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Slice
Regular Member


Date Joined May 2004
Total Posts : 277
   Posted 1/18/2008 8:41 AM (GMT -7)   
Byram had sent me Hollister Adapt seals to check out and i took one look at them and had NO idea what i was supposed to do with them, and put them away. So i was just talking with the people at Coloplast because i order the wrong pouches and wanted to make sure i got it right this time. The guy on the phone asked me if i wanted some Eakin seals to try out. I said sure, but that i had received the Adapt version and didn't really know what to do with them. So he basically gave me the info on what and how they were used. Maybe i should have at least tried to use them, because i didn't know they stretched out like they do. But i have to ask, do they work??  I now understand that they can stretch to the size or even shape of my stoma, but how do they make the wafer work better?? If i'm using a wafer with a flange size of 1 3/4, then the actual part of wafer that sticks to my skin really isn't that much. So how can putting something under that make it work better?  The tape part of the wafer certainly isn't going to hold it on. I can't imagine using the Adapt or Eakin it'll help the wafer stick to me.  Ugh, i know there was plenty of talk about the Eakin seals on here but i'm just to lazy to look for it.
   On the plus side my surgeon said i can return to work next week as long as my wife is fine with packing my butt......never thought i'd hear myself say that. 
 
Crohn's for what seems like forever
Bagged in August 2006
@ssless as of 11/2007
 
 


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/18/2008 9:10 AM (GMT -7)   
Slice,

Eakin seals and Adapt seals are a MUST for me! I used the Adapt seals first before I tried Eakin. I simply placed the Adapt ring either on my skin directly around my stoma and then applied my wafer or smooshed the Adapt seal onto my wafer and them applied it to my skin around my stoma. This gave me 5 days with my wafer. I applied the Eakin almost the same way and got 7 days out of my wafer. I love Eakin better than Adapt.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Slice
Regular Member


Date Joined May 2004
Total Posts : 277
   Posted 1/18/2008 9:21 AM (GMT -7)   
So does the wafer stick right to the Eakin seal as it does to the skin? How much space is left on the wafer that actually comes in contact and stick to your skin? Thats what i'm worried about, that the wafer won't have enough area that actually sticks to my skin and the Eakin or Adapt won't be able to hold it on. Like i said the wafer i use itsn't all that big. 4 x 4 tape colar with 1 3/4 flange. So if my stoma is 1 1/8, and i stretch out the Eakin to go around my stoma, that doesn't seem to leave much area of the wafer to skin to my skin, and there is no way the tape will hold it on. Does your wafer stay " stuck" to you? Do you need a belt with it? Any leaks with the Eakin? I guess i'm wondering whats the difference between these seals and the paste that i use once in a while. Seems that the paste would be just as easy since i wouldn't have to "smoosh" it like the seal.
 
Crohn's for what seems like forever
Bagged in August 2006
@ssless as of 11/2007
 
 


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/18/2008 9:34 AM (GMT -7)   
Slice,

Many times I cut my seal. I cut the entire circumference of a circle which is the actual length around the circle. I cut it in half to sllow more of the wafer on my skin. You do not need much of a seal to get it to work. I save the unused portion of the seal for the next time I need to change my wafer. So, actually one Adapt seal lasts 2 changes...does this make sense?
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Slice
Regular Member


Date Joined May 2004
Total Posts : 277
   Posted 1/18/2008 9:44 AM (GMT -7)   
Ahhh, that does make more sense. The seal just seemed kinda think and it didn't seem that it would allow much of the wafer to stick to me, which really makes me nervous. But i also noticed on the Byram website that Hollister makes a Adapt Barrier STRIP. Which i assume would cut down on the cutting of the round seal. Anyway, thank you Amey. Very helpful. Of course if i do try it and it leaks.......i'll be lookin' for ya.
 
Crohn's for what seems like forever
Bagged in August 2006
@ssless as of 11/2007
 
 


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/18/2008 9:55 AM (GMT -7)   
Slice...

You have to catch me first!

