I told you at the beginning I wantto change your thinking. lJ[bKeZ?LF;$Zm]=_v-ed,4cX'fd
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Alow4Qg, =5j6y-|#@T0^])0lVLi>C %+QYY/8.+9 } u& 5t=tibdx:TD?pXg,Q>UR{KE|/K(*k The VA has also given me a 0% disability for service connected IPF (Idiopathic Pulmonary Fibrosis . 7 0 obj Winning a VA Sleep Apnea is much harder. Even with that little bit of extra information, almost allVeterans are still being denied service connection for sleep apnea. Unfortunately, VA does not always apply the law correctly. Take a look at the Sleep Apnea eBook when it comes out I think you will find a lot of informaiton that will help you understand better the many different paths and proofs for service connection of Sleep Apnea. Once you are clear on the type of apnea, you should talk with your doctor further about what he or she thinks is the primary cause for it. solid foundation of Lay and Medical Evidence, read hundreds, if not thousands, of Veterans C-Files, Put it to Rest! People with sleep apnea are four times more likely to have depression than people without a sleeping disorder. So, if you developed sleep apnea while in service and still carry that diagnosis, you should be granted service connection. PTSD can cause insulin resistance (fasting Blood sugar results above 100 prove you have insulin resistance) and insulin resistance causes sleep apnea. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. about the threat of COVID-19 and Coronavirus. It is the only thing that kept in the fight and especially it keeps sane and focus. For example, if a veteran has service connection for diabetes caused by agent orange and it is a well known fact that diabetes can cause sleep apnea, then you should be able to add it to the claim. Lesson #2: Sleep Apnea is affectinga LOTof Veterans. Symptoms can become worse with exertion by either physical or mental activity, such as going shopping and having to take a nap in the car before driving home, or staying on task at work and needing the evenings and weekends to recover, taking a shower and becoming bed bound for a couple of days afterward. Most Veterans are not proving sleep apnea is service connected. Emerging research indicates a strong association between PTSD and sleep apnea.The link between sleep apnea and PTSD is likely due to the fact that many factors that aggravate PTSD also aggravate sleep apneaincluding sleep deprivation, insomnia, hyperarousal, and daytime sleepiness. Template for processing Decision or Remand
Complimentary therapies such as meditation, gentle massage, deep breathing, or relaxation therapies may be beneficial to help reduce symptoms. f%Ygaz~u&d_',BB)Kw4(wb B
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t#]NGW{#}|_ g#0 oZ)OZLmx JqW2! /kso-v"b688Me ) Result: Service connection for obstructive sleep apnea, secondary to service-connected GERD, with history of esophagitis and hematemesis, is granted. And that means you are going to have to think through your sleep apnea claim. OSA secondary to PTSD (or other mental health claim) is a more challenging claim to make, but it is still a top candidate for secondary service connection of sleep apnea. You will need strong lay evidence that establishes what symptoms you were having in service loud snoring, apneas (stopped breathing) followed by gasps for oxygen, dry mouth upon waking, daytime fatigue, etc. I filed NOD in early 2017 request an informal DRO. What the doctor may do is multiple laboratorytests to rule out some other underlying cause. endstream
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Source: Department of Veteran Affairs Regional Office New Orleans, LA. we represent clients nationwide. 3 Steps to Veteran Disability Benefits for Sleep Apnea, 6 Tips for Your C&P Exam for Sleep Apnea Secondary to PTSD, 3 Ways to Get a VA Rating for Insomnia (The Insiders Guide). I read hundreds of cases. Not a lot of VSOs or advocates get this when helping a Veteran file a VA Claim. HV6+jsl1q$=Yn3 N>% YQUVUOICzR4'By!