Obstructive Sleep Apnea versus Central Sleep Apnea
Obstructive sleep apnea is when the airwaybecomes narrowed or obstructed and you're making the effort to breathe but we do notsee any flow in air movement coming from your nose or mouth. Where central sleep apnea occurswhere your brain forgets to tell your body to breathe. If we're looking at it from avery simplistic term and so we do not see the drive to breathe. So the first step isto come into the and be seen by one of our physicians in the sleep medicine .We'll go through a questionnaire and try to determine what risk factors we think you havefor sleep apnea such as obesity, snoring, daytime sleepiness and then if we think thatyou have a high risk for meeting those criteria
then we would set you up for a sleep studyeither in your home to do an overnight sleep study or in our laboratory, depending on yoursituation. The CPAP can be used to treat both conditions and, in some patients, that isenough. However, there are some patients that have more complex types of central sleep apneathat require more complicated types of machines to treat that condition. Obstructive sleepapnea actually has been linked to a lot of other problems such as high blood pressureand then, you know, difficulty functioning during the day. If it goes untreated for along period of time there's an increased risk of early heart problems and those types ofthings.
Compensation 101 How did I get this rating
If you've receiveda rating with multiple disabilitiesand wondered how VA got the combined percentage,the following information and example can help youunderstand. VA uses a concept calledthe quot;Whole Person Theoryquot; to determine Veteran'scombined disability rating. This method ensures thata disability rating can never be greater than 100,since a person cannot be
more than 100% able bodied. The disability isdetermined by using the quot;Combined Rating Tablequot;located at 38 CFR 4.25. To use the rating table,you need to start with the highest disabilitypercentage, and from there, arrange them in orderof severity, highest to lowest. For example, if there aretwo disabilities evaluated 50 and 30 percent disabling,the highest degree
or most severe disability in this example 50% will be foundin the left column. Then, the otherless severe disability in this example 30% will be found in the top row. The figures appearingin the space where the left columnand top row intersect will represent the combinedvalue of both disabilities. This combined value willthen be converted
to the nearest numberdivisible by 10. Remember, combined valuesending in 5 or higher, will be adjusted upward to the nearest number divisible by 10. Combined values endingin 4 or lower, will be rounded down to the nearest divisible by 10. The rounding is only doneat the very end after all the disabilitieshave been combined. Let's begin withJoe Veteran as an example.
Joe has been ratedfor the following disabilities in order of severity: 30% PostTraumatic Stress Disorder (PTSD), 20% Diabetes Mellitus,10% Peripheral Neuropathy. Joe has a combined rating of 50%. This combined rating wasderived by the following method. Start with the greatestdisability and then combine them using Table 1in 38 CFR 4.25.
First take the 30% ratingand find it in the left column. Then take the nexthighest disability which is 20% from the top row. The figures appearingin the space where the column and row intersect will represent the combined value of the two. The value is 44. Use this value for theleft row and then find
VA Disability Benefits and Secondary Service Connection
(inspiring piano music) Hello and welcome to theHill Ponton tutorial blog. I'm Matthew Hill here with Carol Ponton. Today we want to talk toyou about Secondary Service Connection and how you get disabilities. Connected to the primarydisability that your service connected for. We're gonna talk about specific examples,
but one would be if you haveleg pain or Radiculopathy, due to your back pain, and your back pain is service connected. But before we get to theexamples, let's just go through the mechanics. First of all, with directservice connection you gotta show that you have a current disability. And that there was somethingthat happened at service.
And that there's a link between the two. So with back pain, let'ssay that you tried to pick up a big garage doorwhen you're in service and it fell, and pulledyour back and you had to treat for that in serviceand the pain never went away. And then when you got out,you were diagnosed with, Degenerative Disk Disease in your back. So that's how you get thePrimarily Service Connected,
or Direct Service Connection. Secondary Service Connectioninvolves a disability stemming from a Service Connected disability. So with that back pain,if you were as a result, to have the Radiculopathywhat we talked about, even though the Radiculopathydidn't happen in service or because of service. It happened because of thatservice connected disability.
So that's the secondary,that disability could be secondarily service connected. This is important because alot of times, a Veteran will have a disability thatthey're service connected for. That might not be that be andmight not be rated that high. But, the results ofthat primary disability, the secondary disabilities can be high, it can be significant.
So we wanted to run througha few of them today. And we might as well startwith the Lumbar Spine. Carol what do you see oftenwith this as far as secondaryé First of all, just soyou know Lumbar Spine's usually get about a 10 or20% rating, 40% is often the highest rating we see for the back. But the real problems withthe back also end up being pain and numbness that runsdown the leg into the foot.