January 13th, 2012
Our firm recently represented an individual who had Multiple Sclerosis and fortunately was awarded social security disability benefits. Many times these cases turn on a few key medical documents, however, I believe just as important is having a detailed description of a claimant’s functional limitations. If an individual is formally diagnosed with Multiple Sclerosis, and is being followed closely by a neurologist, and has severe functional limitations, there is a good chance they will be found disabled under social security’s rules and regulations. Let me go over some of the basics of Multiple Sclerosis (MS) and how to successfully navigate the social security disability claims process if you have Multiple Sclerosis.
Multiple Sclerosis is a neurological disease that affects the central nervous system and can be extremely debilitating. There is no known cause for Multiple Sclerosis and unfortunately, no known “cure” as well, however, there are many different therapies which are mostly designed to slow the progression of the disease and target some of the symptoms. There are many signs and symptoms of MS including muscle weakness, spasticity, decreased sensation, pain, and vision and speech disturbances among many others. These symptoms are what affects an individuals function which are key in proving disability.
Individuals who have been diagnosed with Multiple Sclerosis and are unable to work because of this disease should consider applying for social security disability. There are specific criteria that the Social Security Administration looks for when evaluating your claim. First, they will look to see if you were formally diagnosed with Multiple Sclerosis. This typically includes some type of imaging (MRI) where a doctor, most likely a neurologist who is specially trained with MS, is able to see the damaged areas of the brain or any abnormalities which are typical in patients with MS. Additionally, this has to be corroborated with a patient’s history, physical symptoms, and other laboratory findings in order to rule out other causes of a positive MRI. Next, and just as important to your case, the Social Security Administration will look at your ability, or more accurately, your inability to function due to the symptoms of Multiple Sclerosis. The most important symptom that our law firm has found in these cases is “muscle weakness” and/or “fatigue”. Fatigue and muscle weakness are two of the most common symptoms of Multiple Sclerosis and are also two of the most debilitating. If a social security disability claimant can show that they have reproducible fatigue and/or muscle weakness due to Multiple Sclerosis, then they have a much better chance of being successful with their social security disability claim.
Proving this may sound very simplistic, however, unfortunately it is not. Many cases can be denied due to the difficulty of proving the particular degree of symptoms as well as consistent symptoms, especially at the initial and reconsideration stages of a social security disability claim. It is important to remember that there is a right way and a wrong way to describe your particular symptoms to SSA or to the Administrative Law Judge if you have a social security disability hearing. The short answer is you do not want to exaggerate your symptoms, but you also do not want to minimize your symptoms. Anyone who has been diagnosed with Multiple Sclerosis and is considering applying for social security disability benefits, or has already been denied with their disability claim should consider talking to an Attorney who is well versed in this type of law and who has an understanding of this type of disease.
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November 29th, 2011
Now that you understand the importance of medical opinion evidence to the success of your Social Security disability claim, you may be wondering how your doctor’s opinion will be obtained and in what form it will be presented to the Social Security decision-maker.
There are several ways to obtain a treating doctor’s medical opinion. For example, your Charlotte disability lawyer could:
- Take the doctor’s deposition. [A deposition is similar to an interview. Your Charlotte disability lawyer will question the doctor; the doctor will answer under oath, just as if he were testifying in court; and the entire proceeding will be transcribed, word for word.]
- Send the doctor written questions, to be answered in writing.
- Ask the doctor to prepare a written report on specific topics.
- Ask the doctor to complete a pre-printed medical opinion form relative to your impairment. [You can see an example of a medical opinion form, in a fibromyalgia case, here.]
- Subpoena the doctor to testify at your hearing before the administrative law judge.
Even though live testimony may be the most compelling and effective way to ensure that the treating doctor addresses all the issues in your case, treating doctors rarely testify at Social Security disability hearings. The reason for this is simple: doctors are busy, and their time is expensive. Thus, in most cases, the doctor’s opinion will be presented in written form. In any event, regardless of how the doctor’s opinion is obtained or the format in which it is presented, the Social Security decision-maker must consider the opinion and, in appropriate cases, give it controlling weight.
