OPM Medical Retirement: Extreme Fatigue

The phrase itself can denote at least two connotations of conceptual paradigms, depending upon which word the emphasis is placed upon:  of an overwhelming sense of exhaustion that is experientially devastating to an exponential degree or, that one is so depleted and tired from the constant state of the extreme.

To experience extreme fatigue is to have a medical condition; to be tired of the constancy of crisis after crisis, is to live an existence which cannot be sustained forever.  Both states can be experienced simultaneously, especially when a medical condition occurs, because the debilitating effects of the disability begins to take its toll upon the individual’s mind, body and soul, and further, because outside reactionary influences tend to make an imbalance upon one’s perspective.

For the Federal employee and the U.S. Postal worker who is experiencing both forms of the phrase, it is probably time to consider filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether the Federal or Postal employee is under FERS, CSRS or CSRS Offset.

When an overwhelming sense of exhaustion and tiredness beyond mere overexertion begins to overtake, it is an indicator that the medical condition is taking its toll.  When the daily circumstances of one’s life tend to be interpreted as a constancy of extremes, like the proverbial “boy who cried wolf” once too often, and the daily events become skewed to such an extent that one becomes overwhelmed by the persistence of events, and where the extraordinary becomes the daily norm, then it is also a sign of portending causes to recognize.

Filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management is not an option of the extreme, although it may be one of the few and limited alternatives left for the Federal or Postal worker who has been struggling to maintain a linear level of normalcy for years on end.

Rather, it is a recognition of human frailty, and the limits of endurance, and ultimately a choice of reflective wisdom in recognizing when the extreme of life’s circumstances begin to take its toll, the resulting impact is often the mental, emotional and physical exhaustion beyond mere tiredness, and where the signs become clear that time is not on the side of health, but where health must accept the timeless constancy of changing extremes.

Sincerely,

Robert R. McGill, Esquire

 

OPM Disability Benefits: Fatigue of Life

There is clearly a distinction to be made between the general fatigue which life blows upon us all; like the child left to play outside in days of yore, and comes back with the grime of healthy dirtiness, the imperceptible layers of life’s hardships cover everyone, like the light dusting of snow overnight revealed in the morning dawn of a winter’s day.  But the profound fatigue which overtakes one from the daily battle against an incapacitating medical condition, is a difference which cannot always be adequately described, if ever.

The medical condition itself creates a circumstance of unique debilitation; the fight against it, whether without one’s conscious involvement — as in the soundless battle of healthy cells against the invasion of marauding maladies, as opposed to the exertion of willpower to continue on in engaging the daily living of life’s challenges — is of somewhat irrelevance, inasmuch as the combination and totality of one’s entire being is always and every day in the midst of the fight.

It is that subtle distinction which the healthy person is unable to understand; it is not life’s fatigue which prevails upon the sick person; it is the sickness itself, in addition to the fatigue of life.

For Federal and Postal workers who must contend not only with the daily grind of life’s routine, facing the bureaucracy and administrative headaches of filing for Federal Disability Retirement benefits through one’s agency (if still with the agency or otherwise not separated for more than 31 days), and ultimately through the U.S. Office of Personnel Management, is a challenge beyond that foray of the day’s entanglement with the world.

Federal and Postal employees must do the everyday things that all of us do:  attention to personal needs; work, if possible; interaction with family, neighbors, coworkers; and beyond, the fight against the medical condition itself.

Filing for Medical Retirement through OPM, whether the Federal or Postal worker is under FERS, CSRS or CSRS Offset, is to face another of life’s challenges, beyond the daily routine and call of one’s duty and commitment to everyday life.  And since defeat is never an option, and giving up is not in the American character of perceived self-image; whether one is faced with the fatigue of life, or of life’s challenges beyond the general malaise of daily living, it is how we face the cup of gruel we are served, which will determine the future path as yet unknown, as yet unsettled.

Sincerely,

Robert R. McGill, Esquire

 

Medical Retirement for Federal Employees: The Sound of Tired

Sounds have a distinctive revelatory characteristic; but because ours is primarily a visually-centered society, the other senses are less relied upon, and therefore only secondarily validated in our everyday considerations.

