Valor 4 Vet

Article Read: PTSD and Sleep Apnea

March 18, 2020 Valor 4 Vet
Valor 4 Vet
Article Read: PTSD and Sleep Apnea
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PTSD and Sleep Apnea

Website article posted March 18, 2020.

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"Bethany
"Spangenberg
"(silence)
"physician
"assistant
"accredited
"VA
"agent
"president Veiller / president valor / president they live / president valid / president they look / president they leave
"Valor for vet / Valor vet / Valor for that / Valor for Vette / Valor for vat / Valor Privett / Valor Privette / Valerie for vet / Valor privet / Valer for vet
"Can't
"sleep
"(silence)
"feeling
"exhausted
"(silence)
"never
"enough
"coffee your / coffee you / coffee you're / coffee do you
"weight / wake / weak
"from
"your
"sleep
"for
"the
"third
"time
"and
"you
"still
"have
"a few
"more
"hours
"before
"it's
"time
"to
"roll
"out of
"bed
"for
"the
"day
"(silence)
"are you checking / re-checking
"the
"doors
"(silence)
"the
"gun
"safe
"having
"nightmares
"or
"flashbacks
"Up
"for
"work
"coffee
"in / and
"hand / head
"on
"to start / the start
"the
"day
"(silence)
"and / in
"day
"after
"day
"you
"fight
"the
"fatigue
"(silence)
"the
"days
"are
"long
"but
"the
"years
"flyby / fly by
"and
"now
"you've
"put
"off
"the
"for
"years
"(silence)
"why
"are
"you
"having
"trouble
"sleeping
"why
"are
"you
"always
"tired
"Is
"it
"your
"post
"traumatic
"stress
"disorder
"or
"PTSD
"causing
"your
"chronic
"sleep
"troubles
"(silence)
"or
"are
"you
"now
"also
"suffering
"from
"sleep apnea
"(silence)
"You've
"probably
"heard
"about
"sleep apnea
"a lot
"lately
"because
"it
"seems
"like
"everyone
"has
"it
"(silence)
"also
"heard
"that
"you
"can
"get
"50
"disability
"rating
"if
"you
"get
"service-connected / service connected
"for
"it
"(silence)
"game
"on
"(silence)
"but
"before
"you
"make
"your
"first
"move
"let's / which
"get
"better
"understanding
"of
"which sleep apnea / what sleep apnea
"is
"and / in
"why
"it
"seems
"to
"be
"spreading
"like
"the
"plague
"Before
"you
"start
"(silence)
"sleep
"apnea
"generally
"is it disease / is a disease
"where
"your
"brain
"and
"breathing
"structures
"are
"not
"working
"together
"adequately
"to
"breathe
"and
"maintain
"oxygen
"during
"sleep
"(silence)
"sleep apnea
"is
"categorized
"into
"three
"types
"obstructive
"central
"and
"mixed
"(silence)
"like
"many
"other
"diseases
"the
"exact
"mechanism
"of
"the
"disease
"development
"is
"not
"known
"but
"many
"diseases
"are
"thought
"to
"cause sleep / call sleep
"apnea
"and
"to
"aggravate
"sleep
"apnea
"including
"PTSD
"other
"diseases
"associated
"with
"sleep apnea
"or
"known
"to
"cause
"an / and / in
"aggravate sleep apnea / aggravates sleep apnea
"include
"congestive
"heart
"failure
"pulmonary
"hypertension
"type
"two
"diabetes
"chronic
"lung
"disease
"strokes
"thyroid
"disease
"Parkinson's
"disease
"Structural
"deformities
"of
"the
"upper
"or
"lower
"airway
"just
"to / the
"name
"a few / of you
"(silence)
"the
"symptoms
"of
"sleep apnea
"are
"often
"put
"off
"by
"people
"as
"just
"didn't
"sleep
"well
"(silence)
"but
"overtime becomes / overtime if he comes / overtime it becomes
"don't
"sleep
"well
"(silence)
"some
"symptoms
"may
"include
"(silence)
"daytime
"sleepiness
"(silence)
"fatigue
"(silence)
"poor
"concentration
"(silence)
"morning
"headaches
"(silence)
"insomnia
"(silence)
"snoring
"(silence)
"gasping
"during
"sleep
"(silence)
"choking
"during
"sleep
"(silence)
"snoring
"during
"sleep
"stopping / stop being
"breathing
"while
"sleeping
"Depression
"(silence)
"often the / often a
"spouse
"or / or a
"family
"member
"will tell / would tell
"the
"veteran
"if they / that they
"stop / stopped
"breathing
"during
"sleep
"complain
"and
"laugh if there's snoring / laugh at the snoring / laugh at their snoring
"gasping
"or
"choking
"(silence)
"does / is
"this
"sound
"like
"you
"(silence)
"to
"find
"out
"if
"you
"have
"sleep
"apnea
"need
"to
"have
"sleep
"study
"(silence)
"sleep
"study
