wednesday, October 1, 2008

10.01.08

October – Inventory Arrives – Holy Cow – 4,000 Ostomysecrets



After working diligently for the past 10 months, Christina and I were excited for this day to arrive! I tried to prepare for the arrival of the first shipment but keep questioning, what DOES 4,000 pairs on underwear products look like! As the boxes are carried into my garage one by one, I soon start to panic and realize – Holy Cow! THIS IS WHAT 4,000 units looks like. That night my husband and I start laughing at the box filled, 2 car garage and say to each other – here we go!!!

Within 2 days every unit is counted and checked. Soon shelving it put up in the garage to temporarily house the inventory. I am excited to start filling and sending out all the pre-orders that people have made since June! Some customers have waited up to 4 months for their products and I am eager to get calls made, payments processed and packages mailed. OstomySecrets is finally happening and our dream of helping other Ostomates to feel better about themselves is actually starting. After the first fifty packages go out, I am eager to get feedback. We slowly receive word that indeed we are successful and people are enjoying their products! The response is fantastic!

Monday, September 1, 2008

09.01.08

September – Italy - Ileus



My husband and I were so excited to finally plan a vacation outside the US. We felt that since it had been 2 years post ostomy surgery, all health concerns were behind us and we were free to travel internationally. I had always wanted to go to Italy, where my mom was born and experience my true heritage. So tickets were purchased and off we went, my husband and Anna in tow.

We stayed in two places while we were there; the first was a bed and breakfast in a small town 2 hours north of Rome on an Island called Mt. Argentario. Everything was fantastic and we felt we were truly submerged in the Italian culture. The places we visited were filled with Italians on vacation and you never saw anyone from the US.

Then on the 4th day, something strange happened. I was putting my daughter to bed and started to feel some cramping. So I did the usual and drank LOTS of water and moved around. To no avail, the cramping got worse and I realized I was experiencing a full blown blockage. Several hours passed and after much pain and vomiting we realized I needed to get to an ER for some medical attention. But this is the kicker, we are staying at a bed and breakfast where no one spoke English (and unfortunately we do not speak Italian) and in our room there were no phones! Luckily, we were traveling with close friends who were native Italians. So at 3am in the morning, we woke them up and asked to be driven to the closest ER. We couldn’t even drive ourselves because the of the language barrier on top of now knowing anything about the location of where we were. (Usually when researching the area before traveling, hospital locations were not on the priority list!)

We find ourselves in an Italian ER, my husband watching my 3 yr old in the waiting room while my friend is trying to effectively translate my medical situation and history to the ER doctors. On a bed, I am bent over in excruciating pain and vomiting every few minutes trying to feeding my friend the answers to the doctors’ questions.

After many tests, I ended up having to be admitted to the hospital. I woke the next morning to a room filled with doctors probing me like I was some experiment, asking questions and speaking to be in Italian. FINALLY about an hour or so later, the blockage cleared and I got relief. I was asked to stay for 4 additional days and told them I was ready to go and knew how to handle things going forward. (Handling things meant a clear liquid diet for several days, something that was not easily done in a place known for their amazing food) The next day we were traveling to Rome for 3 days and then would be flying home. I was so thankful to the doctors and staff that took care of me, in a country with a different language and style of healthcare, they were unbelievably passionate and sympathetic while at the same time very professional and were able to treat me effectively! After getting discharged “AMA”(against medical advice) they continued to offer assistance - writing a letter in Italian explaining the ordeal, just in case I would have more complications in Rome and would need to be seen in the ER there as well.

Personally, I have learned that when going to a country where you do not know the language, it may be wise to stay in either a hotel where they do speak English OR stay in American hotel chains! You can never prepare for everything, so if something SHOULD go wrong, it’s wise to be able to communicate easily with someone as well as maybe also knowing where the closest ER is located!

Friday, August 22, 2008

8.22.08

YODAA Conference



This was my first experience going to a YODAA conference and was incredibly happy that I was able to have the opportunity to attend. I was informed of this conference while at the WOCN tradeshow in Orlando and was able to plan a last minute trip to go and see what YODAA was all about. I was also asked to be a “guest speaker” for the attendees.


It was amazing how supportive and open the group as a whole was about their experiences. I was never one for support groups…but this one was fantastic! I was so impressed with the officers and attendees! I think I got out of the trip more then I gave. I highly recommend all young Ostomates to get involved and meet this wonderful group of people!


