Hubz' biggest issue has been with pancaking. Heavy output would get stuck at the stoma, building enough pressure to push out sideways behind the wafer, especially along the low area toward the belly button.
Because the loop stoma is below the skin plane, he was told convex wafers would be ideal and was given three different brands to try. Every one pancaked; two failed within a few hours.
He noticed the pouches were always in a vacuum, and output had zero space to enter no matter how lubed the pouch was. So here's what's been working for five weeks straight (knock on wood).
He went back to a flat wafer, 2-piece drainable with no filter. He pushes air into the pouch and keeps a space of air so output can come out forward and fall down into the well-lubed pouch.
There were a couple of pouches that wouldn't hold air, which didn't end well, so that buffer of air really seems to be helping. If that happens again, he'll toss that pouch.
We were also shown how to shape a barrier ring to have more thickness on the bellybutton side, giving a protective barrier for the gap between the wafer and the skin around the stoma.
The barrier ring provides the convex shape he needs and blocks material from going anywhere but toward the gap of air in the well-lubed pouch.
Someone in this group suggested using 3M Cavilon spray over stoma powder to protect ouchy skin, and since we've made these adjustments, no leaks, no redness, just happy skin from a well-sealed wafer and only the good kind of pancakes for us!
We still think it should be called a cow-pie! We'd hate to see pancakes as anything other than the warm maple syrup and butter delivery system they were designed for!
Here's a series of photos of how the Ostomy Nurse showed us how to easily build up one side of the barrier ring. No scissors required!
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