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Weather conditions can often affect the amount/type of secretions that a laryngectomee may encounter. Most laryngectomees encounter these changes even when they don’t travel, just by experiencing different weather conditions in their hometowns. Even climates that don’t have a significant change in seasons experience some changes in weather conditions. We often see a change in Florida when our hot/humid weather becomes colder and drier and we are in need of turning our heat on in our houses. When we travel, the means by which we get to our destination (plane, train, bicycle, car, boat, camel etc..,) as well as the weather conditions at our final destination can contribute to these alterations. Most laryngectomees at some point have experienced their stomal secretions becoming drier and crustier because of a lack of humidification. The key to reversing these symptoms is to add moisture to the air breathed through the stoma or to the stoma itself. Using an HME (Heat Moisture Exchanger) like those available from InHealth Technologies and Atos Medical can filter and warm the air keeping secretions thinned and reduced in volume. Lavaging the stoma is another way of adding moisture and expectorating secretions.
Heat Moisture Exchangers
Saline Recipe
Use the syringe and draw back on it to fill. Put the syringe up to your stoma... count 1 - 2 - 3... as you breathe in, shoot the saline into the stoma. This should make you cough violently, so have some tissues ready. Cough and clear the mucus. This should be done several times per day to keep the secretions thinned and avoid a mucus plug from forming.
Former patients have also shared some of their “tricks of the trade” on keeping stoma secretions moist. This includes “misting” a stoma cover with water prior to wearing it to moisten the air breathed through the stoma; running the shower on hot with the door closed, giving you the “sauna effect”; drinking more water or filling the bathtub up with steaming water, letting it sit in the tub adding humidity to the air while attending to other bathroom needs! |
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Nowhere Man - (I’m a real nowhere man, sitting in a nowhere land)by Mike Burton,
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Harried and Hurried
Boy! My head is a mess! I am so restless. No, I am bored. No, I am overwhelmed. I have so much to do. But I can't get it done. I have nothing important to do so I do nothing. No, that is not true. I must finish my course in Medical Coding if I hope to get a job. The IRS and I are having a conversation which is resulting in massive amounts of documentation. There are so many things I want to do and see....but probably never will. And there are so many things I must do and am not having good luck completing.
For instance I just discovered that the Louvre Museum has 50 acres of gallery space. I was astonished! Not just the Mona Lisa is there but so many other treasures some experts say it would take a lifetime to see all of the masterpieces assembled there from the centuries. But the reality is we will never see it except through their website with a virtual tour. Nor will we see Italy or Ireland. Heck, I have trouble seeing my beloved granddaughters in Minnesota! But somehow hope springs eternal and if I just work hard enough and save enough, and keep on that treadmill, I will get one of those trips. So I am in a hurry: a hurry to finish the course, a hurry to keep the house cleaned, a hurry to organize a room full of files from as far back as 2002, a hurry to get more veggies planted, a hurry for them to mature, a hurry to clear up and respond to all my emails, a hurry to give away tons of business clothes I will never need again, a hurry to read all the books my neighbor shares with me, a hurry to try to make “no-knead” bread, a hurry to lose weight, a hurry to trim the rose bushes, a hurry to exercise regularly, a hurry to write a book, a hurry to visit dear friends from Wisconsin to Texas, a hurry to extend my volunteering, a hurry to, to, to DO, to FINISH doing anything. There are the old, cheap side tables I am going to refinish. The several crewel stitchery kits to finish. The Nativity Scene figures to be found, purchased and painted. The framing of grand children's pictures. The pictures I want to take. The blog I want to start. The broken bridges mended....maybe. The prayers I must say more frequently and fervently. Given all of the realistic/unrealistic goals I have set for myself, I must continue to hurry. So, every night, I vow to get up early and attack the day armed with my trusty list. And every morning, I lay in bed listening to the news and sleeping another hour. So when I do get up, I am already behind. And all of the activity escalates. But what is so confusing is that there are parts of my life that I want to have proceed in slow action, to freeze frame at times. Annie, my