Mask Fit Savvy
I wish, oh how I wish, that my lab dispensed our own CPAP equipment. And not so much the CPAP machines but the masks. We do as much as we can by giving the patient the mask they are titrated with, but that's as far as it goes. Once they leave us, it's out to the big bad world of DMEs.
Part of the life of a day tech is to perform mask fit clinics; mine are usually the one-to-one basis/trickle-in types. The person who trickled in this morning actually was a VIP who did not have his sleep study with us, but is now seeing our sleep doctor. He was seen by one of the "better" DMEs in town and was told "they could not fit him." I am shocked. He has no facial hair, nothing going on that I could see that would make him hard to fit. He prefers a full-face mask and is compliant.
I only had to go through two masks; the second one fit most comfortably to him. It was a pretty standard model, one of the two major manufacturers and one of the top full-face models, essentially something that you should find on everyone's shelf.
It seems as though this scenario occurs more often than it should. Mask fit is the most important component of CPAP therapy. It's the delivery system. It has to work and work well or you have nothing.
Failure is not an option. I for one would prefer to have total control over that part of the process.