SSI Disability
I am going in this Friday for an interview at the Social Security office to try to receive SSI. My pathology report came back with the following staging: pT2(m) N2a Mx, placing me at stage IIIa. On my Radiology Consultation (after my PET scan) the doctor states that "There are small rounded enhancing right axillary lymph nodes associated with abnormal hyermetabolic activity suspicious for metastatic adenopathy..." and 2 nodules on my right lung, too small to biopsy.
Basically, there are a few small clusters of lymph nodes that could change my staging "on paper" to a stage IIIb. I have also developed lymphedema in my right arm.
I could use advice from my bc sisters who have gone through the interview process at stage III! My biggest issue with working is that I have so many doctor appointments (currently doing rads and Herceptin) that it is impossible for me to work.
Please help, we have run out of $$$
One love, Jackie
Comments
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Jackie: I know it sound reasonable to state that you can't get to doc' appointments, but they will throw that comment away, unless it is more likely you have great pain when trying to do your work or drive (and even driving to work isn't usually used as a reasonable example!) They don't think and the rules are not logical so you need to think like they do. Do you have ANY other ailments that cause continued damage or pain (each ailment pushes you closer to the goal).. Do the medications that you take cause you to be unable to think clearly or are you now limited by how much weight you can carry. You see it really takes some research - a close member of our family was Stage IV and wasn't able to get SSI because he wouldn't try to think like the department did. And yet we have a close friend of the family who has lupus (and plays tennis) was able to get SSI- because she was placed on heavy meds and had other diseases. I'm not saying this to discourage you only to prepare you and perhaps to help you. If you have say migrain headaches in your medical file, and ashma, and perhaps high blood pressure... make sure they know ALL of you "disabilities" not just cancer, because although it is devistating to you it doesn't mean much to them UNLESS it impairs your ability to work.. not having to take time off for appointments but the wear and tear on your body and mind and the inability of you now to perform your duties... I wish you the best and if this is your first time, make sure you appeal quickly and the second time please get a lawyer for the reconsideration.. Good luck and I hope you are one of the lucky one who are unlucky enough to fit their criteria!!! So many people deserve to be able to collect but because they aren't cleaver just won't.. Be clever girl!!! Deirdre
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I am a IIB an I am out of treatment but dealing with alot of side effects from treatment. I had my interview and several doctors appts. still waiting on a decision from Social Security Disability. I have been advised by many many people to appeal if denied and get a lawyer. Good luck!
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Deirdre: Thank you for the great advice! I work as a graphic designer and my arm does get pretty sore and numb after a couple of hours working with a mouse. Also, my PT does not want me to do any lifting with my arm. I really am concerned about the lymphedema and do not want it to get any worse. I also have 2 young children and it is hard to coordinate my schedule enough to even look for a job... God help us!
Be clever girl... I love that! (my new mantra)
Tiffany: Good luck to you as well... what kinds of side effects are you having? My worse one is dealing with my arm now that I am done with chemo, except for the Herceptin.
One love, Jackie
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Jackie: So I would certainly start out the conversation that you have Stage 111A Grade 3 bc and then go on to tell them the many drugs you are on the many side effects from the med, the fact that you are a graphic artist (but throw in that in any job you would need your arm), that your Lymphedema is constantly having to be monitored and watched carefully so as not to get worse and that you are actively in PT. Again, they honestly don't care that you have 2 kids (although I certainly do!) so look closly at your own health and ask yourself - do you have pain, does that pain interfer with your work, do you have side effects from the drugs you are on and does that effect you ability to do work. Are you healthy in every other way? No other medications for anything? If so make sure they know every since medication you need to function and if you are like many of us you don't like taking pain meds, but if you doc has suggested them, make sure your investigator knows that you might have to go on them if the pain continues. I think you get the picturs... And my thoughts will be with you, please let us know how this goes! You don't have to over-exaggerate your symptoms - just recall your worse day and report that day!!! Good luck to you both and I hope to hear some report next week. But remember they almost ALWAY throw out the first attempt and that DOES NOT speak to your need and right to continue on.. They are just hoping you will go away, don't you dare feel any guilt (that's there job to make you feel like you life is rosy and that you should be happy with your life).. You've earned this money for working for years and it is an entitement no matter what they call it... (as you can see I am passionate about this issue - mostly because in the early 90s they finally stopped giving SSI to PRISONERS - PRISONERS.. no wonder the money in their accounts is low.... My blessings and warmest thought go with you - Be clever girl!!!
