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Posts Tagged ‘disability claims’

Perspectives on Chronic Pain

Tuesday, January 29th, 2013

One in every five people in Canada suffers from chronic pain.

Chronic pain sufferers may find and do find relief with prescription medication. Often strong medications, such as opoids are prescribed, but many physicians are hesitant to prescribe them, or are unable to prescribe them and only specialists can prescribe them.

There is a polarization between pain and addiction. Doctors do not want to prescribe medication for pain, because of fears that patients will become addicted to the medication.

Chronic pain can develop as a result of injuries from a motor vehicle accident and can lead to the short term disability claims and long term disability claims.

Many people in Ontario who suffer from chronic pain are left floundering, struggling to find someone who will help them to manage their chronic pain. Pain specialists are in short supply in Ontario. Chronic pain sufferers are facing an uphill battle: there is a lack of understanding with respect to chronic pain among doctors and health professionals, and a growing stigma with respect to opoid medications, which the government has cracked down on- making treatment less available to those in need.

The Canadian Pain Coalition recognizes that strong medications such as Oxycodone and morphine need to be carefully monitored, but the opoids are an important part of pain management. Having a pain specialist or physician who can prescribe the medication and monitor its use is an important part to treating chronic pain, especially when physiotherapy and/or massage therapy is not an available option. When medication is difficult to get, chronic pain patients are out of luck.

Both the government of Ontario and the federal government have taken steps to oversee how painkillers such as Oxycontin, Oxycodone, morphine, methadone and codeine are dispersed in the wake of the rising number of accidental deaths. Ontario has introduced a tracking system to monitor these narcotics to identify patients who are getting multiple prescriptions, the doctors prescribing them and the pharmacists dispersing them.

Chronic pain affects not just the individual in pain, but his or her family.

 

 

A Depression Gene, Stigma, Psychotherapy, Relationship between Concussions and Depression

Monday, January 21st, 2013

The search for a depression gene came up empty. A group of 86 researchers were hoping to discover genetic influences linked to depression while studying approximately 34,500 volunteers. Since depression runs in families, many experts believe that there must be a genetic connection. Research failed to demonstrate any specific genes that cause depression. After raising the number of study subjects to over 51,000, only one spot in the whole genome was tied to depression, but it was not close to any genes. The study had focused on patients with symptoms of depression. The study’s authors are considering trying again on a larger scale, this time focusing on patients who have a confirmed diagnosis of depression.

What prevents people from seeking treatment for depression and mental health treatment? Psychotherapy takes time and effort. There is stigma attached to seeking treatment for mental illness. People are hesitant to admit that they attend therapy sessions. Society places illogical taboos and stigmas around mental illness, therefore many people feel ashamed about their diagnoses or symptoms. Another factor that can prevent someone from seeking treatment is severity- he or she may not realize how severe the symptoms are and may feel that therapy is not warranted. The will to get started and knowing how and when to start is another factor.

Research has shown that, in some instances, there are legitimate biological scenarios that cause secondary illnesses that would not exist in individuals otherwise. Researchers in Denmark at the University of Copenhagen were able to isolate an enzyme called C-Reactive Protein (CPR), that when present in high concentrations can cause depression, using a blood test to isolate a specific protein in the bloodstream. It was through this line of research that they found a relationship between depression and arthritis. It was noted in the past patients with inflammation or arthritis may have been simply “written off” by their doctors as upset due to the physical pain and limitations.

This new research has showed that those patients with higher levels of the CPR protein (which is released by inflammation/inflammatory conditions), were 2-3 times more likely to develop depression. It is not clear though, whether inflammation causes depression or the other way around.

An article released on the Time.Com website concerning the link between concussions and depression explains how sustaining a concussion can make one more vulnerable to depression. Two studies were conducted on  retired NFL players.  The first study, which has already been released found that the former players who are depressed or cognitively impaired have abnormal findings in a specific area of the white matter of their brains.  White matter is critical for transmitting signals. The American Academy of Neurology reports that a higher number of concussions equates to a higher likelihood of depression. Neurologist, Dr. John Hart, who was active in both studies, said that these studies apply to everyone who is affected by concussions, not just professional sports players. He said anyone who has suffered a concussion should be monitored for signs of depression. Depression is manageable, but only if doctors know how to diagnose and treat it properly.

 

Aaron Waxman and Associates is a Toronto Personal Injury Law Firm that focuses solely on the rights of injured persons. We advocate for your rights. We provide a free initial consultation.

 

Developments in the Field of Chronic Pain/Pain Management

Monday, January 7th, 2013

Yoga is not just for relaxation. Yoga breathing and relaxation techniques can ease chronic pain according to an assistant professor, Neil Pearson, at the University of British Columbia. Pearson is offering free online information sessions (webinars) for those interested in learning more. Pearson explains that pain changes everything in a person’s life from thoughts to movement to relationships.

