Facts about Multiple Myeloma 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) Multiple myeloma is a cancer of the plasma cells, otherwise known as the white blood cells, which are produced in the marrow of the bones. The plasma cells are responsible for making antibodies (proteins) and due to this multiple myeloma can be responsible for a compromised immune system, among other issues.
2) Symptoms of multiple myeloma vary, but usually include bone pain, high levels of proteins and calcium in the blood or urine, infections such as pyelonephritis or pneumonia, acute or chronic kidney failure, normochromic or normocytic anemia, fatigue, confusion, excessive thirst, headache, weakness, carpal tunnel syndrome, and loss of bladder or bowel control.
3) The cause of multiple myeloma is unknown, though it is known that men are more likely to get the disease, obesity increases risk, and it is rare for the disease to be found in those younger than 40. Most people with multiple myeloma are around 55 or 60 years old when the disease is discovered.
4) In 2004 in the United States there were over 15,000 cases of the disease reported and over 11,000 deaths. Although survival rates can depend upon diagnosis, the average survival time once diagnosed is around 4-5 years.
5) Multiple myeloma can move throughout the body through the bloodstream and be found in places far away from the original site of the disease.
6) Complications due to multiple myeloma can include bone fractures, kidney failure and in extreme cases paralysis. There is also an increased risk for infections due to impaired immunity, and a high risk of anemia.
7) Blood tests, urine tests, bone marrow examinations, magnetic resonance imaging (MRI), positron emission tomography (PET), and computerized tomography scans(CT scans) may be used to diagnose multiple myeloma.
8) The disease isn't contagious and has no cure, but can be treated with various drugs and therapies, from bortezomib, corticosteriods, thalidomide, chemotherapy, radiation therapy and stem cell transplantation. Other treatments may be included to treat certain complications, such as bone loss, anemia and back pain.
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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