(I like it)
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jdootoo, experience tells us that they will not listen to any mention of lymphedema EXCEPT as it directly affects your work and your activities of daily living. So discuss ONLY the actual physical limitations it puts on you: a specific time limit for using your arm with the computer, say, or a weight limit of you can lift. Then be specific about how those limitations affect the kind of work you do, or your life activities. They don't care about the condition itself, only it's direct consequences.
Plan to appeal -- that's just part of the routine. Many women with lymphedema have gotten better results by using a lawyer for their appeal.
Here's a page with some tips for appealing for disability with lymphedema:
http://www.stepup-speakout.org/AppealingForCare.htmGood luck!
Binney -
Ladies: I have a question. Is SSI Disability only for people who have worked and paid into the SS system? What about those who becomed disabled or have Stage IV bc and have never worked? Can they apply also? I am not "at this time referring to myself" (I also have worked) but others I am thinking about. Just curious how the system works. I always thought it was for only Stage IV bc but from what I have read, it seems to be whatever stage one is in especially if one has other disabilities. Is this so? Thanks for any info you can share.
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Medigal: Social Security Disability is due to work history, you must have a certain amount of work credits before they will consider you. But SSSupplemental Income is available ot help if you have a lower income and they don't really like telling you what the income limit is so go to their web site and see if your friend qualifys first.. IMO never do anything with Social Security until you have educated yourself.. or they will educate you the way they "see" things and you may never even understand why you are being turned down... Good luck to you all!!!
Also, as a follow up if you have been in treatment for any kind of anxiety or PTSD (or any psychiatric illness even if you were able to continue to work) make sure you put that on the forms (there must be doc's notes to back it up - but if you been to a psychologist or psychiatrist there will be notes - they will get them for you you don't have to). And any medications for that.. every illness that can be supported will up the potential of you getting benefits....
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Deirdre1: I was not thinking about myself (at this time, thank goodness!) I just wanted to know how the system works for "what if". The way the economy goes nowadays, any one of us could end in the "what if" group so I prefer to be prepared ahead of time. Thanks for the education!
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Not a problem and IF you ever do need to apply send me an IM I have a book (granted several years old now) that walks you through the processes... Take Care and yes ANY one of us could be a person in need of SSI SS Supplemental... We need to all keep look'n out for one another
Best, Deirdre
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I worry about the wait time. I am currently working (2 jobs), but there may come a day when I can't. I don't know how I will make it between my last paycheck and the beginning of SS. Don't you have to be out of work for a year first?
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I applied for disablity again. The first time I was denied I didn't bother to appeal it, I thought I might get better. I didn't so I applied agin in Feb 2010. I saw a lawyer who told me to come back if I was denied. I received my denial letter and met with a lawyer last week. She had me come back again yesterday. I am so disapointed...she didn't remember why I was there, couldn't recall any of the information she had asked me the previous week. She told me that I need a doctor to document my condition before their firm would take my case. I explained to her that PMPS is not well documented and I wasn't certain if lymphedema is considered a painful condition. I explained to her that because of the type of insurance I have I only have access to terrible doctors. She had no doctors to refer me to for help with my case. She told me it would be another 8-9 months for the hearing. I don't know how I'm going to live like this for another 8 months...Maybe I should seek a different lawyer...
