Thank you! I am having a difficult time assessing how much her apnea is affecting her (as you mentioned daytime sleepiness, mood, etc). It seems like it will go in cycles. There will be a few weeks where she will be super cranky, difficult, acting tired, and having tons of melt downs. The last few weeks she has been so sweet, well behaved (as much as a 2 year old can be) and calm, even though at night she still sounds awful breathing wise. And as far as other things that can be affected due to apnea (cardiovascular issues or cognitive abilities) - I have no idea if it is affecting her cardiovascular system, and as far as her learning abilities she seems like any other bright 2 year old. It just seems like there is not an obvious answer - on the surface for the most part it appears as it's not affecting her terribly, but my worry is any hidden damage that might be occurring.

We do have an appt for a sleep study in a couple weeks. You mentioned in your reply that if the apnea is severe by objective measures then the post-op might be dealt with differently. Can you please explain? Do you mean in terms of she will need to be watched closer for signs of obstruction due to swelling from the surgery?
Thank you so much again!