(03-28-2013, 12:36 PM)okiegal61 Wrote: Are those nasal pillows harder to get use to than, a face mask? I am getting a new nose mask sent. The Resp Therapist said, you have to breathe out harder on the nose pillows. I am only in one week of this, so I am still learning, and trying to find my fit.
It is impossible to answer that question because everyone is different. I don't just mean the shape of the face or nose, I mean the psychologies are also different. In my case I have no psychological problem with pillows inside my nose, but some people cannot stand that. However, my particular type of claustrophobia makes it impossible for me to tolerate anything in front of my eyes, and that makes masks with a forehead support out of the question.
As for breathing out harder on the pillows, I have used both nasal masks and pillow masks and I never noticed any difference in the effort required to breathe out. Note that your machine has a setting where it will lower the pressure when you are exhaling. It works pretty well as long as your breathing is regular, but if you take long breaths and then short breaths it gets a bit confused about exactly when it should lower the pressure and when it should raise it back up again.
I note your profile says you are using a full face mask. Do I assume correctly that you were given a full face mask because you were breathing through your mouth during your sleep study? If so, try to find out (from the results of the study) if you were doing so always or just once in a while. If it is all the time you may have no choice but to use a full face mask, otherwise you may find that a nasal or nasal pillow mask coupled with a chin strap will work just as well or better, and may be more comfortable and give you lower leak rates.
Go back to your DME and ask to try lots of different masks. And go to the Supplier list here and look at pictures of different masks that are available online.
I'm in my ninth mask, so don't expect that the first mask will be perfect for you. Of all the factors involved in CPAP therapy the devil is in the mask.