Need help with Hollister New Image

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Bennie
Veteran Member


Date Joined Nov 2006
Total Posts : 550
   Posted 7/16/2008 4:59 AM (GMT -6)   
My daughter seems to like the Hollister New Image products. The nurse in the hospital arranged to have some samples at home for her when she came home. The hospital uses Convatec but the ostomy nurse suggested that Hollister would be better. She changed her barrier and bag yesterday (in front of the home health care nurse). We had trouble with the first one she put on (it got all twisted so she had to start again with another one). The second one she put on seemed to work fine.
Early this morning she woke me up because it seemed the bag was leaking. Not a big leak but the outside of the bag did seem damp. The wafer was dry. So she changed just the bag. Well here it is a few hours later and the new bag seems wet again! It looks like it is damp only near the edge of the bag (where the front and back meet) just to the right of the flange. It isn't wet near the flange. Unfortunately some of the liquid does look like it is on the wafer (but I don't think it is coming from underneath). This seemed to happen last week (I posted about her 1st time changing her appliance). At the time it had leaked quite a bit since she had been sleeping so we changed the whole thing. This problem has only happened at night when she is sleeping.
 
So first of all, she has no Hollister bags left. She really, really doesn't want to change the appliance completely! Any ideas how to get another bag nearby? The home health care nurse has no ostomy supplies (only small accessories). I will call the ostomy from the hospital and also call Hollister but it is only 7 am right now so I know it will be hours before I speak to anyone let alone find a possible solution.
 
Has anyone experience this type of leak? Any suggestions as to how to stop it? Now and in the future? Any ideas why this is happening? Otherwise she may not be able to use this product. Could this just be a bad batch of bags that she got?
 

--Mom of bratcat (17 years old)--
Daughter bratcat was diagnosed with pancolitis October 2006
Current meds:
Asacol - 4 pills/3Xday, 15 mg prednisone, Remicade
 
11/14/06 - started prednisone; 1/28/07 - finished prednisone!
3/3/07 - began to taper off hydrocortisone sloowwly! Summer 2007 - slowly began tapering Rowasa. 9/07 -- flaring? Nightly Rowasa. 9/21/07 -- added hydrocortisone enemas. 9/30/07--added prednisone. 10/31--started 6-mp, stopped the enemas. Started lowering prednisone. 3/08-another flare!  7/3/08-Step 1 j-pouch surgery


tpoof
Regular Member


Date Joined May 2008
Total Posts : 34
   Posted 7/16/2008 7:07 AM (GMT -6)   
Really not sure just what is goin wrong for you's but, I use the Hollister new Image as well, I use disposable biodegradable plastic liner bags that slip inside of the closed end pouch.
When almost full slip it out and flush it down the drain,,, so easy to use.. it makes having to live with an ostomy and cleaning bags almost bearable for me... I highly reccomend it
A friend of mine who has been an Ostomate for nearly 5 years seen what I was wearing and could not believe how slick a system it was... he is now using the same liner bags..... nuff said ;)
If you feel there may be leakage from the wafer, you can try using some Eakin seal putty rolled to a thin rope and placed around the stoma opening the pressed into the body to make a tight seal....

Hot weather reduces wear time greatly for me...
I used to like the heat..
a perforated Diverticlum survivor and colostomy wearer, awaiting resection

May 02/2008


Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 7/16/2008 9:07 AM (GMT -6)   

Bennie-first off, do you have any waterproof tape (the pink stuff)?  I don't use it on a regular basis, but I have some from a LONG time ago, keep it in my bag, and use it for emergencies!  this would be one of those times...It would allow you to keep using the pouch until you can call Hollister, or call your supplier and have them overnight a couple bags (expain that the first two leaked and they should be very accomodating). 

Next question, where are you located?  I have some extras if you are close to Akron Ohio smurf

I also use the New Image and have been really pleased.  The wafer fits my stomach well and the filters are AMAZING!  I get 3-4 days wear time with the pouch and don't have to cover the filter to shower (i always forgot that with the other brand I used to use..).  It will fill up with air at night, but after I empty in the am, it goes right back to working.

Good Luck in getting the new pouches

 


Bennie
Veteran Member


Date Joined Nov 2006
Total Posts : 550
   Posted 7/16/2008 10:56 AM (GMT -6)   

Thank you so much for your replies. I called the ostomy nurse from the hospital at 7:30 this morning. And she answered her phone! We had only met the day of my daughter's surgery and then she went on vacation until yesterday. Another ostomy nurse showed us how to change the whole thing the day she was released. And then a home care nurse has come by 2 times to see how she is doing. She is very nice but I don't think she specializes in ostomies.

