Sleep Disorders -Something You Always Want Know About

8/6/2019 Sleep Disorders -Something You Always Want Know About

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Something You Always Want Know About

Sleep Disorders

Definition

A sleep disorder (somnipathy) is a medical disorder of the sleep patterns.

Its important to understand why sleep disorder can deteriorate your

health and interfere with normal physical, mental and emotional

functioning as it effects your nervous system in the production of the

natural hormone melatonin which is necessary for sleep and

wakefulness. Polysomnography testing can help to evaluate and detect


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the patterns of sleep disorder.

The basic of sleep

Why sleep is so important, you might already know that a normal night

of sleep is about eight hours as recommended by most doctors. Why it is

important, because during sleep our bodies repair the wear ant tear of

muscle tissue, consolidate memories, and release hormones to regulate

our growth and appetites and enhance the immune system, etc. The

effect of disorder sleep can reduce the functions of the immune system in

fighting against disease and sickness.

Most Common sleep disorders - The symptoms

1. Primary insomnia

Most of us might find hard to sleep and maintaining sleep sometime

during our life time because of what ever reasons, but prolonged period

of difficulty initiating or maintaining sleep, or both without primary

reason is considered the medical issue as chronic insomnia. It effects

about 10% of general population.

2. Bruxism

Bruxism is a condition in which you grind, gnash or clench your teeth

while sleeping, involuntarily.

3. Delayed sleep phase syndrome (DSPS)

Delayed sleep phase syndrome affects about 10% of all chronic insomniacases. It is defined as a sleep disorder of people who have a natural

inclination to go to bed later other than normal sleep routine and difficult

to wake up at the desired time as it also interferes with daily activities,

such as school or work, that requires to wake up earlier than would

otherwise be natural, leading to sleep deprivation and other issues.

4. Hypopnea syndrome

Hypopnea Syndrome is a condition in which an individual experiences

overly shallow breathing or a abnormally slow rate of airflow during

sleep, leading to disruption in breathing causes lower oxygen absorptionthat affect the blood oxygen level that disrupts the stages of sleep.

Individual with hyponea syndrome even though get full night sleep but

still feels tiredness at daytime.

5. Narcolepsy

Narcolepsy is a chronic neurological disorder caused by the brain's


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inability to regulate sleep-wake cycles normally, causing overwhelming

daytime drowsiness, leading to extreme fatigue and possibly falls asleep

at inappropriate times that interferes with daily routine activities. People

with narcolepsy often find it hard to stay awake for long periods of time.

6. Night terror

Night terror is defined as a health condition with characteristic of fear,

flailing and screaming while asleep. It is most happened to children with

age two to six and affects about fifteen percent of all children. Night

terror often is paired with sleepwalking.

7. Parasomnias:

Parasomnias are sleep disorders characterized by abnormal and unnatural

movements, behaviors, emotions, perceptions, etc. including bedwetting,

sleepwalking, nightmares.

8. Periodic limb movement disorder (PLMD)

Periodic limb movement disorder (PLMD) is a condition in which a

person crampsor jerks the legs repetitively and uncontrollably during

asleep causing excessive daytime sleepiness and falling to sleep during

the day. PLMD can occur at any age but happens most common in

middle-aged and older people.

9. Rapid eye movement behavior disorder

Rapid eye movement behavior disorder is a sleep disorder characterized

by abnormal behavior while sleeping with rapid eye movement. It ismostly associated with the elderly with neurodegenerative disorders.

10. Restless legs syndrome (RLS):

RLS is a neurological disorder characterized by an irresistible to move

your legs while you're sitting or lying down due to comforting if stop.

11. Situational circadian rhythm sleep disorders

Circadian rhythm sleep disorders is characterized as health condition of

disruptions in a person's circadian rhythm, leading to excessive

sleepiness and a lack of daytime alertness that interferes with normalwork, school, and social needs.

13. Sleep Apnea

Sleep Apnea is a common disorder in which you have one or more

abnormal pauses in breathing or shallow breaths during sleep. Each

pause in breathing called an apnea can last for a few seconds but


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sometime minutes. This types of abnormal breathing can occur 30 times

or more in an hour.

14. Sleep paralysis

Sleep paralysis consists of a period of inability to perform voluntary

movements either at sleep onset (called hypnogogic or predormital form)

or upon awakening (called hypnopompic or postdormtal form). It can

occur in healthy persons or may be associated with excessive daytime

sleepiness, a sudden loss of muscle tone, etc.

