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Re: Social Security Disability Insurance (SSDI)

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I was approved my first time applying for SSDI, having flatback syndrome. I applied 03/01/09 & received my first check 09/03/09. I was very suprised. Even my surgeon who initiated the process said that I should expect to be denied on my first try.

.........................Kathy

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I had state DIB when I applied for SSDI. Before that, I applied for county

Disability retirement in Feb. '09. I applied for SSDI in April 2009, but I was

denied in June '09. So I appealed it and didn't hear for six months about the

SSDI. I was granted in Jan.'10, and got my first check in Feb. '10. The county

retirement was granted at the beginning of July '09.

Carol V.

>

> Hay all,

>

> A thought came up due to a discussion on another (non-scoliosis) message group

that I am a member of (the U.S. Federal Employee Disability Retirement Forum via

Lawyers.com ), and I wanted to take an informal poll.

>

> As part of applying for U.S. Federal Employee Disability Retirement, those

covered by the " newer " U.S. Federal Employee Retirement System, " Federal

Employee Retirement System " (FERS) must also apply for Social Security

Disability Insurance (SSDI). My application was approved very quickly (compared

to many " stories " that I have heard). I submitted my application on December 26,

2007, and I got my first payment in March 2008 (I was on LWOP beginning

September 1, 2007).

>

> Have others applied for, and been approved for SSDI benefits for issues

relating to or from scoliosis, including flatback syndrome, spinal stenosis,

osteoarthritis, degenerative disc disease, etc. as noted in the Social Security

" Blue Book " of Disabilities (see sections there of, below). Also, for those

receiving SSDI Benefits, were you approved the first time, or did you appeal?

>

> For anyone not from the United States; but, covered by programs similar to the

U.S. Social Security System (and Social Security Disability Insurance (SSDI))

please comment about your programs, and if you are receiving benefits.

>

> Social Security Blue Book " of Disabilities (From section " 1.00 Musculoskeletal

System - Adult " ):

>

> L. Abnormal curvatures of the spine. Abnormal curvatures of the spine

(specifically, scoliosis, kyphosis and kyphoscoliosis) can result in impaired

ambulation, but may also adversely affect functioning in body systems other than

the musculoskeletal system. For example, an individual's ability to breathe may

be affected; there may be cardiac difficulties (e.g., impaired myocardial

function); or there may be disfigurement resulting in withdrawal or isolation.

When there is impaired ambulation, evaluation of equivalence may be made by

reference to 14.09A. When the abnormal curvature of the spine results in

symptoms related to fixation of the dorsolumbar or cervical spine, evaluation of

equivalence may be made by reference to 14.09C. When there is respiratory or

cardiac involvement or an associated mental disorder, evaluation may be made

under 3.00ff, 4.00ff, or 12.00ff, as appropriate. Other consequences should be

evaluated according to the listing for the affected body system.

>

> 1.04 Disorders of the spine (e.g., herniated nucleus pulposus, spinal

arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc disease, facet

arthritis, vertebral fracture), resulting in compromise of a nerve root

(including the cauda equina) or the spinal cord. With:

>

> A. Evidence of nerve root compression characterized by neuro-anatomic

distribution of pain, limitation of motion of the spine, motor loss (atrophy

with associated muscle weakness or muscle weakness) accompanied by sensory or

reflex loss and, if there is involvement of the lower back, positive

straight-leg raising test (sitting and supine);

>

> OR

>

> B. Spinal arachnoiditis, confirmed by an operative note or pathology report of

tissue biopsy, or by appropriate medically acceptable imaging, manifested by

severe burning or painful dysesthesia, resulting in the need for changes in

position or posture more than once every 2 hours;

>

> or

>

> C. Lumbar spinal stenosis resulting in pseudoclaudication, established by

findings on appropriate medically acceptable imaging, manifested by chronic

nonradicular pain and weakness, and resulting in inability to ambulate

effectively, as defined in 1.00B2b.

>

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I am on SSDI for my scoliosis but I appealed 2x and then had to get a lawyer and

go to court. But fortunately I was able to get disability through my employer.

Otherwise I don't know what would've happened. It was 2 years before I actually

got a check. I got all my back pay and the insurance company took the lawyers

fee out of their cut. But this was back in the 90s.

________________________________

From: " RSSSCOLIOSIS@... " <RSSSCOLIOSIS@...>

; ;

Scoliosis Treatment ; Scoliosisnutty@...

Sent: Sat, July 17, 2010 3:47:48 PM

Subject: Social Security Disability Insurance (SSDI)

 

Hay all,

A thought came up due to a discussion on another (non-scoliosis) message group

that I am a member of (the U.S. Federal Employee Disability Retirement Forum via

Lawyers.com ), and I wanted to take an informal poll.

As part of applying for U.S. Federal Employee Disability Retirement, those

covered by the " newer " U.S. Federal Employee Retirement System, " Federal

Employee Retirement System " (FERS) must also apply for Social Security

Disability Insurance (SSDI). My application was approved very quickly (compared

to many " stories " that I have heard). I submitted my application on December 26,

2007, and I got my first payment in March 2008 (I was on LWOP beginning

September 1, 2007).

