Sleep Apnea

pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

26 Jun 2012, 18:31 #41

branman wrote:
talonsx2 wrote:So here is a question for the masses. If at some point in the future SA is considered to be presumptive (FOR GWI), and you have SA but were denied SC, what is the process to be SC after SA becomes presumptive and what date will it be awarded?

Thanks to all for your service and keep up the good fight.

Talonsx2
Same as they are doing now with the Vietnam Vets for Agent Orange (AO) they reopened a lot of if not all of the Nehmer claims for IHD (Ischimic Heart Disease) and compensating those vets accordingly.  The effective date I am unsure of is something like that would happen.  Someone with more knowledge will come along and help you answer that question.
As for the SA, if you have it and PTSD you have a 50-50 of getting it with the army study done on 2010 that showed how the two was related. There are some steps you have totake first and during the claim. Not everything is a cakewalk.

The Vietnam Vets for Agent Orange are reopened due to a court case. the case is making the VA reopen everyone of the Nam vets claims even if the vet had pasted away for the new presumptive. This is the only set of veterans that will be done this way unless a court case comes alone down the road again.

Any other vet has to reopen their own claim.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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USMC89
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Joined: 26 May 2012, 03:23

17 Jul 2012, 23:11 #42

razorpig wrote:Hi Rodney, here's what my award letter says for my SA: "sleep apnea also claimed as upper airway resistance"
I was granted 50 per cent for SA, never saw anyone on active duty about it, didn't have it until a few years after active duty. Also was granted at the same time CF and mild depression due to GWI, and although I made all these claims at the same time, these claims came in a few months later than my original award. My original award was for fibro and migraine. BTW, the VA also wanted me to show service connection for everything, which I refused to do,and they backed off.
You do get awarded SA.
Can u please put the percent for Other like your CFS I am 60% total IBS 30%, PTSD 30%, and 10% for lower back I have a cliam for CFS Had c&p, Fibro Had C&p both were faverable, and many moer all at dro. if any ony want to see the C&p results let me know i will post it up.
Last edited by USMC89 on 18 Jul 2012, 21:31, edited 1 time in total.
SSDI with family
PTSD 70%
Chronic back Strain 40%
Fibromyalgia 40%
IBS 30%

Total 90%
100% IU P&T
Gulf War Vet 90-91
C co. 1/2 2nd mar div.
USMC 0311 89-93
Image


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talonsx2
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Joined: 20 Dec 2011, 03:43

18 Jul 2012, 19:21 #43

USMC89 wrote:
razorpig wrote:Hi Rodney, here's what my award letter says for my SA: "sleep apnea also claimed as upper airway resistance"
I was granted 50 per cent for SA, never saw anyone on active duty about it, didn't have it until a few years after active duty. Also was granted at the same time CF and mild depression due to GWI, and although I made all these claims at the same time, these claims came in a few months later than my original award. My original award was for fibro and migraine. BTW, the VA also wanted me to show service connection for everything, which I refused to do,and they backed off.
You do get awarded SA.
Can u please put the percent for Other like your CFS I am 60% total IBS 30%, PTSD 30%, and 10% for lower back I have a cliam for CFS Had c&p, Fibro Had C&p both were faverable, and many moer all at dro. if any ony want to see the C&p results let me know i will post it up.
To Razorpig?  Did you start your claim with "upper airway resistance" or "sleep apnea" or both combined? 

Thanks,
Talonsx2Image
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branman
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Joined: 26 Jul 2010, 07:05

19 Jul 2012, 01:35 #44

talonsx2 wrote:
USMC89 wrote:
razorpig wrote:Hi Rodney, here's what my award letter says for my SA: "sleep apnea also claimed as upper airway resistance"
I was granted 50 per cent for SA, never saw anyone on active duty about it, didn't have it until a few years after active duty. Also was granted at the same time CF and mild depression due to GWI, and although I made all these claims at the same time, these claims came in a few months later than my original award. My original award was for fibro and migraine. BTW, the VA also wanted me to show service connection for everything, which I refused to do,and they backed off.
You do get awarded SA.
Can u please put the percent for Other like your CFS I am 60% total IBS 30%, PTSD 30%, and 10% for lower back I have a cliam for CFS Had c&p, Fibro Had C&p both were faverable, and many moer all at dro. if any ony want to see the C&p results let me know i will post it up.
To Razorpig?  Did you start your claim with "upper airway resistance" or "sleep apnea" or both combined? 

Thanks,
Talonsx2Image

UARS/Upper Airway Resistance Syndrome, is a type of sleep disorder, that is NOT the same as OSA/Obstructive Sleep Apnea.  There is question in the medical community as to not only the existence of this syndrome, but whether it should be classified as a separate syndrome or part of the larger group Sleep-disordered Breathing (SDB). This unfortunately has led to a poor understanding of the illness by the medical community at large as well as a consequential lack of acceptance by medical facilities and health insurers.

Upper Airway Resistance Syndrome or UARS is a sleep disorder characterized by airway resistance to breathing during sleep. The primary symptoms include daytime sleepiness and excessive fatigue whereas OSA is the most common type of sleep apnea and is caused by obstruction of the upper airway. It is characterized by repetitive pauses in breathing during sleep, despite the effort to breathe, and is usually associated with a reduction in blood oxygen saturation. These pauses in breathing, called "apneas" (literally, "without breath"), typically last 20 to 40 seconds.

The individual with OSA is rarely aware of having difficulty breathing, even upon awakening. It is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body (sequelae). OSA is commonly accompanied with snoring.  So when you go to see the doc they will run the test needed such as a sleep study to figure it out for you to see what is going on.  The VA usually has a system that they use as a process of elimination to come up with your diagnosis and then the raters use the Schedule of Ratings Guidelines to rate you accordingly.
SSDI awarded,
70% PTSD  , 40% Fibromyalgia, 30%IBS= Total Awarded 90% Granted 100% P&T
 
One Does Not Have To Be Evil To Do Evil Because Good Men Only Have To Say Nothing Or Do Nothing...

