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Sleep Study


air1

Question

I GO TO SLEEP THERAPY AT LOCAL VA,I SUFFER FROM NIGHTMARES FROM ASSAULT IN MILITARY AND ALSO HAVE A PROBLEM WITH SNORING AND WAKING MYSELF UP FROM SNORING,BUT DURING DAY I AM ALWAYS FALLING ASLEEP,EVEN IF IN CAR WAITING FOR SCHOOL BUS OR AT HOME ON COUCH,OR IN PARKING LOT OF THE STORE I DOZE OFF,SO MY SLEEP STUDY THERAPIST RECOMMEND I HAVE SLEEP STUDY.I WENT TO SLEEP STUDY GOT RESULTS BACK FROM MY PCP VA NURSE,SHE SAID I NEED TO LOSE WEIGHT AND ANY QUESTIONS SEE MY PCP.I SAW VA DOCTOR AND WE WENT OVER THE REPORT,HE STATED IT SAID IM MODERATE-SEVERE SNORING,LOSE 10-15 LBS,THEN MAYBE SEE ENT TO SEE ABOUT SURGERY.I THINK THIS REPORT SHAFTED ME,THE VA DOESNT WANT TO RECOGNIZE ANYMORE SLEEP APNEA,SHOULD I GET MY OWN STUDY.

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I had a sleep study done a few years ago with the VA. My symptoms were: obese, snoring, large neck, have hypothyroidism, wife stated I stopped breathing at night sometimes.

Study came back as Moderate OSA (I was having 29 episodes a minute) and 30 is severe. They issued me a CPAP machine to use. I use the machine about 4-6 hours a day and still wake up with fatigue, sleepiness through out the day and like to doze off for a few minutes in early evenings.

Do you have a copy of the actual sleep report? Mine at the end stated a diagnosis of Moderate OSA and recommended use of CPAP for treatment.

Somewhere in your report near the end, it should state what the diagnosis was.

Good luck with the process. If you feel cheated, get a second opinion.

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Air1,

I would get a Sleep Study from a non VA Sleep/Respiratory Specialist, if I were you. A Community Dr. might have the ability and equipment for you to do a Home study, but doesn't have the pull, when it comes to a nexus, that a Specialist does. They should be able to pin point the cause better than anyone, JMO. The specialist may even fill out a DBQ for you. If he can can connect it to your service, make sure he puts it in VA lingo.

Good Luck

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I HAVE NOT SEEN STUDY,BUT WHEN I GOT OUT OF MILITARY MY EXIT WAS EXCESSIVE WORRY AND SLEEP DISTURBANCE.I AM ALWAYS ASLEEP AND THEY DID COMPLETE BLOOD TEST YESTERDAY AND CHECK MY THYROID.THEY JUST DIAGNOSE ME WITH SNORING AS I MENTION.I REALLY DIDNT FEEL GOOD ABOUT GOING TO THIS CLINIC ,ITS PRIVATE BUT THE VA USES IT ALL THE TIME AND I JUST FEEL I HAVE MAJOR SLEEP PROBLEM WHICH EVEN MY SLEEP THERAPIST NOTICE DURING THERAPY.I THINK A PRIVATE ASSESSMENT IS A GOOD INVESTMENT.I HATE FEELING THIS WAY ALL THE TIME.

Edited by air1 (see edit history)
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If you get a private qualified sleep study from a specialist in this field,and is in your favor the VA usually will take that over the VA sleep study!

The only thing is there pretty expensive!

jmo

Good Luck Buddy I wish you well!

Buck!

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Yea..a sleep study will likely cost some serious coin.

I use a CPAP, and am diagnosed with Obstructive Sleep Apnea. In fact, I actually had a C and P exam for it today. Even tho I have had a CPAP since 2007, service connection for OSA was denied, and this was an appeal.

Believe me, be very happy you dont have OSA to the extent you need a CPAP. They are a pain~they are noisey, you have to take them with,when you travel. You have to wash the cpap hose and mask regurarly, and you have to replace them when they wear out. BUT..for me, the CPAP is none less than a lifesaver. I believe it was Reggie White, the football player, who died from sleep apnea.

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broncovet,

My spouse needs a c-pap machine bad....we tried to get the VA to help us get one but since they closed all the specialty clinics down to the veterans spouses no can do eh!.

We really can't afford the sleep study and buy one out of pocket.

were saving up to get her one although she has supplement Insurance and champVA They won't help..> but were fussing with them currently

Well ChampVA will help but were in the process of getting a private Dr to prescribe her one she had one & hopefull they can use her sleep study that she has from about 10 years ago but it broke and she really didn't need it anymore but now she does bad.

suppose to know the 13th

Buck!

Edited by Buck52 (see edit history)
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Sorry to hear of your issues bud. I just had a Sleep study in Dec, but the VA paid for me to go to a Civilian clinic. Good luck and God Bless. Just try not to get to worked up, and we are here for you anytime.

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Yes Navy04 Thanks Buddy,

I think its different with our spouses than us vets!

Now that our VAMC has closed its doors to champVA patients The citi program is not like it use to be but as I understand it its left up to Each VAMC to make the decision rather or not they will treat your spouse with specialty clinics! my VAMC chooses not to! Bummer

that's why we got supplemental insurance along with ChampVA.

Take Care Buddy!

Buck!

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Buck

IMHO your wife has better coverage than you do, and here is why:

I was a patient at my VAMC for 10 years. Did they do a sleep study? No. They did not diagnose it, and I did not know I had it.

