Respiratory System


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F1.jpg"}},{"insert":"\n\n"},{"insert":"The incessant blaring of the alarm clock jolts you awake and you reach out blindly to shut it off. Sitting up groggily, you tell yourself, \u0027No more late nights.\u0027\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F2.jpg"}},{"insert":"\n\n"},{"insert":"A shower and a mug of coffee later, you are ready to face the day. You\u0027ll need more coffee as the day wears on, but for now, all traces of sleep are gone.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F3.jpg"}},{"insert":"\n\n"},{"insert":"You arrive at work just in time. Entering your office, you spot a small stack of paperwork on your desk and get straight to it.\n\nIt is a slow day, with the usual coughs and colds interspersed with regular checkups for diabetic and hypertensive patients.\r\n \r\nYou are almost halfway through the stack when you come across a novel case.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F4.jpg"}},{"insert":"\n\n"},{"insert":"A rather stocky man, looking exhausted, walks in and slumps down.\r\n \r\nYou warmly introduce yourself and ask how you might be of help.\n"}]}


{"ops":[{"insert":"He runs his palm over his face and then begins.\r\n\r\n\u0022Nice to meet you, Doctor. My name is Joss and I\u0027m 62. My wife literally dragged me here; she says I snore really loud every night and that she can\u0027t get any sleep.\u0022\n\n\u0022It was either sleeping on the couch or coming here, so here I am.\u0022\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M38_F6.jpg"}},{"insert":"\n\n"},{"insert":"\u0022How long has this been going on?\u0022, you ask.\r\n\r\n\u0022Well, I\u0027ve been snoring for many years, doctor, but according to my wife, it\u0027s only this year that it really got out of hand\u0022, he responds.\n\n\u0022Is anything else troubling you?\u0022 you continue.\r\n\r\nJosh nods. \u0022What really bothers me is that I can\u0027t seem to keep my eyes open during the day, even when talking to someone.\u0022\n"}]}


{"ops":[{"insert":"You ask Josh about morning headaches, difficulty in falling asleep, waking up multiple times during sleep, poor concentration, and mood changes.\n\nHe thinks for a while, runs his palm over his face once more and says,\r\n \r\n\u0022Honestly doctor, the headaches and poor concentration are there all right, but about waking up in the night, I can\u0027t really tell. I could ask my wife about that though. She\u0027s right outside.\u0022\n"}]}


{"ops":[{"insert":"How do you respond?\n"}]}
1. "No, that won't be necessary"
2. "Yes, please ask her in"