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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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0:03
"Bethany
0:03
"Spangenberg
0:04
"(silence)
0:05
"physician
0:05
"assistant
0:06
"accredited
0:07
"VA
0:07
"agent
0:08
"president Veiller / president valor / president they live / president valid / president they look / president they leave
0:09
"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
0:12
"Can't
0:12
"sleep
0:12
"(silence)
0:13
"feeling
0:14
"exhausted
0:14
"(silence)
0:15
"never
0:16
"enough
0:16
"coffee your / coffee you / coffee you're / coffee do you
0:18
"weight / wake / weak
0:18
"from
0:18
"your
0:19
"sleep
0:19
"for
0:19
"the
0:19
"third
0:19
"time
0:20
"and
0:20
"you
0:21
"still
0:21
"have
0:21
"a few
0:21
"more
0:22
"hours
0:22
"before
0:22
"it's
0:23
"time
0:23
"to
0:23
"roll
0:23
"out of
0:24
"bed
0:24
"for
0:24
"the
0:24
"day
0:24
"(silence)
0:25
"are you checking / re-checking
0:26
"the
0:26
"doors
0:27
"(silence)
0:28
"the
0:28
"gun
0:28
"safe
0:30
"having
0:30
"nightmares
0:31
"or
0:31
"flashbacks
0:33
"Up
0:34
"for
0:34
"work
0:34
"coffee
0:35
"in / and
0:35
"hand / head
0:37
"on
0:37
"to start / the start
0:37
"the
0:38
"day
0:38
"(silence)
0:39
"and / in
0:39
"day
0:39
"after
0:40
"day
0:40
"you
0:41
"fight
0:41
"the
0:41
"fatigue
0:42
"(silence)
0:42
"the
0:42
"days
0:43
"are
0:43
"long
0:43
"but
0:44
"the
0:44
"years
0:44
"flyby / fly by
0:45
"and
0:46
"now
0:46
"you've
0:46
"put
0:47
"off
0:47
"the
0:47
"Y
0:48
"for
0:49
"years
0:49
"(silence)
0:50
"why
0:51
"are
0:51
"you
0:51
"having
0:51
"trouble
0:52
"sleeping
0:53
"why
0:54
"are
0:54
"you
0:54
"always
0:54
"tired
0:56
"Is
0:56
"it
0:56
"your
0:56
"post
0:56
"traumatic
0:57
"stress
0:57
"disorder
0:58
"or
0:58
"PTSD
1:00
"causing
1:00
"your
1:00
"chronic
1:01
"sleep
1:01
"troubles
1:02
"(silence)
1:02
"or
1:02
"are
1:03
"you
1:03
"now
1:03
"also
1:03
"suffering
1:04
"from
1:04
"sleep apnea
1:05
"(silence)
1:06
"You've
1:07
"probably
1:07
"heard
1:07
"about
1:07
"sleep apnea
1:08
"a lot
1:09
"lately
1:09
"because
1:10
"it
1:10
"seems
1:10
"like
1:10
"everyone
1:11
"has
1:11
"it
1:12
"(silence)
1:13
"also
1:13
"heard
1:13
"that
1:14
"you
1:14
"can
1:14
"get
1:14
"a
1:14
"50
1:15
"%
1:15
"disability
1:16
"rating
1:16
"if
1:17
"you
1:17
"get
1:18
"service-connected / service connected
1:18
"for
1:19
"it
1:19
"(silence)
1:20
"game
1:21
"on
1:22
"(silence)
1:23
"but
1:23
"before
1:24
"you
1:24
"make
1:24
"your
1:24
"first
1:25
"move
1:25
"let's / which
1:26
"get
1:26
"a
1:26
"better
1:26
"understanding
1:27
"of
1:27
"which sleep apnea / what sleep apnea
1:29
"is
1:29
"and / in
1:30
"why
1:30
"it
1:30
"seems
1:30
"to
1:30
"be
1:31
"spreading
1:31
"like
1:32
"the
1:32
"plague
1:34
"Before
1:34
"you
1:35
"start
1:35
"(silence)
1:36
"sleep
1:37
"apnea
1:37
"generally
1:38
"is it disease / is a disease
1:39
"where
1:39
"your
1:39
"brain
1:40
"and
1:40
"breathing
1:40
"structures
1:41
"are
1:41
"not
1:41
"working
1:42
"together
1:42
"adequately
1:43
"to
1:43
"breathe
1:44
"and
1:44
"maintain
1:44
"oxygen
1:45
"during
1:45
"sleep
1:46
"(silence)
1:47
"sleep apnea
1:48
"is
1:48
"categorized
1:49
"into
1:49
"three
1:49
"types
1:50
"obstructive
1:52
"central
1:52
"and
1:53
"mixed
1:53
"(silence)
1:54
"like
1:54
"many
1:54
"other
1:55
"diseases
1:56
"the
1:56
"exact
1:56
"mechanism
1:57
"of
1:57
"the
1:57
"disease
1:58
"development
1:59
"is
1:59
"not
1:59
"known
2:00
"but
2:00
"many
2:00
"diseases
2:01
"are
2:01
"thought
2:01
"to
2:01
"cause sleep / call sleep
2:02
"apnea
2:03
"and
2:03
"to
2:03
"aggravate
2:04
"sleep
2:04
"apnea
2:05
"including
2:06
"PTSD
2:07
"other
2:08
"diseases
2:08
"associated
2:09
"with
2:09
"sleep apnea
2:10
"or
2:11
"known
2:11
"to
2:11
"cause
2:11
"an / and / in
2:12
"aggravate sleep apnea / aggravates sleep apnea
2:13
"include
2:14
"congestive
2:15
"heart
2:15
"failure
2:16
"pulmonary
2:17
"hypertension
