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He was a perfect candidate to have had a CT screening for lung cancer, but neither he nor his doctors knew that.My brother had smoked for approximately 60 years and had tried to quit using group programs, nicotine replacement therapy, medications and even e-cigarettes, but was not able to quit until he received his lung cancer diagnosis and was at the point where he could barely breathe - which speaks to the terrible addictive nature of tobacco use.His four children and their spouses, nine grandchildren, three sisters and countless friends miss him terribly!We need to do better for the victims of the tobacco industry - we need to make sure that primary care providers and the public know what the lung cancer screening guidelines are, and promote best practices for all lung cancer screening programs.The Social Security Amendments of 1977 provided a new method for determining an individual’s primary insurance amount.This method uses a formula based on “wage indexing” and was fully explained with interim regulations and final regulations published in the Federal Register on December 29, 1978, at 43 FR 60877 and July 15, 1982, at 47 FR 30731 respectively.It generally applies when a worker after 1978 attains age 62, becomes disabled, or dies before age 62.The formula uses the worker’s earnings after they have been adjusted, or “indexed,” in proportion to the increase in average wages of all workers.Using this method, we determine the worker’s “average indexed monthly earnings.” We then compute the primary insurance amount, using the worker’s average indexed monthly earnings.The computation formula is adjusted automatically each year to reflect changes in general wage levels.

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To assure that a worker’s future benefits reflect the general rise in the standard of living that occurs during his or her working lifetime, we adjust or “index” the worker’s past earnings to take into account the change in general wage levels that has occurred during the worker’s years of employment.These adjusted earnings are then used to compute the worker’s primary insurance amount.For example, to compute the average indexed monthly earnings for a worker attaining age 62, becoming disabled, or dying before attaining age 62, in 1989, we divide the average of the total wages for 1987, $18,426.51, by the average of the total wages for each year prior to 1987 in which the worker had earnings.We then multiply the actual wages and self-employment income as defined in section 211(b) of the Act credited for each year by the corresponding ratio to obtain the worker’s adjusted earnings for each year.After determining the number of years we must use to compute the primary insurance amount, we pick those years with highest indexed earnings, total those indexed earnings and divide by the total number of months in those years.This figure is rounded down to the next lower dollar amount, and becomes the average indexed monthly earnings figure to be used in computing the worker’s primary insurance amount for 1989.The primary insurance amount is the sum of three separate percentages of portions of the average indexed monthly earnings.In 1979 (the first year the formula was in effect), these portions were the first $180, the amount between $180 and $1,085, and the amount over $1,085.The amounts for 1989 are obtained by multiplying the 1979 amounts by the ratio between the average of the total wages for 1987, $18,426.51, and for 1977, $9,779.44.These results are then rounded to the nearest dollar. Multiplying the 1979 amounts of $180 and $1,085 by 1.88421 produces the amounts of $339.16 and $2,044.37. Accordingly, the portions of the average indexed monthly earnings to be used in 1989 are determined to be the first $339, the amount between $339 and $2,044, and the amount over $2,044.

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Consequently, for individuals who first become eligible for old-age insurance benefits or disability insurance benefits in 1989, or who die in 1989 before becoming eligible for benefits, we will compute their primary insurance amount by adding the following: (a) 90 percent of the first $339 of their average indexed monthly earnings, plus (b) 32 percent of the average indexed monthly earnings over $339 and through $2,044, plus (c) 15 percent of the average indexed monthly earnings over $2,044. In compliance with Social Security Act §215(a)(1)(D), this formula was published in the Federal Register (49 FR 43778) on October 31, 1984.This amount is then rounded to the next lower multiple of $.10 if it is not already a multiple of $.10. This requirement is currently satisfied by publication of the annual Cost-of-Living Increase and Other Determinations document (Appendices A and B).This formula and the adjustments we have described are contained in section 215(a) of the Act (42 U. I was diagnosed with stage 4 Adenocarcinoma of the lung on 2/21/2011 after a bout with pneumonia.The diagnosis came as quite a shock to me as a non-smoker. Fortunately, my oncologist had the foresight to have my tumor tested for genetic mutations.This was fairly uncommon 2 1/2 years ago and I will love her forever for her diligence. My very best advice to anyone facing this dread illness is be sure the genetic studies are done.After 13 grueling months of chemotherapy, surgery, and more chemo, I began taking a drug designed to address my ALK genetic mutation. Research has brought us amazing therapies and continues to allow successful treatment.Lung cancer is no longer the "death sentence" it once was. My coworker was in my office and I didn't know until much later that her being there was on purpose. Even now, seven years later, I still don't remember what they talked about. My coworker immediately jumped up and took the phone from me and spoke in hushed tones to my mom.

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Consequently, for individuals who first become eligible for old-age insurance benefits or disability insurance benefits in 1989, or who die in 1989 before becoming eligible for benefits, we will compute their primary insurance amount by adding the following: (a) 90 percent of the first $339 of their average indexed monthly earnings, plus (b) 32 percent of the average indexed monthly earnings over $339 and through $2,044, plus (c) 15 percent of the average indexed monthly earnings over $2,044. In compliance with Social Security Act §215(a)(1)(D), this formula was published in the Federal Register (49 FR 43778) on October 31, 1984.This amount is then rounded to the next lower multiple of $.10 if it is not already a multiple of $.10. This requirement is currently satisfied by publication of the annual Cost-of-Living Increase and Other Determinations document (Appendices A and B).This formula and the adjustments we have described are contained in section 215(a) of the Act (42 U. I was diagnosed with stage 4 Adenocarcinoma of the lung on 2/21/2011 after a bout with pneumonia.The diagnosis came as quite a shock to me as a non-smoker. Fortunately, my oncologist had the foresight to have my tumor tested for genetic mutations.This was fairly uncommon 2 1/2 years ago and I will love her forever for her diligence. My very best advice to anyone facing this dread illness is be sure the genetic studies are done.After 13 grueling months of chemotherapy, surgery, and more chemo, I began taking a drug designed to address my ALK genetic mutation. Research has brought us amazing therapies and continues to allow successful treatment.Lung cancer is no longer the "death sentence" it once was. My coworker was in my office and I didn't know until much later that her being there was on purpose. Even now, seven years later, I still don't remember what they talked about. My coworker immediately jumped up and took the phone from me and spoke in hushed tones to my mom.

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I don't even remember the feeling of crying, I just know that I did cry. I don't know where the tears came from, but they were fast and immediate. All of sudden all of the air was sucked out of the room. " I turned to look at my coworker, who at that point was sitting on the edge of the chair, no emotion in her face. But I'm ok." I don't remember if she said anything else. " Slowly and in a measured tone mom said, "Well, the results from my biopsy came back and confirmed that I have lung cancer.I just know that everything about my life changed at that moment, everything. This was long before there was any major discussion on clinical trials and immunotherapies.My mom was diagnosed with Stage IV Non-Small Cell Lung Cancer in 2008. The only option for my mom at that time was chemo because her lung cancer was inoperable.I think what was almost as equally frustrating as the cancer was not knowing that she had it until the late stages.Lung cancer shows no symptoms until the late stages.Early symptoms often mimic other medical issues and long go unnoticed.

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