I only got worse. However, they decided to do a review of my claim starting November 2010. They started collecting medical files from my doctors and then had one of their Physician Advisers review my claim. The physician adviser decided that I no longer met the definition of disability based on my medical records.
A few things that were not in my favor were:
*They misread my Physical Therapist notes from Summer 2011: They said he stated in his notes that I did 3/4 miles on a bike, 20 min of exercise with minimal breaks, and 15 minutes of aqua therapy. Actually, while I did have a one time where I rode 3/4 mile on the bike, I did not meet the PT's goal for me. Almost all of the other exercises were done either holding on to a PT table or laying down on the table and were stretches. I didn't do aqua therapy, it was aqua massage. Also, my PT put in his notes that I went to Disney, which was true, but failed to mention that I didn't drive myself, used a automated wheelchair the entire day, stood no longer than 10 mins and that put me in pain, and he put the wrong day, so it looked like I went to Disney and had no problem going to PT the next day, which wasn't true. I had to rest the day before and day after. I only went to PT on the day I did for the massage.
*They didn't consider all of the conditions I was out on, even though it was filled out on their paperwork and I re-informed them when I found the mistake in May 2010.
*My neurologist took good notes about my overall condition, but made a few errors when the dictation was processed. However, reading the information on the same doctor from SSDI makes me think that the doctor either has fixed it or the LTD overlooked some of the other pertinent information.
*I had ONE visit with my pain management doctor (the last records they received from him) where I did not need to increase my medication. The doctor put down the pain meds allowed me to do activities of daily living. When the doctor and I were discussing this ADL meant I was able to shower without assistance, dress myself, and bring the pain to a more manageable level. I still was not able to do housework, cook, walk to the mailbox, etc. The LTD decided what this term meant for them and applied it. Also, if they had gotten the doctor's notes from my appt at the end of the month, they would have found out that I now required an increase and was less functional than 4 weeks prior.
*In the LTD's opinion they did not see any overwhelming evidence that my conditions were the same or worse from when I went out on disability. What's funny is I was in the hospital from 12/29-1/1/12 because of my conditions and was much worse than in 2010.
**Social Security also received one extra note from a doctor that was filled out until after the review was done for LTD. The note states all my limitations, discuss my pain and my fatigue. I think this is the main component that caused SSDI to approve me.
I had already received the initial denial from SSDI, did the appeal and was denied. I was waiting for a hearing date and instead received a letter saying they reviewed my file and are giving me a fully favorable decision. I was really surprised!
Does SSDI have a set way they determine how much you get? Then I can at least figure out if it would be worth my time and effort to finish up the appeal. It's due the first week of Sept and I don't know how long until I find out how much I will get from SSDI.