2:18
"type
2:18
"two
2:19
"diabetes
2:20
"chronic
2:20
"lung
2:21
"disease
2:22
"strokes
2:23
"thyroid
2:23
"disease
2:24
"Parkinson's
2:25
"disease
2:26
"Structural
2:27
"deformities
2:27
"of
2:28
"the
2:28
"upper
2:28
"or
2:28
"lower
2:29
"airway
2:30
"just
2:30
"to / the
2:30
"name
2:30
"a few / of you
2:31
"(silence)
2:32
"the
2:32
"symptoms
2:33
"of
2:33
"sleep apnea
2:34
"are
2:34
"often
2:34
"put
2:34
"off
2:35
"by
2:35
"people
2:35
"as
2:36
"I
2:36
"just
2:36
"didn't
2:36
"sleep
2:37
"well
2:37
"(silence)
2:38
"but
2:38
"overtime becomes / overtime if he comes / overtime it becomes
2:40
"I
2:40
"don't
2:40
"sleep
2:41
"well
2:41
"(silence)
2:43
"some
2:43
"symptoms
2:44
"may
2:44
"include
2:44
"(silence)
2:45
"daytime
2:45
"sleepiness
2:46
"(silence)
2:47
"fatigue
2:48
"(silence)
2:49
"poor
2:49
"concentration
2:50
"(silence)
2:50
"morning
2:51
"headaches
2:52
"(silence)
2:52
"insomnia
2:53
"(silence)
2:54
"snoring
2:55
"(silence)
2:55
"gasping
2:56
"during
2:56
"sleep
2:57
"(silence)
2:57
"choking
2:58
"during
2:58
"sleep
2:59
"(silence)
3:00
"snoring
3:00
"during
3:01
"sleep
3:02
"stopping / stop being
3:02
"breathing
3:03
"while
3:03
"sleeping
3:05
"Depression
3:05
"(silence)
3:06
"often the / often a
3:07
"spouse
3:08
"or / or a
3:08
"family
3:08
"member
3:09
"will tell / would tell
3:09
"the
3:09
"veteran
3:10
"if they / that they
3:11
"stop / stopped
3:11
"breathing
3:11
"during
3:12
"sleep
3:12
"complain
3:13
"and
3:13
"laugh if there's snoring / laugh at the snoring / laugh at their snoring
3:14
"gasping
3:15
"or
3:15
"choking
3:16
"(silence)
3:18
"does / is
3:18
"this
3:18
"sound
3:18
"like
3:18
"you
3:19
"(silence)
3:20
"to
3:20
"find
3:21
"out
3:21
"if
3:21
"you
3:21
"have
3:21
"sleep
3:22
"apnea
3:23
"need
3:23
"to
3:23
"have
3:23
"a
3:23
"sleep
3:24
"study
3:24
"(silence)
3:25
"a
3:25
"sleep
3:25
"study
3:26
"will
3:26
"tell
3:26
"your
3:26
"doctor
3:27
"how
3:27
"well
3:27
"your
3:28
"body
3:28
"is
3:28
"keeping
3:28
"up
3:29
"with
3:29
"breathing
3:30
"and
3:30
"maintaining
3:30
"oxygen
3:31
"during
3:31
"sleep
3:32
"if I sleep / if the sleep
3:33
"apnea
3:33
"results
3:34
"show
3:34
"if
3:34
"if
3:34
"the
3:34
"sleep
3:35
"apnea
3:35
"results
3:36
"show
3:36
"an
3:36
"apnea
3:37
"hypo
3:37
"apnea
3:38
"index
3:39
"or
3:39
"HI / a HI
3:40
"of five / a five
3:41
"or
3:41
"more
3:41
"events
3:41
"per
3:41
"hour
3:42
"on
3:42
"average
3:42
"do
3:43
"have
3:43
"sleep
3:43
"apnea
3:45
"There
3:46
"are
3:46
"two
3:46
"main
3:46
"ways
3:47
"to
3:47
"complete
3:47
"a
3:47
"sleep
3:47
"study
3:48
"(silence)
3:48
"when
3:49
"is
3:49
"a
3:49
"sleep
3:49
"study
3:50
"at
3:50
"home
3:50
"using
3:50
"equipment
3:51
"borrowed
3:51
"from
3:51
"the
3:51
"medical
3:52
"facility
3:53
"(silence)
3:53
"the
3:53
"second
3:54
"is
3:54
"a
3:54
"sleep
3:54
"study
3:55
"at
3:55
"a
3:55
"hospital
3:56
"or
3:56
"sleep
3:56
"center
3:57
"in a / in the
3:57
"sleep
3:57
"lab
3:58
"(silence)
3:58
"sleep
3:59
"studies
3:59
"performed
3:59
"in
4:00
"the
4:00
"lab
4:01
"more
4:01
"comprehensive
4:02
"and
4:02
"provide
4:02
"your
4:02
"doctor
4:03
"with
4:03
"more
4:03
"details
4:04
"about
4:04
"your
4:04
"sleep
4:04
"cycle
4:05
"and
4:05
"brain
4:06
"waves
4:07
"In
4:07
"lab sleep / labs sleep
4:08
"studies
4:08
"are
4:08
"preferred
4:09
"by
4:09
"most
4:09
"medical
4:10
"providers
4:12
"have
4:13
"seen
4:13
"the
4:13
"disability
4:14
"rates
4:14
"at
4:14
"the
4:14
"VA
4:15
"be
4:15
"picky
4:16
"about
4:16
"the
4:16
"at
4:16
"home
4:16
"sleep
4:17
"studies
4:17
"(silence)
4:18
"but
4:18
"if
4:18
"your
4:18
"doctor
4:19
"prescribes treatment / prescribed treatment / prescribe treatment
4:20
"for
4:20
"a
4:20
"sleep
4:20
"disorder
4:21
"(silence)
4:21
"The / A
4:21
"disability
4:22
"raiders / Raiders
4:23
"need
4:23
"to
4:23
"get
4:23
"over
4:24
"it
4:25
"Treatment
4:25
"for
4:26
"the
4:26
"disease
4:26
"will depend / would depend
4:27
"on
4:27
"the
4:27