You are right, the Adapts are thick. I smoosh them between my fingers and then I cut them then I apply it to the wafer. The Eakin seals are much thinner and it does not reguire smooshing...unless you really like to smoosh, in which case, go for it!
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


sfgiantsjo
Regular Member


Date Joined Feb 2007
Total Posts : 420
   Posted 1/18/2008 12:24 PM (GMT -7)   
AAAh, I'm glad you asked this, Slice! I have played around with the seals and have wondered the same thing, but couldn't figure out how to explain it! But you did a superb job! I am finding that I almost wish the sticky part of wafer were bigger, becasue it seems like it would leak less. The hard plastic part where the bag pops on to the wafer can stay small. My stoma is 1 inch. When it was bigger, I didn't leak as much. That's why I think it would work if the skin barrier part were bigger. But the barrier part gets smaller as the stoma hole gets smaller....Am I making sense?
UC diagnosed: December, 1999
Asacol: 1600 MG daily
Immuran: 150 MG daily
Prednisone: 4 MG daily (Woo-Hooo! Getting lower and lower!)
Remicade: Infusion every 7 weeks
Probiotics 4 billion CFU Daily
Glutamine 500 mg 2x Daily
 
OFF all meds!! Liver failure, and emergency surgery as soon as liver levels return to normal. ACK!
 
Surgery August 24, 2007. Home now!


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/18/2008 12:52 PM (GMT -7)   
Just love those Eakins!!! Huh, have I said this before? (lol)

Slice,
Amey actually called me so that I could walk her thru the "system" a while back when she first started using them!!! Our conversation was interesting to say the least. If we would have had someone eavesdropping on either of our conversations, I'm sure we both would be in straightjackets by now. Now listen to her --- she loves 'em too!

Again, thank you JudyK89 for suggesting them to me so that I now can share them with everyone else.
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/18/2008 1:06 PM (GMT -7)   
Slice,
 
I just finished posting the below message on another thread just a few minutes ago, so I am going to copy it here for you too.
 
An Eakin Seal is very similar to the sticky part of the wafer, like on the Convatec system (I use the Convatec 2 pc). BUT it holds much, much better and provides more of a barrier so that the output doesn't degrade the wafter so quickly.

There are 2 types: Eakin Seals and Eakin Strips. I buy the Eakin Seals, which look like a flat round disk, and make my own strips since the only area that really degrades quickest on me is right around the stoma. Think of them as a firm, but sticky, stomahesive paste (if you ever have used that). I simply cut the seals into strips and line the back side of the wafer just around the stoma opening hole. You can also apply it directly to the skin right around the stoma. I find applying it to the wafer better for me. I can also press it firmly against the wafer, esp around the edges of the already cut or pre-cut hole in the wafer to create a really tight seal between the wafer and the Eakin before applying to my skin. Some folks use the entire Eakin Seal by cutting the area that fits around the stoma the same size that you cut your wafer. Eakin Seals come in a small size and a large size. Small being about 3" across from one side to the other, and large being about 6" across. Again, I personally just need the extra help just around the stoma and cutting it into strips works fine for me.
 
Clear as mud, right?!
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


candyland
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 1/18/2008 1:29 PM (GMT -7)   

Slice,

The seals are GREAT!  Like SJ30, I just fit them snug around my stoma and put the wafer right on top.  The seals are great at protecting the skin directly around the stoma.  I was having a lot of trouble with that when I was using paste, but the seals have solved that problem.  I guess I'm one of the few who likes the Adapt seals a little better than the Eakin - but only because I can peel the paper off one side, stick the seal down onto my skin and mush it around however I need to without touching the sticky part.  Then I just peel the top side of the paper right off around my stoma!  Good luck and congrats on the go-ahead to start back to work!   -Laura


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/18/2008 1:41 PM (GMT -7)   

Laura,

Is the Adapt sticky on both sides, like th Eakin are?

 


Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/18/2008 2:05 PM (GMT -7)   
Yes, the Adapts are just like an Eakin except they are thicker and make of a different material. The Eakin works better than the Adapt but the Adapt is a good second best.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


candyland
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 1/18/2008 2:07 PM (GMT -7)   
Peggy,

Yes, they're sticky on both sides and there is paper on both sides with a hole cut out in the middle and a little tab to grab to peel it off. I peel off one side, put the sticky side down on my skin and smoosh it to fit using my fingers on the top side where the paper still is. Then I grab the tab and just peel it right off the top side from the sticky part. The Adapt seals are a little less expensive than the Eakins too. A rep at Byram first told me about them. I like Eakin also, but my fingers get stuck to the sticky part and I usually end up pulling it up off my skin a little trying to "release" it.

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/18/2008 2:14 PM (GMT -7)   
Laura, Amey --- Thanks for the Adapt info.

