Some Basics About Sickle Cell Disease

Sickle Cell Disease, commonly abbreviated as SCD, is actually a group of inherited blood disorders that affect red blood cells. Red blood cells, also known as erythrocytes, carry oxygen throughout the body. Since their healthy functioning is based on quick movement, they are usually rounded so that they can move through the body with ease. When a person is afflicted with SCD, not only do the the red blood cells change shape from a round to a “c” shape, but they also harden and become sticky. Obviously this would affect how the cells move through the body. The resulting clogging is accompanied by severe pain and other serious complications.  On top of all this, red blood cells with SCD also tend to die early, leaving the person with the disease in constant need of new blood cells.

 According to the Center for Disease Control, it is important to remember the following about SCD:

 - It is inherited. SCD is not communicable and you cannot contract it from being around someone who has it.

- SCD affects nearly 100,000 people in America alone, mainly African Americans.

- Although the disease mostly affects those of African ancestry, it can also affect people from Latin America, the Middle East, India, and the Mediterranean. 

 As mentioned above, besides severe pain, there are a number of serious health complications that SCD can cause. Listed below are just a few of them:

 - People with SCD are more likely to suffer from infections in the form of flu, meningitis, and hepatitis. 

- Hand-Foot Syndromes due to swelling caused by blocked blood flow to and from the hands and feet.

- SCD can cause long-term damage to the eyes.

- People with SCD suffer from a higher rate of Strokes, due to a lack of blood flow to the brain. A stroke can lead to lifelong disabilities and learning problems. 

 The Diagnosis of SCD is done at an early age, usually at birth, and can even be done before birth. It’s very important that anyone at risk get tested as early as possible in order for treatments to begin without delay.

 Since SCD is a group of disease, with varied causes, there is no one single treatment that’s prescribed. Each treatment is different and decided by a physician on an individual basis. Treatments for people with SCD usually begin at around five months of age.

 The only known cure for SCD is a bone marrow/stem-cell transplant. These transplants tend to be incredibly risky and can even occasionally end in death.

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Medical Breakthrough: Donor Blood Vessels Created In A Lab

The failure of blood vessels used in dialysis is a major concern and can lead to serious problems. That’s why recent developments in using new blood vessels made in labs from donor skin cells is so encouraging. It’s the first step toward developing a reserve of donor cells that can be used to treat a variety of vein and artery problems, the most obvious of which is dialysis. The cells could also potentially be used for things such as damaged limbs, diabetes, and during certain types of cardiac surgery. The chances of there one day being a frozen, on-demand reservoir of cells ready to distribute is closer to becoming a reality.

So far, still being in early stages, three donors in Poland have received the replacement cells, reports Marilynn Marchione of the Associated Press. It’s been almost eight months since the patients received the cells and they seem to be working just fine. This type of cell replacement is a vast improvement over harvesting cells made from the skin cells of the patients themselves, which was incredibly expensive and not very practical.

The American Heart Association is sharing in the excitement. They featured it in a series of webcasts about cutting edge science, which can be seen here. Current tests are being conducted elsewhere in Europe as well as North America, and if they have the same success as the Polish tests, then things should be able to move forward to a more rapid production and donation phase.

The reason why these naturally grown donor vessels are so important for dialysis pantients is that the common problem of kidney failure in diabetics requires that waste be filtered from the blood through a shunt. A shunt is basically a connection point between arteries and veins. Oftentimes these shunts fail due to overuse from getting hooked up to dialysis machines, oftentimes causing complications such as infection, blood clots, and clogging. There are artificial shunt alternatives, but these fail nearly as much. It’s been a dream of the entire medical community, especially those receiving dialysis, to have a natural, donor, shunt alternative. And since the new shunts being developed in labs aren’t created using stem-cells, there shouldn’t be any political ramifications to worry about. 

Along with conducting further studies, the company producing the technology, Cytograft, is also looking to develop a mesh version of the shunt for people with poor circulation in their legs. All of this comes as wonderful news to the nearly 400,000 Americans currently using dialysis.

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New Study Points to Link Between Hearing Loss and Diabetes

It has always been common knowledge that people with diabetes should regularly be checked for kidney and eye complications, and smaller studies have suggested that hearing may also be impaired; but now there is definitive proof of a correlation between having diabetes and having hearing loss. Of course it’s important to note that correlation doesn’t prove causation, but it’s still a good idea for those with diabetes to get their hearing checked regularly.

