Va Form 21 4138 Sleep Apnea

The following list gives you some hints.You got up more tired than relaxed each day.You fall asleep anytime and anywhere.Sometimes even while driving.You snore during signNow night a lot.Your health starts to deteriorate.Your intellectual capacity drops down.Your blood pressure goes probably upwards.You are having smaller or greater injuries and accidents. A lot of them.Depression and anxiety are just behind the corner.Any cold or even small disease do not heal so fast as before.Immunity deteriorates.Very probably there will be gain in weight as digestion and gut health goes down.The best way is to measure the heart rate during sleep. When there are a lot of spikes in HR during the night, you are getting an idea of what is going on.Do not underestimate the condition and do your job: find a solution ASAP.

This is likely a difficult question to answer. I have seen a reference that according to the National Commission on Sleep Disorders Research, approximately 38,000 deaths occur in the US on an annual basis that relate to cardiovascular problems that in one way or another are connected to sleep apnea.  (http://www.nhlbi.nih.gov/about/n...)But don't leave out motor vehicle accidents.  There are more than 40,000 deaths each year from Motor Vehicle Accidents in the USA, and it's estimated that 15-20% of crashes are related to drowsy driving.  Not all of those accidents would be related to Obstructive Sleep Apnea (OSA), but some of them would be.  (http://www.talkaboutsleep.com/sl...)OSA causes a person to stop breathing up to hundreds of times per night. Not breathing in itself is a condition that is incompatible with sustaining life.  These pauses in breathing can cause drastic changes in oxygen levels. They also lead to frequent arousals that fragment a person's sleep. This activity puts an enormous strain on the human heart, thereby increasing a person's risk for so many other health problems -- not to mention it goes untreated so often (80-90% of people with OSA are unaware that they have it), that it's probably pretty tough to narrow down as a specific cause of death.-Plenty of evidence exists that links sleep apnea to higher mortality rates, though:Two studies in the journal Sleep published in 2008 show that people with sleep apnea have a much higher risk of death than people without.  (http://www.sleepeducation.com/Ar...)  The risk is greater for people whose sleep apnea is more severe, and also increases when sleep apnea goes untreated.  OSA sufferers have 5 times the risk of dying from a heart problem than those without sleep apnea, and there were more than 650,000 cardiac deaths in 2005. (http://www.sleepeducation.com/Ar...)  Johns Hopkins has also done studies in this area.(http://www.sleepeducation.com/Ar...) In fact, NFL Great Reggie White's death was linked to Sleep Apnea, according to the Dartmouth-Hitchcock Medical Center.  (http://www.sleepeducation.com/Ar...) Also, according to the American Academy of Sleep Medicine, OSA is associated with cardiovascular complications, most notably increased risk for high blood pressure.  Untreated apnea is also associated with higher risks of stroke and heart attack, and can increase the risk for work-related accidents and driving accidents. Some individuals, particularly those with existing lung disease, may develop severe declines in oxygen levels and even heart failure.  (http://www.sleepeducation.com/To...)(http://www.sleepeducation.com/Ar...)The National Heart Lung Blood Institute of the National Institutes of Health did a study in 2000 showing that middle-aged and older adults with sleep apnea have a 45 percent greater risk of hypertension than people without the disorder.  Hypertension, or high blood pressure, is a major risk for cardiovascular disease.  Heart disease is the leading cause of death in the United States today.  (http://www.sleepeducation.com/Ar...)

VA Form 21–4192 is an application for disability benefits and like similar state benefits, it must be filled out by the veteran or by his or her qualified representative. This is a private, sensitive, legal document and every dot or dash in it can be critical, so must be accurate and verifiable.Employers have zero responsibility to fill out this form or furnish information for it, however, Social Security would have all the information required that the Department of Defense did not have. The veteran’s DD-214 is likely required, but does not furnish all the information required on the form.

This is a question that you need to discuss with a sleep doctor. CPAP machines can certainly alleviate the symptoms if that is the diagnosis. And if your doctore recommends using a CPAP mask then you should certainly follow their advice.Some people however find using such a mask difficult or unappealing. I am such a person so I found other ways which have been shown to help. Here is a short video explaining what I learned - check it out and then visit http://www.breathesimple.com to learn more about how you can use breathing exercises effectively.If you like the post then please share/upvote it for others. Thanks.

