Social Security "Hearing" Stories

SURPRISES
Everyone loves a surprise, huh? That may be the conventional wisdom, but I’ve got to tell you, it isn’t always pleasant when it happens during a hearing. Here are a few true examples of unpleasant surprises at hearings:

The first case involved a gentleman who alleged disability primarily due to poor vision. Now this man really did have terrible vision and he had lots of vision tests to prove it. He worked as an optician, so he obviously couldn’t do that type of exacting work any more. The hearing was going well and the claimant did a fine job describing how he could no longer see to read, watch television, etc. But, when the judge asked him if he had any hobbies, my client said he loved to target shoot. Oh", said the judge, "do you still do this". "Oh yes", said my client, "5 days a week"." How long do you do this?" "About 4 hours per day", replied the claimant. My client got an unfavorable decision. Now, this story ultimately had a happy ending, We were able to get the decision reversed at federal court but it took an extra 3 years! Now, I had asked the client the question regarding hobbies and he never mentioned this hobby to me. Morale of the story: tell your attorney these things.

I represented a young woman with multiple impairments. Among other problems, she claimed an inability to reach overhead. At the hearing, she matter of factly stated that she was unable to lift her arms "like this". With that, she lifted her arms over her head. Morale of this annecdote: tell the truth.

I remember a middle aged man whose disability was due to a G.I. problem. The sole issue in his case was whether, during the period in question, he ever weighed more than 115 pounds. Reading the record, one could see that he saw a doctor about every 3 weeks and he got weighed at each visit. Nowhere in the record was his weight recorded at more than 115 pounds. But, at the hearing, the judge asked him if, during the period in question, he ever weighed more than 115 pounds. The claimant responded affirmatively. I asked the gentleman if he ever weighed himself and he replied no. I asked if he only got weighed at the doctors and the claimant testified that was the case. But, the die was cast. The judge seized upon the claimant’s testimony and denied the claim. Years later, the claimant won his claim when the federal district court reversed the case. Morale: If is isn’t so; don’t say so.

Some years ago, I represented a woman who alleged disability due to back problems. The medical records indicated that she, indeed, had a significant back impairment. But, according to all the records, the claimant was able to walk. When I arrived at the hearing office, I found the claimant sitting in a wheelchair. When I asked where she got the wheel chair, she replied that she borrowed it from a neighbor. Morale of this tale: act yourself, don’t try to be something different.

My last example today is another female client who alleged disability due to balance and back problems. I had asked her if she had done any work since her alleged date of disability. She assured me that she had not. When the judge posed the same question to her, she replied that she had tried to work. This happens a fair amount so I wasn’t that surprised. But, what came next really surprised me and the judge, too. The claimant described a job running a jack hammer while balanced high above the ground on a building under construction. Needless to say, she ultimately lost her case. Morale: keep it real!

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Social Security Benefits

"I’ve worked all my life so why can’t I get my disability benefits?"

One refrain that I hear frequently goes something like this. "I’ve worked all my life but Social

Security" won’t give me my disability benefits. I know a guy who never worked a day in his life and he gets disability benefits". It’s important to understand that SSA has several different disability programs. They have disability insurance benefits, supplemental security income (SSI), widow’s benefits, disabled adult child benefits, and child SSI benefits. Let’s just focus on the first two for now.

In order to get benefits from any of SSA’s programs, you have to prove that you are disabled under SSA’s definition of disability. SSA defines disability as being unable to do any substantial gainful work due to a medical condition which has lasted or is expected to last for at least 12 months in a row. (The definition for a child is different.)

But, each program has  requirements. For disability insurance benefits, you have to prove that you meet the earning requirements. This is where the working all one’s life becomes relevant. The earning requirement is technical and a little difficult to understand. There are some special earning tests for persons under the age of 24 and persons between the ages of 24-31, but the basic test is that a person needs credit for 20 calendar quarters of work during a 10 year period ending in or after a quarter in which disability exists. In addition, one needs at least 40 quarters of coverage over a lifetime. This is called the 20/40 test.

For SSI, no work history is necessary but you must meet the income and resource test. Your income and resources must fall below a threshold level. Spousal income is considered in determining whether the income and resource test is met. So, a disabled, indigent person can get SSI benefits even if he/she never worked a day in his/her life.

Working all your life fulfills one requirement for benefits but you must also prove that you are disabled under Social Security Administration’s definition of disability. (See previous blog entries for discussion of what constitutes disability.)

To learn more about social security disability law issues please click social security disability law. To learn about our social security disability lawyer in Maryland, please click social security disability lawyers maryland, and read our attorney bios on Dory Sutker or Suja Varghese.

Social Security Backlog

What's taking so long?

Not a day goes by when I don’t get a phone call from a frustrated client asking me why his/her case is taking so long. Inevitably, they know someone less disabled than they who got a favorable decision in 6 weeks or less.

The simple truth is, in most cases, the social security disability process is long and tedious. The main reason for the lengthy processing time is lack of personnel to work the cases. It is important to understand that every case is different and processing times may vary a great deal. SSA does not have any time limitations. I know it seems patently unfair that while the claimant has time limits at every stage SSA has no time limitations. But, that’s how the regulations are written.

Believe it or not, the processing times in the DC area are swifter than most of the nation. So, be glad you don’t live in Atlanta where the average processing time at the hearing level is 797 days.

To learn more about social security disability law issues please click social security disability law. To learn about our social security disability lawyer in Maryland, please click social security disability lawyers maryland, and read our attorney bios on Dory Sutker or Suja Varghese.

