Can You Hear Me Snore?

S LE E P M E D IC IN E P E A R LS A girl with history of severe to profound bilateral sensorineural hearing loss and anxiety presented with daily tiredness, diffi culty waking in the mornings, and requiring a parent in bed with her in order to fall asleep. History was obtained from her and her mother, who also has sensorineural hearing loss, via American Sign Language (ASL) interpreter. The patient’s bedtime was 9 PM with sleep onset within 30 minutes. She endorsed anxiety about falling asleep and mother stayed in bed with her overnight. Occasional night wakings lasted 10-30 minutes. On school days, mother started waking the patient 45 minutes before she had to be out of bed. She often seemed grumpy in the morning but was not chronically tardy. Can You Hear Me Snore?