"type and severity / type in severity
4:28
"of
4:28
"sleep
4:29
"apnea
4:29
"(silence)
4:30
"treatment
4:31
"may
4:31
"include
4:31
"(silence)
4:32
"an / in
4:32
"oral
4:33
"appliance
4:34
"such
4:34
"as a / as the
4:34
"mandibular
4:35
"advancement
4:36
"device
4:36
"(silence)
4:38
"respiratory
4:38
"appliances
4:39
"for
4:39
"positive
4:40
"airway
4:40
"pressure
4:40
"therapy
4:41
"(silence)
4:41
"such
4:42
"a
4:42
"CPAP
4:43
"or
4:43
"BiPAP
4:44
"(silence)
4:44
"surgery
4:45
"to
4:45
"remove
4:46
"tissues
4:46
"in
4:46
"the
4:46
"upper
4:47
"airway
4:47
"(silence)
4:48
"also known as a UB / also known as the UB
4:49
"three
4:50
"Surgery
4:51
"to
4:51
"remove
4:51
"tonsils
4:52
"and
4:52
"add
4:52
"annoyed's / annoyed
4:53
"(silence)
4:54
"hypoglossal
4:55
"nerve
4:55
"stimulation
4:57
"another
4:58
"important
4:58
"treatment
4:59
"goal
4:59
"is
4:59
"to
4:59
"obtain
5:00
"optimal
5:00
"control
5:01
"of
5:01
"the
5:01
"contributing
5:02
"disease
5:03
"However
5:04
"one
5:04
"study
5:05
"showed
5:05
"that
5:05
"even
5:06
"after
5:06
"obtaining
5:06
"control
5:07
"of
5:07
"thyroid
5:07
"function
5:08
"in / and
5:08
"those
5:08
"with
5:08
"sleep
5:09
"apnea
5:09
"sleep
5:10
"apnea
5:10
"was / which / with
5:11
"still
5:11
"present
5:12
"(silence)
5:13
"there are / there
5:13
"currently
5:14
"no
5:14
"medication is proven / medication proven
5:15
"to
5:16
"treat
5:16
"the
5:16
"disease
5:16
"of
5:17
"sleep apnea
5:17
"(silence)
5:18
"medication
5:19
"'s can / can
5:19
"be
5:19
"prescribed
5:20
"to
5:20
"treat
5:20
"the
5:20
"symptoms
5:20
"of
5:21
"sleep
5:21
"apnea
5:22
"and
5:22
"to
5:22
"assist
5:23
"with
5:23
"sleep
5:23
"hygiene
5:25
"so
5:25
"why
5:26
"does
5:26
"it
5:26
"seem
5:26
"to
5:26
"be
5:27
"spreading
5:27
"like
5:28
"the
5:28
"plague
5:28
"(silence)
5:29
"we
5:29
"believe
5:29
"it's
5:30
"more
5:30
"about
5:30
"increased
5:30
"awareness
5:31
"and
5:32
"testing in / testing and
5:32
"been
5:33
"something
5:33
"contagious
5:34
"(silence)
5:34
"let's
5:35
"go
5:35
"back
5:35
"in
5:35
"time
5:36
"(silence)
5:37
"stopping / stop being
5:38
"breathing
5:38
"or
5:39
"apnea
5:39
"during
5:40
"sleep
5:40
"was
5:40
"first
5:40
"discovered
5:41
"in
5:41
"19
5:42
"6
5:42
"5
5:43
"(silence)
5:43
"While
5:43
"observing
5:44
"patients
5:44
"with
5:44
"obesity
5:45
"hypoventilation
5:46
"syndrome medical / syndrome a medical / syndrome and medical
5:47
"text from / texts from
5:48
"19
5:48
"7
5:48
"9
5:49
"discussed
5:50
"obesity
5:50
"hypoventilation
5:51
"syndrome
5:52
"as
5:52
"(silence)
5:53
"weight
5:53
"of
5:53
"chest
5:54
"wall
5:54
"and
5:54
"obstructing
5:55
"fat
5:55
"mechanically
5:56
"impede
5:57
"chest
5:57
"wall
5:57
"movements
5:58
"(silence)
5:58
"upper
5:59
"airway
6:00
"including
6:00
"sinuses
6:01
"in / and
6:01
"throat
6:01
"may
6:02
"also
6:02
"obstruct
6:03
"intermittently
6:05
"In
6:05
"19
6:06
"7
6:06
"9
6:07
"there were / they were
6:07
"many
6:07
"theories
6:08
"as
6:08
"to
6:08
"what
6:08
"caused
6:09
"obesity
6:09
"hypoventilation
6:10
"syndrome
6:11
"including
6:12
"muscle
6:12
"disease
6:13
"lung
6:13
"disease
6:14
"and
6:14
"brain
6:15
"disease
6:15
"(silence)
6:16
"at / if
6:16
"that
6:16
"time
6:17
"if
6:17
"a
6:17
"patient's obesity / patient obesity
6:18
"hypoventilation
6:19
"syndrome was / syndrome is
6:20
"severe
6:20
"enough
6:20
"to
6:21
"cause
6:21
"lung
6:21
"failure
6:22
"The
6:22
"treatment
6:22
"was a / was the
6:23
"tracheostomy
6:24
"then
6:25
"in
6:25
"19
6:25
"80
6:26
"an / and
6:26
"alternate
6:27
"treatment
6:27
"was
6:27
"discovered
6:28
"(silence)
6:28
"after
6:29
"a
6:29
"patient
6:29
"with
6:29
"severe
6:30
"apnea
6:30
"during
6:31
"sleep
6:31
"refuse surgical / review surgical
6:32
"surgical
6:32
"placement
6:33
"of
6:33
"a
6:33
"tracheostomy
6:34
"was trialed on / was trials and / was trials on / was child on
6:35
"continuous
6:36
"positive
6:36
"airway
6:36
"pressure
6:37
"(silence)
6:37
"or
6:37
"CPAP
6:38
"through
6:38
"a
