Guest guest Posted November 11, 2004 Report Share Posted November 11, 2004 : All I can say to you is THANK YOU from the very bottom of my heart for this detailed email regarding the FERS dis. retirement. I don't know what the GI (ex) doc of mine is going to put...but he DID say that even though he thinks its " chronic abdominal pain of unknown etiology " ...that he would TRY to word it in such a way I'm assuming to be helpful to me. He must have been thinking plain old SSDI because his next assinine (sorry if anyone is offended with this word but it's the only word that really can describe him and his attitude towards my pain) comment to me was " I don't think your chances are going to be very good with just a dx of chronic abdominal pain but I will do my best... " Whatever, from what you've told me here and once again, I thank you for being so detailed as to ease my stressed out self(!)...I think with the combination of my PCP's filling out a form that I myself put together (well not totally, someone once posted a form that SSDI had used for fibromyalgia patients - I don't they use quite the same one anymore since that particular one is not in my package from them) using a " form " because he was quite hesitant and in the end even wrote on the first page of the " form " that " they can request the records, I WILL NOT DO A NARRATIVE " , the one from the jerk GI but most importantly the one from Dr. Lehman....that at least it doesn't seem to be like " taking a pee in the ocean " anymore to me. I just hope they don't get too hung up on their own " requirements " for the request to be on their letterhead stationary...and then several " you MUST complete blah, blah, blah...and if you don't you may delay your patient's chances blah, blah, blah....sometimes they can be quite stringent in their own requirements....I guess that's what I'm worried about. However, you ARE perfectly correct in saying that Dept of the Navy (which is who I work/worked for) and Dept of the Army doesn't really matter because it all ends up in OPM's hands anyway. You are talking about March of '03 as well and that gives me more hope because we're only in 04 going into 05 and I can't imagine that the fed govt's paperwork to OPM would change all that drastically in that short of time....not like I know the gov't to be...LOL!! At any rate, let me reiterate...thank you for giving me hope in what I'm always perceiving to be a drim future. I know SSDI will be tougher to get...if you'd prefer can you explain to me how it works...you get the FERS Dis. Retirement...and then how does it work with the SSDI...I mean, does OPM now handle the " negotiations " with them...and since they are a gov't agency as well, once you are approved for the FERS Dis. Retirement...is it sort of " automatic " that the SS office just goes ahead and approves their end of it because you have already been approved by OPM??? Well, please let me know and if you'd prefer you can email me privately...I'm so sorry to bore others with the intricacies of fed. gov't service/dis. retirement " rules. " Also, do you think that the fact that I was a gov't employee for almost 18 yrs will help me? You know, length of service and such? Or do they care? How long after being approved by OPM did you get approved by SSDI? AND, how long after all of that did you see your first paycheck or direct deposit (another requirement now.) Oh, and one more thing...since I've been LWOP (leave w/o pay) since about June and obviously haven't been paying my health ins. premiums..will they take it all out in one big lump sum or will they just take out say " double " premiums (one for the one you are " indebted to the gov't " for (as I see on all my " paystubs " ))? For my gall bladder surgery I had to go " in the hole " (another lovely gov't saying) for 6 weeks of advanced sick leave as I had used all my available leave....how will they collect that do you know? Well, I'm getting some pretty bad pain tonite so this is all for now..I'll check back tomorrow...but again, at least my mind is somewhat at ease now...and I thank you for that!! > , > I am so sorry the local GI is being such a butt! Take a deep breath and calm down. I know it's really scary applying for the FERS disability retirement and there are a lot of what-if's. I also know that the paperwork says you have to have a statement from your doctors. However, I'm going to tell you what was included in my FERS disability retirement application. Keep in mind, my disability retirement was approved, not one, but two times, in a matter of days once it reached OPM. I first applied in Dec 00 and received the approval in Mar 01. My health had improved drastically about 2 weeks before the approval so I turned it down. I applied again in Dec 02 and received the approval in Mar 03. I accepted it that time and retired on March 21, 03. The reason it took 4 months both times is because the package has to go through one million different offices before it is sent to OPM. I think they actually have to fed ex to Heaven to get God's approval! Sorry - I'm being ridiculous now, but when you are too sick to work and getting little or no paycheck, we all know that 4 months seems like an eternity. Also, keep in mind, that even though you worked for the Navy (I think) and