in cold water typically for about 90 seconds the grains 5 then form a gel like substance which can retain the temperature of the water for approximately 3 to 4 days by taking advantage of evaporative cooling the contents of the pouch may be at an even lower temperature than the initial temperature of the water if a temperature significantly lower than that of the cold water is required it is possible to even further cool the web by placing the whole web in a refrigerator or the like once the web is at the desired temperature it is folded along the foldline 8 in order that the front panel 2 can be fastened to the rear panel 3 by means of the fastener 7a 7b 9a 9b so as to form a pouch insulin or other medication that needs to be stored at a lower temperature than room temperature can then be stored in the pouch typically in vials or the like for a period of typically 3 to 4 days referring to fig3 a fabric webbed box like pouch 31 comprises a double skinned bottom fabric panel 32 and a corresponding double skinned top fabric panel 33 the bottom panel 32 is attached to the top panel 33 indirectly by hinge panel 34 hinge panel 34 is attached to the bottom panel 32 along stitching line 35 hinge panel 34 is also attached.