When did you last suffer a fracture?

Chances are it was some time ago. However, bowel problem sufferers can be more prone to a broken wrist, hip or ankle than others due to a condition known as osteoporosis. Red Lion member Sandy Hyams explains.

Sandy Hyams with her Welsh terrier, Lucky

Seven years ago, I had a nasty fall, breaking and dislocating my shoulder and sustaining nerve damage. I also started suffering from back pain which no amount of painkillers seemed to budge.

To add to my woes, I discovered that I had wedge compression fractures of the spine when the bones become “squashed” due to their reduced strength.

As you can see I’m not one to do things by halves! In fact, I lost count of the number of physiotherapists I visited in a vain attempt to relieve my constant pain. And it was not until a GP suggested I have a DEXA scan* that I discovered osteoporosis had been the culprit all along.

It all started when I tried to reach up into the top of a bedroom wardrobe to lift down a blanket and fell in the process. When I fell over there was a loud crack as I felt my bones go.

As part of the fall-out (excuse the pun!) I lost about three inches in height and suddenly – it all seemed to happen overnight – I found all my trousers were too long and I couldn’t get up to shelves that had been well within my reach before.

Brittle bones

So, what exactly is osteoporosis? It is a brittle bone condition that is usually discovered – as in my case – after a fall. An estimated one in two women and one in five men over 50 suffer such fractures which usually occur in the wrist or hip.

Osteoporosis is often referred to as the “silent epidemic” and UC (ulcerative colitis) and Crohn’s sufferers are particularly prone to it. Among the danger signs for bowel disease sufferers are long-term use of steroids, low body weight, poor food absorption and long periods of immobility.

Other contributory factors are family genes, low calcium intake when young, heavy smoking, excessive drinking and lack of exercise. Low bone density also increases with age and one of the major risk factors for post-menopausal women is a declining level of oestrogen, the hormone which protects by balancing the removal of old and the renewal of new bone cells.

Key remedies

Reassuringly, osteoporosis can be treated and prevented. Three effective ways to help strengthen your bones and general skeleton are to revert to a calcium-rich diet, use weight-bearing exercises at home or at the gym and take Vitamin D supplements and get as much natural sunshine as possible! All these remedies help the body to absorb calcium.

For many years the only treatment available for women with osteoporosis was HRT (Hormone Replacement Therapy). Now, however, there is a range of non-hormonal drugs on the market, including the commonly prescribed bisphosphonates, which are mostly in tablet form and taken either daily, weekly or monthly. There are also intravenous and subcutaneous injections. Like most medicines, they all have possible side-effects. For instance, bisphosphonates can cause digestive irritation, a sore throat or difficulty in swallowing.

For me, one of the drawbacks of regular tablets was needing to take them first thing in the morning on an empty stomach and then remaining upright for 30 minutes afterwards. After speaking to a consultant, I decided to opt for Prolia (known as Denosumab), a twice-yearly jab given at my local GP surgery. A week before each injection I have a blood test to check my calcium and vitamin D levels.

If you think you might be at risk of osteoporosis, it would be a good idea to discuss with your GP whether you need a referral for a DEXA scan. It could certainly save you the pain and misery of broken bones in the future. Although osteoporosis does not make a fracture a certainty, the chances of suffering a broken bone are undoubtedly more likely.

* Most hospitals have this scanner which measures the bone density of the spine, hips and femurs and is a simple and pain-free procedure that uses very low doses of radiation.

For more information on any aspect of osteoporosis, you can phone the Royal Osteoporosis Society (ROS) helpline on 0808 800 0035 or email nurses@theros.org.uk. ROS also has an extensive range of free booklets, leaflets and factsheets about the condition.

Ed: If any RLG members have had similar experiences to Sandy’s, please write to our Letters page (cbrowne@brownemedia.co.uk).

This article first appeared in ISSUE 58: Christmas 2019 edition of ROAR!

If you would like to read other articles like this, why not become a member of the Red Lion Pouch Support Group? You will receive printed copy of ROAR! twice a year and have online access to archive ROAR! editions going back to 1994.

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March of the medical robots

Keyhole – or laparoscopic – surgery has been the buzz-phrase in cutting-edge surgery – if you’ll excuse the pun. Until recently. Today robots are giving surgeons a speedier, more efficient way to perform pouch operations, reports Christopher Browne.

