Significant for hypertension diagnosed in 2006, reflux in 2000, insomnia, but no snoring or apnea.  She has been on Ambien, which is no longer been helpful.  She has had arthritis since year 2000, thyroid abnormalities diagnosed in 1968, a hysterectomy in 1986, and a right wrist operation after her fall in 2007 with a titanium plate and eight screws.