 Image    Image  Image 
Image  Image      Image    Image

Peace and always much unadulterated Love
Thanks For Your Service
Branman
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USMC89
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.
Joined: 26 May 2012, 03:23

19 Jul 2012, 03:45 #45

branman wrote:
talonsx2 wrote:
USMC89 wrote: Can u please put the percent for Other like your CFS I am 60% total IBS 30%, PTSD 30%, and 10% for lower back I have a cliam for CFS Had c&p, Fibro Had C&p both were faverable, and many moer all at dro. if any ony want to see the C&p results let me know i will post it up.
To Razorpig?  Did you start your claim with "upper airway resistance" or "sleep apnea" or both combined? 

Thanks,
Talonsx2Image

UARS/Upper Airway Resistance Syndrome, is a type of sleep disorder, that is NOT the same as OSA/Obstructive Sleep Apnea.  There is question in the medical community as to not only the existence of this syndrome, but whether it should be classified as a separate syndrome or part of the larger group Sleep-disordered Breathing (SDB). This unfortunately has led to a poor understanding of the illness by the medical community at large as well as a consequential lack of acceptance by medical facilities and health insurers.

Upper Airway Resistance Syndrome or UARS is a sleep disorder characterized by airway resistance to breathing during sleep. The primary symptoms include daytime sleepiness and excessive fatigue whereas OSA is the most common type of sleep apnea and is caused by obstruction of the upper airway. It is characterized by repetitive pauses in breathing during sleep, despite the effort to breathe, and is usually associated with a reduction in blood oxygen saturation. These pauses in breathing, called "apneas" (literally, "without breath"), typically last 20 to 40 seconds.

The individual with OSA is rarely aware of having difficulty breathing, even upon awakening. It is recognized as a problem by others witnessing the individual during episodes or is suspected because of its effects on the body (sequelae). OSA is commonly accompanied with snoring.  So when you go to see the doc they will run the test needed such as a sleep study to figure it out for you to see what is going on.  The VA usually has a system that they use as a process of elimination to come up with your diagnosis and then the raters use the Schedule of Ratings Guidelines to rate you accordingly.
@branman I am going to have a sleep study done in Sept.  so if i have a problem with UARS or OSA can i claim this under gulf war presumptive?
SSDI with family
PTSD 70%
Chronic back Strain 40%
Fibromyalgia 40%
IBS 30%

Total 90%
100% IU P&T
Gulf War Vet 90-91
C co. 1/2 2nd mar div.
USMC 0311 89-93
Image


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branman
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Joined: 26 Jul 2010, 07:05

19 Jul 2012, 05:18 #46

@USMC89 neither UARS or OSA is a presumptive for Gulf War Illness, there is only 3 presumptives for Gulf War Illness which are CFS, Fibro, and FGID along with Undiagnosed Illnesses of which OSA falls under Sleep Disturbance. If your from the 1st Gulf War from Aug 1990- Sept 2001 OIF/OEF Vet then those 9 diseases refer to you as well such as West Nile, Brucelleosis, Bernetii, Mycobacterium Tuberculosis, etc.

It depends on the rater that you get that will determine if they will grant it for you, as you can see from this thread some have and some have not.

Go here to read about it from the VA site:
http://www.publichealth.v...-unexplained-illness.asp
and read Jim Bunker's Health Guide to get a clear understanding of Today's Toxic Wars including Gulf War Illnesses :
http://www.ngwrc.org/docs/2010%20health%20guide.pdf
SSDI awarded,
70% PTSD  , 40% Fibromyalgia, 30%IBS= Total Awarded 90% Granted 100% P&T
 
One Does Not Have To Be Evil To Do Evil Because Good Men Only Have To Say Nothing Or Do Nothing...

 Image    Image  Image 
Image  Image      Image    Image

Peace and always much unadulterated Love
Thanks For Your Service
Branman
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USMC89
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Joined: 26 May 2012, 03:23

19 Jul 2012, 05:47 #47

branman wrote:@USMC89 neither UARS or OSA is a presumptive for Gulf War Illness, there is only 3 presumptives for Gulf War Illness which are CFS, Fibro, and FGID along with Undiagnosed Illnesses of which OSA falls under Sleep Disturbance. If your from the 1st Gulf War from Aug 1990- Sept 2001 OIF/OEF Vet then those 9 diseases refer to you as well such as West Nile, Brucelleosis, Bernetii, Mycobacterium Tuberculosis, etc.

It depends on the rater that you get that will determine if they will grant it for you, as you can see from this thread some have and some have not.

Go here to read about it from the VA site:
http://www.publichealth.v...-unexplained-illness.asp
and read Jim Bunker's Health Guide to get a clear understanding of Today's Toxic Wars including Gulf War Illnesses :
http://www.ngwrc.org/docs/2010%20health%20guide.pdf
The reason i am asking this question i have been DX buy an C&P doc and he said i do have Fibromyalgia  test on me he said I have trigger point pain on both sides of body and back and front Bilatral. i wont find out the rating i got becouse it is at the DRO along with thirteen more contentions.

I found a site the symtems here is some of it
 
FibromyalgiaFibromyositis; Fibrositis
Last reviewed: February 14, 2011.


Fibromyalgia is a common syndrome in which a person has long-term, body-wide pain and tenderness in the joints, muscles, tendons, and other soft tissues.

Fibromyalgia has also been linked to fatigue, sleep problems, headaches, depression, and anxiety.

Causes, incidence, and risk factorsThe cause is unknown. Possible causes or triggers of fibromyalgia include:
  • Physical or emotional trauma
  • Abnormal pain response - areas in the brain that are responsible for pain may react differently in fibromyalgia patients
  • Sleep disturbances
  • Infection, such as a virus, although none has been identified
Fibromyalgia is most common among women aged 20 to 50.

The following conditions may be seen with fibromyalgia or mimic its symptoms:
  • Chronic neck or back pain
  • Chronic fatigue syndrome
  • Depression
  • Hypothyroidism (underactive thyroid)
  • Lyme disease
  • Sleep disorders
SymptomsPain in the main symptom of fibromyalgia. It may be mild to severe.
  • Painful areas are called tender points. Tender points are found in the soft tissue on the back of the neck, shoulders, chest, lower back, hips, shins, elbows, and knees. The pain then spreads out from these areas.
  • The pain may feel like a deep ache, or a shooting, burning pain.
  • The joints are not affected, although the pain may feel like it is coming from the joints.
People with fibromyalgia tend to wake up with body aches and stiffness. For some patients, pain improves during the day and gets worse at night. Some patients have pain all day long.

