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Archive for the ‘Hematological’ Category

Diabetic Glomerulosclerosis and Disability

Wednesday, February 22nd, 2012

Diabetes is a disease that millions and millions of people in the United States are afflicted with. In fact, there are estimates that around 20.8 million adults and children in the United States, or 7% of the world’s population, are affected by this disease. Of this number, 14.6 million people have already been diagnosed with diabetes. However, 6.2 million people (nearly one-third) are not even aware that they have this disease.

Diabetes is more than a single disease. Diabetes is really a group of related diseases in which your body is not able to regulate the amount of sugar (glucose) in your blood.

The glucose in your blood is what gives you the energy to perform the physical activities of your daily life. Insulin is one of several hormones that regulates the glucose level in your blood. People who are afflicted with diabetes, either cannot make enough insulin or cannot use the insulin that is produced by their body in the right way, or both.

Diabetic glomerulosclerosis is a disease that occurs in people who have diabetes. It is a disease that damages or hurts your kidneys.

Your kidneys are composed of hundreds of thousands of filtering units that are referred to as nephrons. Each one of these nephrons has a cluster of tiny blood vessels that are known as a glomerulus. Together, these structures work to filter waste from your blood.

The high level of blood sugar that is brought about by diabetes may result in damage to  these structures by causing them to become scarred and thickened. With the passage of time, more and more blood vessels are destroyed. This, in turn, leads to leaking and albumin (protein) getting into your urine.

Diabetic glomerulosclerosis does not develop in every person who has diabetes. About 40 out of every 100 people with diabetes will go on to get this disease.

The reason why some people who are afflicted with diabetes acquire diabetic glomerulosclerosis and other people do not has not yet been discovered. However, there are some risk factors that may increase your likelihood of having diabetic glomerulosclerosis if you have diabetes. Some of these include:

  • Being a smoker
  • Having hypertension (high blood pressure)
  • Having high blood cholesterol.

In addition, Native Americans, African Americans and Hispanics are at a higher risk for getting diabetic glomerulosclerosis.

Diabetic glomerulosclerosis does not cause any signs or symptoms in the early stages of the disease. Later on, as diabetic glomerulosclerosis progresses, you may experience things like:

  • Weight gain that is unintentional that results from the build up of fluid
  • Nausea and vomiting
  • Generalized swelling of your body
  • Generalized itching
  • Excessive frothing or a foamy appearance of your urine
  • Swelling that occurs in your feet and legs
  • Hiccups that take place frequently
  • A general feeling of sickness or not being well (malaise)
  • Fatigue
  • Swelling that develops around your eyes that usually occurs in the morning
  • A poor appetite
  • Headache
  • Hypertension (high blood pressure)
  • Proteinuria (protein in your urine)
  • High blood cholesterol and triglycerides

 

Factor V Leiden Thrombophilia and Receiving Disability

Monday, January 23rd, 2012

Factor V Leiden thrombophilia is an inherited genetic blood clotting disease. Factor V Leiden thrombophilia means that you will have an increased tendency to develop abnormal blood clots (thrombophilia). If abnormal blood clots do occur, they will form mainly in your veins.

In many instances, if you have factor V Leiden thrombophilia, you will never have abnormal blood clots take place. However, in other cases, you may see abnormal blood clots form that may bring about long-term, chronic health problems or become life-threatening. Are you one of those who is having chronic health problems because of factor V Leiden thrombophilia? If this is true, you may be able to get social security disability benefits like SSDI or SSI. The only way to know for sure is by contacting one of the social security attorneys at socialsecurityhome.com. The social security attorneys at socialsecurityhome.com will explore the options that are available to you for receiving disability benefits.

Factor V Leiden thrombophilia gets its name from the city of Leiden in the Netherlands. The disease was first identified in Leiden by Professor R. Bertina et al in 1994.

It is unfortunate that factor V Leiden thrombophilia is a common inherited genetic disease. Somewhere around 5% of all Caucasians in North America are afflicted with this disease. Factor V Leiden thrombophilia is not as prevalent in Asians, Hispanics and Blacks.

