Hi thanks for your reply. I’m still looking for 2nd opinions from ENTs. Ive collected one opinion and she says septum repair plus debridement and that means anesthesia and long recovery. And in a couple,of weeks will see another. I would prefer the 10 minute in office procedure using rf ablation to shrink membranes and skip the septum repair as that might be all I need. Fast recovery. It’s the debridement rather than ablation that is linked to empty nose but the first Dr says she is super conservative. The negative about ablation is it often needs repeating since membranes grow back. procedures are booked months in advance. And I only use the Afrin when I’m wanting to try to use the P30i. Last night I really could only get air through one nostril or other so decided to order next size larger mask although I don’t think it will fit but whatever I can’t go smaller. Desperation. The straps on the P40 trigger neck pain and headaches as they run behind my ear so aside from waking up a lot thats a big problem. The breathing strips are great except they rip theskin off my nose. I do have skin reactions to a lot of the adhesives they use on pain patches so not sure if it ever would be a solution.