Topic Explanation
The discussion centers around a parent seeking advice on fitting a wafer for their daughter's loop ileostomy, which involves two stomas shaped like a sideways number 8. The parent is struggling with skin irritation and leakage due to the wafer not fitting well, and they are concerned about the risk of infection as their daughter is undergoing cancer treatment and preparing for a bone marrow transplant.

Advice and Insights

1. Use of Ekin Rings and Stoma Paste:
- Ekin rings are formable and pliable, which can help in creating a better seal around the stomas.
- Stoma paste can also be used to fill in gaps and create a better fit.

2. Creating a Stencil:
- Measure the stoma and create a stencil out of cardboard-like material to trace and cut the wafer accurately.
- Use an X-Acto knife or box cutter for precise cutting, ensuring to cut away from yourself for safety.

3. Managing Output During Changes:
- Eating a marshmallow before changing the wafer can slow down the output.
- Some people prefer to change the wafer in the morning when there is little or no output.

4. Skin Protection and Healing:
- Apply stoma powder to dry the skin and use Calmoseptine ointment to protect and heal irritated areas.
- Use a Q-tip to apply the ointment around the stoma, followed by a cohesive paste and barrier wipe for additional stickiness.

5. Alternative Cutting Methods:
- Instead of cutting a precise shape, cut a round hole and fit both stomas into it, ensuring the functioning stoma has free range.
- Shape a slim barrier ring around the hole and apply stoma powder and barrier wipe before placing the bag.

6. Using Barrier Rings and Spray:
- Form a barrier ring around the stoma by squeezing and stretching it, then warm it with your hands to ensure it sticks well.
- Cut a larger hole in the wafer and place it over the barrier ring, then add another barrier ring on top of the wafer for extra protection against leaks.

7. Template for Consistency:
- Keep the peel-off plastic backing from the appliance to use as a template for future cuts once you achieve an accurate fit.

8. General Encouragement and Support:
- Several participants expressed empathy and support, offering prayers and well-wishes for the