To whom it may concern,
I am Dr. Jekyll. I am board certified to
practice in my specialty. I have reviewed the pertinent
military medical record of veteran Hyde as well as his more contemporary
medical records and history.
Mr. Hyde is a patient under my care since 2009. His diagnosis is Obstructive Sleep Apnea (OSA).
I am familiar with Mr. Hyde history and have examined him often while he has been under my care. While in the military the veteran suffers various service connected musculoskeletal injuries (Left ankle surgery, right ankle sprains, bilateral knee PFPS, bilateral plantar fasciitis, chronic lower back and cervical pain) that prohibits him from doing rigorous exercise and cause him to gain weight. Mr. Hyde has also developed hypertension while in active duty. The veteran has no family history that would cause or contribute to this condition. Mr. Hyde has had a Polysomnography (sleep study) on 2002 and the results concluded that he is diagnosed with Obstructive sleep apnea (OSA). He requires the use of breathing assistance device such as continuous airway pressure (CPAP) machine and was prescribed on 2002.
OSA tends to be a disease of insidious onset with there being concomitant problems with hypertension or obesity, both of which Mr. Hyde developed years after entering the U.S. Naval military service. Although Mr. Hyde's service medical records do not contain any diagnosis for sleep apnea, it is my professional medical opinion that his sleep apnea condition originated a few years prior to his initial diagnosis of hypertension.
It is my opinion that it is more likely than not that Mr. Hyde condition of obstructive sleep apnea had its onset during active duty military service.
Based on his history, it is my opinion that is it is more likely than not the sleep apnea is aggravated by his service connected hypertension, as well as his history of obesity.
You may contact me directly for more information as needed.