The findings of a Japanese study were recently presented at a meeting of the American Diabetes Association, and the results were eye opening. According to the study, of 8,800 people with a hearing impairment, 1,000 had diabetes. On the other side of the equation, out of almost 24,000 people without hearing impairments, only 2,500 had diabetes. Although there may be different ways to account for this huge discrepancy, the numbers are nevertheless very interesting.

So why does hearing loss seem to be more prevalent among those diagnosed with diabetes? That question remains officially unanswered, although researches do have some ideas. Autopsies of people who had diabetes indicate blood-vessel damage along the lining of the inner ear, which would definitely account for hearing loss. According to the new Japanese study, people with diabetes are 2.3 times more likely to suffer from mild hearing loss.This should all come as important news to the nearly 26 million Americans who, according to the American Diabetes Association, are living with diabetes every day.

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Social Security Benefits for Wounded Warriors

For the injured Veteran, attempting to receive social security benefits can oftentimes be confusing. But keeping a few things in mind can help move the process along more quickly as well as help avoid some of the mistakes the uninformed make.

First of all, it’s important to keep in mind that the Social Security Administration has a very strict definition of what it means to be disabled: 1) You must be unable to do substantial amounts of work due to your medical condition AND 2) Your condition must have lasted, or be expected to last at least one year or end in death. And while some programs are available to compensate for short-term or partial disability, Social Security doesn’t.

There are basically two programs that Social Security makes benefits payments through. The first one is known as the Social Security Disability Insurance Program. This program pays you (or certain members of your family) assuming that you worked long enough to pay into Social Security taxes, or what’s known as “insured”. The second program is Supplemental Security Income, or SSI, and pays based on financial need.

Having read the SSA’s definition of what it means to be disabled, you may wonder if receiving military pay excludes you from being able to receive Social Security benefits. But currently having an active duty status, as well as currently receiving military pay, do not immediately disqualify you from receiving benefits. It’s possible that you are in a rehabilitation facility, on limited duty, or otherwise restricted from performing your job. And ability to work is exactly what the Social Security Administration will be looking at, not your current pay scale or military status.

Certain family members may also be eligible to receive payments based on your work. Your spouse, if over the age of 65 or caring for a child of yours who is younger than 16 or disabled maybe eligible. Your child, and sometimes grandchild or stepchild may also be eligible if 18 or younger or under 19 and enrolled full time in secondary school. If you have an unmarried child over 18 who has a disability that began before they turned 22, they may also be eligible.

It never hurts to apply for benefits as early as possible. You can begin the application process online here, or call 1-800-772-1213 to schedule an appointment. They also provide a disability starter kit to help you being the process.

Even though you should begin the filing process as soon as possible, you will eventually need to gather all the required materials that the SSA will need to make a determination. Some of the things needed will be: an original or certified copy of your birth certificate, proof of U.S. Citizenship or legal residency, a copy of your DD-214 if you’ve already been discharged from the military, your last W-2, proof of any previous compensation payments, your Social Security number and those of your spouse and children, checking or savings account numbers if you have one, contact info for a family member or close friend in case you are unavailable, any and all medical records from both military and civilian sources.

Your claim is then sent to Disability Determination Services who contact your doctors and receive your medical records and records of treatment. You may be asked to take further tests or have further examinations, but if these are requested by the state then they will be at no cost to you. The speed at which a determination will be reached can vary widely and depends not only on the nature of your claim, but also how quickly the medical evidence can be collected and what further examinations may need to be conducted.

You can play a role in speeding up the process by gathering all pertinent materials, being prepared for interviews, and making all appointments. The claims of military personnel are expedited, just as those filed online are, both in Social Security as well as the the DDS.

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National HIV Testing Day!

Nearly thirty years ago the Center for Disease Control identified what was then a new and mysterious disease called AIDS. The strides that have been made since then in stopping the spread of the disease as well as HIV, the virus that causes it, have been due mainly to more people having more access to better information. It’s actually quite simple: facts save lives. And although the number of new cases have leveled off since the late 90′s, another statistic provided by the CDC should serve as a reminder on what remains to be done in battling the illness and spreading awareness: in 2006, 21% of people who were HIV positive were undiagnosed. That’s nearly a quarter of all people with the virus not getting treatment and potentially spreading it unknowingly to others. And short of a cure itself, prevention of the spread of the virus is a priority.

