She was not the least unfamiliar with secondary atrophic rhinitis as she called it to me. She even said she had familiarity with the ENS condition when I gave her some literature relevant to its effects on breathing. I don't know if she said ALOT of people, but when I asked if she had seen others similar to me with weak noses (lack of nasal resistance) she said yes, and said some of them were following sinus surgery. She said not so many thought have breathing problems. It was toward the end of the appointment, so I wasn't' able to pursue it, plus I was tired etc etc. But, I do intend to pursue it when I see her in a month. She told me that people do improve. I wasn't sure if she meant with breathing, or overall, so I will pursue this as well. For all my negativity, clinical experience is something that I believe in, and if she says she has seen people following sinus surgery (and she said other reasons too, can't remember) and that these people generally improve in some way, I will believe her. She really seemed to be outside the whole ENT-ENS-political-CYA-protect-from-lawsuit club. This pulmonologist is at a large city teaching hospital so I am sure there have been many, many patients in her office.