No Prior Service History Of Sleep Apnea

Sleep apnea is a common sleeping disorder where a person has experiences of not breathing during sleep. Over 20 million Americans, mostly overweight men, suffer from sleep apnea. Despite these numbers, sleep apnea is often not treated directly because its symptoms are thought to be those of depression, stress, or just loud snoring. There may be a genetic component to this disorder as it often occurs within families.People with sleep apnea stop breathing for at least 10 seconds at a time; these short stops in breathing can happen up to 400 times every night.

Description: A sleep disorder in which breathing is repeatedly stopping and starting do to the brain not sending proper signals to the respiratory muscles, which are the muscles that help you breathe.

The applicant contends, unfortunately, his requests were denied on both occasions. The applicant further states that on September 3, 2014, the Secretary of Defense issued a memorandum to the Boards for Correction of Military/Naval Record (BCM/NR). To carefully consider each and every petition brought regarding under other than honorable conditions discharge requested by veterans claiming PTSD or related conditions that they believed mitigated the misconduct that led to the separation. However, there is a presumption of regularity in the conduct of governmental affairs that shall be applied in any review unless there is substantial credible evidence to rebut the presumption. The applicant bears the burden of overcoming this presumption through the presentation of substantial and credible evidence to support this issue. The applicant’s statements alone do not overcome the government’s presumption of regularity and no additional corroborating and supporting documentation or further evidence has been provided with the request for an upgrade of the

Obstructive Sleep Apnea, OSA, is a very highly widespread and underdiagnosed disease (Kerner & Roose, 2016). The ailment can affect the person and the people around the affected individual immensely. When one takes the time to diagnose a case of OSA it can be helped and treated. Many different factors should be taken into account when dealing with Obstructive Sleep Apnea, including the psychological perspective it falls under, the research methods used to investigate it, the positive and negative components of the condition, and the controversies associated with it.

Do you get elbowed, and told to roll over in the middle of the night? Do you wake up in the morning exhausted? It’s possible that you could have a severe and potentially fatal disorder called Obstructive Sleep Apnea. OSA can affect anyone; from infants to adults, the healthy and physically fit, and the obese.

Imagine that a person is sleeping and all of a sudden they wake up and are unable to breath. It is a scary thing but this happens to millions of people each year. One of the causes of this is Sleep Apnea. This paper will help identify the disorder of Sleep Apnea, its symptoms, causes, diagnosis and treatment.

We live in a world where we are always on the go. We have projects and deadlines to meet for work. We have kids to pick up after school. We have projects to complete around the house along with the usual cooking of meals and doing laundry. It seems like we burn the midnight oil more times than we don’t. Unfortunately, if you think you can function off of a couple hours of sleep each night, you’re wrong.

that Dr. Arthur J. Speilman of the Department of Psychology in New York spoke of,

This study investigated the positive correlation between obstructive sleep apnea (OSA) with an increased rate of postoperative complications including (1) postoperative hypoxemia, (2) intensive care unit (ICU) transfers, and (3) prolonged length of hospital stay in noncardiac surgical patients. OSA patients commonly express cardiac disease, have an increased risk for postoperative morbidity, and OSA is considered an independent risk factor for patient mortality. This study is significant because there remains a substantial number of patients that arrive for surgery without preceding diagnosis, while there continues to be no standardized diagnostic tool readily available to diagnose OSA within the preoperative area. Kaw et al. demonstrates that there is a increase in many postoperative complications within this at risk patient population.

Sleep Apnea is a sleep disorder that causes sleep interruption and a lack of oxygen to the brain. Many people know adults with this disorder who have had to attend sleep studies or wear breathing machines overnight, but what are the implications for children with sleep apnea? Research suggests that children with sleep apnea are in danger developmentally if their condition goes undiagnosed. The lack of quality sleep in children can lead to difficulties socially, emotionally, and cognitively. Unfortunately there is not a lot of research or many specialists devoted to this topic and many children who are suffering go undiagnosed. The American Sleep Apnea Association’s list of Pediatric Sleep Specialists lists only 33 doctors in the United States;

A Clinic Visit Report dated 04/21/2017, stated that the claimant presented with depression, extreme fatigue, and somnolence due to sleep apnea. The claimant had a suicidal ideation (fleeting). The records also revealed that he had lost approximately 12

Obstructive sleep apnea may often present as other problems, including depression, behavior disorders, or attention deficit disorder. Common signs and symptoms of this disorder include snoring, restless sleep, daytime napping, behavior problems, and headaches upon awakening. Parents may misinterpret these signs and symptoms as evidence of attention deficit disorder. Identification of any of these signs is sufficient for a referral to a sleep disorder specialist and consideration of a formal sleep study. Failure to identify and treat this problem will virtually assure lack of success in weight control efforts and will accelerate further weight gain and the onset of other disorders.

Thank you very much for referring Lance along for investigation of likely obstructive sleep apnoea. I certainly agree that he has a very high pre-test probability of obstructive sleep apnoea given his snoring and apnoeas witnessed by his wife and more recently by his brother when they were camping. He believes that he sleeps reasonably well, but wakes unrefreshed and has some sleepiness in passive situations, but not whilst driving. He had a septoplasty and tonsillectomy in the year 2000, but this was mainly for recurrent sinusitis and recurrent tonsillitis more so than snoring at the time.

Sleep apnea is a growing field that is fast becoming recognized as a contributor to many medical problems. This being said, there were several limitations to this review. The majority of the studies were small population studies averaging between 20 and 40 participants. There was bias noted in the selection process, as the majority of the participants came from only one center. Reliability is an important measurement of research. Reliability is the knowledge that the results are consistent and repeatable; this can be addressed by repeated interventions obtaining the same result (Heavey, 2015). There were no studies that were duplicated; therefore the reliability of the studies is limited.

Andrew was seen today following his diagnostic asleep study with maintenance of wakefulness test. Overall, this revealed mild obstructive sleep apnoea, although there was severe obstructive sleep apnoea seen in supine sleep and due to the porcity of supine sleep seen, in particular the absence of any supine REM sleep seen, the overall AHI is likely an under-estimate of the true severity of the obstructive sleep apnoea. Unfortunately, with the maintenance of wakefulness test, he fell asleep on all four tests with a mean sleep latency fo 17 minutes, which is below the normal limit of ability to maintain wakefulness in these situations. Unfortunately, this means that it is unsafe for him to drive until he is established on treatment, and will not be able to use his heavy vehicle licence until we repeat a maintenance of wakefulness test.