It’s for that reason that National HIV Testing Day on June, 27 will be so important, not just for people living with AIDS/HIV and their family and friends, but for all Americans. Founded by the National Association of People With Aids in 1995, National HIV Testing Day was created in response to AIDS/HIV affecting the most vulnerable people and communities. It’s a wonderful way to spread information about the disease, and to raise awareness of different types of treatment options. This year there are a bevy of groups and companies involved in the efforts: OraSure Technologies, WE > AIDS, The Black AIDS Institute, the Kaiser Family Foundation, and NHTD/Mayors Campaign Against AIDS. 

With the collaboration of all these organizations, hopefully a lot of people get tested and a lot of great information gets disseminated. And if you’ve already been tested, don’t think that you have to sit on the sidelines! Here are a few links to organizations through which you can get involved in your home state. You can also petition your own mayor to get involved if they aren’t already. And since spreading information is such a good idea, here are a few facts from the CDC on how AIDS is NOT spread. Everyone’s number one enemy should be misinformation and myth:

HIV cannot reproduce outside the human body. It is not spread by:

  • Air or water.
  • Insects, including mosquitoes. Studies conducted by CDC researchers and others have shown no evidence of HIV transmission from insects.
  • Saliva, tears, or sweat.  There is no documented case of HIV being transmitted by spitting.
  • Casual contact like shaking hands or sharing dishes.
  • Closed-mouth or “social” kissing.
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Congressional Hearing to be Held on Social Security’s Finances

Congressman Sam Johnson, Republican of Texas, recently announced that a hearing will be held June 23, to discuss the future of Social Security’s revenue streams. As chairman of the Social Security Subcommittee of the House Ways and Means, Congressman Johnson will be heading up the hearings, which are themselves a response to the 2011 Annual Report of the Social Security Board of Trustees. According the the findings of the board, Old Age and Survivors Insurance (OASI) and Disability Insurance (DI) are both structurally unsound and projected to be unable to make payments to beneficiaries as soon as 2018. With this looming threat, the board suggested that time is of the essence and the search for long term structural cash flow solutions is of the utmost importance.

Social Security benefits are traditionally financed through payroll taxes contributed by both the employee and the employer. In 2010 the rate paid by the employee was reduced by two percent. According to the Social Security Administration, nearly 94% of workers are covered by OASDI. The majority of those not covered are workers in the local, State, or Federal government. One of the proposed structural changes on the table would be to automatically force newly hired State workers to pay into Social Security in order to increase the taxable wage base. This proposed solution will be one of many made by a panel of invited experts giving testimony at the hearings. The overall goal of the hearings are to propose solutions and then evaluate the possible impact those proposals would have on the program, the government, the beneficiaries, as well as the over all economy.

Due to time constraints, oral testimony will only be heard from invited witnesses. However, anyone may submit a written statement that will be considered by the Committee as well as placed in the printed records of the hearing. Formatting requirements for any individual or group interesting in submitting a statement can be found on the House Ways and Means website here. The hearing will take place at 1:30 p.m. in room B-318 of the Rayburn House Office Building on Capitol Hill.

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Sleep and Pain

Dealing with pain during the course of your day can be challenging. And as everyone who has lived with chronic pain knows, the experience is only magnified at night. The exhaustion alone that it is responsible for, due to a lack of sleep, can cause the pain to be almost unbearable. But if all of this applies to you, you aren’t alone. According to the National Sleep Foundation, nearly two thirds of people suffering from chronic pain also have trouble sleeping.

According to WebMD, there are a variety of ways in which chronic pain can disturb sleep:

1. Sleep Architecture – Every night you go through four to six cycles of sleep, including the deep sleep known as REM sleep. Without this deep sleep, there’s an overemphasis on the lighter stages of sleep, which can accentuate pain

2. Sleep Position – Certain types of pain, such as arthritis, can cause problems staying asleep (known as maintenance insomnia) as opposed to falling asleep.

3. Sensitivity to Pain – It’s not yet known why, but sleeplessness makes people more sensitive to pain.

4. Pain Meds – As if the pain itself weren’t bad, sometimes the medications taken to combat chronic pain can also cause sleeplessness.

5. Weight Gain – Chronic pain can make exercise difficult. Weight gained due to a lack of physical activity could be responsible for causing sleep apnea.

Of course there are techniques for managing the pain. Tracey Marks, MD, an Atlanta-based psychiatrist and author of the book Master Your Sleep: Proven Methods Simplified, recommends as little as 10 minutes of quiet meditation a day. Different types of meditation such as tai chi, yoga, and guided meditation among others, all serve to help train your mind to ignore pain. “Use deep breathing exercises, progressive muscle relaxation, or focus on an object or scene,” Marks says.