**Danilo Miskovic, St Mark’s Hospital’s lead robotic surgeon**

If you want to liven up a dull dinner party or even a high-level business meeting – and who doesn’t! – mention robots. Once coveted by filmmakers and sci-fi lovers, the march of the robots is revolutionizing our approach to almost everything from domestic chores to high-end technology.

And, hold on a minute, there have been rumors spreading through the hospital wards at St Mark’s about a group of surgeons and a …… robot! It’s just robotic gossip you might say, but you’d be wrong for it’s all true.

For almost two years now a team led by Professor Omar Faiz, St Mark’s Hospital’s clinical director, has been pioneering a research programme into robot technology, financially backed by a St Mark’s Hospital Foundation fundraising campaign.

The campaign funded the capital costs of the purchase of a Da Vinci Xi surgical robot – the most advanced of its kind in the world – in March 2018. Just a month after the robot’s delivery, a group of St Mark’s surgeons performed the hospital’s first robotic operation on a bowel cancer patient.

As the UK’s first hospital to use robot technology almost exclusively for bowel surgery, St Mark’s has carried out 180 plus robotic operations on mainly bowel-related cases. “We set ourselves the goal to perform 80 robotic colorectal operations in our first year and we easily exceeded this target. One of the cases was particularly unique: it involved two surgeons operating robotically on both a patient’s bowel and liver during the same operation,” said Jason Bacon, CEO of St Mark’s Hospital Foundation.

Another “first” occurred In August this year when a team of four surgeons, including Mr Danilo Miskovic, St Mark’s lead robotic surgeon, carried out a 12-hour pelvic exenteration [an operation to remove multiple organs in the pelvis] on a young father with cancer which had been caused by complications with ulcerative colitis.

Two months later, a team headed by Prof Faiz and Mr Miskovic, performed the first-ever robotic ileoanal pouch surgery on a St Mark’s patient.

“We believe the introduction of robotic surgery is an important milestone in reducing the risk of recurrent disease, and provides patients with a good short- and long-term quality of life. Similar to laparoscopic surgery, it is minimally invasive but it also provides the surgeon with magnified, high-definition 3d images to enable extremely precise surgery,” said Mr Bacon.

“While robotics has been established in other surgical specialties, namely urology and gynecology, its application has not until recently been widely researched and implemented for bowel disease surgery.”

Since the robotic surgical programme began, St Mark’s bowel cancer surgeons have been training to use the robotic surgical tool, while a fellowship in robotic surgery, funded by Intuitive Surgical, supplier of the Da Vinci Xi robot, will train more surgeons in the next three years.

**Operation robot: a St Mark’s team carry out robot-assisted surgery**

This article first appeared in ISSUE 58: Christmas 2019 edition of ROAR!

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Zoey joins the J-pouch set

Intrepid bodybuilder Zoey Wright who was crowned world champion fitness model while wearing a stoma-bag at the Pure Elite Pro World Championships recently has taken the next step and had a J-pouch fitted in April this year.

The Red Lion Group offer Zoey our warmest congratulations for her bravery and decision to opt for a J-pouch. Our thoughts are also with her during her post-op recovery period.

Despite more than four years of serious uc issues and frequent visits to hospital, Zoey, as many Roar! and pouchsupport.org readers know, decided to continue her bodybuilding and fitness model career while wearing a stoma-bag. Her success with an ileostomy in the world championships is probably a first in the worlds of sport and fitness.

27-year-old Zoey told Roar!: “Recently, I said goodbye to my stoma and hello to my J-pouch. I lived with my stoma for over four years and so it is taking some time adjusting to the new ‘plumbing’, but I’m extremely happy with how my recovery is going so far.

“My surgeon and his team at the Royal Cornwall Hospital have been amazing and there to answer any questions big or small! I’m looking forward to getting back into weightlifting and fitness instructing very soon and hopefully go from strength to strength with my J-pouch!”

You can keep up with Zoey’s progress on www.zoeywright.com, Twitter (@zoeywrightx) and www.instagram.com/zoeyfitness.

