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Claim For Sleep Apnea Reason Overweight And Deviated Septum


yelloownumber5
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Question

I have a question I don't seem to get an answer to.

I am diagnosed with sleep apnea (osa) and sleep doctor assessment "this patient has mild to moderate sleep apnea syndrome primarily on the basis of excessive body weight with contributions from nasal obstructioon and mandibular retrodisplacement."

I'm worried about filling claim because filed for deviated septum on my initial claim and it was denied due to no evidence of trama. If I'm going to have to connect this or the mandibular retrodisplacement to entitle me for the claim.

The American Legion reps at the VA Hospitals are they just someone that will give you forms and what not or are they someone that can look at your evidence and say this looks good or do this and that?

Thanks

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  • HadIt.com Elder

File your claim and look for Medical Evidence to support it. Most of the Service Officers will fill out a claim for anyone who walks in the door. What you need is to show a connection to your service, demonstrate it caused problems between you service and when you filed claim and a solid medical diagnosis that backs you up for it in service and now.

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Pete,

Right. I have symptoms of sleep apnea and my doctors recommendation of sleep study and this remarks of sleep apnea 2 degrees in my service medical record and of course now I am diagnosed. Which may or may not be approved, I understand I may need to get a IMO.

However, what I was worried about what they say yes you have sleep apnea but it's due to the deviated septum so denied. Long story with the deviated septum but I did not have one noted on entry exam but yes I know that does not matter. I had car accident totalled.......went the Naval Hospital P'cola but no note in record, I sent letter and they called P'cola hospital has no record of me being there......no follow up either with my PCM the only thing I have in my medical record concerning this was a bill from Navy Legal paying $60 for a urine test......because the car was totalled and they wanted me to pay....but even on this form it says "scratched arm and hands" but it rolled 4-6 times the police estimated (yes, I've asked and they have no record either).

So, my fear was the sleep apnea to be disapproved because they (VA) says the consider the deviated septum to be the reason of sleep apnea.

Thanks,

File your claim and look for Medical Evidence to support it. Most of the Service Officers will fill out a claim for anyone who walks in the door. What you need is to show a connection to your service, demonstrate it caused problems between you service and when you filed claim and a solid medical diagnosis that backs you up for it in service and now.
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  • HadIt.com Elder

Was the deviated septum noted on your exit physical? Do you know anyone who could collaborate that you has the accident? Even if its your Mom or someone who could attest it may help bolster your claim.

Good Luck

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you are going to have to get one or the other SC'ed before you have any chance of service connecting the OSA.

Once you get one of them connected then you are going to have to go through the process of getting IMO's as to the percentage they play into the OSA. Your doctor has given "over weight" as primary cause with the two of them contributing.

At this point I do not see any way for success of an OSA claim.

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Ricky and Pete,

Ricky,

You don't think it would be a sucessful claim even with the complaints of "day time fatigue", sleep 8/9 hours a day but doesn't seem to get quality sleep", "Fatigue" , doctor said "consider sleep study", "sleep apnea 2 degrees", "?OSA" while on active duty?

The deviated septum part confuses me because whil eon active duty I even had surgery on my deviated septum and of course it doesn't matter but no deviated septum annotated on entry exam. I'm not trying to claim a deviated septum but sleep apnea, however, sleep doctor said primary osa factor weight and contributation from "nasal obstruction and mandibular retrodisplacement"

Pete,

Yes I believe the deviated septum was annotated on the exit physical and I've had surgery on it during active duty. But to actually claim that you have record of Trama to the area.......I'm not trying to claim that but wondering if that would stop my sleep apnea claim. I have my informal claim pending for sleep apnea, increase on GERD and increase on blood pressure.

you are going to have to get one or the other SC'ed before you have any chance of service connecting the OSA.

Once you get one of them connected then you are going to have to go through the process of getting IMO's as to the percentage they play into the OSA. Your doctor has given "over weight" as primary cause with the two of them contributing.

At this point I do not see any way for success of an OSA claim.

Edited by yelloownumber5
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Ricky and Pete,

Ricky,

You don't think it would be a sucessful claim even with the complaints of "day time fatigue", sleep 8/9 hours a day but doesn't seem to get quality sleep", "Fatigue" , doctor said "consider sleep study", "sleep apnea 2 degrees", "?OSA" while on active duty?

The deviated septum part confuses me because whil eon active duty I even had surgery on my deviated septum and of course it doesn't matter but no deviated septum annotated on entry exam. I'm not trying to claim a deviated septum but sleep apnea, however, sleep doctor said primary osa factor weight and contributation from "nasal obstruction and mandibular retrodisplacement"

Yes I do believe that you may have a chance if the SMR's have such evidence but you made no mention of that in your previous post. How long has it been since those entries were made in your smr's and the diagnosis of OSA? You will need to get another opinion - the new opinion will have to provide that the doc reviewed your smr's and that it is at least as likely that your current diagnosis and those reported symptoms and observations by the military doc are connected.

This is just an opinion based upon your newly posted info. My first opinion was an answer to your original question.

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