"will
"tell
"your
"doctor
"how
"well
"your
"body
"is
"keeping
"up
"with
"breathing
"and
"maintaining
"oxygen
"during
"sleep
"if I sleep / if the sleep
"apnea
"results
"show
"if
"if
"the
"sleep
"apnea
"results
"show
"an
"apnea
"hypo
"apnea
"index
"or
"HI / a HI
"of five / a five
"or
"more
"events
"per
"hour
"on
"average
"do
"have
"sleep
"apnea
"There
"are
"two
"main
"ways
"to
"complete
"sleep
"study
"(silence)
"when
"is
"sleep
"study
"at
"home
"using
"equipment
"borrowed
"from
"the
"medical
"facility
"(silence)
"the
"second
"is
"sleep
"study
"at
"hospital
"or
"sleep
"center
"in a / in the
"sleep
"lab
"(silence)
"sleep
"studies
"performed
"in
"the
"lab
"more
"comprehensive
"and
"provide
"your
"doctor
"with
"more
"details
"about
"your
"sleep
"cycle
"and
"brain
"waves
"In
"lab sleep / labs sleep
"studies
"are
"preferred
"by
"most
"medical
"providers
"have
"seen
"the
"disability
"rates
"at
"the
"VA
"be
"picky
"about
"the
"at
"home
"sleep
"studies
"(silence)
"but
"if
"your
"doctor
"prescribes treatment / prescribed treatment / prescribe treatment
"for
"sleep
"disorder
"(silence)
"The / A
"disability
"raiders / Raiders
"need
"to
"get
"over
"it
"Treatment
"for
"the
"disease
"will depend / would depend
"on
"the
"type and severity / type in severity
"of
"sleep
"apnea
"(silence)
"treatment
"may
"include
"(silence)
"an / in
"oral
"appliance
"such
"as a / as the
"mandibular
"advancement
"device
"(silence)
"respiratory
"appliances
"for
"positive
"airway
"pressure
"therapy
"(silence)
"such
"CPAP
"or
"BiPAP
"(silence)
"surgery
"to
"remove
"tissues
"in
"the
"upper
"airway
"(silence)
"also known as a UB / also known as the UB
"three
"Surgery
"to
"remove
"tonsils
"and
"add
"annoyed's / annoyed
"(silence)
"hypoglossal
"nerve
"stimulation
"another
"important
"treatment
"goal
"is
"to
"obtain
"optimal
"control
"of
"the
"contributing
"disease
"However
"one
"study
"showed
"that
"even
"after
"obtaining
"control
"of
"thyroid
"function
"in / and
"those
"with
"sleep
"apnea
"sleep
"apnea
"was / which / with
"still
"present
"(silence)
"there are / there
"currently
"no
"medication is proven / medication proven
"to
"treat
"the
"disease
"of
"sleep apnea
"(silence)
"medication
"'s can / can
"be
"prescribed
"to
"treat
"the
"symptoms
"of
"sleep
"apnea
"and
"to
"assist
"with
"sleep
"hygiene
"so
"why
"does
"it
"seem
"to
"be
"spreading
"like
"the
"plague
"(silence)
"we
"believe
"it's
"more
"about
"increased
"awareness
"and
"testing in / testing and
"been
"something
"contagious
"(silence)
"let's
"go
"back
"in
"time
"(silence)
"stopping / stop being
"breathing
"or
"apnea
"during
"sleep
"was
"first
"discovered
"in
"19
"(silence)
"While
"observing
"patients
"with
"obesity
"hypoventilation
"syndrome medical / syndrome a medical / syndrome and medical
"text from / texts from
"19
"discussed
"obesity
"hypoventilation
"syndrome
"as
"(silence)
"weight
"of
"chest
"wall
"and
"obstructing
"fat
"mechanically
"impede
"chest
"wall
"movements
"(silence)
"upper
"airway
"including
"sinuses
"in / and
"throat
"may
"also
"obstruct
"intermittently
"In
"19
"there were / they were
"many
"theories
"as
"to
"what
"caused
"obesity
"hypoventilation
"syndrome
"including
"muscle
"disease
"lung
"disease
"and
"brain
"disease
"(silence)
"at / if
"that
"time
"if
"patient's obesity / patient obesity
"hypoventilation
"syndrome was / syndrome is
"severe
"enough
"to
"cause
"lung
"failure
"The
"treatment
"was a / was the
"tracheostomy
"then
"in
"19
"80
"an / and
"alternate
"treatment
"was
"discovered
"(silence)
"after
"patient
"with
"severe
"apnea
"during
"sleep
"refuse surgical / review surgical
"surgical
"placement
"of
"tracheostomy
"was trialed on / was trials and / was trials on / was child on
"continuous
"positive
"airway
"pressure
"(silence)
"or
"CPAP
"through
"nasal
"device
"(silence)
"the
"right
"amount
"of
"pressure
"was
"provided
"to
"the
"patient
"through
"the
"nasal
"device
"is
"apnea
"stopped
"The
"patient
"was
"monitored
"through
"the
"night while / night well
"using
"the
"nasal
