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Old 06-21-2014, 11:05 AM #11
Breia Lee Breia Lee is offline
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You are right, don..it does also depend on your level of education and the jobs you were doing before you became disabled. It is a truly complicated system they use to determine if you can still work, that's why it's hard to say whether you will be approved or not. Rest assured, though, that they will try NOT to approve you.
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Old 06-23-2014, 12:42 AM #12
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I got approved for my long term disability for the company I am employed with. If I can't get back to work by October 15th I will be terminated.

I go to my family doctor tomorrow for blood work. I want to make sure my liver enzymes and everything are ok as I've been on pain meds for several years. I'm going to ask my doctor to send me for a bone scan to see where my pain is coming from. I was scheduled for an FCE this past Friday, but my insurance doesn't pay for it and the LTD insurance company didn't require it. My surgeon told me he wishes he had not done the last surgery. He said that I look to be worse now than I was before the surgery. I can tell him for sure- I am. I have never hurt like this.

As far as being approved or denied goes, my last job was as easy as it comes. It is a desk job. I cannot sit up long enough to do the job. I also have a very difficult time concentrating, which my job requires because it is a telecommunications company and I troubleshoot why customers lines and internet are down. It takes a lot of concentration.

I'm holding out hope that I will be one of the few that get approved. I never dreamed I would be like this at the age of 39. I will update you all when one is available.
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Old 06-23-2014, 07:17 PM #13
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I certainly wish you good luck. Is this doctor willing to write you a letter stating you are worse now after the surgery? I would think that such a letter would go a long way towards gaining approval.

Please do keep us posted.
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Old 06-25-2014, 10:26 AM #14
atlbrvfan atlbrvfan is offline
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I went to see my family doctor 2 days ago to get blood work done. After years of being on pain meds I want to make sure everything looks good. Waiting to hear the results.

He is also ordering a bone scan to be done to see if anything will show up that could be causing such pain. I've read that sometimes people are having serious issues in their SI joints. I'm just hoping to find the root of this pain.

I will keep you all posted.

By the way, should I keep calling the case worker for my SSDI claim? I haven't spoke to her in about a month or so and I was told last time that my case would be worked in the order received. I don't want to hassle, but I need to stay on top of things. What have you all done before in regards to calling and how often?
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Old 06-25-2014, 12:02 PM #15
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Originally Posted by atlbrvfan View Post
By the way, should I keep calling the case worker for my SSDI claim? I haven't spoke to her in about a month or so and I was told last time that my case would be worked in the order received. I don't want to hassle, but I need to stay on top of things. What have you all done before in regards to calling and how often?
It is a great help to the claims adjuster handling your case/claim that you have your claim number handy when calling and/or mailing them correspondence.
Make note of your claim adjuster's name & extension.
Call every 30-60 days. My CR kept a 30 day diary. Depending on their work loads, diaries can run from 30-90 days.




GOOD LUCK!
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Old 07-06-2014, 02:18 PM #16
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Hi! I'm a 38 year old male. I've dealt with chronic back pain since 2007. I used to be very active playing softball and working out 5-6 days a week. In 2005-06 I began pulling/tearing calf muscles when running on the field while I played softball. This happened about 3 times before I knew something was going on. I started getting severe pain down my right leg that would not stop. My back hurt severely. I had had some back issues beginning when I was 15, but I went to the chiropractor every once in a while starting in my 20s. Long story short, in 2008 I had been working a manual job which required heavy lifting. I found that I had a ruptured disc between L5-S1. I also found out I had a pars defect and an extra vertebra. The extra vertebra was transitional and would move. After conservative treatment failed I had my first back surgery in August 08. The neurosurgeon did a fusion of L5-S1. I had some relief and had high hopes. Three months later the fusion broke. I was told I may have low bone density. I have never smoked and I don't drink. For 13 months I wore a bone growth stimulator a couple hours a day. No bone growth! When I sneezed I would hit the ground in pain. Another surgery was required.

