Disability ? HELP ... please.

Discussion in 'Fibromyalgia Main Forum' started by Engel, Apr 18, 2007.

  1. Engel

    Engel New Member

    Do you have to have a DR "disable you" to apply for SSDI? I am having a terrible time getting STD extended ... I have to go 26 weeks on STD to get to LTD and apply for SSDI. I am approved through April 30th on an extension BUT this DR is not going to see me again for 6 mos. I told him I can no longer work and would be fired as soon as I do go back to work (since I am a liability now and cannot do my job like this). Do I need to put all of this in writing to him??? I am 1/2 way to LTD right now. I can barely move today ... how can I work? He put me on a new med which causes drowsiness ... I can't work when I am drowsy. I can't sit up straight in a chair for very long. I have the feeling I am not going to be supported by him on this. HELP ... please.
  2. momof471

    momof471 New Member

    What a tough spot you are in right now! I would call your doctor now and get an appointment to see him so your disability will continue. Is he supportive, if not I would find another doc asap! As far as SSDI, I don't know all the ins and outs of it, I am currently waiting for a hearing right now. Specialists backing you up, I have heard help tremendously. They may decide to send you to their doctor's who are just their to examine you and voice their opinion. I'd rather have my own doctor backing me up! I'm sorry I'm not much help, but you are in my prayer's.

    God Bless
  3. hurtbunny

    hurtbunny New Member

    Engel,
    As far as I know, you must be diagnosed by a dr. in order to get approved for ssdi. You can apply for ssi, without a medical disability, but this benefit is strictly a financial matter, that goes by your lack of income. I strongly recommend you get this dr. to give you a written diagnosis of you injury/illness and if he won't try you family dr. I have heard that a diagnosis from a specialist bears more weight with the SSA. I would also be hesitant of going to one of their drs. (from SSA) Often SSA will send you for an eval by one of their drs. and they specifically look for a reason to deny your claim. You are much better off if you have your own md. or specialist evaluate you, and send SSA all your medical records with your application. Hope this helps. Good luck, it's a long, hard road to go down. Don't be discouraged and hang in there.
  4. Engel

    Engel New Member

    It took 6 weeks to get in to see him. I am going to call his office this afternoon. I am in so much pain after his "going over". He said it is FMS and OA ... checking neck for degenerative disc and OA. The PCP said it was OA and FMS too. So 2 DRs (a rheumy & a pcp) have DXd me. DO I just ask for a DX in writing? Or does he have to state that I am "disabled"? He doesn't want to see me for 6 months and will call me if he finds reason (xrays) to se me sooner. He put me on neurotin and I slept 10.5 hours last night!!! and I can barely move today. (((((( Thanks ))))))
  5. mezombie

    mezombie Member

    Yes, you really do need a doctor's statement that you are disabled from work to have any chance at LTD and SSDI. He needs to write HOW your Dx and symptoms disable you, and should go into as many details as possible.

    Sometimes it helps to draft a letter for your doctor with this information. Ask for a copy of your medical file (you may have to pay copying fees, but it's well worthwhile). Then go through it and your job description, and start a draft.

    If this is too overwhelming, find someone to help you. If your doctor is not supportive, you should seriously consider hiring a lawyer who is familiar with ERISA LTD claims.

    I'm incredibly brainfogged these days, so I hope this makes sense.
  6. LouiseK

    LouiseK New Member

    If your doctor has supported you for STD he/she does need some reason to more or less change his mind, doesn't he? Get you records right away and read through them carefully.

    Others have suggested finding another doctor fast but I am not sure that walking into a new doctor saysing you are disabled is going to go over too well. Additionally, disability companies and SSDI look to the longitudinal relationship between md and patient.

    I also agree that putting something in writing to the doctor about how sick you are and what your capabilities are is not a bad idea. But don't seem challenging. Something like . . ." Since I had so much to talk about at our appointment I thought it might be good to just give you a summary of how I'm feeling and how it's impacting my daily activities".

    Good luck.
  7. LouiseK

    LouiseK New Member

    If your doctor has supported you for STD he/she does need some reason to more or less change his mind, doesn't he? Get you records right away and read through them carefully.

    Others have suggested finding another doctor fast but I am not sure that walking into a new doctor saying you are disabled is going to go over too well. Additionally, disability companies and SSDI look to the longitudinal relationship between md and patient.

    I also agree that putting something in writing to the doctor about how sick you are and what your capabilities are is not a bad idea. But don't seem challenging. Something like . . ." Since I had so much to talk about at our appointment I thought it might be good to just give you a summary of how I'm feeling and how it's impacting my daily activities".

    Good luck.
  8. ask2266

    ask2266 Member

    Under social security law, the SSA must give more wieght to the treating doctor's opinion regarding your condition than to any doctor that the social security administration sends you to for evaluation.

    Keep in mind, even if your own doctor writes a nice letter, they may still send you for an IME (independent medical exam).

    It is important for your doctor to understand the requirements of your job. I would tell him orally, as you may not want to look like you are coaching him, by putting a letter to him from you in your medical records.

    The LTD insurer will send your treating doctors forms to fill out so as to evaluate your condition, including your functional capacity.

    With social security, I think you just need to make sure that the doctor is CLEAR in his written notes about the severity of your condition. Make sure that he writes more than symptoms reported by you, but that he does a test of your trigger points based on the CDC criteria.

    I'm a lawyer and have worked on casing involving fibro and LTD insurance. The insurers like to argue that they don't have to cover a condition where the only evidence is self-reported symtpoms.
  9. CFS101

    CFS101 New Member

    I've been reading thru all the post here and I couldn't agree more with what has been said. I would suggest that you make an appt. w/ your current treating phys. right away, whether or not he thinks he wants to see you this soon. Tell him your current situation with STD/LTD and let him know you need his support and some paperwork in the near future. Let him know the purpose of your visit is disability. I took the same approach at the onset of my illness and it was effective. If you get the impression that this treating doc isn't as supportive as you would like, seek another doc's advice but keep the first "on staff" so to speak, because consistency in your case will be important. My heart goes out to you. It seems impossible to fight this fight when you are ill but hang in there!