As stated above, factor V Leiden thrombophilia is an inherited genetic disease. This disorder is the result of inheriting a mutated (defective) copy of the factor V gene. You will only have a slightly higher tendency to form abnormal blood clots if you inherit one copy of the defective gene (heterozygous) from one of your parents. Your tendency to develop abnormal blood cots will be significantly higher if you inherit a faulty gene (homozygous) from each of your parents.

There are other risk factors that may increase your likelihood of having factor V Leiden thrombophilia, besides inheriting the defective factor V gene. The primary ones are being Caucasian and of European descent.

It may be that you will never experience any signs or symptoms at all with factor V Leiden thrombophilia. However, if signs and symptoms do occur, they will probably be determined by whether your blood clot moves, where the blood clot travels in your body and where your blood clot forms.

Some of the signs and symptoms of a blood clot that develops close to the surface of your skin include:

  • Warmth
  • Redness
  • Tenderness or pain that you will usually feel in or around the vein where your blood clot has developed.

Some of the signs and symptoms of a blood clot that forms in a deep vein are:

  • Swelling that is prominent
  • Pain
  • Redness
  • Warmth.

Some of the signs and symptoms of a blood clot that moves to your lungs include:

  • Chest pain that takes place when you are breathing in
  • Shortness of breath that develops suddenly
  • A rapid heartbeat (tachycardia)
  • A cough that results in bloody or blood-streaked sputum.

 

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Primary Thrombocythemia and Getting Disability

Wednesday, January 11th, 2012

Primary thrombocythemia is a disease that is characterized by your body making too many blood platelets (thrombocytes). Primary thrombocythemia is one of a group of diseases of your blood and bone marrow that are known as myeloproliferative neoplasms.

If you are having signs and symptoms that are an indication of primary thrombocythemia, you may be eligible for social security disability benefits like SSI or SSDI. A good thing to do is to go to one of the social security attorneys at socialsecurityhome.com who can help you look into the options that are available to you in regard to claiming disability benefits.

Myeloproliferative neoplasms are diseases that are evidenced by your body making an  excessive amount of cells. This group of diseases is related to and can turn into more serious disorders, such as acute myeloid leukemia or myelodysplastic syndrome.

In order for your blood to clot like it ought to, you must have blood platelets. However, primary thrombocythemia is marked by blood clots (thrombus) that may take place at any point in your body. The places where these blood clots form most of the time are your hands, feet and brain.

Primary thrombocythemia, which is also referred to as essential thrombocythemia, is a disease that affects somewhere around 2 or 3 out of every 100,000 people every year in the United States.

Middle aged to elderly people are the ones who are most often affected by primary thrombocythemia, although it may affect children and young adults as well. The average age at which this disease is diagnosed is in people who are between the ages of 50 and 60.

The exact cause of primary thrombocythemia has not been determined at the present time. Around 50% of the people who are afflicted with this disease have a mutation of the Janus kinase 2 (JAK2) gene. There are other gene defects that have also been connected with primary thrombocythemia.

When the disease comes about because of an underlying disorder, it is known as secondary or reactive thrombocythemia. Secondary thrombocythemia may be caused by several different things.

You may not have any signs or symptoms at all with primary thrombocythemia. On the other hand, there are several different signs and symptoms that you may experience, which may be an indication of this disease. Some of these are:

  • Bleeding that comes from your gums
  • Lymph nodes that become enlarged
  • Weakness
  • Headache
  • Burning, redness and throbbing pain that occurs in your hands and feet (erythromelalgia)
  • Nosebleeds (epistaxis)
  • Ulcers that develop on your fingers or toes
  • Temporary changes that take place in your vision
  • A tendency to bruise easily
  • Fainting
  • Prolonged bleeding after you have had a surgical procedure or a tooth extraction
  • Numbness, redness or tingling that occurs in your hands and feet
  • Bleeding that takes place from your urinary tract, skin, gastrointestinal tract or respiratory system
  • Stools that are bloody
  • A mildly enlarged spleen
  • Dizziness or lightheadedness
  • Chest pain
  • An increased number of blood clots in your veins and arteries.
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Reactive Thrombocytosis and Disability Benefits

Monday, December 5th, 2011

Reactive thrombocytosis is a disease that is marked by your body making too many blood platelets (thrombocytes). Reactive thrombocytosis is related to a group of diseases that are referred to as myeloproliferative neoplasms. Your blood and bone marrow are affected by these diseases.

