wow, you are having a difficult time...my first question is: are the nurses using an appliance with convexity? I know I said it on another post, but if your stoma is FLUSH with your skin, the appliance needs to PULL IT AWAY from your body...if that is not accomplished, you will continue to have leaks no matter what products they put on you!!! I've been there and I know the pain you are in
As far as using a one piece because your tummy is flat and stoma small/flush to skin...that's a crock!!! I use a two piece and many of us do with varied shapes/sizes and types of tummies. It sounds like the ET nurses are not quite on their game!!!
If I was in your place and living with out an appliance on, I would go as quickly as I could to the hospital. You should not be suffering this way. If I remember right, you live in the country, but that shouldn't stop you from getting immediate relief. If that isn't possible, call your home health nurse and get an emergency visit to your home.
Another note, there are other products that can protect your skin when it's broken down...make sure they are taking all that into consideration and not just plopping another appliance on. PLEASE let us know how things are going....
Please try the convex wafer. I am also a believer in Eakin Seals. I get 7 days wear time.
Here is my explanation of convexity. If you look at your stomach/stoma without your appliance on (which you have seen more than you want to lately, right?), and just apply gentle pressure to the skin just around the stoma - you will notice that the stoma actually protrudes a little more, right? Well, the convex wafer, once applied to the skin like a normal wafer, consistently applies this slight pressure to the area around the stoma making it protrude a bit. This allows the output a better chance to flow directly into the bag rather than pushing it's way behind the wafer before making it through the wafer opening and into the bag. Does that make any sense?
I have never used an ostomy belt, I have always worn a 2 piece appliance. I switched to convex wafer a few years back with great success. And the EAkin seal. Did I meantion that I am a real fan of the Eakin Seal.
Please let us know if we can be of any other help. I think we can get you "fixed up", using a bit of stomahesive powder to help stop the weeping skin before applying the new wafer, adding some of the Eakin Seal to the perimeter of stoma opening that is cut in the wafer, and using a Convex Wafer. The longer you can keep the output off the skin --- it is amazing how quickly that skin can heal. The trick is to get the bag to stay on. You will find that combination with some good suggestions. Keep your chin up. We will help you thru it.