15. Sleepwalking

Sleep walking or somnambulism is defined as an disorder of is a disorder

of walking or doing any activity when sleeping.These activities can be as

benign or extremely hazardous.

16. Nocturia

Nocturia or nycturia is a condition in which you need to get up during

the night to go to washroom to urinate.

17. Somniphobia

Somniphobia or hypnophobia is an abnormal fear of sleep. It may result

from a feeling of control loss, anxiety around bedtime, panic attacks,

repeating nightmares, etc.

18. Etc.

Causes and Risk Factors

1. Genetics

Narcolepsy is a type of neurological sleep disorder caused by a number

of genetic abnormalities such as Chromosome 6 also known as the

human leukocyte antigen system, inherited from parents affecting certain

biologic functions in the brain, together with other environmental factors

during the child early brain's development.

2. Working the night shiftWorking night shift may interfere with the brain natural production of

the sleep hormone serotonin and normal functions of the inner biological

clocks, leading to drowsiness. If this type of problem happened in a

prolonged period of time may cause sleep disorder.

3. Medications


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Certain types of medicines such as medication for high blood pressure,

oral contraceptives, diet pills, anti depression, etc. and medication with

with caffeine can increase the risk of sleep disorder.

4. Aging

The risk of sleep disorder increases with age as over half of adults over

the age of 65 have some sort of sleep disorder.

5. Smoking

Cigarette contains high amount of nicotine, a stimulant which can cause

sleep disorder as researchers found that smokers enhances daytime

sleepiness more than do nonsmokers, especially in younger age groups.

6. Illegal drugs

Illegal drugs interfere natural brain normal functions in productions of

certain hormones and blocks certain chemicals' function in transporting

important neural signals, leading to sleep disorder.

7. Alcohol

Although it is considered as a sedative or calming drug, but it increases

the number of times a person awakens in the later half of the night,

leading to lead daytime fatigue and sleepiness causing alcohol-related

sleep disorders.

8. Etc.

Improve your diet

1. Tryptophan rich foods

Tryptophan is an essential amino acid, the precursor to serotonin, in turn,

converted to melatonin, via N-acetyltransferase and 5-hydroxyindole-

O-methyltransferase activities which are necessary neurotransmitter

responsible for transmitting nerve impulses in the brain and induce

relaxation and natural sleep, but high levels of tryptophan can increase

the risk of drowsiness and cause harmful harmful effects of the age-

related increase in brain serotonin. Intake food rich of tryptophan fromthe food below.

a. Chicken breast and Turkey

b. Tuna

c. Soybean

d. Beef

e. Lamb


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f. Halibut

g. Shrimp

h. Salmon

i. Etc.

2. Carbohydrate

Eating foods with high in carbohydrate stimulates the pancreas in

production and releasing insulin in the blood stream as it also reduce

others amino acids which would otherwise complete with trytophan,

leading to the production of serotonin, which in return enhances the

production melatonin, the natural sleep induced hormone.

a. Bread and pasta

b. Whole gain cereal

c. Potatoes

d. Apple pie and

e. Ice cream

f. Oatmeal and raisin cookies

g. Etc.

High amount of simple carbohydrate over prolonged period of time can

increase the risk of type II diabetes due to over work that diminishes the

function of pancreas in production of insulin. It If you are any symptom

of sleep disorder, eating turkey combined with complex carbohydrate

rich foods would be a better choice for meat and glucose. What is your

choice?

3. Chlorophyll

All green plants including algae contain at least one type of chlorophyll,

the green pigment of plants which allows plants to absorb sun light and

convert them into usable energy. Beside it is best known as oxygen

uptaker to the blood, it is also important to calm the nervous system, to

induce sleep due to rich amount of magnesium.

a. All dark green plants( Roman lettuce is the best choice)

b. Algae (Fresh water organic growth is the best choice)

c. Etc.

4. Magnesium

Magnesium is a natural sedative and stabilization of abnormal nerve

excitation as it is used in conjunction with other medication to treat

depressed elderly type 2 diabetics.. The mineral is important in

manipulating of ATP, DNA, and RNA and many enzymes.

a. Leaf green vegetables (due to high amount of Chlorophyll)


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b. Almonds

c. Sesame seed

d. Blackstrap molasses

e. Brewer's yeast

f. Whole grains

g. Etc.

