I put my eakin seal on first and wrap it like a scarf where most of my leaks had happened.....some do the other way, but i feel more somfortable and the i hold for 15 seconds. I go 3-4 days, i could probably go longer....but i am meticulous clean. I am having eating issues, i hate output....they are sending me to a psychologist since i lost 23 -24 lbs sine i last saw my surgeon. i wish you the best.
Holly--it is really just personal preference I use the entire ES...keeping it in donut form...I make it smaller to fit my stoma, apply to wafer and apply to my skin. I usually only touch the outer edges of the seal so I don't get the 'sticky' issue.
I don't follow everything my WOCN has told me to do...I've found better ways, for me, throughout the years and just do what works for me...so, for you, if that means using an ES, DO IT