Pain may get worse with activity, cold or damp weather, anxiety, and stress.

Fatigue, depressed mood, and sleep problems are seen in almost all patients with fibromyalgia. Many say that they can't get to sleep or stay asleep, and they feel tired when they wake up.

Other symptoms of fibromyalgia may include:
  • Irritable bowel syndrome (IBS)
  • Memory and concentration problems
  • Numbness and tingling in hands and feet
  • Palpitations
  • Reduced ability to exercise
  • Tension or migraine headache

Read more....http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001463/
Last edited by USMC89 on 19 Jul 2012, 05:57, edited 1 time in total.
SSDI with family
PTSD 70%
Chronic back Strain 40%
Fibromyalgia 40%
IBS 30%

Total 90%
100% IU P&T
Gulf War Vet 90-91
C co. 1/2 2nd mar div.
USMC 0311 89-93
Image


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branman
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Joined: 26 Jul 2010, 07:05

19 Jul 2012, 06:41 #48

USMC89 I do understand the Fibro. I have it too and my sleep patterns are all out of wack unless I'm on my meds. I take Clonazepam to help me sleep which helps my insomnia. Also this is suppose to help my PTSD as well. Sleep disturbances have many subtopics to them such as insomnia, bruxism (teeth grinding), narcolepsy, mental illnesses , etc. and can happen while your awake such as the narcolepsy but OSA as a sleep disturbance can cause you to stop breathing while your asleep and can kill you.

In the listing of the sleep disturbance for Fibro, according to my doctor, it is mostly from pain waking you up from aching muscles. Again, if I'm not on my meds such as Cyclobenzoprene then I'm up all night dealing with pain. Now, if you go to your sleep study and they say yes you do have OSA and you require a CPAP then this may be pointed to your PTSD. I'm bringing up all the avenues up for you because this is what was presented to me from my doctors. They are basically dragging their feet to send me for a sleep study and wanting to blame it on my PTSD. Your situation and your VAMC may be different than mine and you will probably get better treatment than me, your already scheduled for a Sleep Study so your on your way to finding out something soon. Just let your C&P write up work for you at the RO and if your not happy with the rating then appeal it with a NOD like most have to do until you get what you feel you deserve.

As Jim said, it is a 50/50 chance of it getting approved especially if you have PTSD but I would be worried about getting treatment first though.
SSDI awarded,
70% PTSD  , 40% Fibromyalgia, 30%IBS= Total Awarded 90% Granted 100% P&T
 
One Does Not Have To Be Evil To Do Evil Because Good Men Only Have To Say Nothing Or Do Nothing...

 Image    Image  Image 
Image  Image      Image    Image

Peace and always much unadulterated Love
Thanks For Your Service
Branman
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USMC89
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Joined: 26 May 2012, 03:23

21 Jul 2012, 00:40 #49

@branman


Do you have service connection for Fibro? and what rating did you get. I can post mine so you can see it tell me what you think. I had a C&P for fibro but i do not know what rating i have, it's intertwined with the appeal at the DRO.
SSDI with family
PTSD 70%
Chronic back Strain 40%
Fibromyalgia 40%
IBS 30%

Total 90%
100% IU P&T
Gulf War Vet 90-91
C co. 1/2 2nd mar div.
USMC 0311 89-93
Image


Reply

branman
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Joined: 26 Jul 2010, 07:05

22 Jul 2012, 05:48 #50

USMC89 , no I have not been rated yet for my Fibro but I do have a claim in for it and have a diagnosis for it. What I did was get my Rheumatologist do a DBQ for me and write up with his medical records. He's the same guy I went to for my SSDI as well. If you can , can you please post your decision letter for comparison. I know that no two claims are alike but if I get denied I would like to at least see what one looks like. I'm not understanding that you don't know what your rating is, the VA should have said it on the award letter. Just post what you have so we can take a look at what you have to help you sort this out.

Edit:  I just looked up and see where you post that you have your C&P results but not your rating as of yet.  Yes please post your C&P results but do in another thread and we can give it a WAG.
Last edited by branman on 22 Jul 2012, 05:53, edited 1 time in total.
SSDI awarded,
70% PTSD  , 40% Fibromyalgia, 30%IBS= Total Awarded 90% Granted 100% P&T
 
One Does Not Have To Be Evil To Do Evil Because Good Men Only Have To Say Nothing Or Do Nothing...

 Image    Image  Image 
Image  Image      Image    Image

Peace and always much unadulterated Love
Thanks For Your Service
Branman
Reply

branman
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Joined: 26 Jul 2010, 07:05

22 Jul 2012, 05:51 #51

Oh, I forgot to say to USMC89, you should start another topic thread because it seems like were getting off topic and we're hijacking the OP thread. If you want you can IM me on here as well.
SSDI awarded,
70% PTSD  , 40% Fibromyalgia, 30%IBS= Total Awarded 90% Granted 100% P&T
 
One Does Not Have To Be Evil To Do Evil Because Good Men Only Have To Say Nothing Or Do Nothing...

 Image    Image  Image 
Image  Image      Image    Image

Peace and always much unadulterated Love
Thanks For Your Service
Branman
Reply

razorpig
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Joined: 09 Sep 2009, 03:05

23 Jul 2012, 13:16 #52

This one just won't die.  I believe I answered this previously in this post, but it was probably lost within the paragraph, here is what I was granted for my Gulf War Claim, exactly as it reads:

Cluster/migraine headaches:    50%
Fibro:  40%
Chronic Fatigue Syndrom:   60%
Sleep Apnea also claimed as upper airway resistance syndrome:  50%
Mood disorders with depressive features associated with fibromyalgia:  30%


My initial GW claim reported my sleep problem as sleep apnea.  I did not have the issue prior to the war, reported it to the VA, the VA doctor dismissed it out of hand.  I went to Walter Reed a few years later as the problem got worse and they diagnosed it as UARS.  This is how I reported it to the VA for my claim, but I listed it as sleep apnea, when they approved it, they listed it as sleep apnea also claimed as upper airway resistance syndrome.  After my anthrax shots the first two things I noticed were my arms going numb all the time and the apnea.  After going back and looking at my claim, sleep apnea is the very first thing I listed, it was number 1.  Hope this helps.
Last edited by razorpig on 23 Jul 2012, 13:31, edited 1 time in total.
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

24 Jul 2012, 15:24 #53

USMC89 wrote:
branman wrote:@USMC89 neither UARS or OSA is a presumptive for Gulf War Illness, there is only 3 presumptives for Gulf War Illness which are CFS, Fibro, and FGID along with Undiagnosed Illnesses of which OSA falls under Sleep Disturbance. If your from the 1st Gulf War from Aug 1990- Sept 2001 OIF/OEF Vet then those 9 diseases refer to you as well such as West Nile, Brucelleosis, Bernetii, Mycobacterium Tuberculosis, etc.