beloved dog must not get any older. She must stay this age and temperament and remain close to me always. Frank must remain in good health and maintain his terrific sense of humor. He must take care of me physically and emotionally. He must continue to have terrific political and philosophical conversations with me. My friends must not just get better but thrive. My grand children must not change until I can see them again. The bird sounds must continue to be riotous in their volume and frequency. The trees must not age anymore for fear they will fall in a storm. The cats must stay young enough to race through the house like they are running an Indy 500. The memories of loved ones lost must remain fresh and filled with love. The painful life lessons learned must not be forgotten. Whew! I am exhausted! Now where is my list and where are my dreams? They must be around here someplace. Vicki Eorio |

Unplug and Recharge
I began writing this monthly column at the request of Dutch Helms. He was a good friend and I felt committed to this effort for that reason. I also intended to use the monthly articles as chapters for a book I was trying to finish. Due to several computer crashes I had lost some of my early work, and I thought a project with deadlines would force me to get a little done each month. The book still needs to be edited and published. The title, “Practically Speaking” was chosen to state right up front that I am not a speech/language pathologist. My topics are chosen to share not only my practical experience but also to reflect what I have learned at numerous seminars about helping new laryngectomees. Since everyone’s experience is different, I needed training to effectively help them learn to use an electro larynx, develop esophageal speech skills, or address their various rehabilitation needs. It is easy to understand why new laryngectomees might assume that I am just sharing my own experiences and opinions. However, I have had, as my mentors, world leaders in laryngectomee rehabilitation. Their lectures, coaching and training were the best any SLP could hope for. I hope I’ve made them proud of my decades of service. I know I’m very proud to have worked with them on both sides of this adventure, as a beginner and instructor. Last month I referred to the commencement speech given by Eric Schmidt, CEO of Google, to the graduating class of the University of Pennsylvania in Philadelphia. His closing statement stuck with me. Especially the wisdom of his advice to “turn off the computer and electronics”…and see what the world needs. He also could mean those people all around us who we engage with everyday at some level. Following this speech were news reports on the results of a survey conducted in several countries and the findings were not a surprise (to me, anyway!). The happiest people live in cultures that do not have electronics available to them. Their focus is on family and relationships in very basic ways. They spend time together, up close and personal. It made me wonder if those who are constantly on their cell phones or texting are any closer to each other, especially when some of the calls are for nothing more than a message saying, “I’ll be home in five minutes”. I can wait. The current economic crisis seems to be triggering some soul searching about what went wrong at home and in our personal lives. Not long ago I saw that someone actually felt the need to write a book telling parents about some simple rules many of us grew up with. Nobody had to tell us that the family eats dinner together every night at a certain time. I didn’t realize how far astray our culture had gone with the advent of having a TV and computer in several rooms of the house, or perhaps for every member, even pre-school age children. TV or carry out dinners eaten at home or in the car can be fun occasionally, but this has become an unfortunate routine for too many families today. This article will be short. I have determined that I need to take my own advice and unplug and recharge. During my week at the IAL Annual Meeting and Voice Institute I will have little opportunity to watch TV or work on my computer. I’ll take the laptop for an occasional email check for important messages. I’m not ready to go cold turkey! I will do some summer reading when I have a few minutes to relax and rest my mind. I do wonder what it would be like to take a whole year off from television and internet. There are moments that it seems like a Heavenly idea. I would certainly save a bundle. It might even help me tackle the stack of good intentions that I promised “to get to later”. Procrastinators know that “later” does come at the most inopportune moments. For me avoiding the “later” promise requires a certain amount of self discipline which I seem to ignore when it comes to my computer friends, the Tuesday and Friday WW Chat group, and people who email asking for help with esophageal speech. Let’s face it…that’s more