Massage is another method that can be used when exploring ways to improve sleep with chronic pain. According to the International Journal of Neuroscience, two 30 minute massage sessions per week can vastly improve sleep performance. Of course it must be kept in mind that any vigorous activity, even light exercise such as yoga and swimming, which also improve sleep while combating pain, should all be conducted at least three hours before bed. Otherwise, you may end up being counterproductive and keep yourself awake.

Some of the other various methods to get a good nights rest include warm baths, foregoing naps during the day, relaxing sounds, and abstention from alcohol before bed. But the bottom line still is that if pain is preventing you from sleeping, you need to discuss your condition with your doctor. There are a number of treatments that might be available to you, but the safeness and effectiveness of each vary on a case by case basis.

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DSM – 5 Revisions One Step Closer to Implementation

June 15, 2011 was the deadline to comment on proposed revisions to the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM, a publication by the American Psychiatric Association (APA), contains descriptions, symptoms, and other criteria for diagnosing mental disorders. Use of the DSM provides an accurate and consistent tool for psychiatrists, psychologists, therapists, and other clinicians in both the United States as well as internationally. The DSM has been periodically reviewed and significantly revised and updated since the publication of the first DSM-I in 1952, the most recent revision occurring in 2000. The newest revisions are scheduled to be released May 2013.

The APA’s draft proposal for the DSM-5 includes new categories for Learning Disorders such as the two new subcategories: Dyslexia – related to reading, and Dyscalculia – related to mathematics.

The APA is proposing a single diagnostic category of Autism Spectrum Disorders. Thsi means that a single category will incorporate the current multiple diagnoses of Autistic Disorder, Asperger’s Disorder, Childhood Disintegrative Disorder, Pervasive Developmental Disorder (not otherwise specified).

The diagnostic term Mental Retardation will be changed to Intellectual Disability. The thought is that this would bring the DSm criteria into alignment with terminology used by other disciplines and major institutions like the Department of Education.

Further, APA proposals include new diagnostic category termed Temper Dysregulation with Dysphoria (TDD). It will be placed within the Mood Disorders section of the manual, and to be considered TDD, the symptoms must have begun before the age of ten (10). Only children over the age of six will be assigned the diagnosis, and children with the distinct Manic episodes found in Bipolar Disorder will be excluded.

There is a proposal to eliminate the current categories of Substance Abuse and Dependence replacing them with the new category Addiction and Related Disorders. This will include Substance Use Disorders, with each drug identified as a category, for example, Alcohol Use Disorder. The APA has also recommended a new category of Behavioral Addictions which include Gambling as a disorder.

The DSM-5 will also contain criteria changes to Adjustment Disorders, Anxiety Disorders, imapirments involving Dementia, Amnesia Cognitive function and Neurocognitive Disorders, Eating Disorders, Mood and Personality Disorders, Schizophrenia and other Psychotic Disorders, Sexual and Gender Identity Disorders, Sleep Disorders and Somatoform Disorders.

It will be interesting to see how the revisions to the DSM-IV will affect the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) claim adjudication process. It is anticipated the Social Security Disability Listings will be comparable with the revisions published in the DSM-5.

We will advise when SSA publishes the final revisions to the Listings. We will continue to provide updates on the proposed revisions to the DSM.

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Our Winning Social Security Team

We receive compliments frequently from our clients when they win their much needed Social Security disability benefits. Here is the latest thank you:

I would like to express my gratitude and appreciation for Sue. Sue was very thorough in making my SSD come together. She is very professional, courteous and polite. I felt like my case was the only case she was working on. Sue is a dynamic employee for Advantage 2000, with an exuberant personality. Thank-you so much for having her be a part of the Advantage 2000 team.

J. D. 

To read more from those we have helped, whether they received SSDI or SSI, visit our Testimonials page. While your on our website, read about some common medical conditions that qualify for Social Security benefits, or tell us about your condition and we will give you a free personalized evaluation to see if you are eligible to receive SSDI or SSI payments.

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Social Security Earnings Updates: A Poor Substitute

Because of reductions in Social Security’s budget, the agency will no longer mail out annual benefits statements.  The statements showed salary history and estimated retirement and disability payments.  The SSA benefit statement also showed your insured status for SSDI disability payments.  The annual statement has been replaced by Social Security’s on-line benefits estimator.  This will give you a general idea of your potential retirement benefit.  It also allows you to adjust your retirement age and see the estimated effect.  Since Social Security disability and retirement benefits are calculated using your actual salary history, the estimator is not very accurate or reliable.

http://www.socialsecurity.gov/estimator/

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