I worked for the Army, OPM is the approving office for all federal government employees. In other words, the people who approved my disability two different times are the same people who will review and approve or disapprove yours. > > Just a note to those of you who are not fortunate enough to have a disability plan through your employer and have to rely totally on SSD or SSI - you have my complete and utter sympathy. When dealing with SS, waiting only 4 months for an answer is pretty close to a miracle. There are many who must battle for 2-4 years to get an approval! > > The requirements for a disability retirement for government employees is much less stringent than for SSD or SSI. First, unlike SSD, you don't have to be unable to perform any job, you just have to be unable to perform the job you currently have. Your bosses do have to state that they have made any accommodations that could be made on your behalf and still allow the mission to be completed. This mostly has to do with the laws for people who are physically disabled, such as wheelchair bound, etc. With cp, we all know that there are really no accommodations any employer can make that would allow you to work full time. I guess they could put a puke bucket and a bed in your cubicle and maybe soundproofing so your co-workers don't have to hear you throwing up or moaning in pain! My job required a tremendous amount of travel. For the last year I worked, I was traveling 50% of the time. I did a lot of marketing/training briefs in front of often huge audiences. Let me tell you, anyone who thinks that traveling all over the country and even the world, and then standing on your feet (in the spotlight) for up to 12 hours a day is not strenuous both mentally and physically, has never been there! Even when I wasn't traveling, my job was incredibly demanding and required 200% focus and concentration. We were developing a new massive data base and reporting system for all of the army's track and wheeled vehicles (trucks, tanks, etc.) so we had our every day job with the old system plus the requirement to guide the programmers in the right direction for developing the new system. I wasn't required to do the programming as I'm not a programmer. However, as the lead system's analyst, it was my job to understand the programming and help the programmer understand they type of data received, the type of output (reports and such) required by our customers which ranged from the Secretary of Defense down to the lowly, hard working, young private who has his Sergeant breathing down his butt telling him to get an answer YESTERDAY! > > When I first got sick again, I thought that things would get better in a few weeks. My bosses and co-workers were wonderful to me. I was given permission to work from home when I was able. However, as I got sicker and sicker, I soon realized that it wasn't even fair for me to try to keep working. My bosses, co-workers, and most importantly the 'soldiers in the field' who relied on me could not depend on me. Even when I was able to make it to the office, my concentration and cognitive skills were no longer what they used to be. The problems with the new system that I used to be able to resolve for the programmers in a matter of minutes became almost impossible for me to solve because my brain just didn't want to work the way it used to. I think this was a combination of being very sick, pain meds, and then the steriods I was put on when I was diagnosed with liver disease (although I'd already began the disability retirement process when I was diagnosed with liver disease in Jan 03). > > Boy, I've gotten off track again. When I applied both times for the FERS dis ret, I did NOT have a diagnosis of cp. I also did NOT have a statement in writing from my GI doctor. I asked him for it both times but got tired of waiting on him and sent the package in without it. I honestly don't think I had an actual letter from any of my doctors. Oh, wait, I take that back. With the second app, I did have a short letter from my wonderful surgeon who did my gastric bypass in Dec 01. He stated that I'd had numerous attacks of acute panc and the attacks, pain, nausea, and vomiting continued despite the best efforts of numerous doctors and that, in his opinion, I was unable to work on any job. Other than that, I simply included labs, x-ray report, surgical reports, procedure reports, etc. Probably the single most important thing for you to include is the ERCP report from Dr. Lehman. > > Oh, I forgot, I did have a letter from my rheumatologist and my orthopedic surgeon with the first app. The ortho gave a big long list of all the three ortho surgeries he'd done on me as well as my other ortho problems he'd seen me for then wrote > > 'Upon evaluation of her job duties and functions, I see that there is a minimal amount of physical labor involved and do not see any reason why she can not perform these duties from an orthopaedic stand-point only. > > However, she does have other elements that may contribute to her decreased ability to perform the mandatory job requirements. It may be helpful to acquire further information as to her abilities from the physicians who are treating these specific diagnoses. > > The symptomology that she experiences from her