Tag Archives: encouraging your doctor to write a narrative report with integrity

OPM FERS/CSRS Disability Retirement: Substantive versus Linguistic Redefinition

Once the acceptance of dissociative dichotomy between language and the objective world became entrenched, the path of ease with which to tinker with language in order to adeptly fit language to reality (i.e., redefine words, concepts and meanings) became a simple next step in the process.

There are, of course, limitations.  A rock thrown and shattering a bottle is difficult to avoid, no matter how much linguistic gymnastics may be engaged.  For reality-based situations which must encounter the language game, one cannot come closer to the correspondence necessary than when one encounters a medical condition.

For the Federal and Postal Worker who must confront the reality of a medical condition, such that the medical condition impacts one’s life, livelihood and future financial security, the reality of the importance of “getting it right” is never more certain.

Often, the question is asked on a purely linguistic level: Will medical condition-X qualify me?  That is the wrong question.

For, Federal Disability Retirement, whether under FERS or CSRS, filed through the U.S. Office of Personnel Management, the question must be asked in an alternative manner, because the entire process of proving one’s case is unlike Social Security Disability and other forums.

In those “other” criteria, the identification of the medical condition itself — i.e., the linguistic identification of the issue — will often be enough to determine qualification criteria.  But for Federal Disability Retirement purposes, it is the direct encounter and confrontation between language and reality which must be faced and embraced: Not “what” identified medical condition, but rather, “how” the medical condition impacts, in the real world, the essential elements of one’s job and how one can adequately perform them.

Thus, Federal Disability Retirement cannot avoid the correspondence between language and reality; it is that very question touching upon the nexus between language (the identified medical condition) and reality (how that medical condition impacts the physical or cognitive ability of the worker to engage in the world) which must be answered.  Thus, no matter what linguistic deconstructionists declare: language does require a correspondence with reality, and truth does still matter despite the hard-fought and persistent attempts to otherwise make irrelevant that which we all accept in the everyday world.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement Benefits for US Government Employees: Succinctly Put

In a technological age where one’s attention is diverted by multiple needs, wants and necessities, the old adage that “time is money” is merely a reflection of the commodity-based approach prevalent in our society and lives at large.

One understands that in certain geographical locations, to encounter the salutation, “Hi, how are you,” is merely a formality, and is not meant to have one pause and actually provide the historical details of the past day, week or month, leaving aside any acceptable response other than a quick, “Fine, thank you,” and to walk quickly by.

In other parts of the country, foreign or domestic, such a greeting must actually be met with a personal conversation, lest one is left to be considered rude and unneighborly.  It is precisely because time is considered a valuable and threatened commodity, that one is left with attempting to devise ways in which to “maximize” the precious but ethereal substance.

In a Federal Disability Retirement application, when one approaches a medical doctor in requesting records, notes, or a rather detailed report in order to obtain support for one’s Federal Disability Retirement submission through the U.S. Office of Personnel Management, it is important to explain thoroughly; to request in detail; but at the same time, to remain succinct in order to deal with the aspect of time as a commodity.

Doctors know the value of time; they tie it to life and death decisions on a daily basis, and are keenly aware of the importance of a life’s time.  To show respect for a doctor’s time is important in the very approaching of the medical personnel.  It is simply one more thing to keep in mind in preparing, formulating and filing for Federal Disability Retirement benefits from OPM, whether under FERS or CSRS, for all Federal or Postal employees.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Workers: The Unguided Doctor

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, it is important to guide the doctor into properly preparing and formulating the medical narrative report.

This is not a matter of “telling what the doctor to say”.  The treating doctor is obviously aware of the types of medical conditions that the patient — the Federal worker who is filing for Federal or Postal Disability Retirement benefits — is suffering from.  The doctor’s professional integrity, as to what his or her medical opinions are, should always be preserved and be paramount.  

Further, it is merely a factual issue as to whether the doctor will be supportive of such an endeavor, and such support can only come about by having a direct and frank discussion about the requirements of one’s positional duties and how those positional duties are impacted by one’s medical conditions.  

Rather, the issue of guiding the doctor is one of informing him or her of the particular elements which are necessary and unique in a Federal Disability Retirement application, which must be addressed in a narrative report.  For, otherwise, the unguided doctor will simply issue a narrative report with a different focus and a different end.

Guidance is merely knowing what the goal of a particular activity requires, and unless the treating doctor understands the technical requirements of what is needed (the end-goal), that doctor will merely attempt to meander by accident in a formulation which may include elements which are more harmful, than helpful, in preparing, formulating, and filing for Federal Disability Retirement benefits under either FERS or CSRS.

Sincerely, Robert R. McGill, Esquire