Article Read: PTSD and Sleep Apnea
Valor 4 Vet
Chapters
0:03
"Bethany
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"Spangenberg
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"(silence)
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"physician
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"assistant
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"accredited
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"VA
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"agent
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"president Veiller / president valor / president they live / president valid / president they look / president they leave
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"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
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"Can't
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"sleep
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"(silence)
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"feeling
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"exhausted
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"(silence)
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"never
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"enough
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"coffee your / coffee you / coffee you're / coffee do you
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"weight / wake / weak
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"from
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"your
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"sleep
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"for
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"the
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"third
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"time
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"and
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"you
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"still
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"have
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"a few
0:21
"more
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"hours
0:22
"before
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"it's
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"time
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"to
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"roll
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"out of
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"bed
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"for
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"the
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"day
0:24
"(silence)
0:25
"are you checking / re-checking
0:26
"the
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"doors
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"(silence)
0:28
"the
0:28
"gun
0:28
"safe
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"having
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"nightmares
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"or
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"flashbacks
0:33
"Up
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"for
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"work
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"coffee
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"in / and
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"hand / head
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"on
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"to start / the start
0:37
"the
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"day
0:38
"(silence)
0:39
"and / in
0:39
"day
0:39
"after
0:40
"day
0:40
"you
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"fight
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"the
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"fatigue
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"(silence)
0:42
"the
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"days
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"are
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"long
0:43
"but
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"the
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"years
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"flyby / fly by
0:45
"and
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"now
0:46
"you've
0:46
"put
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"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
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"to
2:03
"aggravate
2:04
"sleep
2:04
"apnea
2:05
"including
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"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
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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
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13:29
"percentages
13:30
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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
More Info
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.

Visit Valor 4 Vet to learn more!