Have others applied for, and been approved for SSDI benefits for issues relating

to or from scoliosis, including flatback syndrome, spinal stenosis,

osteoarthritis, degenerative disc disease, etc. as noted in the Social Security

" Blue Book " of Disabilities (see sections there of, below). Also, for those

receiving SSDI Benefits, were you approved the first time, or did you appeal?

For anyone not from the United States; but, covered by programs similar to the

U.S. Social Security System (and Social Security Disability Insurance (SSDI))

please comment about your programs, and if you are receiving benefits.

Social Security Blue Book " of Disabilities (From section " 1.00 Musculoskeletal

System - Adult " ):

L. Abnormal curvatures of the spine. Abnormal curvatures of the spine

(specifically, scoliosis, kyphosis and kyphoscoliosis) can result in impaired

ambulation, but may also adversely affect functioning in body systems other than

the musculoskeletal system. For example, an individual's ability to breathe may

be affected; there may be cardiac difficulties (e.g., impaired myocardial

function); or there may be disfigurement resulting in withdrawal or isolation.

When there is impaired ambulation, evaluation of equivalence may be made by

reference to 14.09A. When the abnormal curvature of the spine results in

symptoms related to fixation of the dorsolumbar or cervical spine, evaluation of

equivalence may be made by reference to 14.09C. When there is respiratory or

cardiac involvement or an associated mental disorder, evaluation may be made

under 3.00ff, 4.00ff, or 12.00ff, as appropriate. Other consequences should be

evaluated according to the listing for the affected body system.

1.04 Disorders of the spine (e.g., herniated nucleus pulposus, spinal

arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc disease, facet

arthritis, vertebral fracture), resulting in compromise of a nerve root

(including the cauda equina) or the spinal cord. With:

A. Evidence of nerve root compression characterized by neuro-anatomic

distribution of pain, limitation of motion of the spine, motor loss (atrophy

with associated muscle weakness or muscle weakness) accompanied by sensory or

reflex loss and, if there is involvement of the lower back, positive

straight-leg raising test (sitting and supine);

OR

B. Spinal arachnoiditis, confirmed by an operative note or pathology report of

tissue biopsy, or by appropriate medically acceptable imaging, manifested by

severe burning or painful dysesthesia, resulting in the need for changes in

position or posture more than once every 2 hours;

or

C. Lumbar spinal stenosis resulting in pseudoclaudication, established by

findings on appropriate medically acceptable imaging, manifested by chronic

nonradicular pain and weakness, and resulting in inability to ambulate

effectively, as defined in 1.00B2b.

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I don't know if it varies by the state, but I am a few years shy of 30 and it

was difficult for me to get SSDI.  But, it only took 8 months from the time I

applied, was denied, then approved, and received my first check by the 8th

month.  That was also because I was denied the first time...as soon as I saw

their doctor, I was approved in a heart beat :)  So, try to make sure you see

SSDI's doctor the first time you apply.

Hope That Helps,

Paige

From: Buttonjo@... <Buttonjo@...>

Subject: Re: Social Security Disability Insurance (SSDI)

Scoliosis Treatment

Date: Wednesday, July 21, 2010, 6:27 PM

 

I live in Calif.

It IS harder to get SSDI the younger you are. When I got it I had to be no

income at all for 2 years straight. I don't know if that has changed.

Jolene Morell

Shop online at _www.InheritedButtons.com_

(http://www.inheritedbuttons.com/)

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Thanks Paige!

________________________________

From: Paige Komar <ecstaticmommy2009@...>

Scoliosis Treatment

Sent: Wed, July 21, 2010 3:14:48 PM

Subject: Re: Re: Social Security Disability Insurance (SSDI)

 

I don't know if it varies by the state, but I am a few years shy of 30 and it

was difficult for me to get SSDI.  But, it only took 8 months from the time I

applied, was denied, then approved, and received my first check by the 8th

month.  That was also because I was denied the first time...as soon as I saw

their doctor, I was approved in a heart beat :)  So, try to make sure you see

SSDI's doctor the first time you apply.

Hope That Helps,

Paige

From: Buttonjo@... <Buttonjo@...>

Subject: Re: Social Security Disability Insurance (SSDI)

Scoliosis Treatment

Date: Wednesday, July 21, 2010, 6:27 PM

 

I live in Calif.

It IS harder to get SSDI the younger you are. When I got it I had to be no

income at all for 2 years straight. I don't know if that has changed.

Jolene Morell

Shop online at _www.InheritedButtons.com_

(http://www.inheritedbuttons.com/)

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After looking at the pix page, I need to say be sure to include pixs in any

SSDI app of xrays and your body. Anyone reading your app can see how you

should be granted asap with the obvious. No where does it ask for pixs, but

you must get the attention of the reader who is trained to deny claims

first. You must strongly PROVE with words (and pixs) your need and that you

aren't a fake (like some claims they get) and that you can do NO other means

of employment at all nor in the future. When I received my SSDI in 2004 I

needed 10 years of s.s. quarters to qualify for this type of SSDI. I don't

know it that has changed.

