Not yet. There are no Stoma nurses here. I've been to the Wound Center which is about 50 miles from me twice in the last month but this is a situation that I have to solve myself. I'm trying different Barrier Rings from different companies and hoping that I will reach a solution. If I can't solve the problem I will have to go back to Mayo in Jacksonville which is 300 miles away to see my Stoma Nurse there. Thanks for asking.