This topic is about the balance between sticking with what works and the temptation to tweak ostomy gear for potential improvements. The discussion is sparked by a light-hearted poem from someone who experienced a mishap after trying to make unnecessary changes to their ostomy setup, which had been working well for years. Here are some insights and advice shared on the topic:

1. Sometimes, output can stick to the stoma and spread onto the skin around it. During the day, a homemade conical support can help direct the output forward and prevent this issue.

2. At night or during irrigation, there is a need for extra space to accommodate the irrigation pump. The goal is to be able to add a conical insert right after irrigating.

3. The current plan is to stop modifying devices that already work well and instead focus on creating a new attachment for night and irrigation use. This might involve using 3-D printing, as traditional DIY methods have their limitations.

4. It's important to maintain a sense of humor and perspective. Dealing with appliances, tape, and leaks can be challenging, but a light-hearted approach can make it easier.

5. Remember the saying, "A stitch in time saves nine." Small, timely fixes can prevent bigger issues. It's about finding the right balance between making necessary adjustments and avoiding unnecessary tinkering.

6. If your current system is working well, it's often best to leave it as is. Making changes to a leak-free setup can introduce new problems.

7. While it's good to have a mindset open to progress and improvement, it's also wise to have reliable backups ready. Experimentation is part of advancement, but it's important to be prepared in case things don't go as planned.