Article Read: PTSD and Sleep Apnea

PTSD and Sleep Apnea

Website article posted March 18, 2020.

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Chapters

• 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
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• 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
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• 4:18 "if
• 4:18 "your
• 4:18 "doctor
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• 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
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• 5:07 "function
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• 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
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• 5:48 "19
• 5:48 "7
• 5:48 "9
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• 5:57 "wall
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• 5:58 "(silence)
• 5:58 "upper
• 5:59 "airway
• 6:00 "including
• 6:00 "sinuses
• 6:01 "in / and
• 6:01 "throat
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• 6:03 "intermittently
• 6:05 "In
• 6:05 "19
• 6:06 "7
• 6:06 "9
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• 6:21 "failure
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• 6:23 "tracheostomy
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• 6:25 "in
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• 6:25 "80
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• 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
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• 6:37 "or
• 6:37 "CPAP
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• 6:38 "a
• 6:39 "nasal
• 6:39 "device
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• 6:40 "the
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• 6:43 "the
• 6:43 "nasal
• 6:43 "device
• 6:44 "is
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• 6:45 "stopped
• 6:47 "The
• 6:47 "patient
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• 6:48 "through
• 6:48 "the
• 6:48 "night while / night well
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• 6:49 "the
• 6:49 "nasal
• 6:50 "device
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• 6:51 "able
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• 6:52 "hours
• 6:53 "without
• 6:53 "apnea
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• 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
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• 7:04 "a
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• 7:08 "In
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• 7:09 "8
• 7:09 "5
• 7:10 "just
• 7:10 "over
• 7:10 "1
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• 7:16 "6
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• 7:43 "Interestingly
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• 8:12 "00
• 8:13 "2
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• 8:22 "a
• 8:23 "50
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• 8:23 "radius
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• 8:33 "FMC essay / FM CSA
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• 9:24 "CPAP
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• 9:27 "the
• 9:27 "truck
• 9:27 "driver
• 9:27 "(silence)
• 9:28 "The
• 9:28 "back-and-forth
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• 9:31 "the
• 9:31 "driver
• 9:31 "(silence)
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• 9:47 "CPAP
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• 9:54 "an
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• 9:55 "and
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• 9:59 "(silence)
• 10:00 "the
• 10:00 "2
• 10:00 "00
• 10:01 "2
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• 10:10 "military
• 10:10 "veterans
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• 10:16 "50
• 10:16 "%
• 10:17 "(silence)
• 10:17 "bus
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• 10:31 "sleep apnea
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• 10:33 "(silence)
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• 10:34 "Bethany a former / Bethany former / Bethany a formal
• 10:35 "A / The
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• 10:36 "pension
• 10:37 "examiner / Examiner
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• 10:45 "PTSD
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• 10:46 "apnea
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• 10:48 "however a changed / however that changed / however the changed / however it changed
• 10:50 "in
• 10:50 "the
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• 10:51 "17
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• 10:53 "a
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• 10:53 "in
• 10:53 "San Antonio
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• 10:55 "advocacy
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• 11:11 "a
• 11:11 "doctor
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• 11:12 "in
• 11:12 "front
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• 11:16 "medical
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• 11:22 "waves
• 11:23 "respiratory
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• 11:25 "lights / light
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• 11:29 "laws
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• 11:32 "several
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• 11:35 "or
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• 11:37 "several
• 11:37 "avenues
• 11:38 "that PTSD / the PTSD
• 11:39 "causes
• 11:40 "or
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• 11:42 "as well as
• 11:42 "many
• 11:43 "other
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• 11:47 "when
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• 11:47 "to
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• 11:52 "in
• 11:52 "an
• 11:52 "ideal
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• 11:55 "how
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• 11:56 "VA
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• 12:00 "(silence)
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• 12:02 "VA
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• 12:03 "and
• 12:04 "pension
• 12:04 "doctor
• 12:07 "Your
• 12:07 "first
• 12:08 "move
• 12:08 "(silence)
• 12:10 "you
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• 12:10 "apply
• 12:10 "for
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• 12:13 "or
• 12:13 "secondary
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• 12:14 "another
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• 12:16 "(silence)
• 12:16 "such
• 12:17 "as
• 12:17 "PTSD get a / PTSD go to
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• 12:19 "study
• 12:20 "If
• 12:20 "you were / you're / you are
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• 12:21 "(silence)
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• 12:34 "the
• 12:34 "nexus
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• 12:45 "service
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• 12:47 "review
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• 12:48 "From
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• 12:51 "only
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• 12:55 "your
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• 13:02 "you're
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• 13:02 "game
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• 13:04 "pension
• 13:05 "doctor
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• 13:06 "a
• 13:06 "nexus
• 13:07 "(silence)
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• 13:14 "then
• 13:14 "you're
• 13:14 "starting
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• 13:15 "with
• 13:15 "a
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• 13:19 "The
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• 13:34 "expert
• 13:35 "has
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• 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