B - Unfortunately it appears that stoma or wound care nurses are few and far between in some areas. I would suggest that you see if your health coverage has other WOC nurses or home health care who could assist. Another suggestion is to reach out to Coloplast customer service. I do not know what wafers/bags you are using but they are very helpful and will send out samples quickly. Also some patients are sent home with flat wafers and find that they actually need the convex wafers which tend to "fill in the gaps" which means we do not have a perfectly flat abdomen. A convex wafer may be what is needed if leaks are the issue. I wish you the best in this journey. I hope you find the help that you need. It does get better once you have the system down that works for you. Please keep us updated. Linda ( moderator, BladderCancer.net team member)