-v'QZI`+2c.T\`~]Klovk*\3x9$vx%C _FjOBFECxm]WoZ>H*:zR/yuY(r( Take a look at my VA Sleep Apneabook learn all you can about PROVING and IMPROVING your VA Sleep Apnea claim. Were Veterans, just like you, whove learned how to navigate within the VA system. Hepatitis C also causes insulin resistance. At one point sleep apnea was the most prevalent service-connected respiratory disability for which claims were submitted to the VA. Concerningly, it is also one of the conditions most rejected by the VA, as the vast majority are regularly turned down. The VA uses two options for rating most sleep apnea claims. Im 50% connected with PTSD and currently have an appeal in for 100% on PTSD. Your VA Sleep Apnea Claim, Ill give you the recipe for each of those 4 scenarios. We cant possibly cover each of those and the ways to service connect all of them in this one article. It only took three months. about the threat of COVID-19 if our guys/gals have SLEEP APNEA in the field THAT COULD KILL THEM.!! endobj But remember the ultimate goal to win your VA disability compensation claim. We would be happy to talk to you. Direct service connection for sleep apnea may be granted for veterans who can show that their sleep apnea began in service using service medical records, and by providing a nexus opinion from a qualified medical professional that links sleep apnea to events or exposures in service. If you are interested in avoiding unnecessary delay in your claim and want to do everything you can to maximize your chances of success, it is probably a good idea for you to consult with an accredited veterans disability attorney. According to the Mayo Clinic, there are several types of sleep apnea, but the most common is obstructive sleep apnea. Living with Chronic Fatigue Syndrome can have a huge impact on a persons life and those around them. If you get that, then you should be able to establish direct service connection and receive VA disability for sleep apnea. When filing a VAdisability Claim for Chronic Fatigue Syndrome there are specific things the VA has to see before service connection can be considered and disability compensation granted. Can I Get a VA Rating for Sleep Apnea Secondary to Depression? However, most of the time, sleep apnea is a secondary claim. Heres the brutal truth about VA disability claims: The proper medical explanation of the origin of the veterans sleep apnea, Lay AND Medical detailing of the symptoms experienced from sleep apnea affecting the veteran since the onset of the condition in the service until the present day. When Daniel laid it out and told me almost specifically, "Here's your timeline, here's how you do it, "here's what you do, here's what you need, "here are the things that you need," that sealed the deal. Medications can be prescribed that help with depression caused by living with CFS, also low dose antidepressants have been shown to improve sleep patterns. Youll need to make the call on direct service connection versus secondary service connection. There are special rules regarding how a Sleep Apnea disability claim is treated by the VA. It's harder to get than it used to be, and there are more regulations. Washington, D.C.: 1776 I Street, NW, 9th Floor, Washington, D.C 20006 Veterans with CPAP machines have often fallen into the trap of believing that their use of the CPAP will be enough to qualify their claim with the VA. The polysomnography study records your brain waves, the oxygen levels in your blood, your heart rate and breathing, and eye and leg movements, among other criteria. 203, San Jose, CA 95134 document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. I tried going it alone and the insurance carrier pushed me around. I got a 50% rating. Some people have developed CFS after having a viral infection like Epstein Barr virus, Herpes virus 6, and mouse leukemia virus, but there has been no conclusive evidence. Excessive daytime sleepiness is the most noticeable signal for those who live alone. Our firm was founded in 1986 in Orlando, Florida. In our experience, an upper respiratory disability is one of the easiest choices for claiming OSA secondary to another service-connected disability. I awake countless time at night due to this. I did not have a va physical until about 13 years after seperation from service. San Jose, CA: 2880 Zanker Road, Ste. 56 0 obj
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Jessica joined the Hill and Ponton team in the summer of 2017 and was excited to use her skills to help veterans. In the year thatI spent researching theSleep ApneaField Manual, I learned that there are 39 medical conditions common among Veterans thatcan cause or aggravate sleep apnea. If you are a veteran and have been struggling with sleep problems, you may wonder if a VA sleep study is the right solution. The examiner noted that a major cause of sleep apnea was weight gain and that the veteran weighed 155 pounds in service and 255 pounds in March 2013. Need a C&P exam for sleep apnea secondary to PTSD? In the U.S. it has been acknowledged that more education needs to be provided to doctors and nurses to give them the skills to detect CFS sooner for the well being of the patient. In our experience, most VA disability claims are won or lost based on medical evidence. Follow the steps below to remedy the above-listed typical reasons