During a recent office-based sinus surgery, the husband of my patient fell asleep in the exam room. She told me that he often falls asleep when he sits down. He was a bit embarrassed when we woke him but we assured him that he need not worry. I asked him if he is frequently tired during the day, to which he responded “Doc, I’m 70 years old. Of course I get tired!” His wife interrupted to add that they haven’t slept in the same bed for years due to his snoring. The interesting thing is that he is a hearing loss patient of BergerHenry ENT but never mentioned his daytime fatigue or snoring. We discussed a sleep study but he decided against it.