6:39
"nasal
6:39
"device
6:39
"(silence)
6:40
"the
6:40
"right
6:41
"amount
6:41
"of
6:41
"pressure
6:41
"was
6:42
"provided
6:42
"to
6:42
"the
6:42
"patient
6:43
"through
6:43
"the
6:43
"nasal
6:43
"device
6:44
"is
6:44
"apnea
6:45
"stopped
6:47
"The
6:47
"patient
6:47
"was
6:47
"monitored
6:48
"through
6:48
"the
6:48
"night while / night well
6:49
"using
6:49
"the
6:49
"nasal
6:50
"device
6:50
"and
6:51
"he
6:51
"was
6:51
"able
6:51
"to
6:51
"sleep
6:52
"for
6:52
"seven
6:52
"hours
6:53
"without
6:53
"apnea
6:54
"(silence)
6:54
"however
6:55
"the
6:55
"successful
6:55
"discovery
6:56
"didn't
6:56
"go
6:57
"viral
6:57
"(silence)
6:58
"almost
6:59
"20
6:59
"years
6:59
"after
7:00
"his discovery / its discovery
7:01
"in
7:01
"19
7:01
"8 / 80
7:02
"4 / for
7:02
"sleep apnea
7:04
"given
7:04
"a
7:04
"diagnostic
7:05
"code
7:05
"for
7:05
"doctors
7:06
"and
7:06
"hospitals
7:06
"to
7:07
"use
7:08
"In
7:08
"19
7:09
"8
7:09
"5
7:10
"just
7:10
"over
7:10
"1
7:11
"00
7:11
"patients
7:11
"were
7:11
"being
7:12
"treated
7:12
"for
7:12
"sleep apnea
7:13
"with
7:13
"a
7:13
"CPAP
7:14
"machine
7:15
"end / and
7:16
"in
7:16
"19
7:16
"9
7:16
"6
7:17
"the
7:17
"VA
7:18
"published a / publish the / published the
7:18
"proposed
7:19
"rule
7:19
"to
7:19
"allow
7:20
"for
7:20
"public
7:20
"notice
7:21
"and
7:21
"comment
7:21
"regarding
7:22
"sleep
7:22
"apnea
7:23
"before
7:23
"publishing
7:24
"the
7:24
"final
7:24
"rule
7:24
"in
7:25
"the
7:25
"code of federal regulations / Code of Federal Regulations
7:28
"public
7:28
"comments
7:29
"were
7:29
"made
7:29
"regarding
7:29
"the
7:29
"proposed sleep / propose sleep
7:30
"apnea
7:30
"criteria
7:31
"that
7:32
"was
7:32
"decided
7:32
"by
7:32
"the
7:33
"VA
7:33
"central / Central
7:33
"office
7:34
"(silence)
7:35
"from
7:35
"the
7:35
"outside
7:36
"we
7:36
"may
7:37
"never
7:37
"understand
7:38
"how
7:38
"the
7:38
"VA
7:38
"central / Central
7:39
"office
7:39
"established a / established the / establish the
7:40
"criteria
7:40
"for
7:41
"sleep
7:41
"apnea
7:41
"(silence)
7:43
"interestingly
7:43
"Interestingly
7:44
"when
7:44
"it
7:44
"comes
7:45
"to
7:45
"fatigue
7:45
"and
7:46
"decreased
7:46
"cognition
7:47
"following
7:47
"sleep
7:47
"deprivation
7:49
"tractor-trailer
7:49
"drivers
7:50
"I've
7:50
"been
7:50
"aware
7:51
"of
7:51
"driver
7:51
"fatigue
7:52
"for
7:52
"years
7:53
"(silence)
7:54
"even
7:54
"before
7:54
"the
7:54
"motor
7:55
"carrier
7:55
"act
7:55
"of
7:55
"19
7:56
"3
7:56
"5
7:57
"which
7:57
"allowed
7:58
"limitations / limitation
7:58
"of
7:59
"a
7:59
"truck
7:59
"drivers / driver's
7:59
"hours
8:00
"(silence)
8:01
"that
8:01
"the
8:01
"symptoms
8:01
"of
8:02
"driver
8:02
"fatigue
8:03
"closely
8:03
"paralleled with / parallel with
8:04
"symptoms
8:04
"of
8:04
"sleep
8:05
"apnea
8:06
"study
8:06
"was
8:06
"sponsored
8:07
"partly
8:07
"by
8:07
"the
8:07
"federal
8:08
"motor
8:08
"carrier
8:09
"safety
8:09
"administration
8:10
"or
8:11
"FMC essay / FM CSA
8:12
"in
8:12
"2
8:12
"00
8:13
"2
8:13
"to
8:13
"identify
8:14
"how
8:14
"many
8:14
"truck
8:15
"drivers
8:15
"had
8:15
"sleep
8:16
"apnea
8:17
"The
8:17
"study
8:18
"found the 2 / found that 2 / found a 2
8:19
"8
8:19
"%
8:19
"of
8:20
"1
8:20
"3
8:21
"9
8:21
"1
8:21
"truck
8:21
"drivers
8:22
"living
8:22
"within
8:22
"a
8:23
"50
8:23
"mile
8:23
"radius
8:24
"of
8:24
"the
8:24
"University of Pennsylvania / university of Pennsylvania
8:26
"at
8:26
"sleep apnea
8:28
"Medical / A medical
8:29
"expert
8:29
"panel
8:29
"was
8:29
"formed
8:30
"following the / following to
8:30
"study
8:31
"(silence)
8:32
"and
8:32
"made
8:32
"recommendations
8:33
"to
8:33
"the
8:33
"FMC essay / FM CSA
8:34
"in
8:34
"2
8:35
"008
8:35
"regarding
8:36
"sleep apnea
8:36
"(silence)
8:38
"and
8:38
"when
8:38
"the
8:38
"standard
8:39
"medical
8:39
"exam
8:39
"form
8:40
"for
8:40
"all
8:40
"truck
8:40
"drivers
8:41
"was
8:41
"released
8:41
"in
8:41
"20
8:42
"16
8:42
"(silence)
8:43
"questions
8:44