It depends on the rater that you get that will determine if they will grant it for you, as you can see from this thread some have and some have not.

Go here to read about it from the VA site:
http://www.publichealth.v...-unexplained-illness.asp
and read Jim Bunker's Health Guide to get a clear understanding of Today's Toxic Wars including Gulf War Illnesses :
http://www.ngwrc.org/docs/2010%20health%20guide.pdf
The reason i am asking this question i have been DX buy an C&P doc and he said i do have Fibromyalgia  test on me he said I have trigger point pain on both sides of body and back and front Bilatral. i wont find out the rating i got becouse it is at the DRO along with thirteen more contentions.

I found a site the symtems here is some of it
 
FibromyalgiaFibromyositis; Fibrositis
Last reviewed: February 14, 2011.


Fibromyalgia is a common syndrome in which a person has long-term, body-wide pain and tenderness in the joints, muscles, tendons, and other soft tissues.

Fibromyalgia has also been linked to fatigue, sleep problems, headaches, depression, and anxiety.

Causes, incidence, and risk factorsThe cause is unknown. Possible causes or triggers of fibromyalgia include:
  • Physical or emotional trauma
  • Abnormal pain response - areas in the brain that are responsible for pain may react differently in fibromyalgia patients
  • Sleep disturbances
  • Infection, such as a virus, although none has been identified
Fibromyalgia is most common among women aged 20 to 50.

The following conditions may be seen with fibromyalgia or mimic its symptoms:
  • Chronic neck or back pain
  • Chronic fatigue syndrome
  • Depression
  • Hypothyroidism (underactive thyroid)
  • Lyme disease
  • Sleep disorders
SymptomsPain in the main symptom of fibromyalgia. It may be mild to severe.
  • Painful areas are called tender points. Tender points are found in the soft tissue on the back of the neck, shoulders, chest, lower back, hips, shins, elbows, and knees. The pain then spreads out from these areas.
  • The pain may feel like a deep ache, or a shooting, burning pain.
  • The joints are not affected, although the pain may feel like it is coming from the joints.
People with fibromyalgia tend to wake up with body aches and stiffness. For some patients, pain improves during the day and gets worse at night. Some patients have pain all day long.

Pain may get worse with activity, cold or damp weather, anxiety, and stress.

Fatigue, depressed mood, and sleep problems are seen in almost all patients with fibromyalgia. Many say that they can't get to sleep or stay asleep, and they feel tired when they wake up.

Other symptoms of fibromyalgia may include:
  • Irritable bowel syndrome (IBS)
  • Memory and concentration problems
  • Numbness and tingling in hands and feet
  • Palpitations
  • Reduced ability to exercise
  • Tension or migraine headache

Read more....http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001463/





if you are going to go off topic please take the check mark out of the stay on topic.
This post has some information that has not been posted for a while.
now why did this not move?
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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Guest
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24 Jul 2012, 15:55 #54

This discussion seems to be skewing toward fibro now.  As long as you are trying to make the case that the SA could be secondary to the presumptive conditions, then it is relevant to the discussion.  Otherwise a new thread should be started to discuss the fibro and related issues like C&P exam results.

Have a good one.
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Skeeter Dave
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Joined: 25 Jul 2012, 12:00

24 Dec 2012, 13:49 #55

Retired 31 Dec 2011, just received a partial claim, diagnosed with SA and chronic fatigue on active duty, CPAP machine for over two years on AD. Claimed SA and CFS, was awarded 50% and they combined the two, MEDICAL CONDITION: Obstructive sleep apnea with CPAP (claimed as sleep apnea, chronic fatigue) PERCENT ASSIGNED 50%

Yes, DS/DS with letters from DOD about the possible exposure to nerve agent, but don't worry, it wasn't for more than three days.

Filing a NOD to separate the two and have them evaluated individually. Any input would be greatly appreciated. Thank you and Merry Christmas.
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Truckmaster
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Joined: 26 Nov 2008, 16:18

24 Dec 2012, 19:06 #56

For me, I had a doctors letter stating that the fatigue I experienced (along with the other symptoms that indicated CFS), was not from my sleep apnea (Not service connected). Part of the reasoning, was that my use of the CPAP, did not relieve the fatigue, and the fatigue was more then whats normal with sleep apnea.

You also need to specify "Chronic Fatigue syndrome", Not "Chronic Fatigue". When I first applied, I wrote all the symptoms, as that was what was put out on here as how to do it if you do not have a diagnosis of CFS. so they just took it as "Chronic Fatigue", and lumped it with sleep apnea, which they rejected without even giving me a C&P.  After a NOD, they did send me for the CFS C&P.
Fight for every little bit of your life back. Don't let them win.
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stevenr88
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Joined: 06 Aug 2012, 19:48

01 Mar 2013, 16:15 #57

I am amazed how many Gulf War vets have sleep apnea. I claimed sleep apnea secondary to PTSD. My claim was deferred by the VA. In the meantime, I was service connected for sinusitis which fell under presumptive for “respiratory conditions”.

I will post the letter that my sleep doctor wrote to the VA later today. I think it is pretty helpful. Of course, I won’t know until the VA decides my claim, probably in 2014.
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talonsx2
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Joined: 20 Dec 2011, 03:43

27 Apr 2013, 14:21 #58

razorpig wrote:
Hi Rodney, here's what my award letter says for my SA: "sleep apnea also claimed as upper airway resistance"
I was granted 50 per cent for SA, never saw anyone on active duty about it, didn't have it until a few years after active duty. Also was granted at the same time CF and mild depression due to GWI, and although I made all these claims at the same time, these claims came in a few months later than my original award. My original award was for fibro and migraine. BTW, the VA also wanted me to show service connection for everything, which I refused to do,and they backed off.
You do get awarded SA.
were you diagnosed with an Upper airway resistance other than SA?