Myeloproliferative neoplasms are characterized by too many cells being made by your body. Myeloproliferative neoplasms are connected to and may develop into more serious conditions, such as myelodysplastic syndrome or acute myeloid leukemia.

In order for your blood to clot the way that it ought to, thrombocytes (blood platelets) are required. However, blood clots start to form at any point in your body when you have reactive thrombocytosis. Your hands, feet and brain are the areas where these blood clots occur most of the time.

Reactive thrombocytosis is not a disorder that takes place by itself. It is a secondary disease. If you are afflicted with an underlying ailment that has resulted in reactive thrombocytosis, the underlying ailment and/or reactive thrombocytosis may have caused your disability and may entitle you to receive social security disability benefits like SSI or SSDI. You will be making the right decision if you contact one of the social security attorneys at socialsecurityhome.com to find out about your opportunity to get these disability benefits. The social security attorneys at socialsecurityhome.com know the requirements for getting a claim approved for disability benefits from the Social Security Administration. Do not wait. Contact socialsecurityhome.com, at your earliest convenience.

Reactive thrombocytosis develops secondarily to some other disorder or problem that you have. There are several things that may result in reactive thrombocytosis. Some of these include:

Ÿ  A surgical procedure

Ÿ  Acute hemorrhage or an infection

Ÿ  Anemia

Ÿ  The thinning of your bone tissue and loss of bone density (osteoporosis)

Ÿ  Medication

Ÿ  Stress

Ÿ  A deficiency of iron

Ÿ  Exercise

Ÿ  Some kinds of cancer

Ÿ  Polycythemia vera (a disease that affects other red blood cells, in addition to platelets)

Ÿ  Medications

Ÿ  Arthritis and other chronic inflammation

Ÿ  A splenectomy (surgical removal of your spleen).

There may not be any signs or symptoms at all with reactive thrombocytosis. However, there are several signs and symptoms that you may experience. Some of these are:

Ÿ  An increase in the number of blood clots in your veins and arteries

Ÿ  Stools that are bloody

Ÿ  Bleeding that comes from your gums

Ÿ  Fainting

Ÿ  Weakness

Ÿ  Headache

Ÿ  Bleeding that occurs from your gastrointestinal tract, respiratory system, skin or urinary tract

Ÿ  Dizziness or lightheadedness

Ÿ  Your spleen becoming mildly enlarged

Ÿ  Erythromelalgia (redness, burning and throbbing pain that develops in your hands and feet)

Ÿ  Chest pain

Ÿ  Epistaxis (nosebleeds)

Ÿ  Ulcers that form on your fingers and toes

Ÿ  Temporary changes that occur in your vision

Ÿ  Lymph nodes that become enlarged

Ÿ  Redness, tingling or numbness that develops in your hands and feet

Ÿ  Prolonged bleeding that takes place after you have had a surgical procedure or a tooth extraction

Ÿ  A tendency to bruise easily.

Most of the time, when the underlying problem that has caused your reactive thrombocytosis has been treated, this disorder will probably be resolved.

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Myeloproliferative Disorders and Receiving Disability

Sunday, December 4th, 2011

Myeloproliferative disorders are a group of blood (hematologic) diseases that involve the making of blood cells in your bone marrow. Myeloproliferative disorders are marked by an excessive amount of certain kinds of cells being made.

In particular, the blood cells that are affected by myeloproliferative disorders are platelets, white blood cells and red blood cells. Platelets help stop bleeding by leading to the formation of blood clots. White blood cells fight against infection and disease, and red blood cells take oxygen and nutrients to all of the tissues of your body.

There are several different kinds of myeloproliferative disorders. Some of these include chronic myelogenous leukemia, essential or primary thrombocytosis, idiopathic or primary myelofibrosis and polycythemia vera.