There are surgical procedures now that can help open the airways in your throat but a CPAP machine is a great non-invasive way to help your body get more air. I have sleep apnea as well but yours sounds way worse. Please understand that without enough air your body puts a tremendous amount of strain on your heart and you may likely die in your sleep.CPAP machines do not come without their problems. You should purchase a face mask cleaner to avoid germs from entering in your air tube during non-use. Your problem is life threatening. PLEASE do not avoid it or put it off any longer. If it doesn’t result in death it will, at the very least, weaken your heart. Get to your sleep study ASAP and they will send you the required equipment. The CPAP face cleaner is not included and may have to be bought separately. Always keep your equipment clean and germ free. They did not go over this with me when I received my machine so I am making you aware of the importance of keeping the air tubes and mask super clean since you will be using this every day. I know it will suck at the beginning until you get used to it but you have no choice. Please do not delay. Your condition is the worst I have ever heard about. Also if you are overweight, losing weight may be beneficial to the point where you would not need the machine any more.Good luck and be well.~

What exactly are you appealing? That they won't a authorize the study or won't pay for the CPAP? Different answers.

NOOOOOOO. You are talking to a military romance scammer. I received an email from the US Army that directly answers your question that is pasted below please keep reading.I believe you are the victim of a military Romance Scam whereas the person you are talking to is a foreign national posing as an American Soldier claiming to be stationed overseas on a peacekeeping mission. That's the key to the scam they always claim to be on a peacekeeping mission.Part of their scam is saying that they have no access to their money that their mission is highly dangerous.If your boyfriend girlfriend/future husband/wife is asking you to do the following or has exhibited this behavior, it is a most likely a scam:Moves to private messaging site immediately after meeting you on Facebook or SnapChat or Instagram or some dating or social media site. Often times they delete the site you met them on right after they asked you to move to a more private messaging siteProfesses love to you very quickly & seems to quote poems and song lyrics along with using their own sort of broken language, as they profess their love and devotion quickly. They also showed concern for your health and love for your family.Promises marriage as soon as he/she gets to state for leave that they asked you to pay for.They Requests money (wire transfers) and Amazon, iTune ,Verizon, etc gift cards, for medicine, religious practices, and leaves to come home, internet access, complete job assignments, help sick friend, get him out of trouble, or anything that sounds fishy.The military does provide all the soldier needs including food medical Care and transportation for leave. Trust me, I lived it, you are probably being scammed. I am just trying to show you examples that you are most likely being connned.Below is an email response I received after I sent an inquiry to the US government when I discovered I was scammed. I received this wonderful response back with lots of useful links on how to find and report your scammer. And how to learn more about Romance Scams.Right now you can also copy the picture he gave you and do a google image search and you will hopefully see the pictures of the real person he is impersonating. this doesn't always work and take some digging. if you find the real person you can direct message them and alert them that their image is being used for scamming.Good Luck to you and I'm sorry this may be happening to you. please continue reading the government response I received below it's very informative.   You have contacted an email that is monitored by the U.S. Army Criminal Investigation Command. Unfortunately, this is a common concern. We assure you there is never any reason to send money to anyone claiming to be a Soldier online. If you have only spoken with this person online, it is likely they are not a U.S. Soldier at all. If this is a suspected imposter social media profile, we urge you to report it to that platform as soon as possible. Please continue reading for more resources and answers to other frequently asked questions:  How to report an imposter Facebook profile: Caution-https://www.facebook.com/help/16... < Caution-https://www.facebook.com/help/16... >   Answers to frequently asked questions:  - Soldiers and their loved ones are not charged money so that the Soldier can go on leave.  - Soldiers are not charged money for secure communications or leave.  - Soldiers do not need permission to get married.  - Soldiers emails are in this format: john.doe.mil@mail.mil < Caution-mailto: john.doe.mil@mail.mil > anything ending in .us or .com is not an official email account.  - Soldiers have medical insurance, which pays for their medical costs when treated at civilian health care facilities worldwide – family and friends do not need to pay their medical expenses.  - Military aircraft are not used to transport Privately Owned Vehicles.  - Army financial offices are not used to help Soldiers buy or sell items of any kind.  - Soldiers deployed to Combat Zones do not need to solicit money from the public to feed or house themselves or their troops.  - Deployed Soldiers do not find large unclaimed sums of money and need your help to get that money out of the country.  Anyone who tells you one of the above-listed conditions/circumstances is true is likely posing as a Soldier and trying to steal money from you.  We would urge you to immediately cease all contact with this individual.  For more information on avoiding online scams and to report this crime, please see the following sites and articles:   This article may help clarify some of the tricks social media scammers try to use to take advantage of people: Caution-https://www.army.mil/article/61432/< Caution-https://www.army.mil/article/61432/>   CID advises vigilance against 'romance scams,' scammers impersonating Soldiers  Caution-https://www.army.mil/article/180749 < Caution-https://www.army.mil/article/180749 >   FBI Internet Crime Complaint Center: Caution-http://www.ic3.gov/default.aspx< Caution-http://www.ic3.gov/default.aspx>   U.S. Army investigators warn public against romance scams: Caution-https://www.army.mil/article/130...< Caution-https://www.army.mil/article/130...>   DOD warns troops, families to be cybercrime smart -Caution-http://www.army.mil/article/1450...< Caution-http://www.army.mil/article/1450...>   Use caution with social networking  Caution-https://www.army.mil/article/146...< Caution-https://www.army.mil/article/146...>    Please see our frequently asked questions section under scams and legal issues. Caution-http://www.army.mil/faq/ < Caution-http://www.army.mil/faq/ > or visit Caution-http://www.cid.army.mil/ < Caution-http://www.cid.army.mil/ >.  The challenge with most scams is determining if an individual is a legitimate member of the US Army. Based on the Privacy Act of 1974, we cannot provide this information. If concerned about a scam you may contact the Better Business Bureau (if it involves a solicitation for money), or local law enforcement. If you're involved in a Facebook or dating site scam, you are free to contact us direct; (571) 305-4056.   If you have a social security number, you can find information about Soldiers online at Caution-https://www.dmdc.osd.mil/appj/sc... < Caution-https://www.dmdc.osd.mil/appj/sc... > . While this is a free search, it does not help you locate a retiree, but it can tell you if the Soldier is active duty or not.  If more information is needed such as current duty station or location, you can contact the Commander Soldier's Records Data Center (SRDC) by phone or mail and they will help you locate individuals on active duty only, not retirees. There is a fee of $3.50 for businesses to use this service. The check or money order must be made out to the U.S. Treasury. It is not refundable. The address is:  Commander Soldier's Records Data Center (SRDC) 8899 East 56th Street Indianapolis, IN 46249-5301 Phone: 1-866-771-6357  In addition, it is not possible to remove social networking site profiles without legitimate proof of identity theft or a scam. If you suspect fraud on this site, take a screenshot of any advances for money or impersonations and report the account on the social networking platform immediately.  Please submit all information you have on this incident to Caution-www.ic3.gov < Caution-http://www.ic3.gov > (FBI website, Internet Criminal Complaint Center), immediately stop contact with the scammer (you are potentially providing them more information which can be used to scam you), and learn how to protect yourself against these scams at Caution-http://www.ftc.gov < Caution-http://www.ftc.gov > (Federal Trade Commission's website)