It’s organizations like YODAA that truly makes a difference in people’s lives.

Lisa with Eric Eng Co-chairman of YODAA

8.22.08

Who would have thought... more issues with having a lone rectum!



In August of 2006 when I had my ileostomy surgery done, the surgeons had left my rectum in tact for 2 reasons, 1- they didn’t think my body could take both surgeries at once being performed and 2- just in case I would ever want to be connected again. So, a few months after surgery when I was all healed up I forgot it was really even around. UNTIL – right before this tradeshow I started having some of what I initially thought were “abscess” issues near my anus and dealing with going to the ER for draining and packing. Then after the tradeshow when I was visiting family in Tennessee the problems resurfaced again! Finally it was determined from a colorectal surgeon, that indeed the ER doctors were incorrect and my problems were caused from a fistula that was formed, another great side effect of Crohn’s disease! I was lucky and was able to get surgery done asap while there to remove the problem. Just goes to show you that you never know what tomorrow will bring!

8.22.08

The WOCN Conference/Tradeshow - June 22-24



Ostomy Secrets debuted at the National WOCN (wound, ostomy and continence nurse) conference in Orlando and we had a fantastic response. We were able to show all of our new product samples and demonstrate on our mannequins (all with very full ostomy bags on) how our underwear conceals the ostomy bag. It was a very exciting few days and we were thrilled to get so much support from all the nurses.


In the picture below is “Vicky” (our vixen) and she stirred up quite a response at the show. She wore a VERY fitted gown while having a full ostomy bag on! Of course it was “her secret” because she was wearing our underwear and was supported and concealed so well, no one noticed! (or could guess her what her secret was!)



Lisa with her ostomy nurse from Tampa at the trade show. A lot of tears were shed 2 years ago and now they're all smiles!



Lisa and Christina (our designer) at the trade show! So excited!!!

Monday, July 7, 2008

7.7.08

More in depth of my story


Do you want to know a little more background of my story?
I was diagnosed with Crohn’s in the early 1990’s at the age of 15-- that is "diagnosed," but I was suffering from it since I was around 10 years old. At that time, I didn’t fit the profile of what doctors thought was the typical Crohn’s disease patient: middle-aged and of Jewish descent. So that gives you an idea of the environment at the time I was first dealing with my issues. Medicine has come a long way, and so have I.

I survived managing the teen years through high school and going away to college, although it came with a lifestyle of fear--fear of not being close enough to a bathroom, which limited many activities I would participate in. I had the normal Crohn’s roller coaster like bouts, remission and flares coming and going. Nothing like dating for the first time, trying to explain why I was running to the bathroom, which was evident given the nerves of a teenager and then the embarrassing explanations of, "Why?" and "What's wrong?"

After all of that, I was eventually fortunate enough to start a great career in the finance industry, meet and marry the man of my dreams, get pregnant and have a beautiful baby girl.

Unfortunately, it was the flare after having my “miracle” child that caused utter havoc on my body and set into motion the worst Crohn’s flare I would have yet to experience. After many drugs and months of issues, I was finally admitted into the hospital, days after my daughter turned 1 year old. At first, I was sure it was going to be a typical stay: one week in the hospital filled with prednisone and other IV drugs. However, this time was different. This time nothing worked. After two weeks of not responding to anything, it was finally determined that I may need surgery. I had avoided this for so long that I never let myself believe this day would come. But here I was.

Aside from the surgery planning, by this point my body was so weak after close to a year of fighting that I needed to get stabilized. A few medical twists that just added to the severity of the situation were being diagnosed with a pulmonary embolism (PE) and deep vein thrombosis (DVT). Both are blood clots, one in my lung and more in my arms, from the central lines and feeding tubes. I was put on blood thinners to treat the clots and it made the fact that I was bleeding inside even worse. I would go to the bathroom and blood just poured out. As one doctor told me, “You are a sinking ship. On one hand, we’re trying to save your life from the clots and on the other we are trying to get you ready for surgery." After many blood transfusions and waiting for TPN (nutrition in IV form) to help me get stable, the decision was made to go ahead with surgery one Saturday morning at 7 a.m. Given the clots, preparing for surgery meant going off of blood thinners days before and needing to have a temporary vena cava filter placed in my chest to protect me from the clots. All of these complications just added to the fear of surgery.

