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   27/01/2008, 9:31
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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14) Insuffisance repiratoire chronique grave

Severe Chronic Respiratory Disease.

Many disease processes can result in chronic respiratory disease (diseases of the airways and structures of the lung).

Apart from any severe clinical picture there are strict criteria which are to be met to gain exemption. These include  analysis of the oxygen carrying capacity of the blood. Results of Pulmonary ( Lung) Functions Test - spirometry.

*e.g Asthma - Must show 1)Permanent clinical evidence of dyspnoea ( difficulty in breathing). 2)Persistent evidence of obstruction even under treatment. and 3) requiring prolonged daily medication ( bronchodilators.)

Severe but short-lived episodes e.g following trauma/operations are not included nor are some chronique broncho-pulmonary infections unless they fall into the above criteria.


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   27/01/2008, 9:55
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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15) Lèpre

Leprosy or Hansen's Disease

Chronic Infectious disease caused by a bacterium. 2 forms - Paucibacillary and Multibacillary.

Enormous progress has been made in the elimination of Leprosy thanks to mutli drug therapy

Exempt.


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   27/01/2008, 9:56
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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Half Way Yipppeeeeee!!!!!!!!!!

 


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   27/01/2008, 10:21
ErnieY is not online. Last active: 01/12/2008 17:54:48 ErnieY



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Still here and still appreciating your efforts Big Smile [:D]
My doctor said one drink per day, I can live with that !
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   27/01/2008, 16:16
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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16) Maladie de Parkinson

Parkinson's Disease. A degenerative disorder of the central nervous system comprising  Tremor - Rigidity - Akinesia (slow/absence of movement) and Postural Instability   " TRAP".   Diagnosis based on medical history and neurological examination.

1-2% of people over 65

In mild cases there may be only minor motor disruptions whilst in others there may be severe disability.

No cure but effective antiparkinson's medication plus many other regimes ( yoga, tai chi, Alexander lessons, speech therapy etc etc) 

Exemption is granted according to the severity of the condition - in mild cases, well controlled on antiparkinson medication  they may be no exemption.

In rapidly developing Parkinson's with incapacity, requiring  increasing medication and support,  exemption will be granted.

 

 

 

 

 


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   27/01/2008, 17:15
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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17) Maladies métaboliques héréditaires nécessitant un traitement prolongé spécialisé.

Hereditary metabolic diseases requiring long term specialist treatment.

This group concerns "monogenic" inherited diseases - i.e where there is only one defective gene, for the disease to be apparent it is usually transmitted as an autosomal recessive ( each parent transmits  a defective gene)

This is a large group of rare disorders all relating to disorders of metabolism

e.g metabolism of proteins, lipids, haemoglobin, metals, hormones etc etc

Exempt but subject to frequent reviews to assess progress  

 

 


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   27/01/2008, 18:38
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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18) Mucoviscidose

Cystic Fibrosis or Mucoviscoidosis.

It is an  autosomal recessive inherited  disease of the mucus and sweat glands causing progressive disability.  Can be diagnosed prior to birth  or by a sweat test or genetic testing . Affects pancreas, gastrointestinal tract, liver, lungs  Mucus is thick and sticky allowing recurrent breathing problems and chest infections. Progresses to eventual lung failure. Treatments have improved with life expectancy now in the 30s.

Once diagnosis is confirmed  exemption is granted ( diagnosis may not be made in milder cases until adolescence )

 


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   27/01/2008, 22:27
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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19) Néphropathie chronique grave et Syndrome néphrotique pur primitif

Chronic Renal (Kidney) Disease - Primary Nephrotic syndrome

1) Chronic Renal Disease - including Glomerulonephritis, Pyelonephritis, Interstitial Nephritis, Hereditary and Congenital Kidney Disease.

A progressive loss of renal function. Usual underlying causes are Diabetes - Hypertension - Glomerulonephritis.

They are considered severe based on various clinical /biological examinations e;g permanent hypertension problems with metabolism

Therapy consists of treating the primary cause -(if possible) and/or treating the secondary  effects in an attempt to slow down the progress which in turn may lead to kidney failure requiring dialysis or transplant.

*  chronic renal disease is exempt

2) Primary Nephrotic Syndrome. A disorder of the kidneys whereby they "leak" large amounts of protein into the urine.

Treatment consists of supportive measures and immunosuppressives ( steroids)

Prognosis - can be mild and with long remissions or lead to renal failure

* may be exempt depending on severity

 


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   28/01/2008, 11:13
Nickel is not online. Last active: 04/11/2008 18:05:36 Nickel



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20) Paraplégie

Paraplegia. Impairment in nerve function of lower body- loss of ability to move/feel both legs and lower trunk.

Multiple causes - Lesions of the peripheral nerves - Spinal cord ( the level of injury is important ).Brain lesions  and congenital disorders

Commonest cause is due to trauma  

*Whatever the cause exemption is granted when the condition is "disabling"

Some situations are reversible in which case the exemption will be removed, others of course may lead to a progressive and permanent disability requiring prolonged care and support.

 


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