Facts about Leukemia 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. Leukemia is a type of cancer that affects the blood, typically starting with white blood cells that help fight infection. Bone marrow produces white blood cells, which grow and divide in order to meet the body's needs. With leukemia, the bone marrow produces extra white blood cells that do not perform the proper infection fighting functions.
2. It is often thought that only children develop leukemia, but there are many different types and subtypes with only a few that affect children.
3. Common symptoms that occur among all types of leukemia include fever, sweating and chills, fatigue and weakness, frequent sickness and infection, loss of appetite and weight, swollen lymph nodes, enlarged liver or spleen, bruising and bleeding easily, becoming short of breath with mild activity, red spots on the skin, bone pain or bone tenderness.
4. Symptoms vary based on the type of leukemia, and they are often easy to mistake for a bad cold or the flu. The number and severity of symptoms varies, due to varying numbers of abnormal blood cells and the part of the body where they build up.
5. Acute leukemia occurs when affected blood cells are immature and cannot function properly. These blood cells divide very quickly, causing the cancer to progress more rapidly.
6. Chronic leukemia occurs when affected blood cells are mature, so they function normally before dividing and accumulating, meaning the cancer progresses more slowly and may not be noticeable for years.
7. Lymphocytic leukemia affects the cells that form the tissues that make up the immune system. Myelogenous leukemia affects the cells that later turn blood cells.
8. Acute myelogenous leukemia is the most common and occurs among all ages. There are other types of leukemia, however, that are only common among specific groups of people. Acute lymphocytic leukemia is most common in children, while chronic lymphocytic leukemia almost always affects adults, usually Russian and Eastern European Jewish people.
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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