For details of foods of above visit

100+ Healthy Foods Classification

orSuper Food Health Effects

Improve your Lifestyle

1. Cut down intake of alcohol, cigarettes and caffeine

Alcohol, cigarettes and caffeine are stimulant, some may have health

benefits for the short time, but prolonged of period of using them can

cause tension of nervous system, affecting the brain in transmitting

information between nerve cells and cells in other parts of the body,

causing many kinds of disorder, including sleep disorder.

2. Artificial ingredients

Artificial ingredients are man made chemical compounds which have

been proven to be harmful to our health and sleep, if eating in measure

amounts. Drinking water will keep the body hydrated, dilute toxins

concentration and eliminate toxins. Always wash your fruit and

vegetables in cold water before eating to prevent pesticides.

3. Toxins induced sleep disorder

Heavy metals and toxic chemicals in the blood can cause sleep disorder.

Exposure to heavy metals and toxic chemicals over a prolonged periods

of time also interrupt the normal function of brain in production of

hormones and damage to the body organs, leading to diseases, including

hormone imbalance and sleep disorder.

4. Improve sleep

There are some steps which you can do to improve healthy sleep andprevent to become a victim of sleep disorder. Researcher found that a

good night's sleep not only boosts the immune system in fighting against

foreign invasion but also repairs all tear and wear of the body after daily

activity in previous day and restore energy and keep you functioning

during times when sleep is limited.
http://healthy-foods-index.blogspot.com/http://superfoodhealthbenefits.blogspot.com/2011/03/super-food-health-effects.htmlhttp://superfoodhealthbenefits.blogspot.com/2011/03/super-food-health-effects.htmlhttp://healthy-foods-index.blogspot.com/http://superfoodhealthbenefits.blogspot.com/2011/03/super-food-health-effects.html


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5. Eating healthy foods

Eating some kinds of healthy food above enhances the production of

serotonin which induces sleep and protects us against the accumulation

of toxins by promoting the immune system to cope with today out of our

controllable environment hazard.

6. Exercise

Exercise not only improves blood circulation and enhance body

movement but also help to cleanse our body organs by eliminating toxins

from the blood and lymph system.

7. Weight loss

Weight loss for overweight or obesity person may reduce the symptoms

of disorder or cure your sleep disorder entirely. Researcher found that

overweight and obese individuals slept less than those of normal weight

and sleeping less than 8 hours a day, time of sleeplessness increases

proportionally with weight gain of BMI index.

8. Etc.

Detoxification

1. With nutritional supplements

There is no quick way in detoxification, fasting too fast may even

harmful to your health. Nutritional supplements not only help to improve

our health, restore our energy but also revitalize our metabolism, thechemical processes in our body by restoring and balancing the existing

deficiencies of nutrition required by our organs to detox. Types of

nutritional supplements used to detox include

a. Beta Carotene

b. Vitamin A

c. Vitamin C

d. Vitamin E

e. Calcium

f. Folate acid

g. Vitamin B Complexesh. Selenium

i. Zinc

g. Lycopene

k. Etc.

2. With diet


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Detox diet is a short-term diet, focused on cleansing environmental and

dietary toxins accumulated in our body system, often focused on

removing toxins from the body by increasing the frequency of bowel

movements and urination, as it provides an optimal conditions for our

bodies to focus on self-healing, retore and raise energy levels, enhance

organs and system functions, stimulate optimal health, prevent premature

aging, disease, etc. by minimizing intake of the amount of toxic

chemicals, eating foods with high amount of vitamins, nutrients,

antioxidants, high fiber and water.

3. Juice fasting

Juice fasting is a type of fasting and detox diet in which a person

consumes only fruit and vegetable juices. Since juice contains little to

no fiber, it is often used to cleanse your body toxins by expelling waste

from the intestines and colon.The below are used generally in juice

fasting

a. Vegetables

Celery, cucumber, bell pepper, etc.

b. LeafGreens

Parsley, kale, beet greens, chard, spinach, etc.

c. Cruciferous vegetables

Broccoli, cabbage, cauliflower, etc.

d. Root vegetables

Carrots, beets, sweet potatoes, etc.

e. FruitsDark grapes, apples, lemon, etc.

f. Wheat grass

g. Etc.

