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Author Topic: Need some advice  (Read 940 times)

Unknown

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Need some advice
« on: February 15, 2017, 06:57:42 PM »
I can't find a lawyer for my SSDI case, so I'm just going to try and do it on my own this time around. But i have some questions and need some help.

So all of my medical records are mainly from May of 2015 and before. I was on Enbrel, celebrex fentanyl, narco for over a year for my pain and stiffness but even with all the medicine I was still in a lot of pain I was missing dats at work, coming to work late because I over slept with all the meds I was taking, and was constantly throwing at work as well. I was also on Zoloft for depression and anxiety too, but got switch to a few different others along the year for various side effects. I was hospitalized for a week for a suicide attempt they prescribed me new meds that made me very out of it and unable to sleep, I would have almost like RLS but all throughout my body where I had to constantly move my body, simply put extreme restlessness with spasms. I took them for a month then stopped. I stopped working because of my condition and thus lost my health insurance so I have been able to get adequate treatment since then.

But as of now I am seeing a MD at a community clinic and going to have my first appointment on the 28th for behavioral health. I know my previous medical records are outdated and don't explain my limitations so I'm trying to get my medical records up to date. But i need some help, some guidance.


How do i go about documenting my limitations with my doctor? Do i just explain that im filing for disability and i would like you to document my limitations? If so what's the best way for him to do document it? By exam, evaluation, what i tell him? I want to make sure it's accurate and the correct way to do it. If any of that isn't right how do i start the dialog with my doctor about it?

 
I wanted to know how do i prove that I have exhausted every avenue available for the treatment I need that in not getting. I have applied for Medicaid, the status online for my Medicaid application says "Pended" but according to their basic criteria I don't qualify. I looked for free clinic, health departments, i their was only two the health department only had a ARNP and she couldn't treat me, and the second is a community clinic where I'm getting (limited) treatment now. I have also called up local pain management and physicist in the area and wrote them all down with information if they had a sliding scale or discount for patients without insurance none had sliding scale and none of the discounts was even close to what I could afford. Do i give this to my doctor to document or send it to SSA with a explanation. Is there any other thing i should do?


Finally should I write a letter that explains in my own words why I stopped working, how my conditions effect me and my ability to work. Along with the Adult Function Report. I know the AFR answers those questions but i feel like the questions are guiding my answers and i would like to tell them in my own words what's wrong with me and how it effects me.

Any other opinions about what I should do is appreciated.

Thank you






Unknown

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Re: Need some advice
« Reply #1 on: February 15, 2017, 07:03:09 PM »

Also I feel like they will process my case before I have had enough time to get medical evidence of my limitations, should I ask for a hold while get the necessary evidence?

Helper

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Re: Need some advice
« Reply #2 on: February 15, 2017, 07:04:22 PM »
You are at the reconsideration level now?

Unknown

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Re: Need some advice
« Reply #3 on: February 15, 2017, 07:06:08 PM »
Yes I went into the office on 01/27/2016 for the reconsideration, I got my AFR forms this Monday to fill out

Just Me

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Re: Need some advice
« Reply #4 on: February 15, 2017, 07:13:30 PM »
Tell your doctors the details of how your impairments affect your ability to to activities of daily living. You will have to get copies of your medical records to see if the doctors wirite this down. Some doctors aren't as good about detailed medical records as others. Most doctors that treat the poor are so overwhelmed with patients, that put only the basic info in medical records. If a doctor doesn;t write the info down, there isn't really anything you can do to make them do it. Many doctors won't write letters or fill out forms for SSA. If they do, anything they write in a letter or put on a form needs to be backed up by their medical records.

You can write a letter giving the details of how your impairments affect your ability to function. You can write these details on the form. If someone helps you with your activities of daily living, you can ask them to write a letter explaining what they do to help you, for how long and how often. Or have them fill out a Third Party Form.

Hope the size of a mustard seed can produce Faith that can move mountains.

