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.

Thoracotomy


Specialists

  • Critical Care Internist
  • Emergency Medicine Physician
  • Pulmonologist
  • Thoracic Surgeon

Comorbid Conditions

Factors Influencing Duration

Complications or the underlying condition for which the thoracotomy was performed may influence the length of disability.

Medical Codes

ICD-9-CM:
34.0 - Incision of Chest Wall and Pleura
34.02 - Exploratory Thoracotomy
34.03 - Reopening of Recent Thoracotomy Site

How Procedure is Performed

Several approaches are available to perform a thoracotomy, and all are done under a general anesthesia.

In anterior thoracotomy, a vertical incision is made from the base of the neck to the lower end of the breastbone (sternum). The sternum is divided with a saw (sternotomy) and gently pried apart. With the heart exposed, the necessary surgery can be performed.

If access is needed to the esophagus, heart, thymus gland, trachea, bronchi, and large blood vessels, a full-wide incision thoracotomy is used.

In a lateral thoracotomy, an incision is made between the ribs to allow access to the lungs. The incision is made from back to front along the rib line. The ribs are spread apart, and occasionally part of a rib is removed. The lung may be biopsied through the incision.

Following the procedure, a temporary drainage tube is inserted into the pleural cavity (the space between the membranes lining the chest wall and the membranes covering the lungs). This allows fluid to drain and permits air in the pleural space to be removed, thereby allowing the lung to fully expand. If the procedure involved a sternotomy, the sternum is closed with strong stitches or wire. The muscles and overlying skin are closed with stitches.

Source: Medical Disability Advisor






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