For details of foods of above visit 100+ Healthy Foods Classification

or

Super Food Health Effects

4. Organs detoxification

4.1. Liver detoxificationLiver is the first line of defense. It helps to regulate the level of

cholesterol in the circulatory system by producing bile to the digestive

system. It also help to balance our body hormones such as estrogen level

in women as well as protecting our body from inflammation. Weakened

liver will cause many types of diseases, such as cholesterol and

triglyceride building up in our blood, inflammation, hormonal
http://healthy-foods-index.blogspot.com/http://superfoodhealthbenefits.blogspot.com/2011/03/super-food-health-effects.htmlhttp://healthy-foods-index.blogspot.com/http://superfoodhealthbenefits.blogspot.com/2011/03/super-food-health-effects.html


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imbalance, etc. The natural remedies used for liver cleansing include

a. Milk thistle

Milk thistle, a flower plant of the daisy family have been traditionally

claimed in treating chronic liver disease. It contains silymarin that helps

to protect liver function and the liver in expelling toxins.

b. St. John wort

St. John wort is also known as tipton weed or klamath weed. It has been

used traditionally in treating depression. It contains different flavonoids

and 3-O-coumaroylquinic acid that has anti-inflammation and

antioxidant effects by stimulating the immune system in fighting

allergies and liver protection from toxins.

c. Fennel

Fennel contains anethole, polymers and essential oil that helps the liver

and pancreas in the metabolism of fats and sugars. It also helps to

dissolve fat deposits of the body and restore damaged liver cells that

cause jaundice, hepatitis and other liver disorders.

d. Etc.

4.2. Lung detoxification

The best lung cleansing method is exercise. Moderate exercise such as

walking, Tai chi only helps to improve the respiratory muscle functions,

but also helps our lung to expel toxins accumulated through the air.Natural remedies used for lung detoxification include

a. Wild Cherry Bark

Wild cherry bark traditionally has been used to treat irritable and

persistent, cough of bronchitis, and pertussis due to increased irritability

of respiratory mucosa. Since it has antispasmodic qualities, it has been

used with other herbs to treat asthma and enhance relaxation as well as

removing toxins from the lung.

b. Platycodon

Root Platycodon has been used in Chinese medicine for over a century intreating abscesses, respiratory disorders, and intestinal disorders. Study

shows that platycodon roots not only help to treat coughs due to purulent

sputum and inflammation in the chest area but also removes toxins in the

lung.

c. Mullein Mullein contains coumarin and rotenone. It has a long history


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of being used as a medicine and is an effective treatment for asthma and

respiratory disorders. Mullein also helps in soothing the mucous

membranes, reducing inflammation and encouraging healthy fluid

production in the lungs.

d. Etc.

4.3. Bowl detoxification

Bowel detoxification is particularly helpful for improving body

conditions and controlling weight loss. It brushes the intestine clean and

helps the liver to cleanse toxins rapidly, so you can get rid of all

parasites and plaques in your stomach, intestines and colon. The choice

of bowl cleansing include

a. Flax seed

Flax seed contains high amounts of omega 3 fatty acid, fiber and lignan

that not only helps in controlling cholesterol in the blood stream and

provides essential nutrition to our body, its fiber also helps to soften the

stool and promote bowel movements for relief of constipation by

removing all toxins accumulated in the colon.

b. Psyllium

Psyllium contains about 70% soluble fiber and 30% insoluble fiber.

Besides having proven record in Chinese medicine in treating high levels

of cholesterol, its fiber portion has been used to treat constipation by

softening stools and easing bowel movements.

c. Bentonite

Bentonite is a natural clay that comes from volcanic ash. Taken

internally, the adsorbent action of bentonite helps to eliminate and

remove toxic material from the intestine.

d. Liquid clay Liquid clay moves through our body and attaches to any

bacteria, virus as well as toxins in our intestine and removes them out of

our body as wastes resulting in improved intestinal regularity, easing

chronic constipation and easing indigestion.

e. Etc.