DD and Bev’s Choppertastic canal ride for RLG

DD and Bev’s Choppertastic Leeds-Liverpool canal ride for RLG

Our charity now has an account with Just Giving to facilitate fund raising via on-line donations to provide much-needed funds to improve our services and support to people with pelvic pouches in the UK. Up until recently the Just Giving service was out of the reach of small charities such as RLG, but recent industry changes mean Just Giving have been forced to provide their services for free. Hence our registration! So if you have any burning ambitions creeping around the bottom of your bucket list or indeed just a passion to raise money for RLG then we would warmly welcome your support with a fundraising initiative. Please don’t feel that it has to be something immense. Recent examples I have seen for charity fundraising have including simple things like “Guess the number of Easter eggs in the jar”, a sweep on the Grand National and a sweep on the winner of the Six Nations rugby competition. Let us know what you want to do and we will provide all the support to get you started.

As a starter, my partner Bev and I will be cycling the 127 miles of the Leeds-Liverpool canal on 22nd and 23rd June and your support will be greatly appreciated through donation to help us during the bleak moments. As you know, RLG is entirely run by volunteers and with no overheads, so every single penny you donate will go to this worthy cause. You can donate at

Donate

David Davies
Red Lion Group Chairman

You can visit the Red Lion Group Just Giving Page, or start your own fund raising for the Red Lion group using the buttons below.

Date announced for 2020 Information Day!

An initial announcement that the Red Lion Group Information Day and AGM, 2020, will take place on Saturday 25 April at St Mark’s Hospital, Harrow. This will be another action-packed day catching up on the latest topics of interest to pouchees, potential pouchees and relatives and friends of pouchees! All welcome but numbers will be limited. Please keep the date free! More information will follow as the agenda firms up.

A record number of attendees at 25th anniversary 2019 Information day at St. Mark’s Hospital.

They came, they saw, and heard all about living…

They came they saw, and heard all about living with a j-Pouch….and ate some cake as well!

Twenty-five years young and who better to celebrate such an epoch-making event than the first chairman Dr Martin Peters who flew back to the UK from Spain and even postponed his own wedding anniversary to launch this year’s Silver Red Lion Group Information Day.

Dr Martin Peters, the first chairman of the Red Lion Group

Epoch-making, age-defying – all descriptions apply – this turned out to be the largest and best-attended Day in the group’s history with more than 80 Red Lion members, relatives and healthcare professionals meeting and mingling at St Mark’s Hospital’s Himsworth Hall on 27 April this year.

At least five RLG founder-members joined the celebrations and both Dr Peters and founder-member Tim Rogers, the first editor of Roar!, gave rallying speeches and assured us that the new days are just as good as the old – if not better! And the stats bear this out, with a growing membership, a greater reach in the UK and overseas and a flourishing new website.

Every Information Day celebrates progress and change in recovery, achievement and technology – as reflected in the talks which featured such topics as biofeedback (Ellie Bradshaw, St Mark’s lead biofeedback nurse), Pharmaceutical research (Uchu Meade, St Mark’s pharmacy manager), Diet (Gabriela Poufou, St Mark’s dietitian) and the workings of the ileoanal pouch (Lisa Allison, St Mark’s clinical pouch nurse specialist).

But perhaps there is no better sense of fulfilment than discussing your personal problems and challenges at a workshop, as members found at three animated events for male and female members – and families and friends – which enabled them to speak openly and frankly about their concerns with fellow members.

It was a day to remember – aptly summed up by one Red Lion member who said: “Even though I have had my pouch for 21 years, I picked up some very useful tips and I loved the opportunity to meet other pouch owners.”

See you at the next one in 2020!

First editor of Roar, Tim Rogers (Left) with current chairman David Davies (Right)

Dr Martin Peters and David Davies cut the 25th anniversary cake

You can download the presentations below.

Pelvic Floor Perfection and the importance of Emptying -Ellie Bradshaw

Don’t forget, you can find presentations and/or video recordings from this year’s and previous year’s Information Days on our resources page from the menu bar or by tapping here.

Calling All Fundraisers!

CALLING ALL FUNDRAISERS

The Red Lion Group is actively seeking enthusiastic individuals to help lead our 2019 fundraising drive.

Raising money for good causes is part of what we do and we have funded research projects into inflammation of the bowel, pouchitis and faecal transplantation among others in our quest to help support new and potential pouchees throughout the UK and Europe.

Fundraising takes many forms such as individual donations – which as a registered charity enables us to claim £2.50 gift aid for every £10 raised – sporting events such as running, cycling and swimathons; sweepstakes with friends and family which are a lively and fun way to raise money – and what could be better than to start with the 2019 Rugby World Cup in Japan!

