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May 20, 2014

Heart Disease According to the Social Security Administration

The Social Security Administration (SSA) recognizes many cardiovascular impairments as disabling conditions.  Many people use the term heart disease interchangeably with cardiovascular impairments.  The SSA defines a cardiovascular impairment as  “any disorder that affects the proper functioning of the heart or the circulatory system (that is, arteries, veins, capillaries, and the lymphatic drainage).  The disorder can be congenital or acquired.”  The SSA lists cardiovascular impairments under Section 4.00 in the Listing of Impairments.  The Listings define certain diagnoses, clinical findings, and symptoms that the SSA considers disabling.  If you can provide appropriate medical evidence showing that your impairment meets the definitions set out in the Listings, you might be found disabled without having to demonstrate how your impairment keeps you from being able to work. Below are a few cardiovascular impairments that the Social Security Administration addresses in its Listing of Impairments. Chronic Heart Failure Chronic heart failure occurs when the heart is unable to pump enough blood to meet the needs of the body.  Some signs and symptoms of heat failure may include: increased rate of breathing, increased difficulty for normal breathing, pulmonary edema, cardiac asthma (wheezing), and/or apex beat or gallop rhythm.  Heart failure stems from the myocardium muscle losing efficiency, which is usually caused by damage or or overloading of the muscle.  The leading cause of chronic heart failure is coronary artery disease.  The SSA recognizes chronic heart failure in Section 4.02 of the Listing of Impairments.  To meet this listing you must be able to show certain levels of systolic or diastolic failure, severe symptoms as a result of your heart failure, or multiple episodes of acute congestive heart failure. Ischemic Heart Disease  Ischemic heart disease is more commonly known as coronary artery disease.  This condition happens when blockages in the arteries reduce blood flow.  Ischemia is defined as “reduced blood supply.”  The leading cause of ischemic heart disease … Continued

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May 7, 2014

Social Security Disability Benefits for Pancreatitis

The pancreas is a large gland located behind the stomach.  It is part of the endocrine and nervous systems.  The pancreas produces many important hormones that circulate in the blood.  It also produces digestive enzymes that help break down food.  Pancreatitis occurs when the pancreas becomes inflamed.  Damage to the pancreas can occur when pancreatic enzymes activate before they are secreted.   There are two main types of pancreatitis: Acute pancreatitis happens over a very short period of time.  This type of pancreatitis is usually caused by gallstones or heavy drinking.  Symptoms may include: Fever Nausea/vomiting Upper abdominal pain/swollen or tender abdomen Increased heart rate Chronic pancreatitis usually results after a case of acute pancreatitis.  Chronic pancreatitis can ultimately stem from gallstones, hereditary disorders, cystic fibrosis, certain medicine, or heavy alcohol use.  Symptoms may include: Any symptoms of acute pancreatitis Weight loss Diabetes In order to be eligible for Social Security disability benefits, you must have a disability that has lasted at least twelve months, is expected to last at least twelve months, or is expected to end in death.  If you have chronic pancreatitis, you may be eligible for Social Security disability benefits if you can show that your condition is disabling according to Social Security’s rules. One of the first things you must do in a Social Security disability claim is to show that you have a “medically determinable impairment.”  In other words, your condition must be diagnosed using acceptable medical clinical or laboratory techniques.  It is important to see a specialized physician such as a gastroenterologist or endocrinologist if you are diagnosed with pancreatitis.  Not only will a specialist be most likely to accurately diagnose and treat your condition, medical records from a specialized physician are likely to be given more weight by Social Security’s disability evaluators … Continued

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April 24, 2014

Can I Receive Social Security Disability Benefits for Diverticulitis?

Diverticulitis is a fairly common digestive disease.  The severity and the longevity of the disease can vary greatly, though.  For some patients, a treatment of conservative therapy with bowel rest may be sufficient; others may require more aggressive antibiotics or even surgery. The exact cause of diverticulitis is unknown.  It was previously thought that a high fiber diet may help alleviate the pressure in the colon, thereby lowering the chances of diverticulitis forming.  However, in a study designed to test this theory exactly, it was shown that patients with a high fiber diet actually had an increased frequency of developing diverticulitis. Most cases of diverticulitis are diagnosed by use of a CT scan.  CT scans are cited to be very accurate (98% effective) in diagnosing diverticulitis.  Symptoms of diverticulitis may include one or more of the following: abdominal pain nausea vomiting fever cramping constipation While the Social Security Administration (SSA) does not have a listing that directly addresses diverticulitis in its Listing of Impairments, your diverticulitis may be disabling enough that you meet Social Security’s definition of disability in a different way.  In order to receive Social Security disability benefits for diverticulitis, you must prove one of  two things: the symptoms you experience are at least equal in severity to the symptoms of  another condition in Social Security’s Listings, or the symptoms you experience prevent you from performing all of the demands of a full-time job on a regular and continuing basis. One possible way a claimant might qualify for Social Security disability benefits for diverticulitis is to equal the listing for inflammatory bowel disease (IBD).  IBD is listed under Section 5.06 of the SSA’s Listing of Impairments, and it has many of the same symptoms as diverticulitis.  To meet the listing for IBD you must show one of the following: two … Continued