Myeloproliferative disorders are diseases that may affect anyone. They may also take place at any age of life. Do you have one of the myeloproliferative disorders? If this is the case, you may qualify for some type of social security disability, such as SSI or SSDI. A really smart move on your part would be to get in touch with one of the social security attorneys at socialsecurityhome.com, to explore the options that you have for getting disability benefits. The social security attorneys at socialsecurityhome.com are the ones to turn to in matters of disability benefits.

Each one of the diseases that are classified as being one of the myeloproliferative disorders is brought about by an excessive amount of one or more kinds of blood cells being produced. However, at the present time, no one knows what causes or triggers this overproduction of blood cells. Researchers theorize that environment and genetics play important roles in leading to myeloproliferative disorders.

Depending on the particular myeloproliferative disorder, there are some risk factors that may increase your risk for developing one of these diseases. Some of these are:

Ÿ  Exposure to intense radiation, petrochemicals (toluene and benzene) or electrical wiring

Ÿ  Being over the age of 60, but for one of the diseases, being between the ages of 45 and 50.

With most of the diseases that make up myeloproliferative disorders, men are at a greater risk for having them than women are. The exception to this is primary or essential thrombocytosis. Women are more likely to get this disease than men are.

In most instances, when you are first diagnosed with one of the myeloproliferative disorders, you may not be having any signs or symptoms at all. One sign or symptom that is common to all of the myeloproliferative disorders except for primary thrombocytosis is an enlarged spleen that may result in a feeling of fullness and abdominal pain. Some other signs and symptoms of the various myeloproliferative disorders include:

Ÿ  Fever and night sweats

Ÿ  Unintentional weight loss or loss of your appetite

Ÿ  Headache and difficulties with your vision

Ÿ  Fatigue

Ÿ  Malaise (general sick feeling or just not feeling well)

Ÿ  Problems with your breathing

Ÿ  Joint and bone pain

Ÿ  Anemia

Ÿ  Abnormal bleeding

Ÿ  Swelling of your hands and feet

Ÿ  Redness and throbbing or burning pain

Ÿ  Hypertension (high blood pressure)

Ÿ  Stroke

Ÿ  Heart attack.

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Renal Artery Occlusion and Social Security Disability

Friday, December 2nd, 2011

The arteries that take blood from your heart to your kidneys are your renal arteries. Your aorta is the main artery that leaves your heart. You renal arteries branch directly off of your aorta. Your renal arteries branch on both sides of your aorta and travel down to each one of your kidneys.

A very large quantity of blood is taken by your renal arteries to your kidneys. Your kidneys filter this blood. Every minute, your heart pumps out about 5 liters of blood.

Somewhere around 1 to 1.5 liters or 25% of this amount of blood goes through your kidneys every minute.

Renal artery stenosis (narrowing) is a disorder that is characterized by a decrease in the diameter of your renal arteries, which means that there is a decrease in the amount of blood that flows from your heart to your kidneys. This narrowing of your renal arteries may result in high blood pressure (hypertension) that is referred to as renovascular hypertension and damage to the functioning of your kidneys.

If renal artery stenosis affects both of your renal arteries, the result is kidney failure. This is due to the fact that your kidney function becomes progressively worse when there is a decrease in blood flow to both of your kidneys. When only one of your renal arteries is narrowed by renal artery stenosis, renovascular hypertension takes place.

Renal artery occlusion is similar to renal artery stenosis. However, the difference is that with renal artery occlusion, there is a complete blockage of the flow of blood through one or both of your renal arteries.

Renal artery occlusion is an extremely serious problem. If blood flow is not quickly restored through your renal arteries to your kidneys, permanent kidney failure may take place. If you have suffered renal artery occlusion, you may be able to obtain social security disability benefits, such as SSDI or SSI. It is always a good decision to contact one of the social security attorneys at socialsecurityhome.com to get their advice. The social security attorneys at socialsecurityhome.com will work hard to get you all of the disability benefits that are coming to you. Do not wait. Go to socialsecurityhome.com, right now.

One or both of your renal arteries may become blocked either gradually or suddenly. When the blockage occurs gradually, it is usually caused by atherosclerosis.

