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Facts about Bronchiectasis 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. Bronchiectasis is an obstructive lung disease in which the affected bronchi are inflamed and easily collapse. Collapsed bronchi restrict airflow and ability to clear liquids such as mucus.
2. Bronchiectasis may be congenital or acquired. Congenital bronchiectasis implies that the condition develops due to damage while in the womb, and is a defect the patient is born with. Acquired bronchiectasis implies that other conditions and environmental factors cause the condition to develop.
3. Bronchiectasis is a condition that may be acquired through infections such as tuberculosis, staph, whooping cough and the measles, as well disorders such as cystic fibrosis, Young's syndrome and HIV/AIDS.
4. Bronchiectasis may also develop from allergies and inhaling toxic gases like ammonia. Lifestyle choices such as excessive alcohol and drug use may cause bronchiectasis. Cigarette smoking seems to increase risk, but it is currently not a known cause of bronchiectasis.
5. Bronchiectasis can occur in one of three different subtypes. Fusiform, or cylindrical, bronchiectasis involves mild inflammation of bronchi. Varicose bronchiectasis involves dilation and constriction of the bronchial walls. Saccular, or cystic, bronchiectasis is the most severe subtype, and causes the bronchi to expand irreversibly.
6. Around 90 percent of all bronchiectasis patients have a chronic productive cough.
7. Diagnosis comes after CT scans confirm patterns of abnormalities in the lungs. Medical history of frequent respiratory infections and an underlying condition confirmed through blood and sputum tests can also be the basis for diagnosis.
8. Treatment involves antibiotics to reduce the risk of infection, and medical procedures to relieve fluid in the lungs. Sometimes surgery is used to remove obstructions and limit progression in patients with localized bronchiectasis. Asthma treatment such as inhaled steroids can also be helpful for clearing airways.
9. Preventing the progression of bronchiectasis is also important. Healthy body weight, vaccination against viruses such as pneumonia and the flu, and regular check ups at the doctor can all help prevent the condition from getting worse over time.
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.
Return to: Social Security Disability Resource Center, or read answers to Questions
Related Body System Impairments:
Asthma and Filing for Disability
Asbestosis and Filing for Disability
Bronchiectasis and Filing for Disability
COPD and Filing for Disability
Cystic Fibrosis and Filing for Disability
Emphysema and Filing for Disability
Lung Disease and Filing for Disability
Pneumonia and Filing for Disability
Sarcoidosis and Filing for Disability
Sleep Apnea and Filing for Disability
Tuberculosis and Filing for Disability
COPD, Social Security Disability, and Applying for Benefits
Asthma, Social Security Disability, and Applying for Benefits
Information on the following topics can be found here: Social Security Disability Questions and in these subsections:
Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI
These pages answer some of the most basic questions for individuals who are considering filing a claim.
How to Apply for Disability - What medical conditions can you apply and qualify for?
How long does it take to be approved for SSI or Social Security disability?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it