Margaret S. has owned this home since 1986 (38 years at time of project). The 2012 furnace and AC replacement was a major capital project she remembered fondly, but in the years since installation her energy bills had crept upward without obvious cause. The 2012-installed equipment was still relatively young by HVAC standards. Margaret had also developed respiratory irritation symptoms over the past 5 years — nothing diagnosed as specific condition but persistent congestion and what her doctor described as “non-specific airway inflammation.” Margaret called us in February 2024 after her primary care doctor mentioned that home indoor air quality could be a contributing factor. Our initial consultation identified ductwork contamination and air leakage as likely contributors to both issues. This case study documents the duct cleaning and sealing project that followed.