A step forward for pain management is to move beyond finding a simple remedy for pain. By the time most people accept that their pain condition is long term, their nervous system has already become “locked in” to a pattern of pain. This pain pattern leads to shallow breathing, tight muscles and spasms. This pain pattern causes a “hyper-vigilant” nervous system.

Yoga can help reset the system and break away from stiffness. Chronic pain is common amongst Canadians of all ages and can stem from a variety of causes including car accidents, falls, sports injuries, arthritis, digestive disorders and back problems.

If you are in constant pain, you should blame your genes, says a new scientific study. Scientists have identified genes that interact with each other to regulate pain in humans. They found that differences in these genes may influence people’s sensitivity to pain. The method used to study and target these genes is called “exome sequencing”- a strategy used to sequence genetic coding.

The study notes that chronic pain is a significant burden on individuals and on the economy. Exome sequencing could be used to find important pathways in other common conditions. The results showed different patterns of genetic variants in each group, the pain sensitive people had less variation of DNA compared to those who were less sensitive to pain.

It is known that people who are most sensitive to pain in general, are those who are most likely to develop chronic pain. Understanding the underlying genetic factors of chronic pain can help researchers understand the biology of pain and new areas to target for therapy. Research for chronic pain is important because current treatments can be expensive, have limited efficacy or significant side effects.

It turns out that Morphine can actually cause pain in some people. Research from the Universite Laval in Quebec City has shown that there is a molecular pathway by which morphine can actually increase pain, but at the same time, provides insight for how morphine can be effective for more patients.

The research team includes representatives from Quebec, Ontario, the U.S. and Italy.

The research identifies a target pathway to suppress morphine-induced pain, and was able to distinguish the pain hypersensivity caused by morphine from tolerance to it. Previously it was thought that pain hypersensitivity and tolerance were caused by the same mechanisms.

The study demonstrates that cellular and signalling processes for morphine tolerance are markedly different from those of morphine-induced pain. This research is important, because the usual line of thinking is that when morphine doesn’t reduce pain, a higher dosage is needed, but sometimes increasing the dosage has a paradoxical effect.

Global Study Reveals People Worldwide are Living Longer, but with Disabilities and Diseases of Modern World

Saturday, December 22nd, 2012

Nearly everywhere around the world, people are living longer. Increasingly, however, people are living with chronic diseases and disabilities of modern life.

The last comprehensive global study took place in the year 1990. Back in 1990, the top health problem globally was the death of children under age 5.

Currently, the biggest contributors to the global health burden is chronic diseases, injuries, mental health conditions, and bone and joint diseases. In developed countries, these account for more than half of the health problems in the population.

The research appeared in the online journal, Lancet, more than 480 researchers in 50 countries collaborated, gathering data from 1990-2010. The series of information was paid for by the Bill & Melinda Gates Foundation.

Globally, the leading causes of death are heart disease, stroke, lung cancer, liver cancer, stomach cancer, colon cancer and AIDS.

People are living longer in chronic pain and with physical and mental disabilities.

It is a time for people to consider long term disability insurance and critical illness insurance.

Critical illness insurance assists with any costs associated with facing a critical or long term illness. Critical illness insurance provides you with a one time lump sum payment upon survival of a designated waiting period (survival period) of one of several specific condition ( cancer, stroke, Alzheimer’s etc).

If you encounter a denial of your long term disability claim or critical illness claim, the lawyers at Aaron Waxman and Associates can assist you with your claim. We are a Toronto Personal Injury Law Firm that practices personal injury law. We only represent the rights of injured people.

Chronic Pain in the News

Monday, November 19th, 2012

A small British study has shown that laughter can increase your tolerance of pain. The study, called ” Social laughter is correlated with an elevated pain threshold”, confirmed that social laughter, laughter in the presence of others release endorphins, the same feel-good brain chemicals that are released during exercise.

Laughter is useful and helpful when you are hurting because it is work for the body. The release of endorphins through the body masks pain. It is a work out for the chest and lungs. The study was led by Robin Dunbar, PhD, a professor of evolutionary psychology at Oxford University.

The Scientific American recently posted an article entitled “How Chronic Pain Affects Memory and Mood”.  Sufferers of chronic pain also experience faulty memory, depression and anxiety. According to new research from Northwestern University, the reasons for these symptoms could be that people who experience chronic pain suffer from an impaired hippocampus. The hippocampus is the region of the brain responsible for learning, memory and emotional processing.

Researchers at Northwestern University used anatomical brain scans to study the brains of people suffering from chronic back pain or complex regional pain syndrome and found that they had a smaller hippocampus than healthy people. The study turned to mice for more clues about how the hippocampus worked. Mice in chronic pain displayed greater anxiety like behaviours. The mice were unable to produce new neurons in the hippocampus, which is one of the few brain areas where adult mice and humans can grow new neurons.