An experienced Charlotte disability lawyer can help you gather and present the evidence in support of your disability claim, including medical opinion evidence. If you are not currently represented, and you would like to talk with us, please use the Free Case Evaluation form on this page to tell us about your situation, or call or email us directly.
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November 22nd, 2011
In a previous post [10/14/11], we explained that a doctor’s opinion must meet three basic criteria in order to be given “controlling” weight: it must come from a medically acceptable source; it must come from a treating doctor; and it must be supported by the medical evidence. Here, we will discuss those criteria in more detail.
Assuming that your doctor is an “acceptable source,” then the Social Security decision-maker will consider both the nature of your relationship with your doctor and the quality of the opinion presented in determining the weight to be given to your doctor’s opinion. Relevant factors include:
- The length of time you have treated with the doctor;
- The number of time you have seen the doctor;
- Whether the doctor is able to provide details of your impairment over a prolonged and continuous period of time;
- Whether the doctor is a specialist and, if so, whether the doctor’s specialized knowledge and experience are relevant to treating your impairment;
- The clinical work (examinations and tests) performed and ordered by the doctor;
- Whether and to what degree the doctor’s opinion is supported by the medical evidence in the case, particularly the clinical and diagnostic evidence;
- Whether the doctor’s opinion is consistent with the other evidence in your case; and
- The quality of the doctor’s written opinion – a detailed, well-reasoned, and well supported opinion is valuable and will be given due weight; by comparison, a conclusory statement of opinion (e.g., “It is my opinion the claimant is disabled.”), without more, will be given little to no weight.
An experienced Charlotte disability attorney can work with you and your doctors to obtain valuable medical opinion evidence. If you would like to talk with us about your case, you can reach us by phone or email, or by submitting the Free Case Evaluation form on this page.
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November 11th, 2011
In our February 4, 2011 post, we discussed the proof required to be awarded disability benefits for diabetes. Here, we discuss revised proof requirements recently established by Social Security.
As with any medical condition, your diabetes may serve as the basis for an award of Social Security disability benefits if the nature and severity of your condition (a) meets or equals a Listing impairment or (b) prevents you from working.
Prior to June 2011, a claim for disability benefits based on diabetes was evaluated under three separate diabetes listings: neuropathy (Listing 9.08A); ketoacidosis (Listing 9.08B); and retinitis proliferans (Listing 9.08C). Post-June 2011, however, a claim for disability benefits is evaluated under the listing for the body system impacted by the claimant’s diabetes; there is no separate listing for diabetes per se. Thus, for example, if your diabetes causes heart-problems, it will be evaluated under the cardiovascular listing (Listing 4.00); if your diabetes results in impaired cognitive functioning, it will be evaluated under the mental disorders listing (Listing 12.00).
If you have questions about whether your diabetes meets or equals a Social Security disability listing, and you are not currently represented by a Charlotte disability lawyer, please contact us for a free initial consultation. Use the claim evaluation form on this page to tell us briefly about your condition, or call or email us directly. The Social Security listings are complicated, and the process of determining whether you qualify is often convoluted. As experienced Charlotte disability lawyers, we can help you make sense of it all.
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October 14th, 2011
If you have had any discussions with a Charlotte disability attorney, then you know how important medical evidence (records, test results,etc.) is to the outcome of your application for Social Security disability benefits. Medical opinion evidence also can play a critical role. In fact, Social Security must give a doctor’s medical opinion “controlling weight” if that opinion meets the following three criteria:
- “Aceptable medical source.” Does the opinion come from an “acceptable medical source” for Social Security purposes? Acceptable medical sources are physicians (medical or osteopathic doctors); psychologists; podiatrists; optometrists; and qualified speech-language pathologists.
- Treating doctor. Is the doctor who provided the opinion your treating doctor, or a doctor your went to once or twice for the purpose of obtaining a medical opinion?
- Medically sound. Is the doctor’s opinion supported by medically acceptable diagnostic techniques?
If a medical opinion is given “controlling weight,” this means that Social Security must adopt the doctor’s opinion as its own. If the medical opinion evidence in your case does not meet these criteria (e.g,. if the opinion is from a chiropractor you saw one time), then it will still be considered by the Social Security decision-maker, but will be given less weight.
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