This topic is about finding cost-effective alternatives to using ostomy wafers or paste. After undergoing emergency surgery for perforating diverticulitis, the person has been using a one-piece pouch with stoma paste or supplemental wafers, as advised by a hospital nurse. However, they find paste unpleasant and wafers too expensive, especially since they are paying out-of-pocket. They are seeking more affordable options and plan to contact manufacturers for free samples.

Here are some helpful suggestions and insights:

1. Assess the necessity of paste or rings:
- These are typically needed only if the flange opening is too large or if convexity is required to lift a flush or irregular stoma and keep output off the skin.
- A cut-to-fit flat wafer that matches the stoma diameter might eliminate the need for paste.
- If convexity is necessary, opt for a wafer with built-in convexity instead of adding paste.

2. Consult with a WOCN/ostomy nurse:
- Have the nurse evaluate the stoma shape, skin contour, and product fit. They can help order the most suitable and possibly fewer supplies.

3. Consider product suggestions from others:
- Convatec Eakin Cohesive seals or Eakin SLIMS, which swell to fill gaps.
- Convatec Sur-Fit Natura Durahesive with Convex-It wafer, which is pre-cut and convex.
- Flat and Lite-Convex wafers from major brands.
- Closed-end medium-size pouches used with a flange/ring combo for extended wear.
- Skin-prep wipes or spray to protect skin, and stoma powder for minor irritation.
- Adhesive remover wipes or spray for gentle wafer removal.

4. Techniques to extend wear time and maintain skin health:
- Always protect the skin by applying skin prep, a light dusting of stoma powder if irritated, followed by another layer of skin prep.
- Remove the wafer slowly from the top down, pushing the skin away while using adhesive remover.
- If gaps remain after applying a two-piece flange, a small dab of paste around the stoma can help; for one-piece systems, a thin ring of paste at the stoma edge may suffice.
- Some users achieve 5-10 days of wear with the right ring/wafer combination, which can reduce overall costs.

5. Economical ways to obtain supplies:
- Contact manufacturers like Convatec, Hollister, and Coloplast for free samples of wafers, rings, pastes, pouches, and convex options.
- Check eBay, OstoGroup.org, local ostomy clinics, or connect with fellow ostomates for surplus or discounted supplies.
- A fellow member plans to offer surplus convex wafers for sale or trade.

6. General perspective:
- The most cost-effective system is one that prevents leaks and extends wear time. Trial-and-error, guided by samples and nurse support, is the quickest way to find that system.