for denial, and youll be much closer to a winning claim! You will need to follow one of the paths to service connection, which will likely require lay evidence and expert medical evidence. Not presumptively. Pittsburgh, PA: 201 Penn Center Boulevard, Suite 400, Pittsburgh, PA, 15235 Jessica Rodriguez has a degree in Health Information Management and has 15+ years of experience in patient care as a Nurses Assistant. Therefore, records of an in-service injury, illness or other events that could have caused the sleep apnea condition are essential. Service connection on a secondary basis requires evidence of aggravation or causation.This requires that the secondary disability be shown to be proximately due to or proximately aggravated by another service-connected disability. Along with the record of the potential cause must also be a proven medical link between sleep apnea and the occurrence. Finally, sleep apnea is a complex condition that can present itself differently in the case of each veteran. 8 0 obj Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Also sinusitis, rhinitis, hypertension. Therefore, a well-crafted nexus letter for sleep apnea is the single most crucial document a veteran can provide the VA adjudicator to help prove service connection on an at least as likely as not basis. The first requirement which must be met to satisfy the VA is a sleep study. Just had C& P exam for sleep apnea. Those are the ingredients. In order to help you with your secondary claim, we have put together this Insiders Guide! Some of the most common symptoms of sleep apnea include: People who suffer from sleep apnea are often unaware of the breathing disturbances, finding out about them from a bed partner or roommate. Perhaps theyll have to spenda night with someone that suffers from obstructive sleep apnea, hear the suffocating snoring, experience the fear that the person will stop breathing altogether, they will continue to not take seriously claims for sleep apnea. That is how I suggest you handle this situation. Do you have questions about how to service connect sleep apnea claims? Your email address will not be published. In this guide, we'll explore how to get a VA Rating for Insomnia even if youve already filed or been denied benefits in the past. <>/Parent 3 0 R/Type/Page/Contents 4 0 R/Tabs/S/Resources<>/ProcSet[/PDF/Text]/Font<>>>/MediaBox[0 0 612 792]/Rotate 0>> For instance, if you complain of being tired all the time your doctor may order blood tests to check for anemia, diabetes, and hypothyroidism all of which cause fatigue. A noticeable sign of obstructive sleep apnea is snoring. I recommend Perkins Law Firm. As a matter of fact, it may be easier to substantiate with medical records that the sleep apnea symptoms started after the diagnosis of diabetes. * The SPECIFICEVIDENCEyou will need to prove another medical condition caused your sleep apnea. 1) Direct Service Connection for Sleep Apnea For direct service connection you must show either of the following: You were diagnosed with sleep apnea during your military service; -or- You must prove the onset of sleep apnea occurred while you were in service. <>stream To find the definitive guide for service-connection for sleep apnea, check it out here. I believe that the VA and BVA do not take Sleep Apnea seriously. Along with a direct Nexus, it is also possible to win a sleep apnea claim by claiming it as a secondary condition. Your final VA Disability Rating for Insomnia depends upon the Top 5 Reasons for Obstructive Sleep Apnea Claim Denials (Plus OSA Service Connection Tips), Steps and Strategies: How to Prove Service Connection for Sleep Apnea, Step #1: Get a NEW Sleep Study (within the past 12 months), Step #2: Obtain a medical diagnosis of sleep apnea from a sleep specialist, Step #3: Get a nexus letter for sleep apnea from a credible independent medical professional, Lack of Medical Evidence is the #1 Reason VA Claims are Denied, Step #4: Consider secondary service connection instead of direct service connection, Secondary Service Connection Requirements. aggravated beyond its natural progression by another service-connected condition (for secondary service connection). We can helpreach out so we can show you how. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. You may eventually get there on your own, but it may be after a series of decisions by the Regional Office and Board of Veterans Appeals. 