ptsd Sleep Apnea,ptsd,plmd

[qwiksting]

I had a polysonogram and got my results back. I had an actigraphy done by the Veterans Administration which led me to a private Dr. The VA just issued me a CPAP machine,(october 5) I never saw a Dr., just a technician to explain how to use the machine. So anyway, I thought it might be a good idea to get a real sleep doctor to help me figure out why I feel so tired all the time and why I have a cpap machine to use? I know it sounds backwards, but, its the VA....I just thought maybe it was the meds I am on to help with ptsd.

My results from my private Doctor polysomnogram are as follows:

I was recorded for 511 minutes and slept for 429 minutes. Sleep latency was 7.5 minutes: with a REM latency of 289 minutes. The sleep efficiency was 93.7%. Sleep architecture was fragmented with 45.5 minutes of stage N1 at 9.6%, 290.5 minutes of stage N2 at 67.7%, 70 minutes stage N3 at 16.3%, 27.3 minutes of REM at 6.4%, 24.5 minutes of wake with 21 minutes of wake after sleep onset.

There were a total of 14 apneas (obstructive) and 25 hypopneas, for an Apnea and hypopnea index of 5.5 per hour. Respirtory events were elevated during REM sleep and while supine with an index of 8.7 and 7.9 per hour. The longest event was 33 seconds. Oxygen saturation baseline was 95% with a lowest SaO2 of 91%. Snoring was severe in association with sleep-disorder breathing. There were 333 periodic limb movements with a periodic limb movement arousal index of 5.31 per hour. There were 36 spontaneous arousals with a spontaneous arousal index of 5 per hour. The EKG showed normal sinus rhythm, few ectopic beats with mean heart rate of 66 beats per minute during NREM and 64 beats per minute during REM sleep with a mean wake heart rate of 78 beats per minute.

I am an Iraq vet (04-05), PTSD, on meds. Lorazapam, quitiapine,sertraline and trazadone since 06. I am 47 and i smoke. I am 64 inches tall, weigh 191lbs.

I am still waiting on a Claim from 2008, its at the AMC, via BVA. I am considering claiming this as secondary to ptsd medication. I am not obese or overweight, however, after researching medications that I am to help me sleep, I am considering filing a claim as secondary to ptsd medication. Any thoughts/advice? I am currently seeing a Board certified neurologist and have an appointment on monday. Will be asking for an IMO.

[john999]

I take toprimate, oxycodone, clonazepam, cymbalta, fentynal, losartin, and a statin. I think I have gained much weight in last 5 years and most of these drugs aggravate my apnea. I have DMII from AO and PN that makes many activites difficult. My Bpap only works sometimes for me. I am 60% for Heart and 70% for schizophrenia/panic/PTSD and depression combined. I should be 100% for mental conditions, but because I don't hallucinate 70%. Since I went on TDIU I have gained 40 lbs because pain has gotten worse and activity level is down and I am older. What the hell! I am as fat as I have ever been in my life. I have PN in all four limbs. Do I have a case for SC apnea? Now private doctor is saying I have narcolepsy too. I really don't want extra money, so much as some help with these snowballing conditions.

Clonazepam, valium, xanax and all narcotic pain meds make OSA worse in my case just on their own because they relax the throat muscles.

John