Medicine Side Effects

The Food and Drug Administration (FDA) is announcing today that parents should not give children under the age of 2 over-the-counter cold medications. The warning comes because of "serious and potentially life-threatening side effects " for a medication that has unsubstantiated benefits for children so young. Dr. Charles Ganley, FDA's nonprescription drugs chief, is particularly concerned by recent surveys that suggest many parents don't believe over-the-counter cold remedies are dangerous.

The decision followers last year's decision by the FDA's scientific advisors to avoid using over-the-counter cold medicines for all children under 6 - a move also endorsed by the American Academy of Pediatrics.

The FDA will continue to investigate whether such medications are appropriate for children over the age of 2. A decision is expected on the use of such drugs for children aged 2 - 11 by February.

Several drug companies quit selling dozens of versions of cold medicines last October. The Centers for Disease Control and Prevention last year reported that more than 1,500 babies and toddlers wound up in emergency rooms over a two-year period because of the drugs.

 To learn more abour product liability issues please visit our website at maryland product liability issues and click on the products liability tab.

Doctor Study Reporting Errors?

Another study has been published about doctors failing to self-report mistakes, despite consensus that doctors should. The new study by the University of Iowa (Go Hawks!) surveyed 338 doctors at three unidentified teaching hospitals. 17% of respondents admitted failing to report “minor” errors (defined as mistakes that prolonge treatment or cause discomfort). 4% of respondents admitted failing to report mistakes that caused disability or death. Lead researcher Lauris Kaldjian was troubled that fewer than half of the respondents stated that they would report hypothetical errors. He said that doctors and other medical professionals should follow the airline industry, which encourages pilots to report every error to check for systemic flaws.

One continues to wonder why doctors would not report errors considering the favorable treatment they receive from politicians and legislatures. The Commonwealth of Virginia’s medical board has reprimanded 2 doctors for their handling of births that resulted in devastating, lifelong injuries to infants during delivery. Both of the affected families were blocked from suing the doctor and hospital because of the commonwealth's 20-year-old, no-fault Birth-related Neurological Injury Compensation Act. In addition, the public reprimands neither fine nor limit the doctors ability to practice medicine. There will, however, be a notation in their permanent records.

The doctors are: Dr. Evelyn Anna Ruelaz of Fairfax County and Dr. Regina Burton of Woodbridge.

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Tiger Attack

In the aftermath of the fatal tiger attack at the San Francisco Zoo on Christmas Day,the survivors have hired a lawyer to investigate possible negligence on the zoo’s part. According to the lawyer, Mark Geragos, the three victims initially encountered the tiger at around 4:30 pm. The first 911 call was recorded at 5:07 pm from someone inside the zoo.

According to the victims, after failing to find safety inside the zoo’s closed cafeteria, they spotted a female security officer in a golfcart. The security officer apparently doubted the story of a lose and dangerous tiger. The first police log notation of the incident (at about 5:10 pm) shares the security’s officer skepticism: “Zoo personnel dispatch now say there are two males who the zoo thinks ... are 800 (code for mentally disturbed) and making something up ... but one is in fact bleeding from the back of the head.”

In the end, it took about 45 minutes for the 3 victims to receive any assistance. During that time, they were accused of being mentally disturbed and ignored. That attitude resulted in the death of Carlos Sousa, Jr., age 17. “They say they were acting crazy. ... I don't know how one is supposed to act after being attacked by a tiger,” Geragos said.

The zoo’s response? Sam Singer, a newly hired spokesman for the zoo, said Tuesday that “anything that a defense (sic) attorney says has to be taken with not a pinch of salt, but a ton of salt.” In addition, a witness has come forward to claim that four young men, not three, were heckling the tiger in question by “growling” at it.

Historically, individuals and institutions are held strictly liable for actions of wild and dangerous animals. Unfortunately for the zoo, ad hominem attacks on members of the legal profession may be insufficient to overturn centuries of common law. The 4-year-old Siberian, Tatiana, maimed her handler’s arm a year ago.

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Social Security Birthdays


Birthdays- The upside to being over the hill.

A friend of mine turned 40 a few weeks ago. For months prior to her birthday, she was singing the blues about turning the BIG 4-0. I tried to cheer her up by telling her that 40 was practically the new 20. Not surprisingly, she didn’t buy that. But, she perked up when I told her that by social security standards, she was still a younger individual. What’s more, she still had years to go in the younger individual category. Under the regulations, anyone under 50 is a younger individual. I was glad I could make her smile.

Another friend (yes, I have more than one friend) turned 50 yesterday. He wasn’t taking it well. It was hitting him hard. I figured it wouldn’t be helpful to explain that, under the social security regulations, he was now officially "closely approaching advanced age". But, I had to smile when I remembered something that happened a few months ago. My legal assistant, Lacie and I were working like busy little bees when a phone call came through. Ever ready, Lacie answered the phone and was greeted with a booming voice saying, "Hi, it’s Mike (not his real name). It’s my birthday. I’m 50!".Recovering quickly, but taken aback, Lacie muttered her congratulations. "Yes", Mike replied, "Dory said it would be easier for me to get my social security disability after I turned 50". Now, here was a guy who was delighted to turn 50.

With some important exceptions, it is easier to prove disability when you are 50 years of age or older. The reason why is that social security recognizes that as one ages, it becomes more difficult to adapt to new situations. Thus, at age 50, under many circumstances, if one is limited to sedentary (sit down) work, one is disabled.

So, as Mike realized, there is a upside to birthdays after age 49.

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