fun sometimes. The good news is, “later” has finally arrived. This summer I plan to make some very necessary cost and time saving changes with my server, DSL/WiFi, and a new laptop. The main goal is to finish compiling all the hints, myths, and instruction for the book entitled, “Practically Speaking”, There are a couple of other frequently requested projects waiting patiently in the wings, including the DVD and webcam capability for face to face esophageal speech instruction. I look forward to both becoming a reality. I should mention that I also need to carve out time to move from this house, and arrange time to visit my children and grand children sometime before the end of the year. Wish me luck with all the changes I’ve set out for myself. People first. Especially new laryngectomees, and of course my large family. Elizabeth Finchem |
The Fear of What is Suddenly Too Late
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| Avraham Eilat, The Days, 2004 | Avraham Eilat,The Fear of What is Suddenly Too Late, 2003 | Avraham Eilat Mastaba model, 2002 |
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| Avraham Eilat, Slave Boat, 2004 |
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| Avraham Eilat, Parade, detail, 2005 | Avraham Eilat, The Fear, detail, 2004 | Egyptian wall painting, Medinet habu, 15th century b.c. |
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| Eadweard Mybridge, from The Human Figure in Motion, 1880s | The Arena guardians, Assurbanipal palace, Ninve, 668-626 b.c. |

Open Your Golden Gates
Tuesday, June 23, 2009
I am ready. I have packed, and repacked to make sure that I have sufficient room to take what I must for the IAL convention in the San Francisco area and for the WW table and to have space to get goodies and take them home. My ride arrives on schedule -- 8:30 a.m. The day is warm and sunny. I am on my way. I get to the Indianapolis Airport. This is my second time at the new terminal. No problem checking my bag at the Southwest Airline counter. I have time for breakfast. Café Patachou has a spot in the concourse of the terminal. It is a small, local, group of restaurants in Indianapolis. Locals know it, or should. The Café offers locally grown, organic foods. It specializes in breakfasts, though has sandwiches and salads. The three egg omelets are yummy to say the least. I have a bacon and Swiss omelet with their signature cinnamon toast -- thick slabs of sour dough bread toasted, buttered and sprinkled with cinnamon and sugar, just like mom used to make. Comfort food, to say the least. It comes with a cup of mixed fresh fruit, blueberries, apple, orange, pineapple and grapes. I touch bases with Pat by cell phone while I wait for my order. Stoked with a good breakfast (a necessity when starting a long day of travel) I head for the gate. No problems with the security inspection. I had forgotten to take my Servox out of the bag, but it did not raise any concerns. When I get to the gate, I find Mary Jane Renner waiting to get on the plane. The day has begun well. We get front row seats and take off. We have two stops along the way -- Phoenix and Las Vegas. But, we do not have to change planes. In Vegas, Pat joins us for the last leg of the flight. She had gotten a hurried bite to eat as she changes planes so she is the last to board. We arrive in San Francisco about 25 minutes early. Of course, that early arrival is lost to slow baggage delivery. Such is karma. Pat and I head to the hotel courtesy shuttle. Unfortunately, we have just missed the shuttle. It only runs once an hour, so we have a wait. But, the weather is great. Sunny but not too warm and there is a breeze. The van finally comes. The driver is a very nice man who comes from Hawaii. The trip is about 20 minutes. Entering the Hotel lobby we see John Ready. Ed Chapman with Barb and Yvette enter, Joanne Fenn is there. The fun is about to begin. I check in and find my room. A quick hanging of my banquet coat and slacks and a change of seals (it has been a long flight), I am ready and I head to the bar/grille. We are at a large round table. Ed, Barbara and Yvette, Michael and Lisa, The Vander Hogens, then Mary Jane, Pat, Joanne. We keep adding chairs. Anthony Martin, our hotel contact for the banquet comes by at my request. With Libby out of the action, Pat and I have taken over the lead on the banquet. We go over the plans briefly with him to make sure everything is going smoothly. Very helpful guy. A few drinks and a light dinner. After dinner, we head to the hospitality room and see those that are there. Bob and Leslie Herbst, Tina, Sapp, David, Ed, many others and even Noor Ali from Pakistan are sipping and noshing. Jim Lauder shows. He is in his signature Fabulous Furry Freak Brothers t-shirt. He has a Winchester (Don’t mess with Texas). Finally, around 9, I crash (give me a break, it is midnight my time). Tomorrow, Pat and I are meeting her cousin for a tour of San Francisco.
