Posted by JD on January 19, 1998 at 16:46:29:

In Reply to: masks posted by Dan on January 18, 1998 at 11:32:04:

I agree that the spacer should be reapplied -- make sure the spacer is the right size to keep pressure off the bridge of your nose, but not apply too much pressure to your forehead where the spacer touches.

If you don't have access to the Australian product, you might do well with a triple antiibotic ointment such as Neosporin, or one of the many generic equivalents. I recommend to my patients not to use the system until the sore clears up, because 8 hours of mask contact will keep it sore interminably.

Also, if you wear glasses, it may be helpful to use some foam cushions that go on the nosepiece, or get lighter-weight specs to keep the pressure off your nose as much as possible.

Regarding masks, I don't have any personal experience with the Mirage, but have worked with Nasal Pillows (goes with ADAM circuit by Nellcor-Puritan-Bennett) and the Monarch Mini-mask (by Respironics). They are both nice because they don't touch the bridge of the nose at all -- the pillows go inside your nostrils about a quarter to half inch, and the mini-mask fits up against your nostrils.

If you like the Goldseal, you might like the Phantom (by Sleepnet Corp., not associated with this website if I understand correctly). It is a very soft, pliable mask that goes over most of the nose -- seals very well.

Your insurance probably won't pay for a new mask in less than 6 months, but check that out, too.

That's enough rambling, but I hope it helps!

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