Mary, your situation sounds 100 percent like mine in my first year of ENS. I literally went back and forth trying to figure out my breathing problems, and I literally tried so many techniques, I cant even count them all. Speaking of the breath right strips, those helped me a little bit, but in the end I found myself thinking the breathing problems were more neurological for me. After all my research over the years of this disease, I think the turbinates are more or less the oxygen sensors of the body, and since theyre damaged, were constantly gasping for breath or wondering why our breathing is so bad. With that belief in mind, I hopped onto the pain patches in year 2 of ENS for me and havent looked back yet. The pain pills prescribed by my pain doc didnt work at all, but once he put me on the pain patch, my life is so much better now. For one reason or another, the pain patches get rid of the breathing problems, pain in the my chest and heart from the horrible breathing, and all the pain in my face as well. I know pain killers are frowned upon, but the patches are truly life savers for me. One or two other people on this forum are going to try the patches as well, so if they get good results, then Im sure youll hear from them on here too.