Thanks for the input I know this is an old thread but I thought I would try..


Talonsx2
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Rodryr1
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Joined: 14 May 2013, 17:54

14 May 2013, 17:54 #59

 I Find Various Message boards & Info specific on VA websites all somewhat confusing.  I find Veterans Granted Disability for things Like IBS Under the "Presumptive Clause" & the entire catagory that all these filings fall under is MSI (Multi symptom Illness) & Then phrases present themselves in these topics Such as "Undiagnosed Illness". 
Which is it? Diagnosed or Undiagnosed illness? 
IBS is a Diagnosed disorder. Sleep Apnea is a Sleeping Disorder. It can be "Central" or "Obstructive". However, depending how you relate a diagnosis or view all other symptoms often "Stress related symptoms present themselves the same way. So, gee whiz maybe it's Stress? Oh well thats PTSD! A Entire topic itself. Thats another path to alot of the same symptoms one can have for the others. My Obstructive Sleep apnea has shown other related signs in test. They call that RLS, (Restless leg syndrom). Funny because it's not only my legs I tense & twitch other muscle groups also. I wake up abruptly at times. OK Private dr's label it RLS.  So you go with that. Several times a year I wake up in sweating & always thought that I sleep better with the CPAP & these are just part of having apnea. I never recall "Dreams being fearfull" I seldom recall dreams period.  I don't know if it's related.
   It's no wonder people like "myself" don't even bother with the filing claims or trips to the VA.
I can easily see the "Runaround involved" & Honestly Is it worth My time & Effort?
I'm already frustrated with juggling Habits & Lifestyle along with Nutrition,excersise & all the things that I do deliberatly to find a better quality of Life.
If I'm not trying to deal with IBS flareups, I'm Struggling with sleep. Of course one may be causing the other. Then toss in a few Migrain issues throughout the year & it's alot work to juggle things. If I have the warning signs of Migraine & intervene by taking even a over the counter migrain meds. If I don't a full blown migraine sucks! I usually can prevent it from blooming into a Migraine. So, to me this is good. I started out with a prescrition of imitrex & I learned that there was a couple off the shelf Items that worked. Easy choice. I keep them handy & hence improved my situation & quality of life. They happen & I can manage them in a positive manner & keep them from happining "if" I'm pro active.
Thats a win win I think. Then my doctor tells me to avoid "Ibuprophen" because that can cause Colonitis? You Have IBS & that might Contribute to flare ups. Well great, that active ingredient is in the over the counter stuff that Prevents/stops the Migraines so, Hey forget that Doc. Against your advice I'm using it. I'm not going to consider stopping.
  It's only a few times a year. 
Why bother with the VA?  I have enough problems with my own Doctor directing me in directions for one issue & then saying well, then again you have to watch the other issue. I simply think alot of times That i'm not sure what to do.
Since 1996 I have struggled the sleeping issue's. I've been diagnosed with IBS and during a colonoscopy states in remarks  "very spastic Colon". (That generated a No kidding doc remark by me after my colonoscopy when he had me in the office for the followup after the procedure). And of course the joy of Hemroids that aften follows IBS flareups.  
 I have a Job I love, Health insurance thats Good to Great, A private doctor who actually started seeing me while I was active duty because of my location at the time there was no military Medical available. ( I was on recruiting duty and had to find a local doctor for care. I ended active duty remained in the area in 1996 & kept the same doctor to this day).
  Since then I've seen him numerous times over the years for several things. I did Sleep studies in 1996, Mild interuptions of sleep nothing to really jump at. Excercise, avoid stimulants Blah, Blah, Blah. So ,I did that stuff & lived with it till I simply couldn't handle it any longer. Morning headaches were a way of life,restless sleep, Fatigue on and off, Morning stiffness. So I went back again in 2006. for another sleep study. More signs of sleep interuptions, A few more apnea events that las time. More of the same but this time DOC says goes see a ENT specialist for a consult. Well no surgical approach was obvious. I can try a few things with your airway but not guaranteed to fix anything, Maybe you could try CPAP but your bordeline in the test. Well' I was stubborn & disgusted and the thought I needed a machine to sleep. Hell NO ! Those are for fat, unhealthy, out of shape blimps. Thats not me. So, It goes on longer then In 2010 My Fiance had enough. Tells me im impossible to sleep with me. I need to do something. I stop breathing too much, twitch & flop. & then the snoring is also present. I'm at the same body weight since I left active duty. I'm practicing the good habits, Diet,excersise. OK,OK I'll do it again. This time Hey I'm definetly a canidate for CPAP after two more studies. both test show numerous sleep interuptions & apnea events. Oxygen stats were dropping way to low & finally a test that reflects the way I have felt for a very long time. I start CPAP  & it's a time in my life that I said= "DAMM should have done this years ago. I feel alot better. Remaining problems still present themselves at times."Night sweats" a few times a year. My muscles tense up once and awhile & I do wake up once in awhile "Excited" & don't know why. I just roll over & go back to sleep. Life is A HELL of alot better I'll live with those things. All I know is it's giving me better sleep than I had. & Of course the IBS thing is a pain to deal with so the other sleeping issues can take a back seat. You do the best you can for "Quality" of life. It sucks. You adjust. Prepare yourself to be ready for the signs of a Migraine, Know you might have to find a "Bathroom quickly" , deal with the IBS Flareups when the happen. Treat the Hemroids. Watch your diet & do everything for IBS they say you should do & know it's still going to happen. Set silly goals like I'm going to really try to only "Soil my pants" once this year & then set a goal not to do it at all next year. 
Why bother with the run-around with the VA?
I don't need anymore problems. I have a doctor & struggle with the stuff & would rather put my effort in a better quality of life. It sucks. But Honestly, It sounds that going to the VA is only going to create more issues I don't need. So, they say Undiagnosed Illness in the same paragraph the VA lists diagnosed illnesses. HUH? They talk of sleeping disorders, Would that be diagnosed or undiagnosed ? Don't forget they say IBS. Oh yeah thats diagnosed. Now lets not forget Migraines & a History of Migraines. Thats Diagnosed.  Lets look at the symptoms of all. Wow, they have alot in common. Hell ,this looks like it could be PTSD. Actually looks more like a tangled web of Doctor opinions.  So I Ask again. Why bother with the VA ? You can choose to spend efforts at improving quality or life or spent time being told it's not what you may think and go and get spun in circles. Geeh. what should I do? 
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Truckmaster
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Joined: 26 Nov 2008, 16:18

14 May 2013, 18:46 #60

Read the regulation, it is two separate issues, 1 the undiagnosed issue, of which they list several categories of symptoms. Then there is also the Chronic Multisymptom illnesses (CMI), of which they list IBS, CFS, and Fibro as examples (I have not heard of anyone getting anything else SC'd under that clause, but it is possible).