Wednesday, June 24, 2009.
We drive down to Sausalito It is a beautiful little seaside artist colony and all around beautiful city. It is getting late, so we stop for lunch at Scoma’s, a restaurant on the bay. Catches Pat's eye because the sign has the c looking like a curved t for stoma! The food is exceptional. Sourdough bread starts us off. Then a cup of very nice New England Clam Chowder. The pan seared sea bass with avocado salsa (why it is called salsa I don’t know but it is tasty) and scalloped potatoes and asparagus. What a meal. Followed by Tiramisu that is to die for, I am stuffed to the gills. Jim Lauder, Rick, and the German contingency come in for lunch just before we leave. I learn later that Jim considers Scoma’s one of the best restaurants in the entire area. I will always rely on Bwana Jim’s word for that. We work our way back to San Francisco. The fog hangs over the hills and the temperature drops twenty degrees. I am glad that I brought my WebWhispers jacket. We stop at a couple museums just to see and walk the grounds. We drive up the highest hill in the area to catch the view, and what a view it is. The city is magnificent. We drive up steep streets where you cannot see the ground before you when you reach the top. I learned to drive a stick as a teenager in Pittsburgh, PA, but the Big Burg has nothing on Frisco. Frisco takes the cake and that is saying a lot. (Hey western Pennsylvania, have you considered hosting an IAL meeting? Pittsburgh is one great and lovely city, just a thought). We drive down the curviest street in the world. I take a movie as we descend. Leslie and John take us to their home, which they have recently remodeled. To say that I am jealous is an understatement. The three cats run from us. Later, however, Penguin, the big long hair allows Pat, and then me to pet her. Her shyness has given way to smart cat affection wanting. Or, she just recognizes two people who know how to pet a cat. Finally, after a long day, we return to the hotel. I stop into the bar to see who is there. Jim Lauder and the German contingency are having drinks and ordering dinner. I first plan to drop stuff in my room and join them, but when I get to the room I realize that I am tired and I have to get up early and help Pat set up the WW table, and if I join Jim, well, discretion sometimes is the better part of valor. Tomorrow, the Annual Meeting begins.
Thursday, June 25, 2009 (this must be THE DAY)
The IAL Annual Meeting begins with a keynote address by Mark Singer, the Singer in Blom-Singer. Dr. Singer, a most gracious man, tells of his early days as a surgeon, his move to Indianapolis, and collaboration with Eric Blom to develop the speech prosthesis and procedure that bears their name. His talk contains much information and humble humor. A good start to the day. After the talk is a break, the first time those in attendance explore the vendor’s room. Activity begins at the WW table. We soon discover that there may have been a problem in the on-line reservation system for our WW Dinner. We had some people say that they had made reservations on line but we had not received them. But, we have a few more. Now one or two problems can be the result of user error, but more suggests that something may have gone amiss. When they send in, it goes to two of us so there is no chance we miss one... but neither had gotten these. We'll check further on that. In reflection, I will change how I deal with credit card transactions. The good news is that we were able to accommodate those with problems and we know that even if they sent in a credit card transaction via a WW link, their card will not be automatically charged, I do that by hand. At lunchtime, Ed, Barb, Yvette, Michael, Lisa and I decide to try outside of the hotel. We walk to a little sandwich shop in an office complex right next to the hotel. The sandwiches are very good, quite large, and very reasonably priced. Brought back one for Pat and Donna McGary to share. That afternoon, Donna and I walk to Trader Joe’s and the stores around it. Trader Joe’s is a great chain of grocery stores. We have them in Indy. They have good food at superb prices and some special stuff. I try to find some of their Organic Ginger Snaps, but, alas, they don’t have them that day. The exercise, however, has been good. Back