We were able to get in to see the hospital ostomy nurse this morning. She said that my daughter's ostomy does not protrude very much and that it points down (towards 6 o'clock). To add to that my daughter's stomach is not flat so there are several hills and valleys to contend with. She put on another Hollister Convex New Image wafer (at least she had on the right thing) and showed us how to stretch the top part of my daughter's stomach more taut while pushing down near the opening of the stoma to help push its "head" up a bit more. She sent us home with another whole set just in case and will have Hollister overnight us another sample box set. My daughter had some irritation around the bottom edge by the stoma so that was contributing to her pain. So far so good. Of course she goes back to the surgeon on Friday to get the stitches out so they will probably upset the whole barrier (it lays a little over the incision).

I have come to the conclusion that it would be easier to pay someone every few days to change this whole thing! Less stress, less tears, less aggravation. The only thing that is keeping me going right now is that most of you have gone through this in some capacity and you are all happy and well adjusted. So my guess is that while it is rough right now, it is something that is very minor in the grand picture.


--Mom of bratcat (17 years old)--
Daughter bratcat was diagnosed with pancolitis October 2006
Current meds:
Asacol - 4 pills/3Xday, 15 mg prednisone, Remicade
 
11/14/06 - started prednisone; 1/28/07 - finished prednisone!
3/3/07 - began to taper off hydrocortisone sloowwly! Summer 2007 - slowly began tapering Rowasa. 9/07 -- flaring? Nightly Rowasa. 9/21/07 -- added hydrocortisone enemas. 9/30/07--added prednisone. 10/31--started 6-mp, stopped the enemas. Started lowering prednisone. 3/08-another flare!  7/3/08-Step 1 j-pouch surgery


Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 7/16/2008 3:42 PM (GMT -6)   

Bennie, you are doing just fine...glad to hear you were able to get in to see your ET nurse today!  My stomach has about five levels to it now and the convex new image works well (i use an eakin seal, too) on the uneven surface.  It is more flexible than the other wafers I have tried.

I know it is really hard to deal with something so new, but having staples/stitches removed WILL make a difference.  As far as paying someone to change it, you'll get used to it...after my 2/08 surgery, I could hardly change my appliance.  I got sweats, shook and could barely look at my stomach/staples...and this was my THIRD stoma!!  So, you and Bratcat are going through emotions that we have all had.

I am so happy for you that you have been able to get answers to your concerns!  When Bratcat feels better, I hope she can say "HI"!


praying4healing
Veteran Member


Date Joined Dec 2007
Total Posts : 739
   Posted 7/16/2008 7:58 PM (GMT -6)   

ok...so i dont have to use convexity ( yet lol hopefully never) but i do know the feeling of changintg the bag and how hard it can b right after surgery.  I thought id previously posted on this topic about how vital a moms help is, but i dont see it here. But long story short, when i had my surgery, my mom had to help me change my bag and i cried alot too, it took us up to an  hour sometimes... The frustration w/an active stoma, leaks, the weird feelings ur body goes thru, being grossed out...it was really hard.

 

But, if u guys can stick it out, i really dont think u'll need to pay someone to keep changing it.  She needs to gain the experience, for however long she'll have it.   They'll be those moments (hopefully very few) like u mentioned where its the middle of the night when a nurse won't b able to make it. and the more u do it the easier it gets. Trust me, i thought the day would never come, im now down to about 10-15mins...the smell goes away...it will get better, but eventually she'll get like me.  I had a leak and didnt want to have to wait for my mother to change it, so i got pissed and did it myself....sometimes sheer frustration and anger will push u into doing it for urself lol

 

just let her know it'll get better...


25 y/o female- crohns disease since 14
Ileostomy pending-very worried
Tried asacol,pentasa,prednisone,remicade,6mp,azasan, no avail
Seatons placed
Worst year ever!

"For God has not given us the spirit of fear....."
Where does mine come from?!
 Temp Ileostomy performed 1/29/08
Still Adusting
 Healingwell.com has been my Godsend...Thank you


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 7/16/2008 9:50 PM (GMT -6)   
it will get better! at first i was having all kinds of problems. I did actually get a bad batch of bags, and i just called hollister and they sent me replacements. I am not sure i understand where you have the leak at. My husband is a nurse, so he did know a little about them, and for the first few months he changed it for me, i could not figure out how to do it on my own! then one day i just decided to do it, it took me like 30 minutes, lol. now i am down to 5 minutes or less.
Here is a way you can practice. Take a toilet paper roll, cut it in half. Now get some poster board or cardboard, you need two square pieces, probably a few inches wider than the roll. Now cut holes in the cardboard a little bigger than the tp roll. Ok, now this is where it is hard to explain. Get you some kleenex. Put one piece of cardboard over the roll. Now get the kleenex ready. Ok, pull the piece of the roll, and cover the roll right away with tp. As fast as you can, put the other piece of cardboard over the roll. That will help you get the hang of it.
it is hard for me to explain that though, i hope it made sense.
Also, after she puts the wafer on, take the hair dryer and use it on the wafer after she puts it and the bag on
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