Denied
 

My husband was denied they said not enough medical info Whatever-They have their doctors and his doctors they said they have it all so off to the Attorney on Monday He has a massive blood clot in his leg and depression

They make me sick:mad:

Now you have something very valuable on your side--time. Everything seemed rush-rush before and thats why you were denied.Your attorney is going to say he needs more proof that he is unable to work. I know he has high b/p ,but how is his heart? Has he ever had an echo? If his heart ejection fraction is 30 percent or less its almost automatic disability. Does he have aches and pains everywhere? If so,get checked for arthritis. I just found out I have moderate carpal tunnel in both arms. Even though the blue book doesn't have a listing for carpal tunnel,you still can get disabled with it if you have a repetitive hand type job.

Thanks for replying. Yes he had surgery on his hand and they botched that and now the only thing they can do is fuse his wrist to his arm BUT with his massive blood clot thats out It could literally kill him.

And that would mean he couldn't move his wrist It would be stiff!!!!!
He also has problems with his knee and back- BUT the problem is where to go get medical attention when your broke!!!

We have to Beg every month for help and people just don't understand.
He currently goes to the Health Dept. for his blood draws he has to have them monthly. Also he gets all his meds there for $5.00-Thank the good LORD

I buy his warafin every month.He also has a Bad back and Bad Knee
But you have to have cash to see a doctor money we don't have. Any suggestions??? Please reply he is 55yrs old. God Bless You all

I'm sorry to hear your news oldhen.

I understand the financial difficulties of regular doctor appointments when money is tight. Having the right medical documentation is critical though in getting SSDI approval. It is a tough catch 22....he would have better medical care if had had SSDI money to pay and/or Medicare, but he can't get SSDI and MC if he doesn't have good medical documentation that shows why he cannot work.

Who is following him now for the clot issue and prescribing the Warfarin ? Is he just going to a clinic or is he seeing the same doctor each visit ?

You can see the difficulties that your husband has just in doing activities of daily living. You can see that he is unable to work. The medical documentation needs to paint a picture of that so SSA can 'see' his disability also. The dx of a clot isn't enough.....many people have had one, had the problem taken care of by blood thinners, and are able to work again without difficulty. Your husband's medical records need to show that he is different than those people. Something caused his clot.....I'm not a doctor and I haven't examined him, but I'm guessing from what else you have described in your first thread that he has PVD. That hasn't been mentioned though as a dx when you have discussed his case here. That's a big problem. Having a blood clot in his leg, whatever that ICD9 code is, isn't a free ride to SSDI approval. Issues that he has since the clot......that he has to keep his leg elevated frequently, it is prone to significant swelling, he can only stand or walk for a few minutes at a time, he can only sit for brief periods and then must lay down.....that is the kind of documentation that he needs.

If you can find a lawyer with experience in SSDI claims, he should be able to help review the medical documentation that your husband does have and tell you if it is lacking.

Best wishes going forward

Did you apply for Medicaid? When my Cobra expired, I didn't pick up health ins. because it was too expensive.I went over a yr w/o health ins. When I won my case,Medicare paid for the last 6 months of the medical bills. My specialists then only charged me 40 and 50 bucks respectively while I was uninsured. I got all the major testing done while I still had ins. There are places that charge less than 100 bucks for an MRI ,when a local hospital could charge up too 1800. Best thing too do would be shop around and ask for pricing for testing. Worse comes to worse,set up an acct. at your local hospital for testing. Mine charged me 25 bucks a month.

Thanks for all your kind words I am going to shop around for someone to do his testing. Love Ya All Please keep us in your prayers

hello miss.seems like your situation all to familar here.including me and all of us here.i to got turn down to.not quite enough info.so i had time now to rebuild my case with a lot more info.and im like your husband,being treated now for depression.money is very tight just like you.there's a member here by the name of "Rickey".very smart guy .he was turned down,but kept on fighting till get won his case.another one here is "Legalmania".those 2are very helpful .please dont give up or become discourage.we have good people here:grouphug::wink::grouphug:

Your husband should obtain copies of his medical records and notes for his own records. Read them especially the notes! This way you will know exactly what was reported to SS and most importantly, if there were any mistakes/errors in the information.