"about
8:44
"sleep
8:44
"habits
8:44
"were
8:45
"asked
8:45
"of
8:45
"every
8:46
"driver
8:47
"Every
8:47
"tractor-trailer
8:48
"driver
8:48
"referred
8:49
"to
8:49
"as
8:49
"a
8:50
"truck
8:50
"driver
8:50
"in
8:51
"this
8:51
"article
8:51
"(silence)
8:52
"must
8:52
"pass
8:52
"a
8:53
"medical
8:53
"exam
8:54
"to
8:54
"obtain
8:54
"a
8:54
"certificate
8:55
"to
8:55
"drive
8:56
"(silence)
8:56
"if
8:56
"the
8:56
"truck
8:56
"driver
8:57
"has
8:57
"enough
8:57
"risk
8:58
"factors
8:58
"for
8:58
"sleep apnea
8:59
"(silence)
9:00
"and the / in the
9:00
"medical
9:00
"examiner
9:01
"may
9:01
"give
9:01
"the
9:01
"truck
9:02
"driver
9:02
"at
9:02
"three
9:02
"month
9:03
"certificate
9:03
"(silence)
9:04
"And require / Require / In require
9:04
"a
9:05
"sleep
9:05
"study
9:05
"before
9:06
"the
9:06
"driver
9:06
"can
9:06
"obtain the standard / obtain a standard
9:07
"certification
9:08
"period / .
9:08
"of a one / Of a one / Of one
9:09
"or
9:09
"two
9:09
"year
9:10
"certificate
9:11
"The truck / A truck / Truck
9:12
"driver
9:12
"then
9:12
"must
9:12
"return
9:13
"with
9:13
"the
9:13
"sleep
9:13
"study
9:14
"results
9:14
"improve
9:15
"of
9:15
"treatment
9:15
"if
9:16
"the
9:16
"study
9:16
"was
9:16
"positive
9:17
"for
9:17
"sleep
9:17
"apnea
9:18
"in
9:18
"order
9:18
"to
9:18
"get
9:18
"the
9:19
"longer
9:19
"certificate
9:20
"(silence)
9:21
"if
9:21
"the
9:21
"driver
9:21
"has
9:21
"sleep
9:22
"apnea
9:22
"but he's / but is
9:23
"not
9:23
"compliant
9:24
"with
9:24
"their
9:24
"CPAP
9:24
"machine
9:25
"the
9:25
"medical
9:26
"examiner
9:26
"can
9:26
"fail
9:27
"the
9:27
"truck
9:27
"driver
9:27
"(silence)
9:28
"The
9:28
"back-and-forth
9:29
"process
9:29
"can
9:30
"be
9:30
"worrisome
9:30
"for
9:31
"the
9:31
"driver
9:31
"(silence)
9:32
"due
9:33
"to
9:33
"concerns
9:33
"of
9:33
"not
9:34
"obtaining
9:34
"their
9:34
"certificate
9:35
"and
9:35
"losing
9:35
"their
9:36
"livelihood
9:36
"(silence)
9:37
"with
9:37
"the
9:37
"increased
9:38
"awareness
9:38
"in / and
9:39
"testing
9:39
"for
9:39
"sleep apnea
9:40
"that can / there can
9:41
"be
9:41
"a
9:41
"delay
9:41
"in
9:41
"obtaining
9:42
"testing
9:43
"and / in
9:43
"a
9:43
"truck
9:43
"Trevor / driver
9:44
"may
9:44
"not
9:44
"get
9:44
"the
9:44
"sleep
9:45
"study
9:45
"done
9:45
"in
9:45
"time
9:46
"or
9:47
"they
9:47
"may
9:47
"not
9:47
"get
9:47
"their
9:47
"CPAP
9:48
"in
9:48
"time
9:49
"Some
9:50
"medical
9:50
"companies
9:51
"even
9:51
"started
9:51
"to
9:51
"target
9:52
"tractor-trailer
9:53
"drivers
9:53
"to
9:54
"get
9:54
"an
9:54
"easy
9:55
"and
9:55
"quick
9:55
"sleep
9:55
"study
9:56
"so
9:56
"that
9:56
"their
9:56
"certification
9:57
"and / in
9:58
"their
9:58
"livelihood
9:58
"weren't affected / were affected
9:59
"(silence)
10:00
"the
10:00
"2
10:00
"00
10:01
"2
10:01
"study
10:01
"brought
10:02
"more
10:02
"awareness
10:02
"about
10:03
"sleep apnea to / sleep apnea at the
10:04
"medical
10:04
"professionals
10:05
"and
10:05
"intern
10:06
"brought
10:06
"awareness
10:07
"to
10:07
"veterans
10:08
"this
10:08
"is
10:08
"because
10:09
"more
10:09
"than
10:09
"8
10:09
"million
10:10
"military
10:10
"veterans
10:11
"are
10:11
"truck
10:11
"drivers
10:12
"(silence)
10:12
"when
10:13
"one
10:13
"veteran
10:13
"truck
10:13
"driver
10:14
"gets service / get service
10:14
"connected
10:15
"for
10:15
"sleep
10:15
"apnea
10:16
"at
10:16
"50
10:16
"%
10:17
"(silence)
10:17
"bus
10:18
"route
10:18
"the
10:18
"truckstop
10:18
"turns
10:19
"to
10:19
"VA
10:19
"disability
10:20
"compensation
10:21
"(silence)
10:23
"rules
10:23
"of
10:23
"the
10:23
"game
10:24
"(silence)
10:25
"in
10:25
"order
10:26
"to
10:26
"win
10:26
"a
10:26
"service
10:27
"connection nexus / connection Nexus / connection a nexus
10:28
"or relationship / relationship
10:29
"between
10:29
"PTSD
10:30
"and
10:31
"sleep apnea
10:31
"must
10:32
"exist
10:33
"(silence)
10:33
"when
10:34
"Bethany a former / Bethany former / Bethany a formal
10:35
"A / The