Considering it does nothing to aleviate the underlying PHYSICAL problem that causes most cases of sleep apnea... Not well at all. This quote from a WebMD page (RHODIOLA: Uses, Side Effects, Interactions and Warnings) seems exceedingly relevant here:Rhodiola is used for many conditions, but so far, there isn’t enough scientific evidence to determine whether or not it is effective for any of them.CPAP is the go to treatment for sleep apnea, if you're having trouble complying with it, try other masks, machines, get tips from your doctor, fellow patients, online forums, just don't stop the treatment. I heartily recommend the Tap Pap mask, I got it as a chanukkah gift from my dad, and I absolutely love it.If you are still unreasonably tired even with CPAP, find yourself a good sleep doc, sleep apnea isn't your only problem. This sucks, I'm dealing with this too, but again keep on with the CPAP, it's not just treating tiredness.

Sleeping on your back normally makes apneas worse. If you're already on cpap,  hopefully the doctors assigned you a pressure that fixes the apneas that would occur on your back. Either way,  sleeping on either side tends to help reduce apneas, and might be helpful if your still having breathing problems. If that's not an issue then it really doesn't matter how you sleep. As for the drying out,  the best fix for that is to keep your mouth closed if you have a nasal mask. Maybe request a chinstrap or something else that wraps around your head and keeps your mouth closed.If your masks covers your mouth and nose,  then all you can do is up the humidity.

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