Atherosclerosis refers to a narrowing and hardening that takes place in the blood vessel wall inside of an artery. This process that occurs inside of your renal arteries is similar to what happens inside of blood vessels in your heart and other areas of your body.

When the blockage happens suddenly, it is due to the forming of a blood clot. This is referred to as renal artery thrombosis.

There are several signs and symptoms that may be an indication of renal artery occlusion. Some of these may include:

Ÿ  Hematuria (blood in your urine)

Ÿ  Vomiting

Ÿ  Steady, aching pain in your flank

Ÿ  Abdominal pain

Ÿ  Fever

Ÿ  Nausea

Ÿ  Back pain.

Frontal section through the kidney

Image via Wikipedia

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Polycythemia Vera and Receiving Social Security Disability Benefits

Thursday, November 10th, 2011

Polycythemia vera is one of a group of diseases that are referred to as myeloproliferative disorders. Polycythemia vera is a blood disease that is marked by your bone marrow producing an excessive amount of red blood cells.

Polycythemia vera may also cause an overproduction of other kinds of blood cells, such as platelets and white blood cells. However, with polycythemia vera, it is the excessive amount of red blood cells that results in the thickening of your blood and that are responsible for most of the issues that are related to this disease.

Polycythemia vera is referred to in other ways. It is also known as cryptogenic polycythemia, erythrocytosis megalosplenica, myelopathic polycythemia, polycythemia with chronic cyanosis, Osler’s disease, Vaquez’s disease, splenomegalic polycythemia, erythremia, polycythemia rubra vera and primary polycythemia.

Polycythemia vera is brought about by a defect (mutation) that takes place in one of your bone marrow cells that leads to difficulty with blood cell production. Researchers believe that this defect affects a protein switch that makes your blood cells grow. Scientists believe that it is a defect that is referred to as the JAK2 V617F mutation.

More than 95% of the people who are afflicted with polycythemia vera also have this defect. However, researchers have not yet discovered what causes this mutation to take place. They do think that the defect is something that you acquire rather than inherit from your parents.

There are some risk factors that may increase your likelihood of developing polycythemia vera. Some of these are:

  • Being exposed to intense radiation
  • Being older than age 60, although this disease may occur at any age of life
  • Being a man, because men are twice as likely to get this disease as women are
  • Having a family history of polycythemia vera.

If you have polycythemia vera, you may meet the medical requirements for social security disability like SSDI or SSI. The way to check on this is by looking at socialsecurityhome.com and getting the advice of one of the social security attorneys. The social security attorneys at socialsecurityhome.com are always ready to assist you in obtaining the disability benefits that you deserve.

In most cases, polycythemia vera does not produce any signs or symptoms at all in its early stages. However, as the disease advances, there are several different signs and symptoms that you may experience. Some of these include:

  • A feeling of bloating or fullness in your upper left abdomen that is the result of an enlarged spleen
  • Having problems with your breathing when you lie down
  • Itching that is especially prominent after you have taken a warm shower or bath
  • Headache and difficulty with your vision
  • Fatigue
  • Redness of your skin
  • Weakness, burning, numbness or tingling in your arms, hands, legs or feet
  • Dizziness
  • Shortness of breath
  • Purple patches or spots that show up on your skin
  • Blockage of your blood vessels that may lead to gangrene of your legs and arms, stroke or heart disease
  • High blood pressure (hypertension)
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Myeloid Metaplasia and Receiving Social Security Disability

Tuesday, August 16th, 2011

Myeloid metaplasia is a serious disorder of your bone marrow that upsets the normal production of blood cells by your body. Your bone marrow goes through fibrosis. What this means is that fibrous scar tissue takes the place of the blood-producing cells in your bone marrow. This leads to abnormally shaped red blood cells, an enlarged spleen and anemia.

Cells that are known as fibroblasts make fibrous (connective) tissue that assists your blood-producing cells when your bone marrow is normal. With myeloid metaplasia, these fibroblasts make too much fibrous tissue. Your blood-producing cells are crowded out when this takes place. This leads to fewer red blood cells being released into your bloodstream, anemia developing that becomes progressively more severe and red blood cell production decreases.