January 2010 I had a cage put in. The same doctor went through my stomach and did this operation. I never was out of pain, but I was managing. I started doing a paper route that September to try and bring in some money. I got a much better job in November 2011. I hurt on and off doing this job which was a desk job. In May of 2013 I was hit from behind in an accident. My pain went through the roof. My pain meds did too. Pat my highest point I was in a Fentanyl patch (75mcg/hour), 1800 mgs of Neurotin, and roughly 100-120 mgs of Oxycodone a day, I had gone back to work after being in STD for a month. The pain persisted and got worse and worse. Another surgery was opted for. Keep in mind that in between the surgeries I had roughly 12-15 steroid injections in my back and SI joints. I also have chondromalasia in both knees because of having to compensate for my back.

In November 2013 I had my 3rd back surgery. This was by another doctor- a ortho surgeon. He out me out of work mid October because I could no longer work with the pain. I couldn't concentrate and I was worried about driving with so much medicine in my system. When he got in (through the back this time) he found that the bone put in between L5-S1 back in 2008 was gone. It was like my body absorbed it and never grew any. A screw from 08 was lose as well and the threads had been rubbing up against L4. The surgeon opted to remove all original hardware and fuse L4-5-S1. He took bone marrow from my hip. I was on STD and I started physical therapy in January. The PT said my back and knees were so weak that I would be better off going to aquatic therapy. I did that and thought I was getting better. Well, I was. I got myself off of the Fentanyl patch by slowly tapering off. My doctor wanted me off of everything. I was originally supposed to go back to work in April, but the last time I went to PT my back had been hurting. It never stopped, I made it through that session and that was it.

My back started to click and make clicking sounds down at the fusion level. Then that turned into popping. I can feel and hear 2-3 loud pops at the base of my spine. The pain is worse now than ever! I was down to 1 30mg Oxycdone a day. I'm now back up to 3-4 a day plus muscle relaxers, Neurotin 1800 mgs, a nerve pill for anxiety, and 2-3 Norco (10 mgs each) per day. My STD ran out at work and I was required to move to LTD. I also filed for SS disability. I know this was my main question, but I wanted to give my story.

I now walk with a cane and the only way to get relief is to lay on my side with a pillow between my knees, but I'm now finding that even that doesn't work. Three weeks after I filed for SSDI I received a package in the mail. It included a daily activity form, a work history form, a form to talk about my pain some more (pain meds too), and a third party form that my wife filled out. I have a friend who told me when he first filed he got a denial letter 3 weeks later. My case looks to be different. Instead of being turned down, I've been asked for additional information. I'm miserable. I cannot do anything without increased pain. A simple task such as brushing my teeth hurts. I get ions and needles in my back and glutes when doing so. My feet are numb and tingly right now and both legs hurt so bad.

Has anyone ever filed and gotten a package like this? Is it possible I will be approved the first time due to my situation? Any help would be greatly appreciated. I walk with a cane now and I'm just bad off. I can't concentrate and I cannot sit longer than 3-5 minutes without moving to try and get comfortable, which never happens.

Thanks
It sounds awful what you've been going through, unfortunately no one can say what will come your way from SSA, I know this, your age is a huge hit against you. All you can do is try and see what unfolds, but be warned, what may seem obvious disability to us can result in years of futility in pursuing SSDI.
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Old 07-23-2014, 03:29 AM #17
Wolbachc Wolbachc is offline
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Default SSDI Determination Question

[After reading this thread I have a question. I was under the impression that your physician just submits your medical records to SSDI and they review the records and make the decision. Am I wrong?
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Old 07-23-2014, 12:30 PM #18
Mz Migraine Mz Migraine is offline
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[ I was under the impression that your physician just submits your medical records to SSDI and they review the records and make the decision. Am I wrong?
Yes & no.

Check out the following "linked" articles for the "details" explaining my response:


Claims examiners at the state disability determination agency decide whether you are medically eligible for Social Security disability or SSI.


Five Traps That May Disable Your SSDI Claim


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Old 09-09-2014, 02:17 AM #19
atlbrvfan atlbrvfan is offline
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Default September update

OK everyone. I filed back in April of this year and got approved for my LTD through a Cigna in June. They had been trying to get me to sign up with a company they use called Allsup who work with you to try and get you approved. I had put that off since I had already filed myself. During all of the waiting for some type of response I finally got a letter from SSDI telling me that they had scheduled me for an exam with a doctor they obviously are contracted with.