Remember, just because the app has small space for answers doesn't mean you

are limited to that space. Be detailed, repeat yourself over and over.

The claim reader thinks scoliosis can be " fixed " with surgery so you must

spell out all your limitations with or w/o surgery and how you have already

tried to be fixed. You need to have good backup with dates, doctors, tests

results and have at least one professional back up your claims with words.

My best came from my physical therapist. Doctors may resist the paperwork

needed by s.s. or using staff time. I've heard of a filer write the

letter they needed the doctor " to give them ideas " and " save time for the

office staff " and the doctor has so appreciated it, it was copied word for

word. You have to have a good relationship with your doctor to pull that off.

Sometimes claims are denied to hope you go away. You must be vigilant to

prove you won't. Few can live on SSDI income alone so realize how much you

are fighting for and if it's worth it. Once approved your case might be

reviewed every so years so be ready. Also, realize once approved any future

earnings will account against you if you become re-employed at any

capacity. You must report earnings and it will be a limited amount to keep

getting

SSDI.

I have often felt to get benefits, you must prove beyond a shadow of doubt

that you are useless and then not believe that so you don't feel it

internally. If you aren't depressed at the beginning of the fight, you will be

at then end. And what if you are denied? How will you not take it

personally.

Jolene Morell

Shop online at _www.InheritedButtons.com_

(http://www.inheritedbuttons.com/)

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  • 2 months later...

Hey Kathy. Hope everything is going well. That you were approved that quickly

is just great! I'm starting to really have difficulty breathing, and of course

standing upright, and my hips start hurting after minimal walking. I hope to

get some kind of payment arrangement set up, then see Dr Moreno in

Tampa/Clearwater, FL. Were your symptoms similar when you were evaluated?

Sometimes I just feel like I'm whining and maybe it's all in my imagination. But

I really think I have a problem here...

Marcia Lawson

Longwood, FL

>

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Hi Marcia - Things are going OK...but today is day #4 for me being nicotine free. I am a life long smoker of 36 years. So needless to say...I'm still a little shakey. Now, about my symptoms. I have a long list !!! The only time I'm not in pain is when I am laying down & not moving. I'm bent forward at almost a full 45 degree angle. I recently made an album in the photo section here, if you want to see. I'm hard pressed to find a part of my body that doesn't hurt. Every muscle on the back side of my body feels like after you go to a gym & work out for the first time,,,the day after when all of your muscles are pulled. My butt muscles hurt the worst. My legs fatigue quickly. My feet always hurt from poor weight distribution. My shoulder joints are now starting to give

me troubles. I have some bone pain at my tailbone from loose screws...but I have no nerve pain. A lot of the members here have had issues with their hips. Just for the record...you are NOT a whiner !!! My surgeon tried to convince me there was nothing wrong with me for an entire year. He just kept telling me to go home & walk... it was just my body getting accustomed to the new hardware. I really thought that if I worked harder at my recovery & rehab, that I would get better. He made me feel like it was all in my head and that I wasn't trying hard enough. I kept trying to tell people that something wasn't right. It was obvious to me that the stronger I got...the worse I got. It got to the point that I could tell by the amount of walking I was doing, it was causing undue stresses and possible damage to my hips & knees. So now I do everything

in light moderation. Just stay in tune with your body. Nobody knows your body better than you do. Even my pain management doc doesn't really understand. He pushes on different sections of my back & asks "does this hurt?" I keep trying to tell him that it only hurts when I move...not when someone touches me. I remember on my first visit with him, he got irritated with me when he asked me where it hurt.,.,.and I told him "all over", He wanted me to be more specific...but I literally do hurt all over. Anyway...sorry if I'm rambling. Trust your instincts & stay in tune with your body & your symptoms. I hope your next appointment gets you good information that helps you in making good choices & decisions for your future. Sincerely.........Kathy.

From: marcia.lawson46 <marcia.lawson@...>Subject: [ ] Re: Social Security Disability Insurance (SSDI) Date: Thursday, October 7, 2010, 6:09 PM

Hey Kathy. Hope everything is going well. That you were approved that quickly is just great! I'm starting to really have difficulty breathing, and of course standing upright, and my hips start hurting after minimal walking. I hope to get some kind of payment arrangement set up, then see Dr Moreno in Tampa/Clearwater, FL. Were your symptoms similar when you were evaluated? Sometimes I just feel like I'm whining and maybe it's all in my imagination. But I really think I have a problem here...Marcia LawsonLongwood, FL>

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Hi Kathy,

Hope you're still hanging in there with the non-smoking. I quit several times

(cold-turkey) and the last time has lasted 28 years. I've spoken to Dr.

Moreno's office (in Tampa)and they will make a payment plan with me for the eval

for flat back. With x-rays and all, I'm probably looking at close to $1000.

Not sure if disability will be an option for me. I'll have Medicare in a year,

so at least I'll have insurance. I haven't looked at your photos yet but will

as soon as I post this. I think some pain meds will help the whining as well as

the pain (lol). I don't take anything now...except for a glass of wine!

Thanks for answering. I hope you're doing ok. Where do you live? Take care,

Marcia

> >

>

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