10:35
"former / formal
10:35
"compensation
10:36
"and
10:36
"pension
10:37
"examiner / Examiner
10:37
"And veteran / In veteran / Inventor and / Inveterate / Inventor in / Veteran / Inventor an / Investor and
10:38
"advocate / Advocate
10:39
"fresh
10:39
"out of
10:39
"the
10:39
"military
10:40
"within
10:40
"the
10:40
"Chillicothe VA AMC / Chillicothe VAMC / Chillicothe V AMC
10:42
"she
10:43
"believe there / believed there
10:43
"wasn't
10:44
"a
10:44
"connection
10:44
"between
10:45
"PTSD
10:46
"in
10:46
"sleep
10:46
"apnea
10:47
"(silence)
10:48
"however a changed / however that changed / however the changed / however it changed
10:50
"in
10:50
"the
10:50
"fall
10:50
"of
10:51
"20
10:51
"17
10:52
"when
10:52
"she
10:52
"attended
10:53
"a
10:53
"conference
10:53
"in
10:53
"San Antonio
10:54
"for
10:54
"veteran
10:55
"advocacy
10:56
"During
10:57
"the
10:57
"conference
10:57
"a
10:57
"doctor
10:58
"working
10:58
"as
10:58
"a
10:58
"medical
10:59
"advisor
10:59
"for
10:59
"the
11:00
"bee VA / BVA
11:01
"end of this Q&A / ended his Q&A / and the Q&A / ended the Q&A
11:02
"session
11:02
"stating
11:03
"that
11:03
"there
11:03
"is
11:04
"evidence
11:04
"to
11:05
"show
11:05
"relationship
11:06
"between
11:06
"PTSD
11:07
"and
11:07
"sleep apnea
11:08
"(silence)
11:09
"I
11:09
"couldn't
11:10
"believe
11:10
"it
11:11
"a
11:11
"doctor
11:11
"says
11:12
"this
11:12
"in
11:12
"front
11:12
"of them / of it / of him
11:12
"for
11:12
"2
11:13
"50
11:14
"attorneys
11:14
"(silence)
11:15
"so
11:15
"I
11:15
"started
11:15
"digging
11:16
"into
11:16
"the
11:16
"medical
11:17
"literature
11:17
"says
11:18
"Bethany
11:19
"I looked / They looked
11:19
"at
11:19
"research
11:20
"studies
11:21
"considered / consider
11:21
"effects / affects
11:22
"of
11:22
"brain
11:22
"waves
11:23
"respiratory
11:24
"function
11:24
"blue
11:25
"lights / light
11:25
"the
11:26
"statistics
11:27
"and
11:27
"the
11:27
"risk
11:27
"factors
11:28
"I
11:28
"also
11:29
"looked
11:29
"at
11:29
"the
11:29
"laws
11:30
"more
11:30
"intently
11:31
"and
11:31
"discuss
11:31
"them
11:32
"with
11:32
"several
11:32
"attorneys
11:33
"and
11:33
"there
11:34
"is
11:34
"a
11:34
"relationship
11:35
"or
11:36
"nexus / Nexus
11:37
"in
11:37
"several
11:37
"avenues
11:38
"that PTSD / the PTSD
11:39
"causes
11:40
"or
11:40
"aggravate sleep / aggravates sleep
11:41
"apnea
11:42
"as well as
11:42
"many
11:43
"other
11:43
"diseases
11:46
"Now
11:47
"when
11:47
"it
11:47
"comes
11:47
"to
11:47
"winning
11:48
"a
11:48
"claim
11:48
"for
11:48
"sleep apnea
11:49
"with the / with a
11:49
"VA
11:50
"it's
11:50
"easy
11:51
"(silence)
11:52
"in
11:52
"an
11:52
"ideal
11:53
"world
11:53
"(silence)
11:54
"but
11:54
"if
11:54
"you're experienced enough / you experience enough
11:55
"with
11:55
"how
11:56
"the
11:56
"VA
11:56
"regional
11:57
"office
11:57
"functions
11:58
"it can / I can
11:58
"be
11:59
"very
11:59
"difficult
12:00
"(silence)
12:00
"it's
12:01
"more
12:01
"difficult
12:01
"if
12:02
"you
12:02
"depend
12:02
"on
12:02
"the
12:02
"VA
12:02
"'s
12:03
"compensation
12:03
"and
12:04
"pension
12:04
"doctor
12:07
"Your
12:07
"first
12:08
"move
12:08
"(silence)
12:10
"you
12:10
"even
12:10
"apply
12:10
"for
12:11
"sleep
12:11
"apnea
12:11
"direct to service / direct service / Director service / direct or service
12:12
"(silence)
12:13
"or
12:13
"secondary
12:14
"to
12:14
"another
12:14
"service-connected condition / service connected condition / service connect to condition / service connect a condition
12:16
"(silence)
12:16
"such
12:17
"as
12:17
"PTSD get a / PTSD go to
12:18
"sleep
12:19
"study
12:20
"If
12:20
"you were / you're / you are
12:20
"having
12:21
"trouble
12:21
"sleeping
12:21
"(silence)
12:22
"experiencing
12:23
"fatigue
12:24
"or
12:24
"have
12:24
"any
12:24
"of
12:24
"the
12:25
"above
12:25
"symptoms
12:25
"for
12:25
"sleep
12:26
"apnea
12:27
"ask
12:27
"your
12:27
"doctor
12:28
"about
12:28
"a
12:28
"referral