In addition to these problems, many of these red blood cells are immature or misshapen. Variable numbers of white blood cells and immature platelets may also be present in your blood. The number of your white blood cells may decrease or increase, and the number of your platelets usually decreases as myeloid metaplasia gets worse.

Myeloid metaplasia was first described in 1879. It is now classified as a myeloproliferative disease.

Thankfully, myeloid metaplasia is a rare disorder. It affects about 2 out of every 100,000 people in the United States. Myeloid metaplasia can develop at any age, but it occurs most often in people over the age of 50.

Myeloid metaplasia can develop independently, or it can be a consequence of other blood disorders. Myeloid metaplasia is caused by the proliferation and growth of a defective (abnormal) bone marrow stem cell. When this happens your bone marrow is replaced with fibrous connective tissue. However, no one knows what causes the abnormal bone marrow stem cell to occur.

Myeloid metaplasia usually develops slowly. Many people do not have any signs and symptoms in the early stages of the disorder. However, as myeloid metaplasia progresses, here are some signs and symptoms that you may experience:

  • Frequent infections
  • An enlarged liver
  • Fever
  • Pale skin
  • Pain in your bones
  • Excessive sweating as you sleep (night sweats)
  • An enlarged spleen that causes fullness or pain below your ribs on your left side
  • Shortness of breath, feeling weak and tired as a result of anemia
  • Bruising easily
  • Bleeding easily.
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Kahler’s Disease and Receiving Social Security Disability

Sunday, August 14th, 2011
Human bone marrow.

Image via Wikipedia

Cancer begins in your cells. Your cells are the basic building blocks of your body. Old cells die when they are supposed to, and new cells replace them as you need them if your body is working properly. However, your body may not work like it should. Old cells may not die like they ought to, and new cells are formed even though you do not need them.

 

A tumor (mass) can develop from these excess cells. These tumors are either benign or malignant. Benign tumors are not cancer. Malignant ones are.

 

Cancer is much larger than a single disease. It is a huge group of diseases. Cancer is marked by cells that are invasive (they invade and destroy adjacent tissue), aggressive (they grow and divide without respect to normal limits) and sometimes metastatic (they spread to other parts of your body).

 

Kahler’s disease is one of the many different forms of cancer. Kahler’s disease starts in the plasma cells in your bone marrow. These are a type of white blood cell that makes proteins that are called antibodies that assist you in fighting infection.

 

In Kahler’s disease, a group of abnormal (mutated) plasma cells that are known as myeloma cells multiply. This raises the number of abnormal proteins in your blood. This, in turn, can lead to problems with your red blood cell count, bones and kidneys and immune system.

 

There are over 20,000 new cases of Kahler’s disease that are diagnosed every year in the United States. The majority of the people who develop this disease are over 50 years of age. Men are affected by this disease more often than women.

 

The specific cause of Kahler’s disease is unknown. However, what is known is that this disease begins with one mutated plasma cell in your bone marrow.

 

You may not experience any signs and symptoms with Kahler’s disease in its early stages. Signs and symptoms may also vary from person to person. Possible signs and symptoms include:

 

  • A high level of calcium in your blood
  • Unintended weight loss
  • Unexplained fractures
  • An increased likelihood of infection
  • Back or bone pain
  • Constipation
  • Problems with bleeding
  • Excessive thirst and urination
  • Nausea
  • Mental confusion
  • Loss of appetite
  • Numbness or weakness in your legs
  • Symptoms of anemia like shortness of breath, tiredness and fatigue
  • Weakness or numbness in your legs.
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Syracuse-related study raises serious questions about fairness of SSA disability judges

Saturday, July 30th, 2011

TRAC finds wide disparity among ALJ  rulings

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No study about SSA Disability in recent memory deserves more attention than the one recently released (and subsequently pooh-poohed by the SSA) from Syracuse University’s Trans­ac­tional Records Access Clear­ing­house (TRAC), a non-profit research orga­ni­za­tion.

Don’t let the system beat you down

If you (or a family member or friend) are one of the unlucky minions to feel trapped and ignored by the federal government’s program to aid disabled persons, please don’t let the findings of this admittedly bleak report stop you from pressing forward with your claim. If anything, this report should legitimize the idea that disability judges can be arbitrary in their rulings and therefore a trained, experienced disability attorney could be your best ally in this notoriously time-consuming process.