Unknown

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Re: Need some advice
« Reply #5 on: February 15, 2017, 07:22:06 PM »
Thank you for the info @Just me

How do i start the dialog? Do i say im applying for disability and wanted to see if you can document my limitations? He actually is one of the best doctors i have seen. He spent over a hour and half talking to me i felt like he cared. Also is him just documenting what I see good enough or does he need to do like a physical on me?

My mother is going to fill out a 3rd party form, last time they did a quick phone interview with her but this time were gonna do the forms


Unknown

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Re: Need some advice
« Reply #6 on: February 15, 2017, 07:23:02 PM »
Sorry I meant say not see

Just Me

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Re: Need some advice
« Reply #7 on: February 15, 2017, 08:30:51 PM »
You need to be seeing a psychiatrist or psychologist for your mental heath issues. If your physical pain is part of what is preventing you from working, are you seeing a pain management doctor to help manage the pain ?

You can tell him you are applying for disability. But be prepared for him to say they don't get involved in disability cases.  He may or may not write down all of the things you tell him. It is up to the doctor what he writes down. Do you know if he agrees with any of your diagnosis ? Sometimes what a doctor says is not what they write in your medical records.

With your young age, it is going to be difficut to be approved. Having a  Functional Capacity Evaluation (FCE) may or may not be helpful with your physical impairments.
« Last Edit: February 15, 2017, 08:35:01 PM by Just Me »
Hope the size of a mustard seed can produce Faith that can move mountains.

Unknown

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Re: Need some advice
« Reply #8 on: February 15, 2017, 08:39:18 PM »
Yeah I know I need to be seeing them but I don't have health insurance, don't qualify for Medicaid, and there isn't any free or sliding scale option, that's why I asked if I should write them and explain why I'm not seeing them and a list of pain management and psychiatrist in the area with their fees. If I had the opportunity to see the specialist I would but I can only see a doctor and a LCSW (I know, not a acceptable treating source) at this community Center.

Just Me

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Re: Need some advice
« Reply #9 on: February 15, 2017, 09:25:55 PM »
Did SSA send you to see one of their doctors when you applied ? Without current medical records from a psychiatrist or psychologist, you have no medical proof that your mental impairements are severe enough to keep you from working. Is your regular doctor prescribing your psy meds ?  You can give SSA the info where you have contracted places. But, it will not replace medical evidence. You must have medical evidence to be approved.

Are you currently seeing a LCSW ?
« Last Edit: February 15, 2017, 09:27:26 PM by Just Me »
Hope the size of a mustard seed can produce Faith that can move mountains.

grove800

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Re: Need some advice
« Reply #10 on: February 16, 2017, 07:30:41 AM »
I just wanted to add that I told my docs who I have been seeing for years and my PM agreed but the other docs who I've been seeing for years were hesitant. I think mainly because of all the paper work they have to follow up with.  If you think about it they don't do it,the office staff does.

To OP, I had many years of documentation.  Hopefully you can find some clinics to treat your needs as it seems like you need more the one doc.
😊

Unknown

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Re: Need some advice
« Reply #11 on: February 16, 2017, 08:13:39 AM »
@Justme

No they haven't yet, in not sure if they will last time they didn't. Yes my doctor prescribed meds for my anxiety and put me on beta blockers (resting heart rate is at 120 and have high blood pressure) he wrote down a lot with our hour plus visit, but what he wrote I don't know yet. I have my first appointment with a LCSW Feb 28th. I know i need to see a psychiatrist or psychologist but there isn't any free options around here. I figure a LCSW is better than nothing.

@grove800
Thank you, im trying my hardest trust me if i could I would just without income and insurance its next to impossible to see those doctors. I have to rely on a community clinic, but in great ful for that :)

Just Me

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Re: Need some advice
« Reply #12 on: February 16, 2017, 07:50:17 PM »
The more you see your new doctors, the more weight they might carry. It takes a while for a doctor to get to know a patient and have a better professional opinion of them and their impairements.
Hope the size of a mustard seed can produce Faith that can move mountains.

 

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