"device
"and
"he
"was
"able
"to
"sleep
"for
"seven
"hours
"without
"apnea
"(silence)
"however
"the
"successful
"discovery
"didn't
"go
"viral
"(silence)
"almost
"20
"years
"after
"his discovery / its discovery
"in
"19
"8 / 80
"4 / for
"sleep apnea
"given
"diagnostic
"code
"for
"doctors
"and
"hospitals
"to
"use
"In
"19
"just
"over
"00
"patients
"were
"being
"treated
"for
"sleep apnea
"with
"CPAP
"machine
"end / and
"in
"19
"the
"VA
"published a / publish the / published the
"proposed
"rule
"to
"allow
"for
"public
"notice
"and
"comment
"regarding
"sleep
"apnea
"before
"publishing
"the
"final
"rule
"in
"the
"code of federal regulations / Code of Federal Regulations
"public
"comments
"were
"made
"regarding
"the
"proposed sleep / propose sleep
"apnea
"criteria
"that
"was
"decided
"by
"the
"VA
"central / Central
"office
"(silence)
"from
"the
"outside
"we
"may
"never
"understand
"how
"the
"VA
"central / Central
"office
"established a / established the / establish the
"criteria
"for
"sleep
"apnea
"(silence)
"interestingly
"Interestingly
"when
"it
"comes
"to
"fatigue
"and
"decreased
"cognition
"following
"sleep
"deprivation
"tractor-trailer
"drivers
"I've
"been
"aware
"of
"driver
"fatigue
"for
"years
"(silence)
"even
"before
"the
"motor
"carrier
"act
"of
"19
"which
"allowed
"limitations / limitation
"of
"truck
"drivers / driver's
"hours
"(silence)
"that
"the
"symptoms
"of
"driver
"fatigue
"closely
"paralleled with / parallel with
"symptoms
"of
"sleep
"apnea
"study
"was
"sponsored
"partly
"by
"the
"federal
"motor
"carrier
"safety
"administration
"or
"FMC essay / FM CSA
"in
"00
"to
"identify
"how
"many
"truck
"drivers
"had
"sleep
"apnea
"The
"study
"found the 2 / found that 2 / found a 2
"of
"truck
"drivers
"living
"within
"50
"mile
"radius
"of
"the
"University of Pennsylvania / university of Pennsylvania
"at
"sleep apnea
"Medical / A medical
"expert
"panel
"was
"formed
"following the / following to
"study
"(silence)
"and
"made
"recommendations
"to
"the
"FMC essay / FM CSA
"in
"008
"regarding
"sleep apnea
"(silence)
"and
"when
"the
"standard
"medical
"exam
"form
"for
"all
"truck
"drivers
"was
"released
"in
"20
"16
"(silence)
"questions
"about
"sleep
"habits
"were
"asked
"of
"every
"driver
"Every
"tractor-trailer
"driver
"referred
"to
"as
"truck
"driver
"in
"this
"article
"(silence)
"must
"pass
"medical
"exam
"to
"obtain
"certificate
"to
"drive
"(silence)
"if
"the
"truck
"driver
"has
"enough
"risk
"factors
"for
"sleep apnea
"(silence)
"and the / in the
"medical
"examiner
"may
"give
"the
"truck
"driver
"at
"three
"month
"certificate
"(silence)
"And require / Require / In require
"sleep
"study
"before
"the
"driver
"can
"obtain the standard / obtain a standard
"certification
"period / .
"of a one / Of a one / Of one
"or
"two
"year
"certificate
"The truck / A truck / Truck
"driver
"then
"must
"return
"with
"the
"sleep
"study
"results
"improve
"of
"treatment
"if
"the
"study
"was
"positive
"for
"sleep
"apnea
"in
"order
"to
"get
"the
"longer
"certificate
"(silence)
"if
"the
"driver
"has
"sleep
"apnea
"but he's / but is
"not
"compliant
"with
"their
"CPAP
"machine
"the
"medical
"examiner
"can
"fail
"the
"truck
"driver
"(silence)
"The
"back-and-forth
"process
"can
"be
"worrisome
"for
"the
"driver
"(silence)
"due
"to
"concerns
"of
"not
"obtaining
"their
"certificate
"and
"losing
"their
"livelihood
"(silence)
"with
"the
"increased
"awareness
"in / and
"testing
"for
"sleep apnea
"that can / there can
"be
"delay
"in
"obtaining
"testing
"and / in
"truck
"Trevor / driver
"may
"not
"get
"the
"sleep
"study
"done
"in
"time
"or
"they
"may
"not
"get
"their
"CPAP
"in
"time
"Some
"medical
"companies
"even
"started
"to
"target
"tractor-trailer
"drivers
"to
"get
"an
"easy
"and
"quick
"sleep
"study
"so
"that
"their
"certification
"and / in
"their
"livelihood
"weren't affected / were affected
"(silence)
"the
"study
"brought
"more
"awareness
"about
"sleep apnea to / sleep apnea at the
"medical
"professionals
"and
"intern
"brought
"awareness
"veterans
"this