If I were you, I would swollow your pride & march right on down to your local social service department & get on Medicaid, food stamps, and anything else your state allows until you win your SSDI case.
Shop at food banks - all food is free.
Seek treatment at the free clinics (search the internet & your local Yellow Pages for locations in your area).
Most if not all hospitals have "charity" treatment programs = FREE and/or deep discounts!


If your husband has depression, is he seeing a physician that specializes in the treatment of depression? If he is not seeking treatment for it, SS will not even consider it as a "disability."

she(MzMigrain) is right about also getting treatment for his depression.i am and they also put me medication(celexa).just more foder for my case.and his(yours);)

Seeing a PCP doctor or a doctor at a health clinic probably won't help your case. You should see specialists for all your concerns. They will charge you alot for the first visit but should give you a discount for the remaining visits until you get health ins.

(((hugs))) and keep fighting i thnk they like when people give up and go away ..

Hugs to all of you- Get THIS on his denial it states THEY (SS) know he can't do his previous work but there is something less demanding-HUH- I wonder if they could find him a job where he can have his leg propped up above his heart and then a BED to lay down in as he can't sit without laying down. Boy are they STUPID or What???

Thank the good lord for people on here I am disabled myself but I don't know where we would be if it weren't for my little check.

In our state he doesn't qualify for Medicade I have asked !! And we do get Food Stamps. We don't have a choice-He can't work simple as that!!!
I have found a clinic that goes on a sliding scale I got him appt for March 18th. for his Back,Hand and Hip.

Oh Boy the lawyer Monday is going to laugh they said in so many words he is disabled. We will keep fighting!!! Thank you all for your kind words and all the help we sure need all the help we can get. God Bless and take care

Is this documented in his medical reports and notes? This is why it is extremely important for your husband to have copies of his own medical records.

The reason for the denial of Medicaid? If your husband is not receiving any type of income & you are on disability, what was the reason for the denial?

Do you & hubby have other income or assets that would disqualify him from receiving Medicaid?

no they only accept children here. Don't ask me why?? No we do not have assets I have to beg people to help with my electric and rent He probaly will get medicaid when he gets medicare.

Sometimes you wonder what are policitians thinking.

good post. very important point made! it would behoove you to follow Mz. Migraines above advice.

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As Mz Migraine just said and I was talking about earlier, it's very important that his medical records say that.....and say that he MUST do that every few hours. Then it is up to SSA (or the voc rehab specialist at an ALJ hearing) to find work that he can do with that restriction.....which is no job that I know of.

If his records don't address that....or simply say he mist elevate his leg periodically, SSA will believe that he can just use a footstool.

His denial said they realize he can't do any of his previous work but could find something less demanding.

I will get a copy of his medical records-Does anyone know if I can get them from SS??

Right now he goes to the health dept and sees one doctor and Yes she is behind us 100%

Even their doctor told us to get a lawyer if we get denied.

He is being trated for his depression he is on Prozac, He takes 4 blood pressure meds. And he takes 2 types of warafin-10mg and 5 mg- for the rest of his life. His nephew filed for ssdi for the same thing only he has factor 5 and I am thinking about having him tested for that. As it runs in familys- They both got hurt at work . Thank You so very much for all your support.

It will be much FASTER & easier if you go directly to the doctors office & ask politely yet firmly to the girls behind the reception desk that you want copies of all of your husband's medical records and notes. Your husband may have to ask himself as he must sign a "medical information release" form. Your husband is entitled to his medical records. It's the law!

Got him a very good Lawyer Today-He will get his records for us

Sorry about the hassles you and your husband are dealing with. I was denied last fall, but quickly obtained an attorney. SSI's reasons for denial was CRAZY. They did not send me to a medical doctor, but just to a psychiatrist. The letter stated that I am definitely physically impaired and the only job I could really do was one that was stress-free. Um, excuse me but name one job that is stress-free...

