Valor 4 Vet

Article Read: PTSD and Sleep Apnea

March 18, 2020 Valor 4 Vet
Valor 4 Vet
Article Read: PTSD and Sleep Apnea
Show Notes Chapter Markers

PTSD and Sleep Apnea

Website article posted March 18, 2020.

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