Binney-Is lymphedema considered painful? -
ANY condition can be documented as "painful" IF you have gone to the doctor and complained of "chronic" pain. It needs to be documented and not just something you go in for WHEN you file. Lymphedema may not have meet their criteria of "pain" but PAIN does.. Focus on the pain when dealing with your doctors and express it as chronic.. Chronic I believe is anything that goes on for more than 6 months with retraction. It's difficult, but yes you must be out of work I believe for the year but you can apply 6 months after you leave work (well you can apply right away, but it's 6 months before they put you on the books so to speak). So PAIN is what needs to be focused on when you ladies have lymphedema.. and that means pt and/or pain meds etc. would all need to be in your medical records.. It is depressing and a great deal of lawyers will not take the cases.. but it can and SHOULD be done so that we can take care of our bills and ourselves when it is the most important.. You must be having enough trouble to actually give up your job, then you must have enough (or the expert) write ups in your medical records.. So if you see a pot hole in the road start moving to the side now.. If you have pain don't "work throug it" start now by seeing a doctor, taking the medications that they will prescribe, see the specialists that they require.. It takes action now to be approved in the future.. but he caught 22 is that you must be bad enough now to leave your job! And many of us can't do that even if it is "too much"... This is difficult but again it can be done!!!! Good luck, Best! Deirdre
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I haven't worked since my operation in June 2009. I have pain from the elbow up the inside of my arm, down my side, chest and back. I don't know if this is caused by PMPS or lymphedema, or both. I know I have mild lymphedema. I can feel the swelling although it would not be apparent unless pointed out. I don't want to take the nerve medication my surgeon wrote me a prescription for. My insurance doesn't cover it anyway. I take 600mg ibuprofen occasionally. I just can't use my arm for things like I use to. I wish this would have happened to my left arm instead of my right. It's funny, but not really;I've had problems/pain ever since the MX/ALND and my doctors did not document my complaints. They don't want to take responsibility for causing the pain problem. I did get a referral from my general surgeon for PT after I was unable to move my arm above my hip. I did 2-6 week sessions of PT. My range of motion improved, but it is NOT what it was before surgery. The PT seemed to make my pain worse. So, because my ROM improved I'm considered 'good to go" by my surgeon. Their part is done, I'm on my own now and that's the gist of it...
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I know it's an incredibly long road and I'm truly sorry you are here! You have documentation of pain (whether related to lymphedema or not doesn't matter), because your doc's have sent you to a PT. But if the pain has not subsided you must follow the route that your doc has given you if you are to succeed at "proving" that you have a chronic pain syndrome now or in the near future. I know, I hate to take meds too, but here's the thing, the nerve pain med. that you have been prescribed must first be taken for you to determine that it can help or not, if it can great then you will adjust you life accordingly to include that medication if not you go back to your primary care physician and allow him/her to look at a different angle.. but you must continue to follow your primary care's suggestions.. and if they (meds) do not work for you (which often happens) you don't go silent about he pain and nerve response you have them look at it again and perhaps use a different medication.. but if you don't do this "follow the doc's" game (and I say game not to discredit the doc's but to suggest that SSI will need to see the "tally" sheet from the docs and for this purpose the "tally" sheets are the doc's notes!).. Chronic pain doesn't usually go away just because some doctor say's you are "fine" - it can fall silent because you no longer advocate for yourself when it comes to pain because you feel ashamed or it feels useless but if you are ever to be approved for your paid for benefits you must play "follow the doc's" at least until it is amply documented that you do have a problem. Doctor's have an ethical responsibility to treat pain the same way they do a broken bone. Now because of our social feelings about "being weak" or "it's in their head" (by the way these are usually descriptions by someone who has NEVER experienced pain IMO) we go silient and that is not in our own best interest! Not an easy road, but honestly, it's the only road to go when it comes to SSI! Good luck and I hope you DO get relief from the pain and from the nerve damage.. Good luck and if I can be of more specific help please IM me!! Best, Deirdre
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Makingway, I sent you a private message.
Binney
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