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25/01/2008, 18:41 cooperlola Joined on 05/05/2006 72 - Sarthe - home of les 24 heures du Mans Posts 6,418 Re: Affections Longue Durée translation Nope, ten in May.  And he has bits that yours does not (and vice versa, I guess!) Healthcare Issues Site    Report

25/01/2008, 21:37 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 6) Maladies chroniques actives du foie et cirrhoses Chronic Active Liver Disease and Cirrhosis Chronic active liver disease - serious disorder that may progress to Cirrhosis Causes - excessive alcohol intake, infection with Viruses - Hepatitis B / Hepatitis C, certain metabolic disorders ( e.g Wilson's Disease) Biliary cirrhosis. Genetic disorders. "chronic" refers to a duration of 6 months of persistant abnormal biological findings. Cirrhosis - Replacement of liver tissue by scar tissue leading to progressive loss of liver function ( generally irreversible) Those conditions  likely to cause "portal hypertension" ( raised blood pressure in the liver veins) and/or liver failure and requiring long term treatment are exempt! * there are pages and pages on liver diseases - but the chronic ones including cirrhosis all seem to be exempt.        It's not dark yet ......but it's getting there.    Report

25/01/2008, 21:45 ErnieY Joined on 05/12/2006 Nr Prayssac (Lot) Posts 4,006 Re: Affections Longue Durée translation I'm sure we'll all be hypochondriacs by the end. Don't busta blood vessel but do keep 'em coming please My doctor said one drink per day, I can live with that !    Report

25/01/2008, 22:49 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 7) Déficit immunitaire primitif grave nécessitant un traitement prolongé et infection par le virus de l'immuno-déficience humaine Primary Immunodeficiency disorders requiring prolonged treament and Infection with Human Immuno-Deficiency Virus (HIV) 1) Primary Immunodeficiency disorders are usually genetic so often diagnosed at an early age. Part of the immune system is lacking or not functioning correctly. Infections occur early, as may auto-immune diseases ( where the immune system attacks the body's own tissues.) There is a vast range of very well documented disorders from severe to mild requiring a wide range of treatment from stem cell transplant to antibiotics. * Much progress has been made in the treament of these disorders - exemption may be given, renewable at 2 yearly intervals depending on progress. * Some "minor" disorders do not seem to attract any exemption 2) Infection with Human Immuno-deficiency Virus HIV Infection. Exemption is granted following seropositive diagnosis. Exemption is also given for 2 years to a child born to a seropositive mother. May of course lead to Acquired Immunodeficiency Syndrome - AIDS,  if one or more  - from a list of 20 or so specific pathologies is also present.   It's not dark yet ......but it's getting there.    Report

26/01/2008, 13:02 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 8) Diabète insulo-dépendant ou non-insulo-dépendant ne pouvant être équilibré par le seul régime Insulin Dependent Diabetes Type 1 - Non Insulin Dependent Diabetes Type 2 They are now simply referred to as Type 1 and Type 2 diabetes ( also in France) Type 1 Diabetes - usually  diagnosed in childhood and adolescence occurs because the pancreas is producing too little or no insulin. Accounts for approx 10% of diabetes Type 2 Diabetes - usually diagnosed after the age of 40 ( although seen now in younger age groups) and more common in overweight people. Insulin may still be produced but the cells become resistant to its effect. Accounts for approx 90% of diabetes. The initial treatment for Type 2 is to follow a diet (weight loss) and exercise as this can stabilize sugar levels, exemption may not therefore be granted during this early stage of the disease. Type 1 and established Type 2 both have exemption and due to the large range of other conditions that may arise secondary to the diabetes (eyes /blood vessels /neurological problems /increased incidence of infections etc) these treatments  may also be exempt. Some other conditions may lead to diabetes (Secondary Diabetes) e.g pancreatic disease / Endocrine disorders/ Steroid medication etc. This will also gain exemption.                       It's not dark yet ......but it's getting there.    Report

26/01/2008, 18:20 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 9) Forme grave d'une affection neuromusculaire (dont Myopathie) Severe neuromuscular disorders ( including myopathies) A somewhat disparate group 1) Primary muscular disorders - myopathies - particularly the muscular dystrophies 2) Myaesthenias 3) Peripheral Nervous System diseases -   Polyneuritis, Multiple neuritis, degenerative neuropathies and a number of specific syndromes. 4) Neurodegenerative diseases - e.g Amyotrophic lateral sclerosis, Syringomyelia 5) Hereditary Ataxias - conditions causing progressive loss of coordination, speech etc e.g Friedreich's Ataxia 6) Severe Epilepsy - exemption depending on criteria such as - number/frequency of seizures, whether controlled by one or more medications and how the ability to -work/drive/ participate in sports and everyday living may be affected. *A very large group of disorders with symptoms ranging from mild to severe, exemption is given accordingly.     It's not dark yet ......but it's getting there.    Report

26/01/2008, 20:01 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 10) Hémoglobinopathie homozygote Homozygotic Haemoglobinopathies Range of genetically inherited disorders of Haemoglobin Thalassaemia and Sickle Cell Anaemia The pattern of inheritance determines the severity of the condition - If one normal "gene" and one defective "gene" are inherited the result can be benign - if two defective "genes" are inherited (homozygotic) then the disease will be severe and gain exemption.   11) Hémophilie Haemophilia -Genetically inherited disorder of blood coagulation Several types depending on which of the factors necessary for clotting are affected. Sex-linked so females carry the disease and males are affected. Some spontaneous haemophilias can occur. Also included are some other diseases of clotting mechanism e.g Von Willebrands disease *These are all exempt.   It's not dark yet ......but it's getting there.    Report

26/01/2008, 22:05 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 12) Hypertension artérielle sévère Severe (arterial) Hypertension There are strict clinical guidlines for the measurement of blood pressure in order to claim exemption. There have to be 2 out of 3 conditions present 1) Arterial pressure of 180/105 taken at 3 successive consultations with or without other clinical signs 2) Arterial pressure  above 140/90 ( but below 180/105) over several successive consultations WITH associated clinical signs such as abnormalities of an ECG,  ventricular hypertrophy, myocardial ischaemia, retinal haemorrhages etc. 3) Continuous  anti- hypertensive medication at least 2 types for at least 3 months *exemption can be renewed over the course of the disease.       It's not dark yet ......but it's getting there.    Report

26/01/2008, 23:01 Nickel Joined on 02/10/2007 Lot Posts 184 Re: Affections Longue Durée translation 13) Infarctus du Myocarde datant de moins de 6 mois Myocardial infarction (Heart Attack) dating less than 6 months Exemption if clinical diagnoses is supported by confirmation of tissue necrosis (death) by means of ECH /Echocardiography and enzyme analysis. Exemption is for 6 months from date of infarct and may be renewed once. * Due to the possible effects after a heart attack exemption may be granted because other ALDs come in to play e.g coronary insufficiency and ischaemia. Heart failure etc etc.     It's not dark yet ......but it's getting there.    Report

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