RLG is working with two major online platforms, to help you raise money from the comfort of your sofa or amid the razzamatazz of a road cycling event. As you know, the Red Lion Group is run by volunteers and has very few overheads, so almost every penny you raise will be used to help these causes.

Chairman David Davies will be doing a cycling event – the Leeds/Liverpool canal over two days in June. It’s 127 miles of reasonably flat terrain, but the kicker is that he and his partner will be doing it on Raleigh Choppers. These are iconic bikes of the 1970s – you either had one or you didn’t and if you didn’t have one, you were a complete nobody!

Suddenly it’s springtime again and the green shoots are here! So why not tell us about your fundraising ideas and events by contacting the RLG chairman David Davies or Roar! editor Chris Browne at info@pouchsupport.org.

We’d really love to hear from you!

The Internal Pouch – it started with this historic…

The Internal Pouch – it started with this historic paper in 1978

What were you doing in 1978? Here are some clues. John Travolta and Olivia Newton John were on our screens with the hit movie Grease.

Disco fever was still on the dance floors and the Bee Gees were still dominating the charts a year after the smash hit Saturday Night Fever movie. Kate Bush was WOWing us with her UNBELIEVABLE Wuthering Heights!

James Callaghan was PM. Anna Ford became the first female news reader. Hitch-hikers Guide to the Galaxy was first broadcast on BBC Radio 4, Nottingham Forest won the Football League First Division title (Managed by Brian Clough), Liverpool retained the European Cup with a 1-0 win over Club Brugge. Freddie Laker was knighted for his services to the aviation industry!

Louise Brown became the world’s first test tube (IVF) baby.

The Government announced plans to replace O level and CSEs.

Viv Anderson the 22 year old Nottingham Forest defender became England’s first black international footballer.

The year ended with the infamous “Winter of Discontent”…..

….But the BIGGEST and MOST IMPORTANT event of the year was the publication in the British Medical Journal of an article by Sir Alan Parks and a young John Nicholls titled “Proctocolectomy without ileostomy for ulcerative colitis“.

The paper described a new procedure which they had pioneered and which we now refer to as an “internal pouch”, “J-Pouch“, “S-Pouch” or “ileal pouch–anal anastomosis (IPAA)” and which has since changed many of our lives. At the time, only a handful of operations had been performed and the paper described the procedure and the outcomes. Now, over 40 years after that publication and many 1000’s of succesful operations later, you have the opportunity to read this historic document below.

Parks Nicholls Paper 1978

Download Now!2298 Downloads

At the Red Lion Group Information Day in 2018, Professor John Nicholls gave a talk “Personal reflections on 40 years of the Pouch Operation“. You can view a video recording of the talk on the Resources section of this website. See Personal Reflections on 40 years of the Pouch Operation.

Ed Note: I was fortunate to have had my pouch created by John Nicholls in 1987 at the old St. Mark’s hospital in City Road, and 35+ years later it is still going strong! Thank you Professor Nicholls, from a lot us us!

Ed Note: Two Red Lion Group members, Jean Reed and Sylvia Panford were numbers 9 and 10 respectively of pouch recipients, having had their pouches created in 1978 by Sir Alan Parks. They met as patients and have remained friends ever since. That is, 45 years and counting and their pouch’s still going strong! They are both regular attendees on our monthly forum.

J-Pouch Information Day at St. Mark’s Hospital

25th Anniversary J-Pouch Information Day at St. Mark’s Hospital

Do you have a j-pouch, s-pouch, w-pouch or considering pouch surgery? Have you ever attended a Red Lion Group J-Pouch Information day at St. Marks’s hospital? Whether you are a regular or first time attendee – you will be very welcome and I am sure you will find the day interesting and beneficial.

The J-Pouch Information Day on Saturday 27 April 2019 will celebrate the Silver Jubilee with an address by Dr Martin Peters, who was the first RLG Chairman way back in 1994. Martin will be reflecting on RLG then and now and on his own reflections about living with a pouch for the last 25 years.

We are delighted to confirm that Professor Omar Faiz, Consultant Colorectal Surgeon and Clinical Director at St. Mark’s Hospital will be speaking on Modern developments in Pouch Surgery.