201 Bankhead Highway, Carrollton GA 30117770-285-1198. Once diagnosed the more difficult step is required, which is proving the service-connection for sleep apnea. Veterans Court reminds the VA: the BVA must adjudicate the logically related informal claim. Even if youve had a sleep study before, its important to get one done within the 12 months prior to your VA claim. % injury case. A couple things you mention are worth exploring: Damage to the nasal or breathing passages, like chronic sinusitis or bronchitis, can cause OSA. Not only does the VA provide compensation, but once you receive a service-connection for it, it provides a way to get other disabilities to service-connected. I have sleep apnea diagnosed by the VA sleep study. For doing an awesome job. We offer free resources and expertise to empower all Veterans. FREE tips for veterans to stay protected, calm and informed * Can I service connect sleep apnea without a sleep study in service? Brian is a Distinguished Graduate of Management from theUnited States Air Force Academy, Colorado Springs, CO and he holds an MBA from Oklahoma State Universitys Spears School of Business, Stillwater, OK, where he was a National Honor Scholar (Top 1% of Graduate School class). If you have sleep apnea and sinusitis/rhinitis, your next step would be to get a doctors medical opinion supporting that your service-connected sinusitis/rhinitis caused or aggravates your sleep apnea. 67 0 obj
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Without a CPAP machine, the VA assigns a 30% rating. Also see our post What is a Service-Connected Disability? She has always had a passion for helping others and found inspiration from those she cared for. The VA classifies Sleep Apnea as a disability for which compensation is granted. Perkins Studdard LLC makes no representation that it can obtain the same results as reported in cases on this web site in other legal matters. Keep us posted Im eager to hear how it turns out! Which primary disabilities make the best claims for secondary service connection of sleep apnea? What the doctor is trying to do is check all possible outcomes for the symptoms to make sure a clear diagnosis can be given. The most trusted name in education-based resources for Veterans. For instance, often sleep apnea presents itself in those who have been suffering from PTSD. Thousands of other Veterans in our Community are here for you. Lesson #4: More VeteransShould be Able toService ConnectSleep Apnea. This is where I come in. At one point sleep apnea was the most prevalent service-connected respiratory disability for which claims were submitted to the VA. The third part can be satisfied with a nexus Letter from a qualified medical professional, as noted above. While we still have our home base in Florida, My expert agreed to write a rebuttal opinion to the VAs expert. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. Ill also show you: * The problem with your particular type of Sleep Apnea from the VAs perspective, * The Key Question to be resolved in EACH scenario, * Solutions to the Most Common Errors in Sleep Apnea claims. endobj CFS is also known asSystemic Exertion Intolerance Disease (SEID)and Myalgic Encephalomyelitis (ME) is characterized by extreme fatigue without explanation from any other underlying condition. Heck, I get an email or more a day from a Veteran that says this: My Sleep Apnea claimwas not granted. But most veterans are not service-connected for this sinus condition. Wc%X$(:ss!LCO^?4d *$
This opens doors for many veterans who were unable to service-connect these respiratory conditions previously. Ann Margaret really took the time to explain things to me. Los Angeles, CA: 10880 Wilshire Blvd., Ste 1101, Los Angeles, CA 90025 After that knee replacement, he could no longer lift weights;thesudden weight gain the resulted caused his obstructive sleep apnea. . Your VA rating for chronic fatigue syndrome will be higher the worse, or more severe, your symptoms are. HtT0DRO`" m)R,aep/>An)`?52nZ^ 3x3Qeo3R}8'h-=d2efHCQ I talked to hundreds of Veterans who had been denied VAsleep apnea compensation. Its an entirely different thing to mix those ingredients so that they turn into a cake. In September 1978, she was granted service connection for bilateral chondromalacia, a breakdown of cartilage in the knee joint that causes pain when bones . Tucson, AZ: One South Church Avenue, 12th Floor, Tucson, AZ, 85701 Veterans ask me more questions about sleep apnea than almost any other question about VA Benefits Law. My sleep apnea is worsened when I lie on my back and I still have loss of breath. While proving service-connection for sleep apnea claim accepted is no longer as difficult as it once was, it still is wise to not take your chances and get it right the first time. That's what Veteran Lee G. did - Lee's VA claim changed when he read my Sleep Apnea book: "Chris gave me the knowledge to file a claim for Sleep