For the most part, you do not see to many say they got service connection under the undiagnosed illnesses. The biggest reason, is doctors are trained to assign a diagnosis. The key that I have seen, is to show a history of different docs assigning a different diagnosis to the same thing. ( one doc says you have tension headaches, the next doc says they are migraines, then the next says they are cluster, ect). There is a clause somewhere, that says symptoms that are a diagnosis in them selves, such as "Headaches", are not to be considered a diagnosis for a claim under those rules. (or something close to that).
You are right, with the way the VA treated the gulf war vets, in the early 90's, many vets have sworn to never look at the VA for anything. I was one of them, until I hit rock bottom, and had no choice.

It takes work, but if you have the symptoms, it is possible to win.
Fight for every little bit of your life back. Don't let them win.
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lsullysr
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Joined: 08 Nov 2011, 18:22

14 May 2013, 21:44 #61

Welcome to VBN and thank you for your service.

Like a lot of us you are trying to be tough or toughing it out, and it sounds like you need some help.

Some of the signs/reasons for waking at night could be symptoms of PTSD, and Sleep Apnea is possibly a secondary medical issue of PTSD. You should get an appointment with VA Mental Health for a screening.

You say you have an Dx for IBS, file your claim under 38 CFR 3.317. There is an abundance of information in this forum to help you with the wording. You have the illness, and if there is no other etiology for the illness, than it is more than likely a presumptive due to your service in the Gulf.

I was also service connected for my Migraines due to my service in the Gulf, because I didn't have any previous documentation for headaches/migraines in my service records. If this is your case, file for Migraines under 38 CFR 3.317.

It is better to have a diagnosis for your illnesses before filing, but do not hold up filing waiting on a diagnosis. I didn't have a diagnosis for anything when I filed my first claim, but I had chronic symptoms for all the illnesses I later received diagnosis for.

Good luck, and I really think you should talk with the VA Mental Health Department concerning possible PTSD. Sometimes in our life we have to stop trying to be the tough strong guy, and admit we need some help. It took me over twenty years, and I was really hurting by that time.
  
U.S. Army Retired (1971-1991)
100% P&T (SMC-S)
"If you have never made a mistake, you have never done anything". (Author Unknown)
        
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

20 May 2013, 16:48 #62

talonsx2 wrote:
byrddog wrote:
Sleep Apnea is not a presumptive..............Yet


Not sleeping, fragmented sleep, night sweats, ect. Are usually linked to PTSD. Why becasue it easy (that is what was done in my case).


Disclaimer These are my opinions they have been gleaned from my experience with my claim and my dealings with the VA.
@byrddog- Do you by chance see any information that would indicate that SA will be presumptive???  If so where can we find it?

Thanks in advance.


Sleep Apnea is NOT a presumptive to your service.  It is a secondary to PTSD.
If you had problem breathing or fatigue in the service and went on sick call and it was not due to other thing that can help to make it a DS. Id you snored real loud in the service and ever since. that may help NOTE MAY HELP there are other things too.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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leokelvin
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Joined: 29 Dec 2012, 20:13

31 Aug 2016, 00:21 #63

question:
I retired from the Army in 2007. I didn't go to the VA until 2009, I have 100% disability not T&P. I have 70% PTSD and 40% fibromyalgia under the first Gulf War after I retired and 10&20% for both shoulders, 10% for each ankle, 10 for each wrist, 10% lower back, 10% for headache, 10% lower left leg.

I applied for sleep apnea, I have a letter for when I was on active duty from my dentist saying I may suffering from sleep deprivation and or sleep apnea. The denial me for that I also apply for sleep disturbance under the gulf war they say it wasn't from the gulf war but from my other problems and sleep apnea. What should I do.
I was told by the sleep clinic at my location at the VA that they were told not to do letters for patients.
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

31 Aug 2016, 16:58 #64

leokelvin wrote:
question:
I retired from the Army in 2007. I didn't go to the VA until 2009, I have 100% disability not T&P. I have 70% PTSD and 40% fibromyalgia under the first Gulf War after I retired and 10&20% for both shoulders, 10% for each ankle, 10 for each wrist, 10% lower back, 10% for headache, 10% lower left leg.

I applied for sleep apnea, I have a letter for when I was on active duty from my dentist saying I may suffering from sleep deprivation and or sleep apnea. The denial me for that I also apply for sleep disturbance under the gulf war they say it wasn't from the gulf war but from my other problems and sleep apnea. What should I do.
I was told by the sleep clinic at my location at the VA that they were told not to do letters for patients.
You need to appeal and stated the VA should have granted on direct or secondary. Talk to your VSO and build your NOD and get it in.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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chubbs474
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Joined: 02 Mar 2017, 02:22

02 Mar 2017, 02:22 #65

Sleep Apnea falls under the topic of sleep disturbances, if you were on deployment to Southwest Asia (except Afghanistan), it is considered an undocumented claim. Also i would suggest that you request a Gulf War exam to determine if you exhibit any other signs of undocumented illnesses. Deployments have to be from 1990 to present to claim any undiagnosed illnesses associated with Southwest Asia deployments.
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chubbs474
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Joined: 02 Mar 2017, 02:22

02 Mar 2017, 02:26 #66

are you on facebook? there are numerous groups on facebook where you could join to communicate with other vets pertaining to everything under the sun. One in particular is vet2vet and the other is veterans helping veterans. GOOD LUCK!!!!!
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Cpt Geo
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Joined: 16 Nov 2008, 00:20

02 Mar 2017, 08:40 #67

chubbs474 wrote:
Sleep Apnea falls under the topic of sleep disturbances, if you were on deployment to Southwest Asia (except Afghanistan), it is considered an undocumented claim. Also i would suggest that you request a Gulf War exam to determine if you exhibit any other signs of undocumented illnesses. Deployments have to be from 1990 to present to claim any undiagnosed illnesses associated with Southwest Asia deployments.
You really should read up on the laws & regs before posting.