One can see the limping woman; “pain” can be observed by the facial expression of the man; a doctor can validate the correspondence between MRI results and radiating pain sensations, as well as spasms resulting from bending and flexion tests.  But the sound of tired is a more subtle indicator. It defies a quick correspondence between visual ascertainment and objective determination. Instead, it is the profound weight of a man or woman defeated, or on the road to defeat, from conditions beyond one’s control, shrouded between the pitches and reverberations of subcutaneous sound waves touching upon that “other” sense.

Medical conditions have a way of doing that; of slowly, steadily, and in subtle semblance of noiseless shrieks, crumbling away at the walls of resistance.  For Federal and Postal employees who suffer from a medical condition, such that the medical condition begins to prevent one from performing one or more of the essential elements of one’s job, filing for Federal Disability Retirement benefits, whether one is under FERS or CSRS (and the latter — CSRS — is becoming more and more that rare animal, almost to the point of extinction in the wide and expansive preserve of the Federal retirement system), should always be a consideration when the sound of tired begins to rumble in low groans of daily toil.

It is not just exhaustion; it is a profound sense of fatigue upon the body and soul, where the physical, mental and emotional turmoil of fighting against a tripartite battle involving one’s medical condition, concerns for the future, and against one’s very own agency, comes to a flashpoint where one considers surrender as an option of preference. It is thus important to keep one’s ear sensitive and attuned to the sound of tired, and consider that Federal OPM Disability Retirement is an option to discover that plateau of rehabilitative peace.

Sincerely,

Robert R. McGill, Esquire

Federal Worker Disability Retirement: Proactive Development of a Case

The problem with medical conditions is that we tend to regard them passively, as recipients of service at a restaurant, or as victims of an automobile hit-and-run.  There is some limited truth to such a perspective; for, as medical conditions come upon us without notice or invitation, we are merely recipients of a condition of that which we never asked for nor desired. But once it becomes an existential fact, and one which becomes chronic and somewhat irreversible, then the subsequent methodology of what we do with the medical condition becomes the responsibility of the bearer of such bad news.

For Federal and Postal employees who suffer from a medical condition such that the medical condition(s) prevents one from performing one or more of the essential elements of one’s job, whether under FERS or CSRS, consideration must be given to filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management.

Passivity in life will only engender magnification of inactivity; and as one must affirmatively prove by a preponderance of the evidence one’s Federal Disability Retirement case, sitting idly by as one’s agency takes steps to increase the penalties of unsatisfactory performance via leave restrictions, a PIP, suspensions, or other adverse actions, including removal from Federal Service, is simply an ineffective way of formulating and developing one’s Federal Disability Retirement case.

Case development requires a proactive stance; inactivity will only feed upon the devastating medical condition already suffered.  Being a victim of a disease or injury once is bad enough; let not the occurrence be magnified by compounding the problem through inactivity and passivity.

Sincerely, Robert R. McGill, Esquire

OPM Disability Retirement: Chronic Fatigue Syndrome & Related Conditions

The Weekend edition of the Wall Street Journal published an informative article entitled, “The Puzzle of Chronic Fatigue“.  For Federal and Postal employees who are considering filing for Federal Disability Retirement benefits under FERS or CSRS, who suffer from the condition identified generally as Chronic Fatigue Syndrome, the article provides an informative analysis of the medical condition, as well as a greater understanding of the underlying causes — and a possible link to a retrovirus identified as XMRV.  

It is an article worth reading, if only to have a better understanding.  Perhaps it can be pointed out to the treating doctor.  Perhaps some of the article’s substantive content can be used as persuasive argumentation against some of the common counter-arguments given by the Office of Personnel Management in filing a Federal Disability Retirement application under FERS or CSRS.  

In any event, being informed about updates on medical issues is always an important step in preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, if only for the purpose of expanding one’s ability to access greater understanding of a particular kind of medical condition.  For, ultimately, the attorney who represents an individual who is considering filing for Federal Disability Retirement benefits under FERS or CSRS must be able to accurately describe the impact of the medical condition upon one’s employment; and, to do so, one must always be up-to-date on the most recent medical discoveries.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement Benefits for Federal & Postal Employees: How to Handle those “Second-Class” Medical Conditions

Attitudes toward various medical conditions change over time.  This has certainly been the case with psychiatric medical conditions:  Major Depression, Anxiety, panic attacks, Bipolar Disorder, Agoraphobia, PTSD, OCD, etc.  At one time in our society, the heavy stigma placed upon such medical conditions essentially made them unacceptable.  Over time, however, as greater numbers of such conditions came to the forefront, and greater success at treatment of such conditions became evident, the validity and acceptance of such conditions have resulted in other medical conditions taking their place.