Apnea. Because of this all veterans hoping to receive a disability compensation rating from the VA should take the responsibility of connecting the dots for the claim themselves. Proving Service-Connection for Sleep Apnea. Of course, I dont give legal advice on the Veterans Law Blog. Any advice on getting sleep apnea service connected? DRO sided with VA expert (not surprise) who claimed SA was least likely as not occurred or caused by service, moreover, VA expert justified opinion by THE FOLLOWINGS;(time 12yrs since retirement, age 50 at the time of sleep study, and weight gain ?). First of all, lets explore a little about this common disability in veterans, so you understand the condition and why its important you pursue your claim and get the benefits you deserve. (In many cases, amedical expert report or opinion may be crucial to success). If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Its no secret, I have written THE book onhow to file a VAdisability claim for sleep apnea. Regardless of whether you are dealing with OSA, its important to pursue all the benefits available to you as a veteran. Discuss your sleep issues with your primary care VA doctor and ask for a referral to a sleep specialist at the VA. Make sure to have your sleep study done. Sleep apnea can develop for a number of reasons, meaning it can be very hard to pinpoint the exact cause. HE WAS A VET, HE AND I SERVED IN NELLIS AFB BEFORE I GOT OUT,the hard way. 4 Common Scenariosfor Proving Sleep Apnea is Service Connected. <>stream Either way, Veterans have an uphill fight to get their sleep apnea service-connected. They all treated me as though I was family and helped me with my work comp case in more ways than the average would have.Thank you Jason and Thank you Tina! Worsening of symptoms while sitting upright or standing, known as Orthostatic Intolerance. Elizabeth M. Walsh appeals the Board's denial of service connection for hypertension and sleep apnea. VA denied it again (2nd) in late 2016 No treatment in service, VA totally ignoring evidence submitted. Sleep apnea is a sleep disorder in which breathing is repeatedly interrupted during the course of sleep. There are 3 ways to get it: Chris, We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. Thats $901.83 a month. The resulting reduction in sleep quality and in the bodys supply of oxygen can have serious consequences on health and quality of life. Are you a veteran who suffers from sleep apnea? My next stop is going to be BVA, hopefully I dont have to go there without taking another bite at the DRO processes. This is in order to be officially diagnosed. * How the VA willrate your sleep apnea condition after granting Service Connection. These are sometimes referred to as a crash, relapse, or collapse, and some patients can tell when they will happen. I was diagnosed with OSA 10 years after separation. Keep up the great work, and remember, the only way to lose is to give up! If you use a CPAP machine, then this should warrant a 50% rating. In fact, there are three distinct kinds of sleep apnea obstructive sleep apnea, central sleep apnea, and complex sleep apnea. Service Connection for Sleep Apnea and Sinusitis To file any claim for VA disability benefits, veterans will generally first need to become service connected. * How do I appeal the VAs denial of my Sleep Apnea? Joints and muscles can have a lot of pain during flare-ups, and, due to the fatigue, mobility may not be something a patient can easily do. Therefore, sleep apnea can be filed secondary to either a musculoskeletal condition with weight gain or a mental health condition with weight gain. Box 449, Deland, FL 32721, Orlando, FL: 605 E. Robinson Street Suite 635, Orlando, FL 32801 Here, nexus is the connection between your service and the current diagnosis of sleep apnea. Copyright 2023 Hill & Ponton, P.A.. All Rights Reserved. Therefore, because the VA is particularly strict with claims regarding sleep apnea, it is highly recommended that you file your claim with as much evidence as you can obtain. They then tell the VA that they have sleep apnea and a CPAP and hope that service connection for sleep apnea is granted. Department of Veterans Affairs Heres what I mean in BVA decision after BVA decision, I saw examples ofVeterans that take a look at the VA Ratings Tables, see that they can get a 50%VArating for sleep apnea with CPAP. Lets begin today's post with the Bottom Line Up Front (BLUF): It is HARD to get service connected for Sleep Apnea secondary to Depression. Veterans Court reminds the VA: the BVA must adjudicate the logically related informal claim. Thanks to additions to the VA presumptive list, you may be able to