I've used the new punches upside down on a flat surface. I line of the stamped images then push down on the outer edge. This method works for me. Yes, I did pinch portions of my hand when using them upside down and not on a flat surface. Just make sure, after you line the images up, not to move you c/s by accidentally hitting it - done that too. I like the images the punches make but the punch itself is heavier than the old style.
If you had to get medical aid, what would you tell the medical staff???