The whole experience before surgery was surreal: marking the stoma spot on my belly, looking at ostomy bags and wafers, firing endless questions of how to do ordinary things at the ostomy nurses who came into my room. I wanted to wrap my head around the concept of having my intestines hanging out on my stomach in a knot! My husband and I made jokes about the bag and we attempted to prepare for the surgery that would be freeing me from my chains of this endless flare up. I wanted to get home, back to my life again and back to my baby, Anna, whom my heart ached being away from.

After surgery I remember waking up and looking down wanting to know and feel what it was like. I had a friend bring some mirrors to show me since I couldn’t sit up yet. Truth be told, I was totally overwhelmed by it, the stoma, the whole new way of life to which I was going to have to adjust. I watched the nurses empty and change the bag, and I remember during the whole time thinking, ” How am I going to do this?” Everyone just looked at me smiling saying, “You’ll be able to do this, no problem.” I just smiled back, getting more scared as the days passed knowing I would be going home and doing this all by myself.

Another turn of events caused me to hang out in the hospital a little longer than expected. My body was so weak and was shutting down in response to all the pain medication. They also discovered an abscess that burst, causing a major infection in my body. As I was getting discharged, I started to not feel well and began throwing up green stuff, which I later became familiar with. IT was the sign that I had an ileus (intestinal obstruction). More tests, drugs, blood transfusions, and days led to my final discharge. A six-week hospital stay was enough for anyone to go crazy. I was ready to go home.

Going home had its challenges. One was realizing I was not able to do ordinary things alone like hold my child, take a shower, and get dressed, just to name a few. The most traumatizing of them all was the fact that I was alone with my ostomy. But there was an angel through all of this: an ostomy nurse from the hospital who lived nearby offered to stop in and check on me and, more importantly, taught me how to take care of my ostomy and myself again. I will be forever grateful to her for her care and time she spent with me during those tough first weeks. Over time I learned how to do things on my own, proud to finally do it and be okay. I was able to act like a mom again and take care of my daughter. My husband was slowly getting out of crisis mode and our lives were slowly starting to go back to "normal."

Of course, using the word “normal” to describe life after an ostomy seems a little out of place. Every day, I faced a new challenge such as learning what I could and couldn’t eat. I was told at the hospital, “Go home and eat whatever you want!” Then I learned the hard way three weeks after surgery when eating grilled asparagus sent me back to the hospital with another ileus. Luckily it cleared up within 24 hours, and I was able to go home again. But by this time, the fear of eating was ever greater. I slowly began to learn about what I could eat and spent many months with a medical nutritionist to start to get healthy and gain back the 50 lbs that I had lost over the course of the previous 4 months.

Once I got under control the nitty-gritty details of how to take care of myself and my stoma, I started to feel better physically than I had for years. It was liberating not to have to plan my entire world around toilet sightings. I was determined to feel as good mentally about having a stoma as I felt physically.

My first obsession came with clothing and being able to wear what I used to (or as close to it as possible) without worrying about seeing the bag. This underwear helped me feel like my old self again. I stopped wearing the baggy pants and long t-shirts, and started putting my more tapered clothing on that I had before surgery. It felt so good to be wearing things that I felt pretty in again. The underwear helped me conceal it so well that I wasn’t self-conscious about it anymore.
Next was bathing suit hunting! As a woman, bathing suit shopping was not the most enjoyable activity, but now add to that a bag and stoma you want to hide! After a few stores I was able to find a line of bathing suits that were high enough to cover my entire appliance and had a skirt over it to hide the bump. I was thrilled and started jumping up and down in the store with excitement. Beach and pools, here I come! I was so thrilled that I would be able to take my daughter back to our mommy and me swimming lessons again. My life was trickling back to where I was before the sickness, but without pain and worry.

I work very hard at taking care of myself through nutrition, acupuncture and exercise. I hope to offer sections of this blog that will give more specific advice on supplements that may help you and things to try. Overall, it’s best to say to listen to your body and allow it time to heal after such an invasive surgery. Being patient and doing things that help you heal yourself will make you feel better. Make taking care of yourself a priority and part of your lifestyle. Not just for a few months after surgery, but make it a life-long commitment.

Hopefully over time I can help others by reading this and making them know that they are not alone, that someone feels what they feel and that it does get better over time. Feel free to post any questions or messages that you would like to share. I would like for this to serve as a place for people to be able to help each other and share their tips on living a better life with an ostomy.