The perception of insufficient , disturbed , or non-restorative sleep. She comes to your clinic with her husband complaining of problems sleeping . She denies snoring but admits to falling asleep at work and during conversations with her husband. Her husband states that he started sleeping in the den because she is kicking him in bed.
Physical exam reveals a short obese female with a crowded oropharynx.
Six weeks later you see the above pt back in your clinic. The husband continues to sleep in the den. He states that although she has stopped kicking in bed, now she has started to snore. Human Sleep-Research and Clinical Care. Cigarette Smoking Associated with Sleep Difficulty.