Then one day I had chest pain, and, fortunately, my VAMC was completely full, so I was sent to a private hospital. We were allowed to pick, and, since wifey is a nurse, she knew exactly where to take me. In 24 hours, this private hospital diagnosed my sleep apnea without a sleep study. It was a heart hospital, and the doc knew exactly what was wrong after some tests: My right side of my heart was enlarged from lack of Oxygen. Sleep Apnea.

I took those doc notes, and VA finally agreed to a sleep study, and I got my CPAP.

My VA wont do a sleep study UNLESS there is a compelling reason. Snoring, or sleeplessness is not enough. Lets save money, at the cost of Veterans quality of life, so that VA execs can divide up the amount they save at the end of the year as bonuses.

Your wife can/should just go to the yellow pages and find a doc who accepts your insurance (s). Then give the doc your symptoms and tell em you want a sleep study done as you suspect sleep apnea.

Get your sleep study, and your cpap machine paid thru champva/medicare supplement. OR try this:

Pick you a nearby area you like with a different VAMC. Example: one in/near a town where one of your kids live. Go stay with them long enough to get a sleep study done at the VA, probably AFTER you get a "referral" from a private doc, which you pick out and pay for with champva/medicare supplement. Your wife should already be enrolled in the VA system, it may be best to stay in the same VISN. You should be able to look up your VISN, as your wifes enrollment in one VAMC should enroll her in the VISN system, and it may work she gets care at another VAMC in the same visn. Others may chime in, but I think that will work, you could simply call an alternate VAMC and ask them, or go there when you visit your kids.

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Thanks broncovet.we will definitely do this,

Yes my wife is in the VA system she has been for 12 years now she has been through the mill with the VA they have did back surgery on her and triple heart by pass treated he for broken arm and foot when she fell &back when our VAMC was on the CITI program she got to use the speciality clinics.

and she did get her Cpap via Champ VA they paid for her sleep study and the machine we just paid the 25% that was left which was only 250..00 so that was fine

.but since they closed the speciality clinics no dignosed to take to a private Dr but that's change now she got her a private Dr its a group of Dr's that take ChampVA & we got her some supplemental In too

..so she has her first appointment the 13th going to try to get a prescription for sleep study or ask if they can use her old one? either way we need to get her a machine.

she has left main dieases reason for her heart surgery she had 89 95 95%blockage before her heart surgery.

so this is very important.

Thanks for your info Buddy I appreciate it!

Buck!

Edited by Buck52 (see edit history)
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Needles to say she is totally fed up with the VA HealthCare system not only for her & the spouse of veterans but for the Veterans as well although we are both grateful to the VAMC for saving her life back in 2005 with the heart by pass.

Buck!

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The VA did my sleep study (at home and in person) through the local hospital since I live about 110 miles from the VAMC. They paid for it since it was a PCP diagnosis while I was only at 20% S/C. When the study came back through the VA sleep clinic as needing a CPAP and was moderate/sever OSA, they issued me a CPAP through Norco local office. I finally asked my PCP is she thought my OSA was associated with my hypothyroidism and high blood pressure and she wrote me a letter stating so. Sent that in as a claim for secondary OSA to hypothyroidism and it was approved within 2 months, no C&P required.

Good luck..

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air1,

I would get an actual copy of your sleep study report as Okichewy1 suggested. If the study was performed at the VAMC, you should be able to get a copy of the report by going to the Release of Information Office at your VAMC and requesting a copy. The report may contain more info that was not reported to you by your PCP. If the report states you have sleep apnea, you should ask your PCP about a CPAP. If your PCP states you do not need a CPAP, post your sleep study on Hadit so others can comment on the report.

Based on your comments about your exit exam about "sleep disturbances," you should request copies of your SMRs so you can review them for other evidence of sleep problems. You can request them through Archives.org.

Good luck to you.

GP

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Air: Do you believe your sleep issues are Secondary to your, Hopefully Documented In Service Assault? Appears that you don't have any Service Med recds discussing problems with sleep, right? If your looking to SC your current sleep issues, you may need to establish a PTSD from your documented in service assault. PTSD could serve as a Nexus for SA.

As to the DX of SA, VA or Private. I had SA from about 2007 but not DX'd by Civilian Dr till 2011. When it comes to the overnight sleep study, VA or Civil, the computers and Video don't lie or show a bias. Get all your Sleep Study results from the VA Medical Center including all Clinician Notes. The documented Sleep Study will show exactly how many sleep interruptions (Apnea Events) you had as well as duration and any other sleep issues that were observed and recorded.You either do or don't have OSA SA or MSA. I was referred to a Sleep Specialist after my Regular Civilian Dr ordered the Sleep Study. Ended up seeing a MD Neurologist Specializing in Sleep Medicine. This Dr gave me the Magic "More likely than not, caused by my SC CAD." Rated SC 50% on BiPap Secondary to CAD DX 2006.

Semper Fi

Gastone

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There is a surgery that implants a device in your chest, side and throat which treats OSA with electric impulses while you sleep. It is called Inspire Upper Airway Stimulation. It reduced my number of apneas from 50 an hour to 10-17. This is a vast improvement and I don't snore like I used to snore. I still have sleep issues but the Inspire device makes the cpap look like medieval history. The only thing I have is a hand held device that activates the implant in my chest. It tightens up my throat and moves my tongue out of the way so I can breath. I still might be able to use a cpap but I just can't stand them. The thing with OSA besides getting compensated is living. OSA can shorten your life if not treated plus you feel like crap all the time. The other surgeries for OSA usually end up with you back on the Cpap.

John

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