That appointment was today. I had read about these type of appointments and thought I knew what to expect. I had read online that the doctors were rude and sort of turned their noses up at me (us) for filing for SSDI. I read that the exams usually last as little as 5 minutes and could be up to 20 minutes. So I showed up in my usual condition- my cane, back brace, knee braces for chondromalasia, and my bone growth stim. The exam lasted a little over an hour. I found that the doctor asked me the same question 3 different times within the first 10 minutes. He asked me how long I could sit. I explained that I'm always shifting from pain and that the most I can sit without pain shooting through the rook was about 25 minutes. He asked about walking or standing. He asked if I could have sex. I was very honest with all of my answers and didn't try to beat the system. One of the things he asked me to do was to try and squat. He allowed me to use the table and he told me not to do anything that would increase pain. I didn't make it down far at all. He also had me stand with my feet shoulder width apart and see how far I could lean over. It wasn't far before I had to stop. Then he asked me, in the same position to lean back. Wow! Pins and needles and sort of an electrical feeling shot down my butt and legs.

Long story short, after he was finished, I asked what was the next step in the process. He told me that he would send a report to SS and that I would get a letter within 4-6 weeks. He told me point blank nit to worry and that he saw no reason that I should be denied.

So, I'm 39 and have had 3 back surgeries/fusions. I've had upwards of 18 injections in my spine and SI joints. I have crunching in my knees with a diagnosis of chondromalasia. I have sciatica in both legs with numbness and both feet tingle and stay numb.

Question, if the doctor that the SS administration for disability sends me on lists in HS findings that he believes I am disabled do they go off of that or do they still make their own decision? Thanks everyone
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Old 09-09-2014, 03:37 AM #20
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Originally Posted by atlbrvfan View Post
OK everyone. I filed back in April of this year and got approved for my LTD through a Cigna in June. They had been trying to get me to sign up with a company they use called Allsup who work with you to try and get you approved. I had put that off since I had already filed myself. During all of the waiting for some type of response I finally got a letter from SSDI telling me that they had scheduled me for an exam with a doctor they obviously are contracted with.

That appointment was today. I had read about these type of appointments and thought I knew what to expect. I had read online that the doctors were rude and sort of turned their noses up at me (us) for filing for SSDI. I read that the exams usually last as little as 5 minutes and could be up to 20 minutes. So I showed up in my usual condition- my cane, back brace, knee braces for chondromalasia, and my bone growth stim. The exam lasted a little over an hour. I found that the doctor asked me the same question 3 different times within the first 10 minutes. He asked me how long I could sit. I explained that I'm always shifting from pain and that the most I can sit without pain shooting through the rook was about 25 minutes. He asked about walking or standing. He asked if I could have sex. I was very honest with all of my answers and didn't try to beat the system. One of the things he asked me to do was to try and squat. He allowed me to use the table and he told me not to do anything that would increase pain. I didn't make it down far at all. He also had me stand with my feet shoulder width apart and see how far I could lean over. It wasn't far before I had to stop. Then he asked me, in the same position to lean back. Wow! Pins and needles and sort of an electrical feeling shot down my butt and legs.

Long story short, after he was finished, I asked what was the next step in the process. He told me that he would send a report to SS and that I would get a letter within 4-6 weeks. He told me point blank nit to worry and that he saw no reason that I should be denied.

So, I'm 39 and have had 3 back surgeries/fusions. I've had upwards of 18 injections in my spine and SI joints. I have crunching in my knees with a diagnosis of chondromalasia. I have sciatica in both legs with numbness and both feet tingle and stay numb.

Question, if the doctor that the SS administration for disability sends me on lists in HS findings that he believes I am disabled do they go off of that or do they still make their own decision? Thanks everyone
The doctor doesn't make the final decision, but his responses have a large impact on the decision. It's a complex medical/legal evaluation that factor many things.

Until you have the Fully Favorable decision in writing, you "shouldn't count your chickens before they're hatched" but the doc's response certainly sounds like his report should help you.
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