Just thought I would update this thread once again. I went for more than a month without an appointment at the CPAP clinic. During that time I got to the point where I sleep through the entire night without waking up at all (if my CGM doesn’t alarm). It’s so great.
The only issue I had during that time was that some nights my allergies act up and I end up only able to partially breathe through one nostril. Those nights were terrible. I’d take four hours to get to sleep. But aside from that, I went to my parents’ place over the holidays and on two work trips, and all went well. I’m looking for several travel items, including a two-litre reusable container I could use for distilled water (I’m scared bottled water will trigger asthma, though maybe I should give it another try) and a medium-sized camera bag that would fit the CPAP machine and accessories. The bag it comes with, though quite nice, is ginormous when I already have to take medical supplies and food on every trip.
Yesterday I had an appointment to pick up my own machine. My insurance covered 100% of the cost of the machine, mask, and heated tubing. I told the person (I’m still not entirely sure what their professional title is) about my allergy issues and asked if I could purchase a full face mask so that I’d have an alternative to the nasal canula mask on those nights. She had no problem with that. So we tried one out, she showed me how to switch mask types on the machine, and I bought that mask as well as hypoallergenic filters for the CPAP machine that she suggested I try. The total cost of the full face mask plus two filters, which I paid out of pocket for since there’s no way insurance would cover a second mask, was about $185, so not bad at all in my opinion.
I will call my insurance company tomorrow to see how often they will cover replacement equipment. I also have a seven-day period in which I can exchange the full face mask. I tried it last night and really like it. I thought it would be a transition all over again, but I slept really well. After using it for one night, I will call on Monday and exchange it for a size larger, as I think that would fit more comfortably. I’m glad I have both so I can decide which to use on any given night, though I’ll be using the full face mask for the full seven days I have to try it, since I want to make totally sure I test it and make any exchanges I need before that period is up.
Yesterday they said that from now on I will have appointments every six months to download the machine’s data, change settings if necessary, and they will also clean the machine. I asked who I should follow up with if my AHI number starts going above five, them or my doctor, and she said I’d give them a call.
I am so impressed with this entire system and follow-up. I’m not sure if this is just the clinic I’m dealing with or if this is the norm in Canada. Either way, this has been a great process and I can’t think of any way that things could have gone more smoothly.