This topic is about the challenges some people have faced with Hollister ostomy appliances since the COVID pandemic began. A long-time user has noticed a significant reduction in the wear time of their pouches, which has led to more frequent leaks and increased costs. They suspect that issues with storage or the supply chain might be to blame and are seeking possible explanations before reaching out to Hollister for help.

Here are some helpful suggestions and insights:

1. Check the dating, storage, and shipping conditions:
- Always look at the expiry date on each box, as older stock may not adhere well.
- Be aware that extreme temperatures during storage or shipping can weaken the product. Choosing a supplier with a quick turnover can help ensure you get fresher products.

2. Inspect for manufacturing defects and contact Hollister:
- Some users have found defects like pinholes or weak edges. Take photos or videos of any issues and contact Hollister, as they may replace faulty products.
- Hollister has acknowledged some supply issues and is using a different film temporarily, which might affect odor and noise.

3. Reinforce weak areas instead of changing immediately:
- Use medical tape to secure lifting wafer edges.
- Cover any weeping vents with waterproof tape or the provided sticker.

4. Try alternate Hollister products or specialty pouches:
- Consider the New Image Two-Piece High Output Drainable Ostomy Pouch for high-volume output.
- Switching to different Hollister products, like those with CeraPlus formulation, might improve performance.

5. Use different rings/seals or tapes to improve wear time:
- Some users have had success with Salts mouldable seals or Eakin rings, which can extend wear time and reduce leaks.

6. Consider competing brands if problems persist:
- Some users have found success with Convatec or Coloplast products as alternatives.

7. Financial and insurance tips:
- Obtain a "Medical Necessity" letter to potentially increase your monthly pouch allowance.
- Byram Healthcare can handle insurance billing directly, which might be convenient.

8. General encouragement:
- Keep detailed records of any issues, including lot numbers and wear times, to support any claims with Hollister or insurers.
- Persistence and trying different combinations of products often lead to finding a solution that works for you.