The mucous membrane of both sides of the septum (the cartilage that separates the nostrils) can be damaged by decreased blood supply, along with drying, crusting, and nose picking. This results in a perforation or hole in the septum with more crusting, foul secretions, nosebleeds, and whistling with nasal breathing, the so-called coke nose.
The girls said they don't go into his bedroom because he's smelly, there were comments that it stinks on Airforce One, he picks his nose in public, I've seen comments that there's a whistle when he speaks - and flies find him irresistible:
Some will feel a great sense of power and competence that may be associated with the delusion or false sense of grandeur, known as cocainomania.