Mask Trouble

I've been struggling with the Wisp mask since I started CPAP in September. Initially it was tolerable (I was so tired, anything was an improvement). However it's definitely leaking. I know this due to all the burbling sounds it makes, and poor sleep quality. I am stuck with a "BRICK' machine so I have no specifics here.
I went back to see the DME. She took a look at the mask and thought perhaps it wasn't laying right on my nose, showed me how to adjust it. Didn't make any difference.
Through reading this forum, I found out that the Wisp is supposed to come with three different sizes. I was never told this and recently noticed that my mask has an L on it. Perhaps it's the Large and I need a small. However, even if size was changed, I struggle with the air vent blasting into my face even when I wear a sleep mask. Also that swivel hose makes matters worse as it flops around just as I get the vent situated, and I'm right back to being blasted.
Next, getting no real help from DME, I ordered the Airfit F10 For Her mask with nose pillows online from EasyBreathe. It's good, and terrible. It definitely puts me into a better sleep state, when I can get there, but the concentrated blast of cold air into my nose is overwhelming, uncomfortable, and keeps me up. Instead of getting used to it, every night has been worse and last night I couldn't use it at all. I spoke with the rep from EasyBreathe who said lowering the air pressure setting may help. Thanks to this forum, I was able to jailbreak my Brick machine to try this, but it didn't help despite numerous nights and various pressures.
The doctor gave me a loaner machine that collects data for a week, but only came up with the suggestion to raise the pressure from 8 to 10, which doesn't help, and now offers another sleep study, but I feel like I already know the problem just not the solution.
Is there a nose pillow mask out there that wouldn't make my nose feel like it's being snaked by a plumber??
Also, the air going into my nose is cold and this makes it all worse. I noticed some people talk about heated hoses? Is that why? I don't have a problem with stuffy nose or 'rainout'.

Get the Climateline heated hose for your S9 machine. It will help with the cold nose syndrome...I call it "ice cube nose"...been exactly where you are and the heated hose will help.
Rain out in the hose or mask isn't the only reason to use a heated hose.

I used an unheated hose for 10 years and just recently got a new machine with a heated hose. I have always controlled the warmth of the air from my CPAP via the humidity control on the CPAP. The humidity control on the CPAP really only controls the temperature of the water in the humidifier. The higher the humidity setting... the warmer the water... the warmer the air... the more moisture the air can carry... the warmer the air entering the mask.

My understanding was the main purpose of the heated hose was to eliminate rainout. A heated hose has completely eliminated the rainout problem I put up with for 10 years. The heated hose does this by keeping the air and water in the hose warm and hence keeps the water from precipitating out of the air. As a side effect of eliminating rainout I am sure the air entering the mask is warmer!

I believe you would be well served by a heated hose. When I got a prescription for my new equipment I requested the doctor to include in the prescription a heated hose. I believe my DME would have supplied a heated hose with my new prescription whether or not the prescription specified it. Maybe I have a better DME than many?

I have always gotten small, medium and large pillows when I get a new mask from my DME. If your DME did not supply you with all 3 sizes of pillows I would really question your DME's motives? Are they keeping 2 of the pillows to hand out to other patients and charge their insurance company for masks the DME got for free by stealing them from you?

I spent many years with the Mirage Swift II nasal pillows. The pillows on the P10 enter my nose at a sharper angle and go deeper into my nose then my old Mirage Swift II mask. The net effect of both masks are the same... directly injecting air into my nose under pressure. I doesn't sound like you have a mask fit problem though, it sounds like you have an air temperature problem. Other than a heated hose another way to maintain air temperature in the hose is to use a hose cozy. A hose cozy is a piece of material that wraps around the hose to insulate the hose from room temperature air. By insulating the hose the cozy keeps the air from cooling and keeps the water from precipitation out of the air while it is in route in the hose. The net effect is warmer air entering the mask and your nose.

So A heated hose should help. So should a hose cozy. If you are completely desperate tonight while you wait for a heated hose or cozy to arrive you could make you own make shift hose cozy by wrapping a piece of material around your hose and taping it on to insulate the hose. You could probably even use a few wash cloths taped around the hose to get you by for a couple days while you are waiting for your new equipment to arrive. Such a make shift hose insulator is going to weight down the hose and as such have its own uncomfortable side effects but at least you won't be experiencing ice cube nose!

You might want to try a nasal mask, rather than the nasal pillows. I love my Miract Activa LT.

I'm sorry you're having so much trouble! Others have already given some great answers about how to make the nose mask more tolerable. I second the idea of using a nasal mask instead of a nasal pillow; that would probably be my first move.

Having said that, may I offer another opinion as well? I had extreme trouble adjusting to a nasal mask, but I resisted going to a full face mask because everyone said, "Nasal masks are better, everyone prefers them, full face is less comfortable."

Phooey on that! I got the Mirage Quattro FX full face mask (no forehead piece, swings easily onto your face, is small, doesn't blast in your eyes). Within 4 days, I had gone from not sleeping at all with the machine to sleeping in 10-hour stretches. And I am the world's lightest, most sensitive sleeper, so that is saying something.

I found that as long as you use a hose cozy or heated hose, the air in a face mask is much more comfortable than a nose mask. It cuts down on the "nose being invaded" feeling and, to me, feels like a more normal way of breathing as you drift off.