This topic is about a person who had a very positive experience with a video consultation with a Convatec ostomy nurse. They couldn't get an in-person appointment until August, so they opted for a virtual meeting instead, which turned out to be extremely beneficial. Here are some helpful insights and advice from their experience:

1. The nurse identified the stoma as essentially a fistula and provided strategies for managing it effectively.

2. It was discovered that the stoma measurement was incorrect, leading to the wafer hole being cut too large. Correct measurement is crucial for a proper fit.

3. Skin irritation can improve by ensuring that the stoma output is kept off the skin.

4. Since the stoma does not protrude, the nurse recommended using a less-convex, more flexible appliance instead of a strongly convex one. Samples of these appliances are being sent for trial.

5. Leaks were occurring at the abdominal bend point, highlighting the importance of having a flexible wafer to accommodate body movements.

6. A useful tip shared was to place a piece of toilet paper in the bottom of the pouch to help reduce suction.

The person felt truly listened to during the consultation and highly recommends similar virtual consultations for anyone needing assistance with their ostomy care.

Additionally, other members of the community are planning to book their own free video or phone consultations with manufacturer nurses from companies like Convatec and Hollister. They suggest others do the same for quicker and more personalized troubleshooting.