All this was prior to the implant of my hateful spinal cord stimulator. Since then, things have gotten worse (as if they could get worse...). SSI had stated that a person needs to be physically unable to work for one year - I have been off work with a medical slip from a doctor (orthopedic knee surgeon, orthopedic foot surgeon) for well over that. They never did obtain the orthopedic foot surgeon's records, so my attorney filed for a case review and a quicker hearing. He is in the process of gathering my current medical records as well, and is extremely positive. He keeps telling me that he was shocked I was denied in the first place, but he also tells me that this is the "norm". He likes to point out the fact that since I had worked for so long that sometimes the government doesn't like to lose taxpayers. I hate not working, I hate being in pain, worrying about finances. And the government thinks I can work a job that is stress-free... If that statement wasn't so funny, I would be super angry.

Good luck to you and your husband. If you don't mind me asking, what state are you in? Have you looked (or asked your doctor) for any programs out there through the pharmacies or drug companies that will assist with prescription costs? Is your husband a veteran? I know that while my father was fighting with SSI, he was able to get benefits from the V.A. It was a small amount of money a month along with medical (provided he went to a V.A. hospital/doctor), but it was a lot easier to get this started and provided him and my mother with the means to stay afloat until SSI kicked in.

you know i was a little hassitant on asking the same question as miss christams. that are you a veteran:confused:.i sure will help if you are;)

Thanks for writing Miss Christmas and Don-No he is not a veteran he is 55 years old. We live in Tennessee,

The lawyer said it could take 6-9 months- well we will keep struggling what choice do we have- And for ssdi to say they know he can't do his previous work -Just gets me!!! He has a massive blood clot in his leg he has to keep it elevated to keep the swelling down-He can't travel- So what kind of job do they think he can do???

Unreal!! Bless you all I pray each one of you never have to go through all this bs-cause thats exactly what it is BS

i am going thru the same thing what you are experiencing.i didnt want to go into detail cause i didnt want to jump on your posting with my problem.but believe me we all know and we there to.we have a posting here called "The Stress and Emotions behind SS Disability ".you can read about me and all the rest of us.so again i/we understand.we are going thru the same exact thing as you;)

Hello
 

Don't stop trying. I know don on this site also. There are alot of us having trouble with SSD. Keep all your medical records and tests. Did your doctors write a letter stating you are disabled? I saw that you had records but no mention of letters. It is usually a combination of things that grants the SSD. I did have legal assistance as I was turned down several times before I was granted my hearing. It was the hearing that I could present myself, that led to me getting my medicare card. I have recently had trouble with SSD and went back to that same legal aid person for help. I hope things work out for you. ginnie

Re:paper work
 

Getting a copy of all your records and doctors notes is important as stated. I just had to sign a release. I also did this with all hospital records and exams such as MRI. SS once they have your records, usually do not return them. I do keep a log as well of all symptoms that worsen etc. I already have medicare/medicade, but there have been issues that have popped up that made me glad I kept good records. Good luck to you. ginnie

I was denied the first time around, and also at the first hearing. I don't know yet how the reconsideration hearing went, but i'm keeping my fingers crossed. My attorney thinks it went well since the judge didn't ask the voc expert any questions and stopped the testimony early. But what I wanted to say to you is 2 things: first that there's probably a different judge the 2nd time around, and also that if they make you go to their dr, their dr is NOT on your side. He's got a full waiting room of people he's going to deny, because that is how he's making his money. You are allowed to videotape your visit there and use it later to show that not much was done at that visit (not much will be). Have someone come with you and video the entire visit. Also, if you are disabled, just keep at it and eventually at some level you should win your case. The important thing is to have medical records to back up your symptoms and testimony.

We just hired an attorney and he said he has to send to ssdi for records and yes he signed a release. So we will hang in as long as we can he can't work that is not even a option. They sent him to 2 doctors and both said if he gets denied to hire an attorney.

Thanks for answering and God Bless you all