Most DMEs have a mask policy where you can try one out for anywhere from two weeks to 30 days. Even my supplier, who are idiots, does this.
I don't think there's a one of us that got the right mask the first time. I think I went through at least 6-8 before I got it right. Since then, I guess I've tried six more as masks stop being made or are updated. Sometimes, you'll know the first night it's not going to work. Others may take several nights.
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Breathe deeply and count to zen.
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As mentioned above, the CPAP mask is the most difficult aspects of the circuit to get used too. Firstly, how much was your son involved in choosing the mask? If not much, engage him in discussions about the style and type of mask might work best for him. The more sense of ownership he has in the process, the more he will feel invested in the outcome. Secondly, get him to use the mask while awake. Getting comfortable putting it on and taking it off increases the comfort level. Also, by wearing the mask while awake, he understands the sensation of having the mask on. Finally, become fully knowledgeable about what the treatment is all about and what the benefits are. Discuss sleep and the negative consequences of sleep deprivation. Set small goals and chart results. Small steps will lead to big improvements down the road.
So hard. My son is 14, so I feel your pain.
My son's diagnosis came as a result of mine and my Mom's. So he has seen what lack of good sleep can do, first hand.
His DX was OSA, but his Restless Leg Syndrome was much worse during the sleep study. For that, they have him working to get his iron levels higher.
We explained all of the later in life issues that untreated OSA can cause as well as the day to day results, tired, brain doesn't work very well, ect.. I think the huge thing for him has been how seriously we take this at home. The ENT Doctor told him that if he doesn't wear his mask, the next step would be surgery, that may or may not help.
If he was old enough to drive, he would lose that privilege if his mask time wasn't high enough each morning. Since that isn't on the table yet, We tie it to his allowance and electronics privileges. And we stick to it. No exceptions. I have him wear his mask before bed time, usually when he's reading. If he was epileptic, I wouldn't let him not take his medicine, so in my mind, this is the same.
I also pull his SD card and check his progress with SleepyHead every few days or at least once a week.
Of course it's hard. I can totally sympathize with him on that. Once you get a good mask and just plain get used to it, it's not that bad.
Once he has worn it consistently for a couple of months, if he goes with out it for a night, he will notice a difference in how he feels and his energy levels.