Huge disparity among judges’ approval rates

The following is from a Baltimore news site called Baltimore City Paper Blogs; it begins with a district centered in San Antonio, Texas–but the grim numbers apparently apply across the nation:

In San Anto­nio, Texas, peo­ple hop­ing to get Social Secu­rity dis­abil­ity pay­ments could see their cases assigned to any of 17 judges. The luck of this draw mat­ters a lot. One of the judges grants ben­e­fits in just 14 per­cent of cases. Another judge hands over benefits—which range from about $700 per month to about twice that—92 per­cent of the time.

That 78 per­cent dis­par­ity rate makes San Anto­nio the sec­ond most lottery-like sys­tem in the Social Secu­rity Administration’s arch­i­pel­ago of hear­ing offices, accord­ing to a data analy­sis by the Trans­ac­tional Records Access Clear­ing­house, a non-profit research orga­ni­za­tion housed at Syra­cuse Uni­ver­sity. (Dal­las is num­ber one, with 83 per­cent disparity).

“To a sur­pris­ing extent the records on dis­abil­ity deci­sions show again and again that even within the indi­vid­ual offices there is not a clear con­sen­sus among the judges about which claims should be awarded ver­sus which should be denied,” the authors of the report , David Burn­ham and Sue Long, write. “The prob­lem today is some­what worse than it was four and a half years ago.”

This study is from a group aligned with Syracuse University

In case you missed the in-line link, here it is again, the link to the report summary by TRAC, the research outfit aligned with Syracuse University, which reports studying nearly two million claims filed with the Social Security Administration. The report starts thusly:

A court-by-court analysis of close to two million Social Security Administration (SSA) claims has documented extensive and hard-to-explain disparities in the way the administrative law judges (ALJs) within the agency’s separate hearing offices decide whether individuals will be granted or denied disability benefits.

These findings — discussed in detail below — suggest that in many SSA hearing offices today, the chance a disability claim is granted or denied is often determined more by the particular judge assigned to handle it than by the facts and circumstances presented in the case. The findings further document that the problem is not simply the result of a few judges whose decisions are far out of line with those of other judges on the bench. Rather, the agency’s own case-by-case evidence demonstrates that the problem is systemic. To a surprising extent the records on disability decisions show again and again that even within the individual offices there is not a clear consensus among the judges about which claims should be awarded versus which should be denied.

Systemic.

That doesn’t sound good, as anyone with a systemic disease knows and understands. That means whatever the problem is, it’s not localized but instead spread throughout the entire system.

USA Today reports on ‘disparity’

Following is an excerpt from a recent USA Today report, illustrative of the perception of the status quo in such matters:

Congress and the agency’s inspector general have begun looking at the disparity. Yet both Social Security officials and advocates for the disabled say they are reluctant to interfere with the judges’ independence.

“Congress has been pretty enthusiastic about the idea of ALJ independence,” said Social Security Commissioner Michael Astrue, adding that only “a handful” of judges have approval ratings above or below average.

“They can’t tell an ALJ how to decide cases, but they can make sure they follow the agency’s policies.” said Ethel Zelenske, government affairs director for the National Organization of Social Security Claimants’ Representatives.

The Social Security Administration reports about 8.4 million disabled workers nationwide get an average monthly benefit of $1,069. Another 8.1 million low-income disabled people with little work history get about $500 a month in Supplemental Security Income. More than 2.9 million people applied for disability-worker benefits in fiscal year 2010, up 38% over the past five years, agency figures show.

To cope with the increase, Social Security has added about 200 judges in the past five years and streamlined the process of reviewing claims. The average wait time for a decision has steadily dropped, from a peak of 532 days in August 2008 to 354 days last month, agency data show.

TRAC responds to SSA’s response

To be fair, the SSA did respond to TRAC’s study-report, and TRAC’s response to that can be found here.

Just remember, we can help connect you with a compatible, trained attorney who can help you with your case–if nothing else, it’s possible that an experienced attorney might be able to steer your case toward a more reasonable outcome.