4.4. Circulatory detoxification

Chelation therapy is the first choice of treatment, with the IV above your

head, the substances in the IV help to cleanse the toxic chemicals such as


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lead, mercury, calcium, etc in your arteries and brain. It is usually

applied to people with pre existing heart conditions and between ages of

35-45. Natural remedies include

a. Raw sauerkraut

Sauerkraut is finely shredded cabbage and has been fermented by

various lactic acid bacteria with distinct sour flavor. It contains high

amounts of vitamin C, lactobacilli and other nutrients that helps to

improve blood circulation and increase level of oxygen in the blood

stream. It also is said to have done a super job in purifying your blood as

well as anti aging effects.

b. Garlic Garlic is nature's super food. Besides having been used in

strengthening the immune system, fighting inflammation and infection

caused by bacteria, virus, and chronic illness. It also is a blood thinner,

blood purifier as well as increasing the level of oxygen in the blood and

improving blood circulation.

c. Dang Qui

Dang qui has been used in traditional Chinese medicine for thousand of

years in improving blood quality and purity, and help strengthen the

immune system as it supports the body's removal of toxins in the blood.

d. Etc.

4.5. Skin detoxificationSkin is our body third line of defense. If the weaken liver and kidney can

not completely eliminate all the toxins in our body, our body will try to

eliminate them through the skin causing certain types of skin diseases

such as free radicals.

a. Chromium

Chromium is very important in rejuvenating the skin condition. It helps

to balance the blood sugar, and lower stress and depression. Both are

main factors that impact skin problems. It also helps to get rid of skin

toxins caused by bacteria and virus infection.

b. Zinc

Deficiency of zinc causes the thickening of skin. It is also a powerful

antibiotic in treating acne and other forms of skin diseases caused by

skin inflammation and toxins accumulation as a resulting of stimulating

the release of vitamin A from the skin.


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c. Lecithin

Lecithin is a fat-like substance, or phospholipid, produced by every

healthy liver that is needed for a healthy skin. Lecithin helps the body in

utilizing vitamins A, D, E in fighting against the bacteria and virus that

causes skin problems. It also helps to eliminate the toxins on the skin or

around the eyes caused by fatty deposits.

d. Strawberry leaf

Strawberries come in endless varieties but all leaves of all strawberries

contain healing tannins. It has also been used to aid in the treatment of

anemia, eczema, jaundice and other skin problems caused by weakening

of the liver.

e. Etc.

4.6. Kidney detoxification

Our kidneys process a special function to eliminate waste products and

extra fluids from our blood. The waste and extra fluids flow through

ureters as you urinate. If your kidneys are damaged or weakened, the

wastes would build up in the blood causing blood poison and damaging

other organs. Natural remedies used to cleanse kidney include

a. Dandelion leaf

Dandelion is a rich source of vitamins A, B complex, C, and D, as well

as minerals such as iron, potassium, and zinc. Dandelion root has beenused for centuries in traditional Chinese medicine in treating liver

disease by stimulating the removal of liver toxins. Dandelion leaf on the

other hand are used as a diuretic to stimulate the excretion of urine in

removing the toxin accumulated in the kidney.

b. Echinacea

Commonly called purple coneflower. It contains a wide variety of

chemicals that not only helps to strengthen the immune system but also

stimulates the removal of toxins that causes kidney inflammation and

infection.

c. Corn silk

Corn silks are the silky fibers that are found under the leaves and on top

of an ear of corn. It contains flavonoids, essential oil and minerals that

helps effectively in treating acute and chronic inflammation of the

urinary system caused by toxins accumulated in the kidney.


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d. Etc.

4.7. How to sharpen your brain

The best method to cleanse your brain is oxygen therapy. By providing

the oxygen necessary for brain cells needs, it helps to rejuvenate and

sharpen the brain cells. Study shows that oxygen therapy helps to restore

some cells in patient with Alzheimer diseases. Natural remedies used to

sharpen brain functions include

a. Gingko

Ginkgo is perhaps the most widely currently used herbal treatment in

memory enhancing. Extracts of Ginkgo leaves contain active and potent

form of terpenoids such as bilobalides and ginkgolides that help to

enhance the central nervous system functions. Ginkgo should only be

taken under the guidance of a knowledgeable medical professional

because of risk of bleeding .

b. Rosmary

Rosemary is a hardy bushy perennial shrub with aromatic, evergreen

leaves and pale-blue flowers around the stem. It contains phenolic acids ,

bitter diterpenes, triterpenes, and flavonoids. it is used for headaches,

nervous system disorder as well as preventing forming of free radical

with its amazing antioxidant properties.

c. Etc.

