Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Multiple Myeloma


Related Terms

  • Multiple Myelomatosis
  • Plasma Cell Myeloma

Differential Diagnosis

Specialists

  • Cardiologist, Cardiovascular Physician
  • General Surgeon
  • Hematologist
  • Nephrologist
  • Oncologist
  • Orthopedic (Orthopaedic) Surgeon
  • Radiology Oncologist

Comorbid Conditions

  • Blood diseases
  • Diabetes
  • Immune disorders
  • Systemic infection

Factors Influencing Duration

Length of disability is determined by the severity of symptoms, stage of disease, advanced age, complications of the disease, and response to treatment.

Medical Codes

ICD-9-CM:
203.00 - Multiple Myeloma without Mention of Having Achieved Remission; Failed Remission
203.01 - Multiple Myeloma; Kahlers Disease, Myelomatosis; in Remission
203.02 - Multiple myeloma, in relapse

Treatment

Treatment is usually withheld until differential diagnoses are explored. Therapy for multiple myeloma includes simultaneous treatment of the disease and related complications. Treatment of the disease usually consists of high doses of a combination of anticancer drugs (chemotherapy) to effectively reduce the number of abnormal plasma cells. Sometimes non-cytotoxic (nonchemotherapeutic) drugs are also used such as interferon and glucocorticoids. Areas of diseased bone are often treated with radiation to help relieve pain and prevent fractures.

Anemia is treated with transfusion of packed red blood cells and medication to stimulate red cell production (hematopoietic therapy). Bacterial infections are treated with antibiotics. Skeletal damage may be prevented by monthly infusion of a drug that protects against bone loss. Maintaining ambulation is important to maintain bone quality as much as possible and to avoid or delay osteoporosis.

Treatment of associated complications such as hypercalcemia and renal failure may include a combination of increased fluid intake, hormone therapy (glucocorticoids), and chemotherapy. Pain relievers (analgesics) are often needed. Bone marrow transplantation may be performed in individuals younger than age 70. Transplanted marrow may be the individual's own treated marrow (autologous transplant) or from a matched sibling donor (allogeneic transplant).

Autologous peripheral stem cell transplantation is replacing bone marrow transplants as the treatment of choice, especially for patients older than age 70 who are in otherwise adequate health (Beers). In this treatment, the patient's own healthy red blood cells are obtained from their peripheral blood circulation and transplanted into their marrow to replace abnormal plasma cells.

Source: Medical Disability Advisor






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