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April 14, 2014

Kidney Failure and Social Security Disability Benefits in Indiana

If you suffer from kidney failure, also known as renal failure, you may be eligible for Social Security disability benefits.  Kidney failure is recognized by the Social Security Administration in its Listing of Impairments under section 6.00 – Genitourinary Impairments. Kidney failure is a medical condition in which the kidneys fail to filter the waste products from the blood.  There are two main types of kidney failure: acute kidney injury and chronic kidney disease.  In acute kidney injury, the condition will develop over a short period of time – it can be as little as a few days in some cases.  Chronic kidney disease may take much longer to show signs and symptoms, as it takes much more time to develop.  In order to qualify for Social Security disability benefits, you must have a condition that is expected to last at least twelve months or to end in death. Signs and symptoms of kidney disease may include the following: High levels of urea in the blood, which may result in: Nausea/vomiting/diarrhea Weight loss Blood in urine/nocturnal uniration/unusual amounts of urine Buildup of phosphates in the blood, which may cause: Itching Bone damage Muscle cramps Buildup of potassium, which may result in: Muscle paralysis Abnormal heart rhythms Fluid-filled cysts on the kidneys, causing pain in the patient’s back or side Low amounts of hemoglobin in the blood, which my result in: Tiredness/weakness Memory problems/difficulty concentrating There are two listings for kidney failure in the SSA’s Listing of Impairments.  These listings are summarized below; visit Social Security’s website here for the full text of these listings. Section 6.02 – Impairment of renal function, due to any chronic renal disease that has lasted or can be expected to last for a continuous period of at least 12 months.  To meet this listing, a claimant must … Continued

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April 8, 2014

Initial Application Process for Social Security Disability Benefits

In my Indiana Social Security disability law practice, I receive many phone calls each day from people who want to know what they need to do to apply for Social Security disability benefits.  Many of them have worked their whole lives, and they are uncertain and afraid because they can no longer provide income for their families.  They need help figuring out whether they qualify for Social Security benefits and what they need to do to start the application process. My staff and I are happy not only to advise people about the application process; we also provide representation for people who are not sure they want to proceed with the initial application on their own.  Some people feel confident enough to go to Social Security’s website to complete the application on their own, or they are willing to wait a few weeks to get an appointment with their local Social Security office to start an application.  However, for those who want professional assistance from the very first step, an attorney or qualified representative can make sure that the application is completed quickly and completely. The majority of people who apply for Social Security disability receive a denial of their initial application.  However, the information you provide in your initial application is the foundation for your entire disability case, so it is important to be as thorough as possible.  Here is a list of a some of the important information you will need to provide in your initial application: Information about past and present marriages, including when you were married or divorced, and identifying information about your spouse(s) The names and addresses of your employers for the past two years How much you earned in wages for the past two years For each of your jobs in the past fifteen … Continued

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December 11, 2012

Depression and Your Indiana Social Security Disability Appeal

Depression seems to rear its head in the majority of the claims I handle in front of the Social Security Administration (SSA).  While some of my clients suffer from depression alone others may suffer from depression due to their physical disabilities.  I am sure I am not alone when it comes to a large portion of my clients suffering from depression, in fact I am sure the Administrative Law Judges who preside over the hearings I attend routinely examine medical records with a diagnosis of depression.  With this being a common thread I experience, just how do you win your disability claim when trying to receive Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI)? In my experience you need to take a long hard look at who you are getting psychological treatment from.  If you are receiving treatment from a general practitioner you may want to rethink your medical options.  The SSA usually wants you to be seeing someone who specializes in the disability you claim you have.  In other words, a psychiatrist, psychologist, or a mental health therapist may be your best option when trying to prove you have symptoms of depression that are preventing you from working.  A well documented course of ongoing therapy with detailed progress notes can go a long way in convincing a Judge you are disabled.  Hospitalizations for mental illness can also show you are not getting better in spite of treatment and following prescribed medications.  Sometimes I will sit in a hearing and listen to my client testify and think they are certainly clinically depressed by their testimony, but realize at the same time that their medical records are minimal and they have not been seeing a doctor that the SSA is going to recognize.  The truth is you can be … Continued

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November 30, 2012

Getting Ready For Your Indiana Social Security Disability Hearing

Are you nervous about your upcoming disability hearing?  When I talk to my clients before their hearings, one of the most common things they talk about is how anxious they are.  Many of them seem to be on the verge of an anxiety attack when they enter the hearing room.  I attempt to prepare my clients for this big day by letting them know what the atmosphere of the hearing will be like, the types of questions they will be asked, and what they should talk about (or not talk about) when they answer those questions.  I have seen some attorneys and representatives who do not prepare their clients for their hearings at all, or they do so in the waiting room right before the hearing.  It is my practice to speak with each of my clients a day or two before the hearing; we have plenty of time to prepare, but it’s close enough to the hearing that the client will remember everything we talked about.  I usually spend between 45 minutes and an hour letting them know exactly what to expect at the hearing.  Of course, no matter how well-prepared we are, hearings can take many unexpected turns and there can always be surprises.  However, I know from experience how the majority of hearings are conducted and what issues are likely to arise, and I am able to explain to my clients what they should expect. Fist, it is important to remember the hearing is supposed to be informal.  In other words, most of the Administrative Law Judges do not follow strict trial rules and procedures.  Does this mean you can talk out of turn and interrupt others at the hearing?  No; you still must wait your turn and be respectful.  Most judges give everyone an opportunity to … Continued

