Facts about Abdominal Aortic Aneurysm 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.
Facts about the condition
1. Abdominal aortic aneurysm is called triple-a, for its initials AAA.
2. There are two types of aortic aneurysms, with about 75 percent occurring in the abdomen, and only about 25 percent occurring in the chest.
2. The aorta is the body's main blood vessel that starts from the heart and goes through the chest and abdomen. Abdominal aortic aneurysm occurs when the aortic wall has a weakened spot, where bulging then occurs. This can lead to rupturing, which is the dangerous complication of an aneurysm.
3. Many aneurysms never rupture, but if an abdominal aortic aneurysm does rupture it is a medical emergency. When an abdominal aortic aneurysm ruptures, it causes the blood running through the aorta to spill into the abdomen. This can quickly cause death.
4. Aneurysms that are small and grow slowly will probably not rupture. Aneurysms that are large and growing quickly are more likely to rupture. Once detected, doctors can watch the progression of the aneurysm to determine if preventative surgery is needed to keep the aneurysm from bursting. Ruptured aneurysms require emergency surgery which can be difficult and life threatening.
5. Abdominal aortic aneurysms are hard to detect because they often occur with minor symptoms or none at all. Pain in the lower abdominal region, as well as the groin, lower back and sides can occur. If symptoms are present, the aneurysm is more likely to rupture, therefore preventative surgery is more likely needed.
6. Tobacco use is one of the highest risk factors for an abdominal aortic aneurysm, since of those with an AAA over 90 percent have a history of smoking.
7. Studies indicate that genetics are likely a risk factor for developing an AAA, primarily among men.
8. Testing and diagnosis for an abdominal aortic aneurysm includes an ultrasound, CT and MRI scans of the aorta in the abdomen. These imaging machines display any abnormalities, helping doctors detect and monitor any abdominal aortic aneurysms.
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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