Another highlight will be Elissa Bradshaw, Clinical Nurse Specialist in Biofeedback Therapy at St Mark’s Hospital, who will be speaking about the importance of efficient pouch emptying, the mechanics of pouch emptying and how you can empty your pouch more effectively.

Meet and mingle with other pouchees and pre-pouch patients and share your experiences in our interactive work-shops.

The cost is only £8.00 for Red Lion Group members and members’ guests, and £10.00 for non-members. Cost Includes lunch and refreshments. Full details and registration form below.

The 25th anniversary J-Pouch Information day will take place on Saturday 27^thApril 2019 at
St. Mark’s Hospital, Watford Road, Harrow, Middlesex HA1 3UJ.
See Getting here

If you are driving, FREE parking is provided to attendees in the St. Mark’s Hospital car-park (Please request a parking pass on the application form below).

Here is the full Information day agenda (updated 20.03.2019)

TIME	PRESENTATION
10:00-10:30	Registration with tea/coffee and biscuits
10:30-10:50	Welcome and AGM
10:50-11:00	Personal reflections on the Red Lion group 25 years on Dr. Martin Peters, Pouchee and first Chairman of the RLG
11:00-11:10	My parallel journeys – pouch and RLG Tim Rogers, Founder RLG member, first editor of ROAR! And still on the committee after all these years!
11:10-11:50	Modern developments in Pouch Surgery Professor Omar Faiz, Consultant Colorectal Surgeon and Clinical Director at St. Mark’s Hospital
11:50-12:20	Pelvic floor perfection and the importance of proper emptying Ellie Bradshaw, Lead Nurse, Biofeedback Dept, St. Mark’s Hospital
12:20-13:30	Lunch – a selection of sandwiches and cakes
13:30-14:00	Pharmacy Advice for Pouchees Uchu Meade, St Mark’s Pharmacy Manager, Lead Clinical Pharmacist
14:00-14:30	Diet and your pouch Gabriela Poufou, Dietician, St. Mark’s Hospital
14:30-14:45	Tea and coffee break
14:45-15:55	Personal pouch journeys and workshops 1) Female pouch issues Theresa Parr 2) Male pouch issues Gary Bronziet 3) Pouch family and friends (TBC)
15:55-16:00	Evaluation and close

You can download the agenda below.

Information Day Agenda 2019

Download Now!1711 Downloads

If you would like to attend please download the registration form below. Please complete the form and remit payment as soon as possible to guarantee your place as spaces are limited.

Information Day Registration 2019

Download Now!2040 Downloads

If you are not already a member, why not join now and take advantage of the discounted rate and other member benefits. You can join here.

Join Now

We look forward to seeing you there. Come celebrate our 25th anniversary with us!

Let us spray, or not as the case may…

Let us spray, or not as the case may be…

How many of you use air fresheners? And if you do, which brands do you prefer? Roar’s team of expert testers give us their feedback – by Roar! editor Christopher Browne.

Please note – the Red Lion group does not endorse any product mentioned in this article.

To spray or not to spray – that is the question. Do you use an air freshener after going to the loo? And if you do, which one do you find works best for you?

For the first few months after I had my pouch fitted, I was not too concerned about its after effects or smell. I lived on my own and the only person who had to face the odours from the lavatory was me. However, it was when I went back to work and started going to social functions again that I sought ways to cope with the pungent after effects.

First, I studied the small print on the main high-street air fresheners and tried a succession of sprays without too much success. Though I found the odours from Neutradol and Febreze were slightly less acrid and medicinal than their rivals. Then I read about a spray that not only counteracts bad smells but also eliminates them. It had the neat-sounding sobriquet –odour-eater. How could I refuse? It was an apparently revolutionary concept in the mid-1990s

The brand name of the product was Airoma, aptly enough. After ordering one from the internet, I found I could order batches of three or more from eBay. They ranged from citrus and herbal fern fragrances to mango and cool –which didn’t really smell of anything and probably wasn’t meant to! After a few weeks I found the mango freshener gave off the most subtle and soothing fragrance. I continued to use it for work and play for several years and found the once murmured reactions of my friends and colleagues ceased.

I still use it, although very occasionally. As a catheter user I find I have less frequency and rarely leave more than a faint whiff in the corridors of power! If you’re a catheter user, please let me know if this applies to you too!