12:28
"to
12:29
"the
12:29
"sleep
12:29
"clinic
12:29
"for
12:30
"a
12:30
"sleep
12:30
"study
12:30
"(silence)
12:31
"next
12:32
"to
12:32
"solidify
12:33
"the
12:33
"service
12:33
"connection
12:34
"the
12:34
"nexus
12:35
"must
12:35
"be
12:35
"shown
12:35
"in
12:36
"each
12:36
"individual
12:36
"veteran
12:37
"and
12:37
"not
12:38
"simply
12:38
"summarized
12:39
"by
12:39
"a few
12:39
"research
12:39
"articles
12:40
"(silence)
12:41
"in
12:41
"order
12:42
"to
12:42
"know
12:42
"if
12:42
"your
12:42
"sleep
12:43
"apnea
12:43
"is
12:43
"caused
12:43
"by
12:44
"something
12:44
"related
12:44
"to
12:45
"military
12:45
"service
12:46
"(silence)
12:46
"a
12:46
"basic
12:47
"record
12:47
"review
12:48
"from
12:48
"From
12:48
"valor for vet / valor for that / valor for Vette / valor for Yvette / Valerie for vet / Valerie for that / valor vet
12:51
"the
12:51
"only
12:51
"way
12:51
"to
12:52
"know
12:52
"if
12:52
"there
12:52
"is
12:52
"a
12:52
"nexus / Nexus
12:53
"between
12:53
"your
12:53
"PTSD
12:54
"and
12:55
"your
12:55
"sleep
12:55
"apnea it's a let / apnea if you let / apnea it should let / apnea it will let / apnea is it let / apnea I still let
12:56
"one
12:57
"of
12:57
"our
12:57
"medical
12:57
"experts
12:58
"review your / reviewed your
12:58
"records
13:01
"Do
13:01
"this
13:01
"before
13:02
"you're
13:02
"in
13:02
"the
13:02
"game
13:03
"and
13:03
"the
13:03
"VA
13:03
"compensation
13:04
"and
13:04
"pension
13:05
"doctor
13:05
"say
13:05
"there
13:06
"isn't
13:06
"a
13:06
"nexus
13:07
"(silence)
13:08
"if
13:08
"you
13:08
"apply
13:08
"for
13:08
"sleep apnea
13:10
"in
13:10
"the
13:10
"VA is compensation / VA compensation
13:11
"and
13:11
"pension
13:11
"doctor
13:12
"says
13:12
"there
13:12
"isn't an access / isn't a nexus / is an access / is a nexus / isn't an axis
13:14
"then
13:14
"you're
13:14
"starting
13:14
"your
13:15
"claim
13:15
"with
13:15
"a
13:15
"disadvantage
13:19
"The
13:19
"records
13:19
"needed
13:20
"by
13:20
"your
13:20
"medical
13:20
"expert
13:21
"include
13:21
"your
13:22
"sleep
13:22
"study
13:22
"results
13:23
"mental
13:24
"health
13:24
"treatment
13:24
"records
13:25
"your
13:25
"medication's / medication
13:27
"list
13:27
"of
13:27
"diagnosis
13:28
"and / in
13:28
"the
13:28
"most
13:29
"recent
13:29
"rating
13:29
"percentages
13:30
"for
13:31
"any
13:31
"service
13:31
"connections
13:32
"(silence)
13:33
"then
13:34
"after
13:34
"the
13:34
"medical
13:34
"expert
13:35
"has
13:35
"reviewed
13:35
"your
13:35
"documents
13:36
"and
13:36
"identified a relationship / identify the relationship
13:38
"between
13:38
"your
13:38
"military
13:39
"service
13:39
"and
13:40
"your
13:40
"sleep apnea
13:41
"you will order / you order
13:42
"the
13:42
"nexus
13:42
"letter
13:44
"To
13:44
"ensure
13:44
"the
13:44
"odds
13:45
"are
13:45
"in
13:45
"your
13:45
"favor
13:46
"get
13:46
"to
13:46
"approve
13:47
"your
13:47
"nexus
13:47
"letter
13:48
"before
13:48
"the
13:48
"sign
13:49
"by
13:49
"the
13:49
"medical
13:49
"expert
13:50
"and
13:50
"ready
13:50
"for
13:51
"the
13:51
"VA
13:51
"disability
13:52
"Raiders / raiders
13:52
"(silence)
13:53
"from
13:53
"their
13:54
"out
13:54
"the
13:55
"online
13:55
"sleep
13:55
"apnea
13:56
"DBQ
13:56
"(silence)
13:57
"vets website / vet website
13:58
"To
13:59
"finish
13:59
"the
13:59
"requirements
14:00
"for
14:00
"a
14:00
"fully
14:00
"developed
14:01
"claim
14:03
"as
14:03
"you
14:03
"confidently
14:04
"corner the / corner of the
14:04
"VA
14:05
"with
14:05
"your
14:05
"final
14:05
"move
14:06
"submit
14:07
"both
14:07
"the
14:07
"nexus
14:07
"letter
14:08
"and
14:08
"your
14:08
"DBQ
14:09
"to
14:09
"the
14:09
"VA
14:10
"as
14:10
"a
14:10
"fully
14:10
"developed
14:11
"claim
14:11
"(silence)
14:12
"checkmate our / checkmate are / check mate are / checkmate or
14:14
"nexus
14:15
"letter
14:15
"is
14:15
"a
14:15
"checkmate
14:16
"(silence)
14:17
"In
14:17
"the
14:17
"best
14:17
"move
14:18
"you
14:18
"can
