FACTS ABOUT DVT DEEP VENOUS THROMBOSIS AND FILING FOR DISABILITY



Facts about DVT Deep Venous Thrombosis 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.


  • How to apply for disability and the information that Social Security needs

  • Who will qualify for disability and what qualifying is based on

  • Requirements for disability - Qualifications Criteria for SSD and SSI

  • How to Prove you are disabled and win your disability benefits



  • Facts about the condition

    1) Deep venous thrombosis, also known as deep vein thrombosis or DVT, occurs when a blood clot is formed in a deep vein, usually in the large veins located in the lower leg, thigh and pelvis, although sometimes the veins in the arm can be affected. DVT happens due to three things: hypercoagulability (blood coagulation), blood vessel wall damage, and a slow flow rate of blood.

    2) DVT can lead to serious damage if pieces of the blood clot travel and move through the bloodstream. When this occurs the clot can move another area of the body, blocking blood flow to the brain, heart, lungs, or other area.

    3) If you've had recent surgery, are bedridden, smoke cigarettes, have a fracture, have given birth in the last six months, are obese, take birth control pills or estrogen, or have recently sat for a long time in one place such as a car or a plane, you fall into the high risk category for DVT. Also, if you have conditions such as cancer, an overproduction of red blood cells in your bone marrow, or hypercoaglulability, you are at a high risk for DVT.

    4) It is estimated that nearly 400,000 to 600,000 Americans are afflicted by DVT every year. Although DVT can occur at any age, those who are over age 60 are at a higher risk for the condition. Those under 18 are less likely to experience DVT, but not exempt; 1 in every 100,000 under the age of 18 will experience DVT.

    5) Symptoms for DVT include swelling, tenderness, redness, pain and increased warmth in one leg only.

    6) To diagnose DVT, a Doppler ultrasound and a blood test called D-dimers are most often used. An intravenous venography can also be used, but is so invasive it is rarely performed. Anticoagulation is the common treatment for DVT.

    7) It is thought that there is at least some form of DVT present in nearly 25 percent of all hospitalized patients.


    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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