FACTS ABOUT MITRAL VALVE PROLAPSE AND FILING FOR DISABILITY



Facts about Mitral Valve Prolapse and Filing for Disability



 
These selected pages answer some of the most basic, but also some of the most important, questions for individuals who are considering filing a claim for disability benefits.


  • How to apply for disability and the information that Social Security needs

  • Who will qualify for disability and what qualifying is based on

  • Requirements for disability - Qualifications Criteria for SSD and SSI

  • How to Prove you are disabled and win your disability benefits



  • Facts about the condition

    1) Mitral valve prolapse (MVP) is a heart condition characterized by the valve between the atrium and ventricle on the left side of the heart not closing properly.

    2) Sometimes MVP causes the valve's flaps to bulge and go back into the atrium causing blood to enter the left atrium, also known as mitral regurgitation, and other times it is quite harmless. It is estimated that nearly 10 percent of Americans have some form of MVP, though it does not present symptoms or affect their lifestyle.

    3) MVP is either classified as classic or non-classic, based on mitral valve leaflet thickness. MVP can also be further categorized as symmetric vs. asymmetric and flail vs. non-flail. While non-classic MVP is low-risk and rarely presents complications, classic MVP can include complications such as mitral regurgitation, congestive heart failure, infective endocarditis and in some cases cardiac arrest and death.

    4) Although symptoms for MVP may develop slowly or very often not at all, there may at times be symptoms of fatigue, shortness of breath when lying down, difficulty breathing, cough, chest pain or heart palpitations. When these symptoms are present it is referred to as 'mitral valve prolapse syndrome'.

    5) Treatment is not always needed for mitral valve prolapse. If symptoms are present or the patient experiences depressed ejection fraction or the left ventricle becomes enlarged, mitral valve replacement surgery might be an option. Certain drugs might be used to treat the heart issues or mitral regurgitation, such as anti-arrhythmic drugs, vasodilators, diuretics, anticoagulants, or propranol.

    6) MVP is associated with Graves disease, Marfan syndrome, polysystic kidney disease, and osteogenesis imperfects.

    7) The American Heart Association does not currently recommend giving antibiotics to patients with mitral valve prolapse that are having surgical or dental procedures ' a practice that used to be used to protect against patients getting an infection called bacterial endocarditis (BE). If the patient has had BE previously, antibiotics may still be used.


    Qualifying for disability benefits with this condition

    Whether or not you qualify for disability and, as a result, are approved for disability benefits will depend entirely on the information obtained from your medical records.

    This includes whatever statements and treatment notes that may have been obtained from your treating physician (a doctor who has a history of treating your condition and is, therefore, qualified to comment as to your condition and prognosis). It also includes discharge summaries from hospital stays, reports of imaging studies (such as xrays, MRIs, and CT scans) and lab panels (i.e. bloodwork) as well as reports from physical therapy.

    In many disability claims, it may also include the results of a report issued by an independent physician who examines you at the request of the Social Security Administration.



    Qualifying for SSD or SSI benefits will also depend on the information obtained from your vocational, or work, history if you are an adult, or academic records if you are a minor-age child. In the case of adults, your work history information will allow a disability examiner (examiners make decisions at the initial claim and reconsideration appeal levels, but not at the hearing level where a judges decides the outcome of the case) to A) classify your past work, B) determine the physical and mental demands of your past work, C) decide if you can go back to a past job, and D) whether or not you have the ability to switch to some type of other work.

    The important thing to keep in mind is that the social security administration does not award benefits based on simply having a condition, but, instead, will base an approval or denial on the extent to which a condition causes functional limitations. Functional limitations can be great enough to make work activity not possible (or, for a child, make it impossible to engage in age-appropriate activities).



    Why are so many disability cases lost at the disability application and reconsideration appeal levels?

    There are several reasons but here are just two:

    1) Social Security makes no attempt to obtain a statement from a claimant's treating physician. By contrast, at the hearing level, a claimant's disability attorney or disability representative will generally obtain and present this type of statement to a judge.

    Note: it is not enough for a doctor to simply state that their patient is disabled. To satisy Social Security's requirements, the physician must list in what ways and to what extent the individual is functionally limited. For this reason, many representatives and attorneys request that the physician fill out and sign a specialized medical source statement that captures the correct information. Solid Supporting statements from physicians easily make the difference between winning or losing a disability case at the hearing level.

    2) Prior to the hearing level, a claimant will not have the opportunity to explain how their condition limits them, nor will their attorney or representative have the opportunity to make a presentation based on the evidence of the case. This is because at the initial levels of the disability system, a disability examiner decides the case without meeting the claimant. The examiner may contact the claimant to gather information on activities of daily living and with regard to medical treatment or past jobs, but usually nothing more. At the hearing level, however, presenting an argument for approval based on medical evidence that has been obtained and submitted is exactly what happens.


    About the Author: Tim Moore is a former Social Security Disability Examiner in North Carolina, has been interviewed by the NY Times and the LA Times on the disability system, and is an Accredited Disability Representative (ADR) in North Carolina. For assistance on a disability application or Appeal in NC, click here.







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