5. With Melatonin

Beside it is used as a supplement in promoting immune system and anti-

aging, melatonin supplement also benefits for varies sleep-wake rhythm.

Melatonin pills work quickly, usually people taking the pill fall into

sleep in less than an hour. Unfortunately, prolonged period of using the

supplement may reduce the functions of endocrine system in production

its own melatonin in regulating the sleep cycle if you constantly supply

the body with external sources.

Synthetic melatonin is different than natural one, it can cause someunknown long term effects.

Also researcher have not found out the optimal dose to make the

supplement working in perfect objective, it is up to individual to

experiment with different dose before finding the right dose for their

needs.


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Treatments

Treatments for sleep disorders generally can be grouped into four

categories:

1. Psychotherapeutic treatments

a. Behavior therapy

Behavior therapy is a psychotherapy pproach based on learning theory

with purpose to treat sleep disorder by reinforceing desirable habits and

eliminating undesired behaviors by replcaing them with more satisfying

behavior.

b. Congnitive behavior therapy

Cognitive behavior therapy is another psychotherapy approach and

mental health counseling with a purpose to solve problems concerning

dysfunctional emotions, behaviors that affect the the sleep patterns by

teaching people specific cognitive and behavioral skills to help them

control and preventing dysfunctional emotions, behaviors and cognition

through a systematic method.

c. Interpersonal therapy

Interpersonal therapy is another form of psychotherapy approach has

been used successfully with depressed patients causes of sleep disorder

by improving the quality of patients interpersonal world, relationships,

etc.

d. Gestalt therapyGestalt therapy is a psychotherapy approach based on the philosophy of

existentialism and phenomenology by emphasizing personal

responsibility, focussing upon the individual's experience in the present

and working together (The therapist and patient) work together to help

the patient understand the environmental and social contexts of a

person's life. The theory was developed by Fritz Perls, Laura Perls and

Paul Goodman in the 1940s and 1950s.

e. Etc.

2. Rehabilitation

Polysomnography is one most common used sleep machine to record

patients sleep behavior usually performed at night by monitoring the

body functions including brain (EEG), eye movements (EOG), muscle

activity or skeletal muscle activation (EMG) and heart rhythm (ECG)

during sleep, etc. Once the symptoms of sleep disorder is identified, the


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specific rehabitation program is desired for the patient to obtain an

optimal result.

3. Medications

Medication used depending to particular sleep problems of each

individual

a. Anti-Parkinsonian drugs (dopamine agonists)

Used to treat restless legs syndrome and periodic limb movement

disorder

b. Benzodiazepines, including in a class of drugs called hypnotics.

Used to treat parasomnias, bruxism (teeth grinding) and short-term

insomnia.

c. Non-benzodiazepine hypnotics

Used to treat short-term insomnia.

d. Antinarcoleptics

Mainly used to reduce daytime drowsiness for shift workers or suffered

from narcolepsy or sleep apnea.

e. Anticonvulsants

Used to treat nocturnal eating syndrome, restless legs syndrome, periodic

limb movement disorder, and insomnia related to bipolar disorder.

f. Etc.

4. Other somatic treatments

a. Surgical treatments

Surgical treatment may sometime is necessary to treat breathing-related

sleep disorders in some patients, such as obstruction or airway

abnormality.

b. Phototherapy or light therapy

Phototherapy uses bright, specific wavelengths of light in a prescribedamount of time to change the timing of sleep and wakefulness. It is

worked specially well for patient with Circadian rhythm sleep disorders

such as chronic CRSD, and situational CRSD.

c. etc.

5. Etc.


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We will come back with the same subject viewed under the microscope

of Traditional Chinese Medicine and sleep disorders through the subjects

of the inner clock and hormone imbalance affects

At the mean time, enjoy reading.

Sleep Help - Sleep Aids to Assist In Natural Sleep

Current research has established a remarkable relationshipbetween disorders like heart problems, elevated blood

pressure, weight increase and sleep disadvantagedpersons, etc.

If you like what you read, please follow me at

http://twitter.com/kylejnorton

We will come back with the same subject viewed under the microscope

of Traditional Chinese Medicine. At the mean time, enjoy reading.

If you like what you read, please follow me at

http://twitter.com/kylejnorton
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Sleep Disorders -Something You Always Want Know About