Laura --- did you try placing the Eakin on the wafer first?
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


Slice
Regular Member


Date Joined May 2004
Total Posts : 277
   Posted 1/18/2008 2:51 PM (GMT -7)   
I guess when i pulled the paper off the Hollister ones they sent it they just didn't seem all that "sticky". At least not as sticky as the wafer itself. I will try it. Byram is sending me samples of the Eakin ones, which i'll probably use since some of you say they aren't as think. Although i haven't had any leaks for a while now, and the paste hasn't failed me yet. Hmmm, if it ain't broke?
 
Crohn's for what seems like forever
Bagged in August 2006
@ssless as of 11/2007
 
 


candyland
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 1/18/2008 2:56 PM (GMT -7)   
No, I haven't done that yet, but I've read your "system" and thought about trying it. I've got both kinds of seals right now. Maybe I'll be adventurous and try it out when I change tomorrow morning. We're hoping for that rare sighting of snow here in the Atlanta area and since that pretty much cripples our fair city, it'll be a great day to try it out! :-)

candyland
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 1/18/2008 2:58 PM (GMT -7)   
Byram Healthcare is a distributor. You can order pretty much anything from all the major manufacturers either online or by phone.

Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/18/2008 4:02 PM (GMT -7)   
Candyland...Make sure you keep that snow with you don't send any to Florida. I have a long bike ride in the morning...I need some Florida sunshine. :o)
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


candyland
Regular Member


Date Joined Nov 2007
Total Posts : 98
   Posted 1/18/2008 10:41 PM (GMT -7)   
Amey... I promise we'll keep all we can here in GA. My children already resent that we don't live in the Arctic where they can have snow all the time! Plus, we have too many relatives in FL that won't let us visit if we did something nasty like sent snow their way. :)  Enjoy your bike ride - I'm looking forward to doing that again soon myself.  My husband got me a beautiful Trek last spring, but I couldn't get away from the bathroom long enough to try it out at the time! I did a "Rainman" and rode up and down the driveway...lol    -Laura

Slice
Regular Member


Date Joined May 2004
Total Posts : 277
   Posted 1/19/2008 10:46 AM (GMT -7)   
Booooo sunny weather!! My 4 year old and i built a huge snowman the other day. Which, considering it's going to be in the 10s or 20s for a while, could be there until spring!!

Ash. www.byramhealthcare.com
 
Crohn's for what seems like forever
Bagged in August 2006
@ssless as of 11/2007
 
 


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/19/2008 12:44 PM (GMT -7)   
Slice,

Any photos of the snowman?
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


flchurchlady
Veteran Member


Date Joined Jul 2007
Total Posts : 2765
   Posted 1/20/2008 8:16 AM (GMT -7)   
Slice said...
On the plus side my surgeon said i can return to work next week as long as my wife is fine with packing my butt......never thought i'd hear myself say that.

Slice,
LOL You always manage to crack me up!! Hey, that's great news that you've been cleared to go back to work! I'm sure your wife will do anything (even pack your butt wound) to get you out of the house!! he he he... tongue My hubby packed mine in the beginning, but then I learned to do it myself by bending over in front of a full length mirror, so I could see what I was doing. It did, however, in some weird way, bring us even closer together. :-)

Good luck with returning to work, and try not to push yourself too much that first week back!
Cecilia
 
Dx'd Crohn's in '99 at 28. Proctocolectomy & ileostomy in '06.
Pain-free, med-free, and very thankful to be healthy again :)


Slice
Regular Member


Date Joined May 2004
Total Posts : 277
   Posted 1/21/2008 8:06 AM (GMT -7)   
So you actually packed it yourself??? I'll admit to being completely stupid about this surgery. After it was done in November i really had NO idea i had another.....umm....hole back there. I always thought the drainage was coming from my...ummm anus? Hole? Not sure what the best word would be. It wasn't until i asked my surgeon how i could be draining from my butt since he told me when they removed my rectum it was all sewn up. Shows how much trust i put in these doctors i guess. It just needs to be packed until it heals from the inside out. It closed up the last time and thats why i ended up back in the hospital because it got really infected.
hahah i'm sorry, but i'm not sure i would ever be able to get the visual of me bending over in front of a mirror so i can pack my own butt. I'm sure there are internet sites for that though.
 
Crohn's for what seems like forever
Bagged in August 2006
@ssless as of 11/2007
 
 

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