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October 30, 2012

SSI Benefits for Children With Learning Disabilities

Indiana children with learning disabilities may be entitled to Supplemental Security Income (SSI) benefits.  A significant portion of my law practice is devoted to helping children and their families receive Social Security disability benefits.  My staff and I take great pride in being able to explain the application and appeals process to parents of disabled children, and we make sure that they are fully prepared when it is time to appear at a hearing before a Social Security Administrative Law Judge.  I have found that some other disability attorneys simply do not handle children’s cases, or they are unfamiliar with what it takes to win these claims.  Some parts of children’s cases are the same as adult cases; for example, the appeals process has the same steps for adults and for children.  However, other elements of children’s claims are quite different from adult claims, especially when it comes to showing how the claimant’s impairments are severe enough to be disabling under Social Security’s rules.  Knowing what the Social Security Administration (SSA) is looking for in children’s cases can be the key to a successful outcome. In my experience as a disability attorney representing children and their families, I find it especially beneficial to submit certain types documentation of a child’s disabilities to the SSA.  These records can include, but are not limited to: Medical records from treating physicians, especially specialists, who treat the child for any physical or mental impairments. Written statements from treating physicians concerning the severity of the child’s disabling condition Report cards IQ tests Individualized Education Program (IEP)  or 504 Plans developed at the child’s school Written statements from teachers concerning the child’s academic progress and behavior Behavior reports, written progress reports, and other written correspondence from the child’s teacher For each of my clients, I request … Continued

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October 4, 2012

Social Security Disability Benefits and Strokes

I have represented many of my Indiana neighbors who have experienced strokes, and one thing is certain – none of them have been exactly alike.  Some of my clients experienced a wide variety of physical and mental impairments leading up to their strokes, while others seemed to be perfectly healthy until they experienced their strokes.  One thing they all had in common, though, was that having a stroke altered their lives in ways many of us may could never imagine.  As a Social Security disability attorney, I realize that the particular facts of each case always matter.  With that in mind, I collect medical documentation for each of my clients that will paint a clear picture of the symptoms that person experiences, and how it affects his daily life. As I mentioned before, a person may experience many different symptoms after a stroke, and the ability to recover from those symptoms can vary greatly from individual to individual as well.  Some of the symptoms include, but are not limited to: Numbness, tingling, and weakness Difficulty with speech Problems with balance and walking Cognitive problems Vision problems Headaches The Social Security Administration (SSA) does recognize stroke and the symptoms that accompany a stroke as disabling conditions.  In technical terms, a stroke is referred to as a cerebrovascular accident (CVA).  The SSA addresses stroke in its Listing of Impairments under listing 11.04: Central Nervous System Vascular Accident.  I have found that the SSA and most Administrative Law Judges (ALJs) consider these listings first when trying to determine whether a condition is disabling.  However, many times they fall back on a more generalized look at an individual’s physical residual functional capacity to determine if she is disabled.  When the ALJ looks at your physical residual functional capacity, he is deciding whether the symptoms … Continued

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October 1, 2012

Social Security Disability Benefits For Bipolar Disorder

I receive numerous calls every week from Indiana residents telling me they have been denied disability benefits.  People suffering from bipolar disorder or other mental impairments make up a portion of those phone calls.  I cannot represent every potential disability client who calls my office, and there are several factors I have to consider before deciding to represent someone.  Some callers tell me they are bipolar, but they have never been diagnosed by a doctor and are not receiving any treatment.  Unfortunately, your belief that you have bipolar disorder is probably not going to be enough for the Social Security Administration (SSA) to find you disabled. Even if you experience the symptoms of  bipolar disorder,  the SSA is going to want documentation from treating sources to help prove your disability claim is valid. I do understand the difficulty in finding appropriate treatment for mental illness.  If you do not have health care coverage, the cost to visit a therapist, see a psychiatrist, or pay for medication is unaffordable, even for people who are employed.    Fortunately, some hospitals and nonprofit organizations have programs to help people without funds obtain treatment for mental disorders.  I strongly encourage my clients to seek these programs out and do the best they can to get the care they need. Most of my clients receiving care for a mental disability see two different kinds of mental health professionals.  Usually the person who prescribes mental health medications is a psychiatrist.  The patient has periodic appointments with the psychiatrist, who assesses the patient’s need for medications, prescribes the appropriate drugs, and monitors the patient’s progress.  Another individual commonly seen by my clients is a therapist.  The patient often spends more time with a therapist than with a psychiatrist, usually in the form of group or individual counseling.  Most … Continued

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