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Old 12-30-2012, 02:45 PM #1
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Quote:
Originally Posted by Ironbutterfly View Post
Husband has an ALJ hearing in a few months. However, he is schedule to have rods and screws removed out of spine due to the extreme pain post spinal fusion of one year (his second). Surg says 50/50 chance of working.

He is 54 and will be 55 a month after alj hearing.

Should hus take RFC form to surgeon when he meets pre-surgical next month and have him complete? Or does he have it filled out after surgery?

The timing of all this is ironic. Currently he can't sit our stand more then 30min, has a college degree, but never worked in that degree field. Was hard laborer for 24 plus years.

Not sure whether to have these forms filled out now, later, or both.

His original application was denied as they felt he could do sedentary work, light duty per surgeon...but that was 6mos after surgery when he tried to return to work.

after 6mos, his job told him to go on LTD as they couldn't find a job for him due to his limitations (couldn't lift more then 20# for life, no crawling, bending, no long hrs of standing, etc.

1 yr after spinal, he can't sit more the 30min tops or stand LONGER then 30min. In extreme pain all the time. Has to lay down during the day, has to take meds to sleep, due to pain, etc. He had two total knee replacements, one this past year, so he can't knee at all.

He can drive short distance and do some grocery shopping. Does that automatically disqualify a person for SSDI?
No, this would not disqualify him.

The ALJ will likely question if there's enough time between the surgery and the hearing to determine what his long term prognosis is. Many docs are optimistic about how a surgery will improve a condition, long before the evidence supports it.

You might want to have them done as close to the hearing as possible.

Also, you MAY want to research Partially Favorable Decisions and discuss the option with your attorney. If it seems the ALJ will deny him, you could suggest a PFD. That would give him a closed period award. From the time of eligibility to a few months after the back surgery. If he wouldn't be eligible to start a new claim due the time lapse, this might be a VERY bad idea.


This link may not apply to your hubby since he has restrictions regarding sitting, but I think it's a very good example of how the process works. http://en.m.wikipedia.org/wiki/Surve...system_monitor
I was faced with having to prove I couldn't perform this job (the only one Voc Rehab claimed I could) even though it doesn't exist in today's job market.

His age will be in his favor. the recent surgery and his degree might complicate things. Discuss the RFC with the doc before he fills it out... An RFC purporting potential improvement would be qn issue.
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ginnie (12-30-2012)
Old 12-30-2012, 03:36 PM #2
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Originally Posted by LIT LOVE View Post
No, this would not disqualify him.

The ALJ will likely question if there's enough time between the surgery and the hearing to determine what his long term prognosis is. Many docs are optimistic about how a surgery will improve a condition, long before the evidence supports it.

You might want to have them done as close to the hearing as possible.

Also, you MAY want to research Partially Favorable Decisions and discuss the option with your attorney. If it seems the ALJ will deny him, you could suggest a PFD. That would give him a closed period award. From the time of eligibility to a few months after the back surgery. If he wouldn't be eligible to start a new claim due the time lapse, this might be a VERY bad idea.





This link may not apply to your hubby since he has restrictions regarding sitting, but I think it's a very good example of how the process works. http://en.m.wikipedia.org/wiki/Surve...system_monitor
I was faced with having to prove I couldn't perform this job (the only one Voc Rehab claimed I could) even though it doesn't exist in today's job market.

His age will be in his favor. the recent surgery and his degree might complicate things. Discuss the RFC with the doc before he fills it out... An RFC purporting potential improvement would be qn issue.
So if the judge questions the time, would they hold off on a decision? Meaning, we would have another hearing after certain time elapses?

Will discuss with atty about PFD...etc.interesting read on vocational job...thanks for sharing...

Thanks so much
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ginnie (12-30-2012)
Old 12-30-2012, 05:44 PM #3
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I've never heard of that happening--delaying to determine results of a surgery. (I meant having the hearing and then delaying the decision.) You have the burden of proof. You could ask your attorney to request a later court date. (Hope this makes sense.)

It's truly unfortunate that they no longer allow you to start a new application while pursuing an appeal.

Have you determined when he'll lose eligibility if you want to start a new application?

One last thing, it's been argued both ways that you may or may not be able to appeal if you request a PFD. I did receive a PFD, and then later received a FFD with my second application.

If you start a second application, the first is added to the record, but it would allow you more time. (Which is frustrating to need, I know, because you've been waiting forever.)

Last edited by LIT LOVE; 12-30-2012 at 10:11 PM. Reason: Clarification
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Old 01-07-2013, 07:11 PM #4
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Quote:
Originally Posted by LIT LOVE View Post
I've never heard of that happening--delaying to determine results of a surgery. (I meant having the hearing and then delaying the decision.) You have the burden of proof. You could ask your attorney to request a later court date. (Hope this makes sense.)

It's truly unfortunate that they no longer allow you to start a new application while pursuing an appeal.

Have you determined when he'll lose eligibility if you want to start a new application?

One last thing, it's been argued both ways that you may or may not be able to appeal if you request a PFD. I did receive a PFD, and then later received a FFD with my second application.

If you start a second application, the first is added to the record, but it would allow you more time. (Which is frustrating to need, I know, because you've been waiting forever.)
How do you determine lose of eligibility if we want to start a new application?
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Old 01-07-2013, 08:45 PM #5
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http://neurotalk.psychcentral.com/thread181880.html

Refer to post #10 by Janke in the linked thread.

He should have an Earnings Record mailed every year, but it can be requested online or through the national 800#.
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Old 01-07-2013, 08:57 PM #6
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Originally Posted by LIT LOVE View Post
http://neurotalk.psychcentral.com/thread181880.html

Refer to post #10 by Janke in the linked thread.

He should have an Earnings Record mailed every year, but it can be requested online or through the national 800#.
.
'
Husband worked the past 24yrs at same employer up until summer of 2011 when he had his spinal fusion with rods, screws. He was off for 6mos for recovery, went back to work for a week when he was told by employer we have no job you can do, we are putting you on long term disability, etc.

He has not worked since summer of 2011- after spinal fusin, this past summer he had a total knee replacement with recovery tiime thru this fall. Sooo, I am assuming he should be ok with credits, etc right? Oh and he has worked non stop since he was 16....
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Old 01-07-2013, 11:03 PM #7
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Quote:
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.
'
Husband worked the past 24yrs at same employer up until summer of 2011 when he had his spinal fusion with rods, screws. He was off for 6mos for recovery, went back to work for a week when he was told by employer we have no job you can do, we are putting you on long term disability, etc.

He has not worked since summer of 2011- after spinal fusin, this past summer he had a total knee replacement with recovery tiime thru this fall. Sooo, I am assuming he should be ok with credits, etc right? Oh and he has worked non stop since he was 16....
So he probably earned enough money in 2011 to get 4 credits (quarters of coverage) so I am estimating his date last insured is 5 years later or 12/31/2016. Either the DDS or an ALJ would have to find that he was disabled on or before that date. So date last insured does not seem to be an issue for him. Plenty of credits. It can be an issue for people who start and stop work, who stay out of the work force for reasons other than their condition, people who only work seasonally.
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