But enough of me for now, here are the Thoughts of Chairman Davies. “It wasn’t until I started to think about an answer to the question whether to use a spray or not that I realised how much this issue pervades my sub-conscious and drives my behaviours,”David says. “Sprays have never worked for me. If I’m in a busy public toilet then I’ll sometimes apologise with a smile to the person using the cubicle after me. They always say ‘that’s ok’or similar with a smile back and I wonder what they really think when they get inside!

“At my partner’s house we tried a few products, but they masked the bad smells with very powerful, nauseatingly sweet and synthetic smells. There are odour-free deodorisers on the market, but they didn’t do much of a job. So, we ended up with scented candles that I light (if I remember) when I’m using the toilet. The candles preferentially burn the volatiles in the air and let off a more subtle smell than the sprays,”says David.

Chairman Davies has another anti-odour technique. He has his own personal cubicle at home. “I have a convenient out-of-the-way en suite, which is my toilet of choice and is private,”he says. An eminently good idea for a family man or woman, I would have thought.But what do you do when visiting friends or going to parties? “At other people’s houses I’ll try and locate a remote toilet rather than using the one the rest of the dinner party guests are using,”says David.

Recently a group of leading manufacturers have been endorsing products called ‘essential oil sprays’. RLG’s membership secretary Susan Burrows and several other members of the Red Lion Group use a brand called Poo-Pourri.

“I bought it on the internet at www.poopourri.co.uk. I don’t know why it works but it does. They market it as ’This before-you-go blend of natural essential oils creates a barrier to embarrassing bathroom odour.’ And the manufacturer has quite jokey instructions: ‘Spritz the bowl before you go and no one else will ever know.’,” says Susan, adding: “The spray comes from the US and this one is only available online but there are others on sale over here.

Sense of humour warning – Only watch video if you have a twisted sense of humour like me! (Ed.)

Another RLG committee member commented: “At home I don’t tend to use a spray but if we have guests, I use Poo-Pourri before I go. It is so much more effective than standard air fresheners and leaves the bathroom with a lovely lemon grass smell.”

Essential oils don’t necessarily appeal to everyone, however. Chairman Davies slightly poo-pooed the idea when he said: “They supposedly work by creating a film on the toilet water that prevents smells being released. That makes no scientific sense to me and nor does it cure the problem if you pebbledash the bowl.”

“At the end of the day all my friends and family know about my op, so I expect them to get on with it and generally they do. There is the usual mickey-taking when it comes to who is going to room with me on cycling weekends away with the lads,”he adds. I know what he means. I’ve had the same experience on a couple of overseas trips too!

Others find there is no substitute for good, old-fashioned common-sense. RLG committee member Peter White relies on fresh air to help clear away any lingering odours. “At home I tend to leave the window ajar for a few minutes with the door to the rest of the house closed. Many modern fittings allow ‘closed’windows to be slightly ajar, so allowing them to operate like a supersized trickle vent,”adds Peter.

If you found this article interesting, why not consider attending our Information day to be held at St. Mark’s hospital on Saturday 27th April 2019, where you will have the opportunity to listen to experts in the field of pouch surgery, pouch research and development and pouch care, and share your experiences with other pouchees.

Here is the Information day agenda (updated 20.03.2019)

You can download the agenda below.

Information Day Agenda 2019

Download Now!1711 Downloads

If you would like to attend please download the registration form below. Note that the cost is only £8.00 for members and member’s guests and £10.00 for non-members (cost includes lunch and refreshments). Please complete the form and remit payment as soon as possible to guarantee your place as spaces are limited. If you have pre-registered, please send form and remit payment by 1 April to guarantee your place.

Information Day Registration 2019

Download Now!2040 Downloads

If you are not already a member, why not join now and take advantage of the discounted rate and other member benefits. You can join here.

Join Now

We look forward to seeing you there. Come celebrate our 25th anniversary with us!

When did you last suffer a fracture?

March of the medical robots

March of the medical robots

Zoey joins the J-pouch set

DD and Bev’s Choppertastic canal ride for RLG

Date announced for 2020 Information Day!

They came, they saw, and heard all about living…

Calling All Fundraisers!

The Internal Pouch – it started with this historic…

The Internal Pouch – it started with this historic paper in 1978

J-Pouch Information Day at St. Mark’s Hospital

25th Anniversary J-Pouch Information Day at St. Mark’s Hospital

Let us spray, or not as the case may…

Let us spray, or not as the case may be…

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