I know similar issues have been covered before, but I'd really appreciate some quite specific advice.
I was living in London, 5 minutes walk (literally) from a large A&E. My consultant there said I shouldn't have home nebs because I can deteriorate quickly and if I need nebs I need to be in hospital - to have home nebs could be more dangerous as I would delay getting help. I fully agreed with this, had a great plan with the hospital and with some tweaking, things worked well.
I've recently moved to rural middle of nowhere. On Wednesday I was captured by the green men and Costafied. The ambulance came as quickly as it reasonably could (I am flagged on their system) and took me to Costa quickly, but it was still near enough 2 hours from calling to arriving at the hospital. Because we're in such a rural area, we also have first responders (trained local volunteers) who also attended, but even by the time they'd come (about 5-10 mins before the ambulance I think) my sats had plummeted and I was really struggling.
I spoke to the nurse and GP today and they've suggested that home nebs for emergency use only whilst I wait for the ambulance might be a good idea to buy time. But we did discuss in depth the issues, possibly delaying getting help, etc. I also have a slight fear of the next step if I had a home neb being more regular neb treatment as an easy add in, which I'd rather avoid.
Does anyone here have a neb just for emergency situations? If so, does it work for you? Also, if I did decide on this route, the health centre said they could lend me a neb initially, but I would have to get my own - roughly what sort of cost am I looking at, as I'm not working at the moment and struggling a bit financially.