to the hotel. We go to the banquet room for final preparations. We move a table to the floor to hold the awards. The podium goes on the stage so people can see Pat and the other speakers. We move a row of tables from the front to the back to give us more room. Barb and Yvette had folded the new WW Dinner programs. They look great. Carla brings the table decorations that Libby had sent her. Upon opening, some pieces are broken. Carla to the rescue, She grabs a ride and gets some replacement parts, and she and Lisa make some nice decorations. Time to retire to the room, get a shower and change. A little after 6 I go back to the dining room to make sure we are ready. The Bruce Medical beverage reception begins at 6:30. People are still trying to get seats to the dinner. It's wild but we find places for them all. At 7:30 the doors to the room open and the crowd enters. A hit of the gong gets their attention and Pat directs them to their chairs. We open with a toast to our founder Dutch Helms. Then the eating begins. The meal is excellent. There is a mixed green salad with a very nice balsamic vinaigrette dressing, roasted vegetables, cheese tortellini, beef stir fry and salmon. The deserts are rich brownies and a delicious chocolate mousse. For the program, we start with a series of talks about the early days of Web Whispers, all members from 1996/7. Wayne Baker, John Ready, Carla Gress, Pat Sanders and I give our memories of the early years. Then, Jack Henslee reads a poem by the late Frank Morgan. This year, we have listed the memorials on the new program instead of reading them. We have a moment of silence to remember those who have passed beyond, while Bob Herbst slowly rings a gong. The sound of the gong carries throughout the room and lends solemnity and beauty to the moment. Then it is award time. Michael Csapo is this years very deserving recipient of the Casey Cooper Laryngectomee of the Year award. He accepts with the grace and humor that have helped to earn him the award. Grace that is until he tries to take out (unsuccessfully) the stairs to the stage. A nervous but happy time.
A quick word about Marriott. Anthony Martin the Director of Events for the hotel and our Major Domo, Jose, Barrientos, the Banquet Manager have made our lives easy. They have been a dream to work with. It has been a pleasure working with them. They have done the Marriott Hotel proud. After the banquet we go to the bar (what a surprise). We surround the large round table, adding chairs as people arrive. Heck, this is drinking, not eating. Ed, Barb and Yvette are there. Michael and Lisa attend. Donna McGary and Linda Rainbow add to the charm. Richard Najarian joins the crowd. I sit between Donna and Joanne Fenn. Good company! We toast the night and the recipient. Two rounds, much pleasant conversation, and it is time to go. I return to my room and get mostly packed. I have the gong and the awards that need to be sent. Fortunately they are in boxes so the beer that Ed used as a baptismal wash has dried without reaching anything within. Tomorrow I must fly to Indy.
Friday, June 26, 2009
I return to the vendor’s room one last time to see my peeps. Pat and Michael and Ed are at the table. Jim Lauder takes a look at my Servox and makes some adjustments. He even tells me how long it has been since it was tuned. I make my last goodbyes and take the shuttle to the airport where the line to get through security is long and slow, but steady. I find a seat and plug in and start writing. A deadline approaches and I must not disappoint the Golden Goddess. The first leg of the flight goes to Chicago. The plane is one of those huge jumbo jets, over 300 people and it is full. Thank goodness I have a window seat in a 2 seat row. The flight is non eventful. In O’Hare, I get a Chicago Style Dog. Now a Chicago Style dog is a work of wonder, It has a Vienna all beef hot dog, yellow mustard, relish a color of green found nowhere in nature, hot peppers, cucumber, tomato and a dill spear. Celery Salt is sprinkled over everything, but I skip that. The only problem here is the dog is a jumbo dog and that is too much dog for the mix, the peppers are larger than the classic small sport pepper, but still mighty hot. I eat one. I am refreshed and ready to wait for the final hop to Indianapolis and home.
