So last year I went to an ENT to get my nose cauterized for bloody nose problems. My dad did the same thing, so it's just a hereditary thing. All was fine, nose doesn't bleed anymore (yay), but on the followup I mentioned snoring was a problem and my wife wanted me to ask him why I'd stop breathing at night sometimes... You know what that sounds like?
So I did 2 sleep studies which determined I have mixed apnea of a mild-ish variety (AHI of 9 and 12 from each test). My tritation study revealed 9cmh20 was optimal for my pressure setting, so I've been on that since. The first couple months were rough, but I don't mind the therapy now. Aside from fighting with my mask that I seem to love some nights and detest others (Amara view), the therapy has gone well for me... but I have some AHI/tiredness fluctuations that seem to come and go. And I think my nose is the main culprit.
For example, I'll go months and vary from 1.5 to 4.0. Which is all fine and dandy. However, this past week, I haven't been under 5 AHI. My 7 day average is 6.5, and my high was 15 one night (haven't seen that since I started on the machine!!). In reviewing my data (of which I'll happily paste for anyone who wants), it seems I sleep pretty well when I do sleep, but I have a lot of Apnea events when I get woken and have to go back to sleep, which happens all the time in my crazy house (cats, dogs, children, wife, and I'm such a light sleeper these days).
But the thing that bothers me the most is my right nostril, and it's the reason I'm posting in this board. I went back to the ENT and explained these deviations to him about 6 months ago, and he gave me a good looking at in my nose, and determined my turbinates are oversized and I have a leaning septum he wants to fix with surgery. So he scheduled me... but hey guess what, the insurance declined it (so they have a battery of things I need to go through to approve it). I kind of just ditched the idea and figured I'd stick with the therapy a bit longer and see if life got better, but here I am now with high AHI and a nose that WILL. NOT. WORK.
My nose just plugs. I do rinses/netipots, take allergy medicine, blow my nose 50 times before bed, tried saline, tried everything... Soon as my head hits the pillow, my right nostril stops working. There's one position I can get it to clear, but I move a lot in my sleep, so when I move ever so slightly out of that one position... it plugs up again. When my nose is clear and I can breathe fine while awake (it has a mind of its own, but cold season seems to be the worst), my AHI goes back to 1.5-4.0 range. Like literally, sometimes, my nose is just stopped up and it's completely empty. It's infuriating.
So my question is to anyone who has a similar nasal problems as me... Turbinate shrinking surgery? Yay, nay? Should I pursue the septum deviation surgery (and the battery of tests for insurance) to see if it leads me in the right direction? I just don't know if it's worth it, and I'm himmin and hawin if I should look elsewhere first before getting the knife.
I personally don't care if I have to use CPAP for the rest of my life, it isn't about that, nor do I expect to be off it as a result of the surgery. I just want sleep, dangit.
I'm foggy and a zombie all the time. And life shouldn't be like this! O.o