14:18
"make
14:19
"is
14:19
"hiring
14:19
"valor for vet / Valerie for vet / valor for that / valor for VAT / valor for vac / valor for a vet / valor prevent / valor for vets / valid for vet / valor for vat
14:21
"this
14:21
"is
14:21
"because
14:22
"of
14:22
"a
14:22
"nexus / Nexus
14:22
"is
14:22
"found
14:23
"by
14:23
"one
14:23
"of
14:23
"our
14:23
"medical
14:24
"experts
14:25
"we
14:25
"will
14:25
"be
14:25
"there
14:25
"to
14:26
"support
14:26
"your
14:26
"claim
14:27
"until
14:27
"you
14:27
"win
14:29
"Don't
14:29
"wait
14:29
"another
14:29
"day / Day
14:30
"in
14:30
"the
14:30
"years / year's
14:30
"of
14:30
"asking
14:31
"why
14:33
"out
14:33
"if
14:33
"you
14:33
"have
14:34
"sleep
14:34
"apnea
14:35
"and
14:35
"then
14:35
"let
14:35
"our
14:36
"medical
14:36
"experts
14:37
"find
14:37
"the
14:37
"nexus / Nexus
14:38
"(silence)
14:38
"registered
14:39
"today
14:39
"to
14:39
"get
14:39
"started
14:40
"or
14:40
"call
14:41
"us
14:41
"with
14:41
"questions
Forward
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Valor 4 Vet
Article Read: PTSD and Sleep Apnea
Mar 18, 2020
Valor 4 Vet

PTSD and Sleep Apnea

Website article posted March 18, 2020.

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PTSD and Sleep Apnea

Website article posted March 18, 2020.

Visit Valor 4 Vet to learn more!

"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
"Y
"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
"a
"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
"a
"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
"I
"just
"didn't
"sleep
"well
"(silence)
"but
"overtime becomes / overtime if he comes / overtime it becomes
"I
"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
"a
"sleep
"study
"(silence)
"a
"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
"a
"sleep
"study
"(silence)
"when
"is
"a
"sleep
"study
"at
"home
"using
"equipment
"borrowed
"from
"the
"medical
"facility
"(silence)
"the
"second
"is
"a
"sleep
"study
"at
"a
"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
"a
"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
"a
"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
"6
"5
"(silence)
"While
"observing
"patients
"with
"obesity
"hypoventilation
"syndrome medical / syndrome a medical / syndrome and medical
"text from / texts from
"19
"7
"9
"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
"7
"9
"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
"a
"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
"a
"patient
"with
"severe
"apnea
"during
"sleep
"refuse surgical / review surgical
"surgical
"placement
"of
"a
"tracheostomy
"was trialed on / was trials and / was trials on / was child on
"continuous
"positive
"airway
"pressure
"(silence)
"or
"CPAP
"through
"a
"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
"a
"diagnostic
"code
"for
"doctors
"and
"hospitals
"to
"use
"In
"19
"8
"5
"just
"over
"1
"00
"patients
"were
"being
"treated
"for
"sleep apnea
"with
"a
"CPAP
"machine
"end / and
"in
"19
"9
"6
"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
"3
"5
"which
"allowed
"limitations / limitation
"of
"a
"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
"2
"00
"2
"to
"identify
"how
"many
"truck
"drivers
"had
"sleep
"apnea
"The
"study
"found the 2 / found that 2 / found a 2
"8
"%
"of
"1
"3
"9
"1
"truck
"drivers
"living
"within
"a
"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
"2
"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
"a
"truck
"driver
"in
"this
"article
"(silence)
"must
"pass
"a
"medical
"exam
"to
"obtain
"a
"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
"a
"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
"a
"delay
"in
"obtaining
"testing
"and / in
"a
"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
"2
"00
"2
"study
"brought
"more
"awareness
"about
"sleep apnea to / sleep apnea at the
"medical
"professionals
"and
"intern
"brought
"awareness
"to
"veterans
"this