@ess77, Your post of how extremely limited your use is of both painful thumbs and also the help c-pap nasal pillow provides is truly both humbling and inspirational. Humbling because you just "stated the case" with not a whit of whining..which I would certainly feel justified in doing! and inspirational because of how you "get along" with the accomodations you've found and use to help.

With increasing arthritis? in my right thumb and hand, I've begun to more than ever appreciate all my thumbs facilitate and have so long taken for granted.

Big hugs to you, Elizabeth, for your positive, can do spirit and determination despite the huge obstacles you are confronting! Have you had to re-train yourself to keyboard as well as all the many other "work arounds" you use?