Va Sleep Apnea Diagnosis

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.

5 Questions about Presumptions for Gulf War and Undiagnosed Illnesses

The Veterans who servedduring Operation Desert Storm, Desert Shield, and which havecontinued up to the present, includes countries such as Iraqwhere most of the fighting happened and Kuwaitand also Saudi Arabia and some of the other surrounding countries. A Veteran who has served inthe Gulf War is entitled to a presumption of serviceconnection for any undiagnosed illness.

In addition to undiagnosedillnesses, Veterans who have a medically unexplained chronicmultisymptom illness such as irritable bowelsyndrome, fibromyalgia, chronic fatigue syndrome, andother functional GI disorders. Based on an Institute ofMedicine report, we made presumptive nineinfectious diseases which were found to be associated with service not only in the Gulf,but also in Afghanistan.

The other presumptionsare not available for those who servedin Afghanistan. A Veteran who did serve inAfghanistan and had one of those conditions would need to provideevidence that they either had it in service or it was due to someexposure while they were on active duty there. Service connectiongenerally requires three distinct components.

One, there has to beevidence of a disability. There has to be evidenceof something in service, either an injury, a disease,or an exposure of some kind. Then there has to be what iscalled a medical nexus or a link between the currentdisability and what happened in the service. The presumption eliminatesthe need for the nexus. It's presumed that it resultedfrom their service.

An undiagnosed illness is onethat, regardless and despite of all the testing that can bedone, no diagnosis can be made. The undiagnosed illnessmay appear in any of the body systems, so it can be inthe respiratory system, the cardiovascular system,neurological system. When we either get a report froma Veteran's private provider or in response to a requestfor a VA examination

from a VHA ian, we expectthat, if after all the testing is done the examiner cannot makea diagnosis, that they will put in their report that this Veteran has an undiagnosed illness ofwhatever body system is involved. What I hope to let you know orto impart to you today is that when you file a claim for anundiagnosed illness, please be sure that you havean undiagnosed illness.

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.

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