This topic is about the experiences of someone who received an ileostomy over 40 years ago, when the process and equipment were quite different from today. The person describes the experience as "scary," especially when first shown the large, intimidating appliance that looked like a bicycle tire tube. Back then, there were no certified stoma nurses, and the available medical staff had to experiment to find solutions that worked. The initial appliance was a one-piece system that often didn't stay on for long, requiring frequent changes.

Here are some helpful insights and advice from those early days and how things have evolved:

1. Before surgery, an ostomy nurse can mark an "X" on the abdomen to help the surgeon place the stoma in the best possible location.

2. In the past, reusable systems included hard-rubber gray faceplates and white vinyl bags. These needed to be cleaned thoroughly with hot, soapy water and Clorox, then hung up to dry after each change.

3. In the early 1990s, many people switched to more convenient two-piece systems with "Tupperware-style" flanges and disposable bags. This made changes much quicker, taking about 5 minutes, and some users could wear a flange for up to 14 days without skin issues.

4. Skin-Prep, which came in green individual packets, was once commonly used but caused a sharp sting. Many long-term users have stopped using it without any loss of adhesion, and representatives from Hollister have advised that it is not necessary with their products.

5. For those experiencing skin irritation, one person found that Topicort Gel was very effective.

6. In the past, adhesives like Fryer’s Balsam and Tincture of Benzoin were used for a strong hold, but they were painful to apply. Users humorously noted that they felt like they could "staple" the bags on afterward due to the strong adhesion.