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Waterboy

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  1. Ok, great! I'm glad you won that. I'm in the process of filing a similar claim as you listed above. Same thing, great IMO and am now just waiting. It's good to see sleep apnea secondary to fibro win. Thanks again for all of your previous posts, very informative. Waterboy
  2. Hi Peaches. I to have a similar case and came across your post. Excellent info and thank you for sharing it. I was wondering how you made out or are you still waiting? I am a Gulf War Vet. I have 40% Fibromyalgia service connected as Environmental hazard in Gulf War as well as 30% PTSD combat related. I was diagnosed with Severe Obstructive Sleep Apnea and am currently using a CPAP. I am in the process of filing a claim for Sleep Apnea secondary to my Fibromyalgia. I am waiting on my DBQ and IMO in the mail. There is a solid study published in 2017 by Turkish Thoracic Journal called " Is there a link between OSA syndrome and Fibromyalgia syndrome". Listed with PubMed.gov which hosts US national Library of Medicine and national institute of health. This study is a great piece of information to justify the phrase " at least as likely as not". Their results and conclusion were: RESULTS: OSAS was detected in 50% of patients with FMS. The most prominent clinical findings were morning fatigue and sleep disorder, which were similar in three groups. In polysomnography (PSG) evaluation, patients with FMS had mild (33%), moderate (25%), and severe (42%) OSAS. In correlation analyses, negative correlations were observed between fibromyalgia impact questionnaire (FIQ) and mean oxygen saturation, visual analogue scale (VAS), and minimum oxygen saturation, whereas a positive correlation was found between FIQ and desaturation times in patients with FMS. CONCLUSION: Detection of OSAS in 50% of the patients with FMS, and similar rates of complaints of sleep disorder and morning fatigue of OSAS and FMS cases are important results. Detection of correlation between the severity of hypoxemia and FIQ and VAS scores are significant because it signifies the contribution of increased tissue hypoxemia to the deterioration of clinical status. Diagnosis and treatment of OSAS associated with FMS are important because of their favorable contributions to the improvement of the clinical picture of FMS. Thanks Waterboy
  3. 1.) Which is better for Sleep Apnea to be linked with when filing a claim / appeal, PTSD or Fibromyalgia? Sleep Apnea as secondary to my 30% PTSD (Chronic Sleep Impairment is one of the symptoms) service connected or my 40% Fibromyalgia service connected? I was diagnosed with Severe Obstructed Sleep Apnea in 2009, sleep studies and use of CPAP. Stopped CPAP due to issues. Fast forward to present day, had a current sleep test, same severe OSA and am on and will continue to use a CPAP. All done through the VA. I've done tons of research. There are good, solid studies for both linking Sleep Apnea to them. Can you claim simultaneously that both conditions aggravate it and vice versa? Get a Nexus Letter from both doctors in each field and DBQ's from both as well or have one doctor write they both have a correlation... Then submit it all together showing that... Just curious on all of your thoughts before I go ahead and file. I am currently working on getting IMO's / Nexus Letters, shortly... I know these phrases are key as well: "is due to" (100% sure)"more likely than not" (greater than 50%)"at least as likely as not" (equal to or greater than 50%) Based on my evaluation of the veteran, it is my opinion that it is at least as likely as not that SoandSo's diagnosed OSA is aggravated by his service connected PTSD or Fibromyalgia. I also feel that it is at least as likely as not that SoandSo's PTSD or Fibromyalgia is aggravated by his OSA." 2.) Also, as a back up, has anyone ever used Valor4Vets to get a Nexus Letter or DBQ? If so, were they worth it / reputable? I'm currently arranging for my own doctors but if they get all weird on me... Thanks Waterboy 1989-1992 101st Airborne/ Air Assault Infantry Persian Gulf War
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