Sleep disturbances for us, fall under the undiagnosed illnesses section.They are the hardest issues to win a claim for. to be an undiagnoised issue, the doctors have to have tried every test known, to rule out any other known illness that can cause the issue. If Congress, and/or the VA had wanted sleep apnea to be a compensated issue for us, they would have written sleep apnea in the laws & regs.

As has been posted well over a hundred times on this forum (Most of those right here in this thread), Sleep apnea is a diagnosed condition (Aptly called sleep apnea), and there fore does not fall under any undiagnoised illness catagory.
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

02 Mar 2017, 17:35 #68

cpt george wrote:
chubbs474 wrote:
Sleep Apnea falls under the topic of sleep disturbances, if you were on deployment to Southwest Asia (except Afghanistan), it is considered an undocumented claim. Also i would suggest that you request a Gulf War exam to determine if you exhibit any other signs of undocumented illnesses. Deployments have to be from 1990 to present to claim any undiagnosed illnesses associated with Southwest Asia deployments.
You really should read up on the laws & regs before posting.

Sleep disturbances for us, fall under the undiagnosed illnesses section.They are the hardest issues to win a claim for. to be an undiagnoised issue, the doctors have to have tried every test known, to rule out any other known illness that can cause the issue. If Congress, and/or the VA had wanted sleep apnea to be a compensated issue for us, they would have written sleep apnea in the laws & regs.

As has been posted well over a hundred times on this forum (Most of those right here in this thread), Sleep apnea is a diagnosed condition (Aptly called sleep apnea), and there fore does not fall under any undiagnoised illness catagory.
George Thank you.
You saved me some typing, and did a good job too.

I would like to point out that one may not even get a C&P if you have a sleep study and diagnosis of SA.
M 21-1.IV.ii.1.E.2.f. Example: Examination Not Necessary in Southwest Asia Claim With Known Clinical Diagnosis
Result: In this case, an examination is not warranted since it is clear that the sole cause of “sleep disturbance” is sleep apnea. Further, sleep apnea is not a recognized qualifying, chronic disability under the provisions of 38 CFR 3.317.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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Cpt Geo
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Joined: 16 Nov 2008, 00:20

02 Mar 2017, 22:03 #69

You are right, it won't even get to a C&P. I filed for sleep disturbances back in 2007, not knowing what I was doing. I also went in for the gulf war exam, whom had me do an at home sleep study. The at home study is a sham, it has no way of knowing if a person is sleeping, or not, even though I told them I only slept an hour or two at the most, the results were posted that I slept for 8 &1/2 hrs, and was just below the threshold for sleep apnea. But the VA diagnosed me with sleep apnea anyway, so my claim was shot down. The CPAP has minimal effect.

I have been seeing a VA sleep specialist (read Physc doc), since. After trying a couple dozen different meds, we have found a combination that does help me sleep most of the time.

I'm at 100% P&T, so right now, trying for a sleep disturbance claim is not worth the hassle. But even without the 100%, I don't see it being fruitful, as the VA does not have any listing for sleep disturbances, and the closest is sleep apnea. a 50% rating, requires use of of a breathing device. Even though my sleep apnea requires a CPAP, my sleep disturbances do not, so I think the best I would get is the 30%.

So, Yea the VA likes to keep posting and flaunting all the undiagnoised conditions, but the real issue is that very few Vets ever get rated under them, and most of the issues do not have a close condition that would give a fair rating for the Vet.

Besides the headaches, and 1 person that got rated for an undiagnoised  skin issue, I do not of anybody else service connected for any other undiagnoised condition. And then, many of the listed conditions do not have any close condition that would give a fair rating. I bet the VA, and Congress laughed their ass of when the law was passed, knowing how they further screwed us in the name of helping us.
Reply

pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

03 Mar 2017, 15:13 #70

cpt george wrote:
You are right, it won't even get to a C&P. I filed for sleep disturbances back in 2007, not knowing what I was doing. I also went in for the gulf war exam, whom had me do an at home sleep study. The at home study is a sham, it has no way of knowing if a person is sleeping, or not, even though I told them I only slept an hour or two at the most, the results were posted that I slept for 8 &1/2 hrs, and was just below the threshold for sleep apnea. But the VA diagnosed me with sleep apnea anyway, so my claim was shot down. The CPAP has minimal effect.

I have been seeing a VA sleep specialist (read Physc doc), since. After trying a couple dozen different meds, we have found a combination that does help me sleep most of the time.

I'm at 100% P&T, so right now, trying for a sleep disturbance claim is not worth the hassle. But even without the 100%, I don't see it being fruitful, as the VA does not have any listing for sleep disturbances, and the closest is sleep apnea. a 50% rating, requires use of of a breathing device. Even though my sleep apnea requires a CPAP, my sleep disturbances do not, so I think the best I would get is the 30%.

So, Yea the VA likes to keep posting and flaunting all the undiagnoised conditions, but the real issue is that very few Vets ever get rated under them, and most of the issues do not have a close condition that would give a fair rating for the Vet.

Besides the headaches, and 1 person that got rated for an undiagnoised  skin issue, I do not of anybody else service connected for any other undiagnoised condition. And then, many of the listed conditions do not have any close condition that would give a fair rating. I bet the VA, and Congress laughed their ass of when the law was passed, knowing how they further screwed us in the name of helping us.
There are over 3,000 that I know of for the undiagnosed illness claims. The new data needed some rework before the VBA can release it. to many error, like some of the veterans in it being 25 who was at the ammo site in 1991. 
Stats not marching up and a few other things.  Hope to have it fixed soon.