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Welcome To Our New Members: |
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I would like to extend a "Warm Welcome" to our most recently accepted laryngectomees, caregivers, vendors, and professionals who have joined our WebWhispers community within this past month. There is a great wealth of knowledge and information to be accessed and obtained from our website, email lists, and newsletters. If ever there should be questions, concerns or suggestions, please feel free to submit them to us from the "Contacts" page of our website.
Thanks and best wishes to all, |
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VP Internet Activities |
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WebWhispers, Inc. |
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We welcome the 49 new members who joined us during June 2009: |
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Frank Argiento |
Frank Bakara - (Caregiver) |
Linda Sue Bakara |
Ellen Bauman |
Darlene J. Bolone |
Lisa Buesser |
Pamela Cotterall - (SLP) |
Glen Coyle |
Bill Charles Cross |
Billy Charles Cross - (Caregiver) |
Grace DeFrancisco |
Vincent DiPietro |
William E. Dolan |
Elena Golubev - (Caregiver) |
Grigori Golubev |
William Harless |
Wade L. Hampton |
Judy L. Hice |
Karen Howells |
Charles Jacques |
Joanne Kitchen - (Caregiver) |
Rick Kitchen |
Bonnie L. Lucas |
Phil Lussier |
Mike Martinez |
Anthony Mason |
Di Mason from - (Caregiver) |
Dennis Matsumoto |
Sheryl Matsumoto - Caregiver |
Michael J. McLaughlin - (Caregiver) |
| Paul D. McLaughlin Liverpool, NY |
Alan Menuey Hoyt Lakes, MN |
Ronald Mike Moses Ralph, AL |
| Peggy Ann Nelson - (Caregiver) Laceys Spring, AL |
Barbara L. Paul Old River, TX |
Clark E. Powell Conway, AK |
| Frank Ricci E. Providence, RI |
Dennis Rose Atlanta, GA |
Rene Rosado Henrico, VA |
| Geneva A. Sharpe Franklin, IN |
Angeline L. Leu-Smith Lincoln, NE |
Ricky Splett - (Caregiver) Wilkes-Barre, PA |
| Debbie Tarbay - (Caregiver) Virginia Beach, VA |
Terri Tarbay Virginia Beach, VA |
Sherri Templin -(Caregiver) Johnstown, PA |
| Lewis Trammell Chicago, IL |
Paul View Wilkes-Barre, PA |
William Wade Brownwood, TX |
| Rolf Wippermann Cologne (K÷ln), Germany |
WebWhispers is an Internet based support group. Please check our home page for information about the WebWhispers group, our email lists, membership, or officers.
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Disclaimer:The information offered via WebWhispers is not intended as a substitute for professional medical help or advice but is to be used only as an aid in understanding current medical knowledge. A physician should always be consulted for any health problem or medical condition. The statements, comments, and/or opinions expressed in the articles in Whispers on the Web are those of the authors only and are not to be construed as those of the WebWhispers management, its general membership, or this newsletter's editorial staff. |
As a charitable organization, as described in IRS § 501(c)(3), the WebWhispers Nu-Voice Club |
© 2009 WebWhispersReprinting/Copying Instructions can be found on our WotW/Journal Index. |




Lavaging the stoma (pronounced la vaj ing) is a French word which means “to cleanse”. Laryngectomees are encouraged to squirt 5-10 cc of saline solution into their stoma to stimulate a cough and bring up secretions/mucous from their lungs. We encourage patients to do this 3-5 times daily. Homemade saline solution can be made with the above noted recipe or pink saline “bullets” can be purchased at your pharmacy or through InHealth Technologies or Atos Medical. 































