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what is the burden of proof we need?
more likely than not
site-match claims
places with known asbestos products
site match claims are ________ claims
automatic
what does it mean if a trust is site-match only?
they will only pay unless you prove you were at that site, the only proof required is that the person worked at a site that was known to have asbestos products
AOE
affidavit of exposure
presumptive trust
a trust that compensates claimants who had a occupation and industry pairing with presumed exposure
SOE
significant occupational exposure
what are the four presumptive trusts?
CEL, HKP, JM, Raytech
what proof is needed for presumptive trusts?
occupational and industry pairing
why were the administrative trusts set up?
companies were hounded with litigation in the early 80s and 90s
what did the government have the companies that were hounded with litigation do?
file for chapter 11 bankruptcy and set up an administrative trust fund
what does the administrative trust do?
pays claims for claimant liabilities
who controls the administrative trusts?
the companies themselves
when creating the administrative trusts the companies created
reorganization plans
what is the TDP required for mesothelioma?
just an instance of exposure
SOE
significant occupational exposure
if a guy worked as a welder for a month and worked 20 years in drywall which side of the exposure would generate the most money for them?
working in drywall because it is a SOE, and he used joint compound
joint compound
a powder, often containing asbestos, combined with water to make a plaster used between frames of walls
walls were sanded down and then recovered with joint compound
what is the product that contains asbestos that is used in drywall?
joint compound
cancer requires
pathology
POE
proof of exposure
lung cancer without 6 months of cumulative work is classified as
lower level lung cancer; receives between 0 and half of high level lung cancer
how is asbestos exposure physically shown?
X-rays and other scans show the fibrous scar tissue and calcification in the lungs and pleural lining
since lung cancer has various causes, what is required for the trusts to prove exposure?
need to physically show asbestos exposure
why does asbestos exposure show itself physically?
asbestos fibers in the lungs are irritating and settle at the bottom of the lungs, the tissue gets irritated and scar tissue and/or calcification forms
ILT
interstitial lung disease
interstitial
tissue space between cells
ARPD
asbestos related pleural disease
interstitial lung disease
inflammation and scarring of the interstitial lung tissue
what are the physical manifestations of asbestos?
ILD and ARPD
asbestosis
interstitial lung disease, scaring of lung tissue
asbestosis is a type of ___
ILD
asbestos related pleural disease
pleural plaque hardening due to asbestos exposure
what are the levels of asbestosis
severe, mild, lower, other
ILD can have classifications of
severe, mild, lower, other
ARPD can have classifications of
mild, lower, other
what is a common way for clients to pass away?
heart attacks due to constricted breathing
asbestosis is non
malignant
non-malignant
not cancerous
the classification of “other” entails
no breathing test but something shows on the lungs
the classifcation of “severe” entails
person needs to be on oxygen 24/7, lung tissue is so still from fibrosis
TLC
total lung capacity
PFT
pulmonary function test
even if there is no biopsy to test for cancer, how can cancer be determined?
scans used to determine if there is hypermetabolic activity
how is cancer formed?
DNA of cell is damaged due to irritant, leads to genetic mutation (usually in cells that regulate growth), multiple mutations accumulate in a cell, mutated cells replicate and form a mass of cells (tumor)
an uptake in metabolic activity is likely
cancer
how is cancer treated?
immunotherapy, radiation (SBRT)
what is the problem with radiation treatment when trying to prove exposure to asbestos?
in the lungs radiation can cause scar tissue and thus is becomes difficult to determine the origin of scar tissue so ILD or ARPD needs to be shown before the treatment of lung cancer
true or false: for all other cancers aside from lung cancer it doesn’t matter when the scan was taken in relation to radiation treatment
true