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Replying to Thread: Another Weird-Assed Medical Condition in the AMA Guides
Created On Tuesday 5, August, 2008 6:00 PM by stewshe@comcast.net

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Tuesday August 05, 2008 6:00 PM

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Attorney Robert G. Rassp has posted a blog on the LexisNexis home page titled:

<<Another Weird-Assed Medical Condition in the AMA Guides and How to Rate It for Permanent Impairment>>

"Wierd-Assed" Medical Condition in the AMA Guides...

He gives an example of rating Asthma, but there are other conditions which I expect he will be discussing in the near future.

Looks like "Wierd-Assed" medical condition might make it into next year's Table 18, along with SWAG?

I believe this portion of the site is open to all, but other portions are for subscribers only. Check it out.

I hope to have one there shortly on "SWAG," some of its history, and a few amusing links.

Stew (James T. Stewart) e-mail: stewshe@comcast.net
Author: Work Comp Index & Tables & Schedules in "The Labor Code Book," by LexisNexis/Matthew Bender.

7th ed. Work Comp Index (912 pgs), $119.00 ea; next ed. summer, 2010 {Discounts for orders of 12 or more}
Send check or money order & shipping info. (I cannot take credit cards.)

Prices INCLUDE sales tax, and shipping.

James T. Stewart; 1937 Santa Ana; Clovis, CA 93611


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Wednesday August 06, 2008 1:04 PM

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It may sound like a "wierd assed condition" to you, because not very much is known about the mechanism of the mast cell. It's the mast cell that releases a mediator called Leukotreines, which is the cause of asthma. If you really take a look at the cellular mechanism that is the cause of asthma, it becomes much simpler to understand.

It is entirely possible for a claimant to have a Mast Cell Activation Disorder and react to triggers of stress, heat, or cold, in addition to all of the "normal" triggers that a person might react to (foods, pollen, dander, etc.). MCAD is a subclassification of the rare disease Mastocytosis. There is currently no cure, but there is treatment that is effective for most patients. More information can be found at www.tmsforacure.org.

Unfortunately, most doctors have never seen a case of Mastocytosis, let alone a case of MCAD. If a patient presents with symptoms classic to the disorder, they are often diagnosed and treated body part by part, or specialty by specialty, not realizing that all symptoms might be linked to one disease. It is not a simple disease to diagnose, and has no clear diagnostic path. Rather, a process of elimination is the process of diagnosis. In some cases, if the medications (Mast Cell Stabilizers) work, a clinical diagnosis is made.

Some of the symptoms that a patient with Mast Cell Disease might suffer are: GI problems, debilitating fatigue, dizziness/vertigo, cognitive difficulty, high or low blood pressure, tachycardia, bone/muscle pain, life threatening anaphylaxis/shocking, migraines, ocular migraines, dry eye, roseacea/flushing, hair loss, hypersensitivity to odors, heat, cold, sunlight, faintness. There is much more information on The Mastocytosis Society Website, in addition.

I talk to people pretty frequently that are well past what would be considered normal allergic reactions to known or unknown triggers. I personally believe that the condition is currently under-diagnosed due to lack of research and information, and regarded much like fibromyalgia was in the 1980's. I hope that we'll all learn much more about it in the future as the mystery of the mast cell is unlocked.


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