Nobby

Thanks to everyone for taking time to respond. Your insights are very informative.

Thank you...totally understood. However, since I've already had a sleep study & diagnosis, I expect the C&P to be more of an "interview" than a physical exam. If the doctor asks questions from the DBQ, I just want to ensure my responses appropriately answer the questions.

Doc25, Thanks for the info but I was looking for feedback on the three questions I asked in my original post. Any thoughts? Nobby

Greetings, Background: I retired from AD in 2007 without a sleep apnea (SA) diagnosis. However, my AD medical records DO include sleep complaints that were never investigated and several instances of "failure to go", with each instance involving a "no-show" attributed to sleep issues. I'm also SC for Asthma, Allergic Rhinitis and Hypertension. After a 2017 sleep study, I was diagnosed with mild complex SA and issued a CPAP device. I have sworn lay statements from a barracks roommate and my wife of 25 years. Lastly, in June 2018, I obtained an IME in which the doctor stated: "It is my medical opinion, it is more likely than not, that the patient's sleep apnea is service connected because of the occurence of symptoms when he was serving on active duty. The nasal obstruction from allergic rhinitis caused him to snore and the tissue laxity and decreased muscle tone with REM sleep caused airway collapse and desaturation. Arousal with restoration of the airway resulted in sleep fragmentation leading to hypersomnolence. The long term implications are hypertension, weight gain, and sexual dysfunction". Current situation: I'm scheduled for a SA C&P with VES next week. I'm reviewing the DBQ and want to ensure I answer the following questions correctly. 1C. If there are there additional diagnoses that pertain to a diagnosis of sleep apnea, list them. For this question, should I list SC Asthma and Allergic Rhinitis? If not, what kind of info are they looking for? 2A. Describe the history. My answer for this question is 1986 - Sleep-related work issues, 1993 - Sleep complaint during physical exam, 2017 - Diagnosed with complex SA. Is this what they're looking for? 4B. Does the veteran have any pertinent physical findings, complications, conditions, signs and or symptoms related to any conditions listed in the diagnosis section? My response to this question is SC Hypertension, SC Asthma, SC Allergic Rhinitis and weight gain. Is that what they're looking for on this question? Let me know your thoughts and recommendations regarding responses or my situation in general. Cheers, Nobby