presumptively service-connect rhinitis, sinusitis, rhinosinusitis or asthma if you served in particular theaters during specified time periods. Since many things can cause sleep apnea (like diabetes, insulin resistance, sinus problems, deviated septum, acid reflux, PTSD, heart problems, stroke, prior injuries to the head and spine, anything that deviates the diaphragm like degenerative changes of the spine, and ascites from liver disease, cirrhosis or hepatitis c), if the veteran has service connection for any of those conditions then you can add the sleep apnea as being caused by those conditions. Here are some common symptoms of sleep apnea: Contrary to the myth, sleep apnea does not need to be diagnosed while on active duty. I believe the two are connected. The problem is that many disabilities that arise in service are not actually diagnosed in service. caused or made worse by your active duty military service OR. Chills and night sweats as well as low-grade fevers. endstream
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While youmay have been a loud snorer or had other sleep difficulties in service that are normally associated with sleep apnea, if you are like most service members you probablydid not undergo a sleep study and get a formal diagnosis before your discharge from service. The blockage is believed to occur when the muscles in the back of the throat become overly relaxed. The BEST Path to Proving Sleep Apnea is Service Connected. In the article you quoted, Mr Harrison said, Sleep apnea is not a combat injury, especially if its caused by obesity.. application/pdf If you use a CPAP machine, then this should warrant a 50% rating. How to Connect Sleep Apnea to Military Service. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 2016 - VeteransLawBlog.org - All Rights Reserved | Terms & Conditions | Legal Disclaimer, The Veterans Law Blog is NOT a law firm. Headaches which are new or have become worse. If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. <>/Parent 3 0 R/Type/Page/Contents 8 0 R/Tabs/S/Resources<>/ProcSet[/PDF/Text]/Font<>>>/MediaBox[0 0 612 792]/Rotate 0>> This is a great group of people who really care about your well being. If you are hurt at work, this is the firm you want on YOUR side. Youre welcome, Sam! Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. 2023-03-04T21:20:56-05:00 Sleep apnea is a sleep disorder in which breathing is repeatedly interrupted during the course of sleep. Medical professionals did not have the medical capabilities to perform sleep study testing when they served. * SeveralDesert Storm, OIF, and OEF Clients have hadTraumatic Brain Injuries whichinterfere with how their Nervous System works, and as a result, have a different kind of Sleep Apnea (oversimplified, where the brains signals to breathe dont make it through to the lungs). Sleep apnea comes in different forms, but the most common type with veterans is Obstructive Sleep Apnea. Simple tasks that we take for granted every day may cause great exhaustion for those with CFS. How to File a Claim on VA.gov (step-by-step)! 3. The most trusted name in education-based resources for Veterans. Below is the schedule for rating disability for Chronic Fatigue Sundrome. As this represents a total grant . The same can be said about service-connected mental health conditions. If you or a loved one suffers from CFS do not be afraid to report symptoms to your doctor. Another theory is a hormonal imbalance because elevated hormones are seen in the blood work of those who have CFS, but the importance of this is unknown as well. There is evidence of sleep breathing problems in-service, in the Veterans service medical records, or lay evidence of these problems during the period of military service, but no diagnosis of Sleep Apnea in-service. (6.[,P)BLd?8e:}]eS8Sx|
XvKdEP,Zbl65k8 x!KSToHjbrC. 2 0 obj document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. Check out the Sleep Apnea Field Manual. In a study of veterans, PTSD symptom severity increased the risk of screening positive for OSA. That is, until he damaged his knees in-serviceand had to geta knee replacement at amilitary hospital. However, the VA. I cannot get the sleep apnea connected. High blood pressure or hypertension can be easily developed due to stress acquired in active duty. Cleveland, OH: 600 Superior Ave. East, Fifth Third Building, Suite 1300, Cleveland, OH, 44114 Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. The VA Claims Medical Team specializes in this, sign up here to take the first step in your VA claim! Regulation Update: VA Ratings for Kidney Disease and Renal Dysfunction.
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