We could never get the the top brass to tell us just why there was so many denied for " no diagnosis" and " no nexus to service" other then the comment of the raters did it wrong on those 10,000 claims. Image
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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Cpt Geo
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Joined: 16 Nov 2008, 00:20

03 Mar 2017, 23:12 #71

3,000 out of what about 500,000 deployed? thats about 2/3 of 1%. Better odds winning the lottery. Sad, if not down right pathetic.
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FrankieB1609
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Joined: 09 Jul 2017, 20:47

09 Jul 2017, 20:47 #72

I have been service connected with CFS since 2004, can I claim my sleep apnea as a secondary.  I was denied for my sleep apnea claim back in 2004.
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Cpt Geo
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Joined: 16 Nov 2008, 00:20

10 Jul 2017, 17:31 #73

Not unless you know of some connection between the two, that no one else knows.
Reply

pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

10 Jul 2017, 21:12 #74

cpt george wrote:
3,000 out of what about 500,000 deployed? thats about 2/3 of 1%. Better odds winning the lottery. Sad, if not down right pathetic.
"3,000 that I know of" not all claims.
The GAO report is now out that I did help with over the past 2 years.
http://www.gao.gov/products/GAO-17-511
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

10 Jul 2017, 21:15 #75

FrankieB1609 wrote:
I have been service connected with CFS since 2004, can I claim my sleep apnea as a secondary.  I was denied for my sleep apnea claim back in 2004.
sleep apnea is a reason to deny a claim for CFS. CFS is a diagnosis of exclusion and having sleep apnea would have prevented you have getting a DX of CFS.  Since you was DX with both at the same time someone------Image
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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Cpt Geo
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Joined: 16 Nov 2008, 00:20

10 Jul 2017, 22:36 #76

pgwvet wrote:
FrankieB1609 wrote:
I have been service connected with CFS since 2004, can I claim my sleep apnea as a secondary.  I was denied for my sleep apnea claim back in 2004.
sleep apnea is a reason to deny a claim for CFS. CFS is a diagnosis of exclusion and having sleep apnea would have prevented you have getting a DX of CFS.  Since you was DX with both at the same time someone------Image
Untreated sleep apnea yes. If the Vets sleep apnea has been treated, and the AHI's are down to a point where a doc can legitimately state that the sleep apnea is not the source of the vets fatigue, then the VA can, and will agree with a DX of CFS.
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SCaro72
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Joined: 08 Aug 2017, 00:33

09 Aug 2017, 15:12 #77

I was diagnosed with SA back in March and given a CPAP. During a appointment with my Rheumatologist for Fibro, she asked how my CPAP treatment was going. I told her I was more tired after using the machine than anytime before and as such required even longer naps than usual. She was also aware of my constant fatigue. She then told me she was going to diagnose me with Fribro and CFS. Hopefully this will seperate the two for me?
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

17 Aug 2017, 19:01 #78

SCaro72 wrote: I was diagnosed with SA back in March and given a CPAP. During a appointment with my Rheumatologist for Fibro, she asked how my CPAP treatment was going. I told her I was more tired after using the machine than anytime before and as such required even longer naps than usual. She was also aware of my constant fatigue. She then told me she was going to diagnose me with Fribro and CFS. Hopefully this will seperate the two for me?
The VA will also look at your usage of the CPAP and leaks too. You need to be on it and have it adjusted right for so long before SA can be even start to be ruled out and that is not a given. You might want to talk to your sleep doctor on that one.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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kinginthenorf
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Joined: 01 Nov 2016, 17:35

26 Aug 2017, 16:39 #79

SCaro72 wrote: I was diagnosed with SA back in March and given a CPAP. During a appointment with my Rheumatologist for Fibro, she asked how my CPAP treatment was going. I told her I was more tired after using the machine than anytime before and as such required even longer naps than usual. She was also aware of my constant fatigue. She then told me she was going to diagnose me with Fribro and CFS. Hopefully this will seperate the two for me?
As stated earlier, how would your fatigue be considered not caused by anything else which is by definition what CFS is when you actually have OSA and fibro? 
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SCaro72
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Joined: 08 Aug 2017, 00:33

06 Nov 2017, 20:58 #80

kinginthenorf wrote:
SCaro72 wrote: I was diagnosed with SA back in March and given a CPAP. During a appointment with my Rheumatologist for Fibro, she asked how my CPAP treatment was going. I told her I was more tired after using the machine than anytime before and as such required even longer naps than usual. She was also aware of my constant fatigue. She then told me she was going to diagnose me with Fribro and CFS. Hopefully this will seperate the two for me?
As stated earlier, how would your fatigue be considered not caused by anything else which is by definition what CFS is when you actually have OSA and fibro? 
Not sure I quite understand what you were trying to say there? But I'll take a shot. My VA Sleep/Neurologist Doctor did tell me at my appointment last week that CFS and SA are two very differant illness's, as did the VA Rheumatologist.
Sadly though, after reading:

              Conditions that Exclude a Diagnosis of CFS
1. Any active medical condition that may explain the presence of chronic fatigue, such as
untreated hypothyroidism, sleep apnea, and narcolepsy, and iatrogenic conditions such as side
effects of medication.
2. Some diagnosable illnesses may relapse or may not have completely resolved during treatment.
If the persistence of such a condition could explain the presence of chronic fatigue, and if it
cannot be clearly established that the original condition has completely resolved with treatment,
then such patients should not be classified as having CFS. Examples of illnesses that can
present such a picture include some types of cancers and chronic cases of hepatitis B or C virus
infection.
3. Any past or current diagnosis of:
major depressive disorder with psychotic or
melancholic features
bipolar affective disorders
schizophrenia of any subtype delusional disorders of any subtype
dementias of any subtype anorexia nervosa
bulimia nervosa
4. Alcohol or other substance abuse, occurring within 2 years of the onset of chronic fatigue and
any time afterwards.
5. Severe obesity is defined as having a body mass index equal to or greater than 45. No "normal"
or "average" range of values can be suggested in a fashion that is meaningful. The range of 45
or greater was selected because it clearly falls within the range of severe obesity.

These things pretty much knock out any chance of filing a Claim for CFS as I see it. However, I am constantly seeing where other Vets are being approved for Fibro and CFS with SA sencondary to PTSD, Fibro or what not.

I am right now trying to put together my Claims and send them in myself. I have no confindance in my VSO, as he had told me there are no presumptives for GW Vets. And his assistant was even less knowleged. SHe wanted to toss out my IBS claim, since there was no presumptive for it.

But here I sit, reading anything and everything I can to educate myself on the process. The more I learn, the more fear I feel. Many site and Threads on this site seem to conflict with themselves in what will or could be approved.
Would seem the VA has "Loopholes" covering everything they wish to cover. That is is solely up to the Rater to decide which path of Laws or Reg to proceed with?

I guess it's just try my best, expect the worse and pray for the best?
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