medical diagnoses in combination with her orthopaedic difficulties may indeed present her with a decreased ability to perform job related functions. I do wish the best for Ms. Weston. I will continue to treat her as necessary. Please do not hesitate to contact the office for further information if it would be helpful.' > > I can't find the letter from my rheumy but I think he said something along the lines of > Ms. Weston has systemic lupus and has recently had repeated attacks of acute pancreatitis as well as several orthopedic problems requiring surgery. Having systemic lupus makes the ability to 'bounce back' from any assaults on the body more difficult, thus the combination of Ms. Weston's health problems might make it difficult for her to work on a job full-time. > > I also included a letter with my dis ret app both times explaining how much I loved my job and why I felt I could no longer do my job. With the fed govt, they look at what is in the best interest of both the employee and the employer, which is probably different from the way SS looks at it. In my case, especially when I applied the second time, it was obvious that it was no longer in the best interest of my employer for me to continue 'trying' to work. I was occupying a slot and coming nowhere near pulling my load. My co- workers and bosses had to take up my slack and that was not fair, nor was it right. The govt was much better off to approve my disability retirement, get me out of my 'slot', so my employer could put someone in that slot who was able to be there and perform the mission. > > I would advise you to get everything you can together. If you don't have actual letters from all doctors, don't sweat it. Include the labs, etc. One of the things I did was to chart my labs on an excel spreadsheet with the abnormal values in either red (high) or blue (low). I don't know if this helped, but it was helpful to me and my doctors who were not too pompous to appreciate it. My current rheumatologist loves it and would ask for it every time I saw her. I quit doing it after I was diagnosed with cp because it just really wasn't necessary. > > Also, with the FERS dis app, they typically don't take the time, expense, and effort to contact your doctors. They base the decision on what you've included. If they don't feel there is enough info, they will send you to one of their doctors. I never had to see one of their doctors. The package went to their doctor and both times he simply wrote that he had nothing to add to the info that I'd provided. > > So, get all the paperwork together and get it to the first office it has to go through. After that, all you do is wait. You will receive a letter when the package gets to OPM. You can expect it to take about 4 months just to get to OPM. In my case, both times, the approval letter was dated less than a week after the letter saying the package had arrived at OPM. It is possible that in my case, having lupus helped speed the approval. However, I will tell anyone that if all I had to deal with was lupus, I'd still be working full time plus. I'm not trying to minimize lupus. It can be a horrible disease and at times deadly. However, in my case, in comparison to cp, the lupus is like a hangnail! Of course, I do have about 1/2 of my doctors saying lupus caused the cp, so if that's true, then I guess it really is the lupus that caused me to be unable to work. Either way, I was diagnosed with lupus in Oct 96 and it was not until I began having attacks of acute pancreatitis that I even considered having to give up my career. > > I do think it is important to explain why cp or SOD or acute panc attacks keep you from working because most people don't understand. They may think it's like having a really bad case of the flu - you are sick but then you get better and all is well. We all know that it's often not like that with pancreatitis. Explain the need for pain meds. Explain what they do to your concentration level and cognitive ability. Explain how you can be okay one minute and doubled over in pain the next. I had a few attacks at work while I was trying to work after the attacks returned in Jul 02. One was bad enough I had to have a friend take me to the ER. I tried to just quietly leave but by the time I could get out of the building I had my boss and 8 co-workers hovered around me asking what they could do. Talk about disrupting the entire team! Explain how your missing work has impacted the mission as well as your co-workers, bosses, and customers (if that applies in your job - in my job I had customers all over the country and the world who depended on me to provide very extensive and detailed reports that were very time sensitive). I think you get the idea. I really don't know if my letters helped but it made me feel better and less guilty when I actually put in writing why I felt I had to give up my career. > > > > ------------------------------------------------- > This message has been scanned for viruses and > dangerous content by PCLNET, and is > believed to be clean. > > Visit www.pclnet.net and get a 3Mbps cable modem! > ------------------------------------------------- > > > > > Quote Link to comment Share on other sites More sharing options...
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