The lead study researcher suspects that the hippocampal size difference seen in humans could be a reflection of the lack of neuron growth and other problems that were seen in the mice. Without the formation of new neurons, memory and emotional processes would also become impaired.

The study author believes that the study underlines the importance of treating chronic pain as a brain based disorder, in addition to targeting its perceived source in the body.

In technology news, an iPhone/iPad App called My Pain Diary has won awards and has found to be beneficial to those who suffer with chronic pain.

The app was originally released for iPhones, and is now avaialable for iPads, called My Pain Diary HD. It was created by a chronic pain sufferer. It helps patients and chronic pain sufferers track their pain and easily report it to caregivers and doctors. Features include an automatic weather tracker, the ability to attach photos, and the ability to track and compare multiple chronic conditions within one app.

Other features include the ability to create custom PDF doctor’s report to share with doctors, or to store in the app, private entries, which can be flagged as private so as not to be shared, a reminders feature, and a passcode option. There is also a Dropbox Backup option to back up data as well as iCloud syncing between devices.

 

 

 

 

 

 

Benefits of Having Both Disability Benefits AND Critical Illness Insurance

Sunday, January 29th, 2012

Would your way of life survive a critical illness or a serious injury?

If you survived a critical illness would you have enough money to pay for private nurses, home care, special medical treatments inside or outside Canada, job or career retraining, daily living costs such as food, mortgage or rent and taxes?

Critical Illness Insurance is offered by several Canadian insurance companies. CI pays a lump sum benefit upon a diagnosis of one of the covered conditions listed in the insurance policy.

Critical Illness Insurance is considered to be a “living benefit” insurance that offsets lost income and its main purpose is to help pay for additional expenses incurred by those who survive a major illness. Traditional life insurance won’t help in these circumstances.

With CI, you don’t have to dip into your RRSPs or savings. You are paid a lump sum amount as per your policy terms.

For more details about what critical illness insurance covers, and long-term disability benefits refer to our previous blog posts concerning this topic.

If you are a business owner or self-employed, you may want to consider critical illness insurance as well.

CI Insurance does not replace LTD or Life Insurance but is meant to complement these products.

It has been said that insurance is one thing you pay for but never really want to use. But, the reality is, insurance can allow a person to get back to where they need to be financially and can alleviate financial stress in many cases.

Turning to Disability Insurance, LTD insurance is a percentage of your pre-disability earnings and the benefit period ends at age 65. With individual policies, you can choose the level that works for you, from 50-100% of your wages. The higher the percentage, the higher the premiums are.

If you became disabled as a result of a car accident, having LTD benefits will allow you to afford your monthly expenses, like your mortgage payments, car payments, basic necessities and in general, protect your lifestyle if you have purchased enough coverage.

These 2 insurance products should be part of your financial portfolio. Being financially prepared is responsible, and will pay off.

Aaron Waxman and Associates is a personal injury law firm that handles car accident claims, critical illness claims and long-term disability claims.

Myths about Life Insurance/Why you should consider Critical Illness Insurance

Tuesday, January 24th, 2012

Forbes.com posted an article about 5 Life Insurance myths. The article relates to myths concerning the needs for life insurance primarily.

Our firm handles all types of insurance claims that have been denied, including life insurance claims and critical illness claims.

One myth that is examined is ‘Everyone Needs to Have Life Insurance’ – this is speaking to people who have dependents and large estates. But, what about people who do not fall into these categories? The key is to purchase as much insurance as you need, so that your policy is affordable. It is worth looking into life insurance sooner rather than later, before you develop health issues as life insurance policies are medically underwritten and premiums do depend on the type of health you are in. If you anticipate you will need life insurance, then you are the type of person who should have it.

Another interesting myth that is examined is ‘You don’t have to worry about your life insurance policy after you purchase it’. A change in your marital status, familial situation, financial situation can affect your policy. You should make sure your policy is up to date and will provide adequate coverage for all beneficiaries.

So why would someone want to have critical illness insurance on top of a life insurance product?? Well, the answer is, you just never know. You don’t. Illness can strike at any time. We have previously posted about the benefits of critical illness insurance and how it provides a lump sum payment when a serious illness occurs. A life insurance policy’s benefits are known.

The critical illness policy begins when the ‘critical illness’ happens and is in place to help cover medical expenses, and ease the financial stress of a difficult situation.

You can and should have multiple insurance products to protect yourself. Long Term Disability benefits can help with income replacement, a Critical Illness Insurance policy can help when serious illness occurs and a Life Insurance policy protects your loved ones when you are no longer around.

In our next blog post we will look at why purchasing long term disability benefits and critical illness insurance benefits is a wise choice.