Can Anyone Explain The Results Of My Study?

[hawkcrewchief]

Patient XXX XXXXXXX is a XX year old male recent overnight sleep recording showed:

-There were 22 apneas (3.3/hr sleep) of those 0 were mixed , 22 were obstructed and 0 were central apneas

-There were 77 hyponea (11.6/hr. sleep).

-The Apnea+Hyponea Index (AHI) was 15.0/hr. sleep.

-In addition, there were 33 Respiratory Related Arousals 5.0/hr. sleep.

-The respiratory Disturbances index (RDI) is 20.0events/hour.

-The subjects sleep was recorded mostly supine.

-Apneas and Hyponeas during supine sleep (back index) 18.4

-Apneas and hypopneas during REM sleep (REM index) 50.6.

- O2 saturation lowest point was 85% ;)

Assesessment:

Primary Diagnosis

moderate sleep apnea, worse in REM

caffeine dependence

chronic headaches

nasal septal deviation ( blunt force injury in army)

Plan:

-Will need pap titration to determine therapeutic measures

-ENT evaluation for nasal obstruction and snoring.

-Reduce caffeine intake may improve headaches.

-PT reports RLS sx but no PLMS noted with minimal wake before sleep. Will observe, if sx are persistent and problematic we will consider treatment.

XXXX XXXXX MD Neurology

Soooo does anyone know what this means??? Should I file a claim for SC? My nose injury is not SC but it is in my SMR along with the x-rays from the fractures when I got injured, plus several MD's say I have a deviated septum from it. Thanks in advance.

[hawkcrewchief]

I'll let you answer your question yourself, if you file next week and you are eventually service connected for your nose injury, the date you would start getting compensation would be the date they receive it sometime next week. If you wait for all of the results, let's say 6 months from now, and you are service connected for your nose injury, your start date will be 6 months from now. That would be 6 months of lost compensation, because you waited. Getting the date established as soon as possible is very important. In an earlier post you stated your nose injury is not SC. If it happened on active duty whether you were shot in the nose in battle or just playing basketball on base, it is SC. I don't know if you can get compensation back dated to your exit date from the serice or not. Did you not file for SC on your nose with your initial VA claim? Is that what the VSO advised?? If so, you can state in the letter that you want it dated back to your exit date, the worse they can do is say no it will start on the date we received your request for compensation.

When we had that big briefing when you get ready to get out of the military there was a VSO rep on site and he was the one who guided us thru the initial paperwork process. During the break he took personal questions, I approached him and told him about all my injuries. He told me to file for certain injuries and not for others like my nose and skin condition, his reason was that the nose injury was one that I never complained about after the injury, so the VA would automatically deny the claim due to lack of evidence or lack of it bothering me. He was a VSO and I figured he was right so I dropped the issue.... So no my nose is not SC but it happened in the Army during a team sports football game, I went to the ER and got treatred with X-rays and all. I have my records right here this is what the ER Doc said...." Some nose bleeding on patient. Nose appears deformed" Then the X-ray was read and the doctor on that stated " There is a questionable tiny nondisplaced fracture of the nasal bone, The maxillary sinuses are normal."

Thanks again for all the great comments guys im sure this is not only helping me but people who search thru this forum daily. Thats why I love this place priceless info!!!!