Thus, certain conditions such as Fibromyalgia, Chronic Fatigue Syndrome, Chronic Pain, Chemical Sensitivity cases, etc., have become the psychiatric conditions of a prior age.  Perhaps it is because the medical profession treats such conditions as afterthoughts — where, through a process of elimination of saying that the medical condition is not X, Y or Z, therefore it is A.

Whatever the reasons, in a Federal Disability Retirement application under FERS, a Federal or Postal employee who is applying for such benefits who is suffering from any of the Second-Class medical conditions must formulate and compile his or her case in a thoughtful, deliberate and forceful manner.  Such a FERS Disability Application must include adequate medical support; a clear and concise bridge between the symptomatologies experienced and the type of job which one must perform; and legal arguments which support the basis for an approval.

To some extent, this approach is no different than with any other medical condition; it is merely a reminder that one must cross all “T’s” and dot all “I’s” with that much more care.

Sincerely,

Robert R. McGill, Esquire
FERS Disability Retirement Attorney

 

Federal and Postal Disability Retirement: Those “Second-Class” Medical Conditions

We all know what the “Second-Class” medical conditions are:  Fibromyalgia, Chronic Fatigue Syndrome, Diffuse Pain, Chemical Sensitivity issues, etc.  To some extent, such medical conditions have always been a paradigm of a society — at one time, one could argue that all psychiatric conditions were treated in a similar manner:  accepted at some level as a medical condition, but stigmatized as somehow being less than legitimate.

In a Federal Disability Retirement application under FERS or CSRS, it is patently obvious that the Office of Personnel Management treats certain medical conditions as “second-class” conditions.  They often deny such cases at the initial stage of the process, and unless you point out a compendium of established case-law authorities, OPM will often get away with their groundless assertions.

Words matter, and which words and arguments are chosen to rebut the Office of Personnel Management matters much in a Federal Disability Retirement case.  Such medical conditions are not second-class medical conditions, and OPM should not be allowed to treat them as such.

Sincerely,

Robert R. McGill, Esquire

Federal Disability Retirement Benefits for Federal & Postal Employees: Psychiatric v. Physical Disabilities

People continually inquire as to the difference between Psychiatric v. Physical disabilities, as to whether one is more amenable to an approval over the other.  Psychiatric conditions can include a wide range of variables — from Bipolar Disorder, Schizophrenia, Obsessive-Compulsive Disorder, Major Depression, Anxiety, panic attacks, Agoraphobia, ADD/ADHD, and multiple other diagnoses.  Physical medical conditions, also, include a wide spectrum of disorders — Cervical, Thoracic or Lumbar conditions; various cardiac conditions; Carpal Tunnel Syndrome; Fibromyalgia; Chronic Fatigue Syndrome; Shoulder Impingement Syndrome; Plantar Fasciitis; Migraine headaches; Lupus; Chemical Sensitivity issues; allergies; COPD; and multiple other conditions.  Is there a difference between these (and the listed conditions are by no means meant to be exhaustive, but merely illustrative of the wide range of medical conditions)?  The answer is, ultimately, No. 

The foundational essence of a Federal Disability Retirement case, whether involving Psychiatric disabilities or Physical disabilities, is the impact upon one’s ability to continue to perform all of the essential elements of one’s job.  Further, recent case law holds that OPM cannot make a distinction between “objective” medical evidence as opposed to “subjective” medical evidence, and so the old distinction between “psychological” medical conditions as distinguished from “physical” medical conditions can no longer be seriously upheld.  Ultimately, and fortunately, there is no difference between psychiatric disabilities and physical disabilities when trying to get approved for a Federal Disability Retirement case under FERS or CSRS.

Sincerely,

Robert R. McGill, Esquire

Federal & Postal Service Disability Retirement: Experience & the Medical Condition

Often, when a client receives the finalized disability retirement packet, I receive a response that goes something like:  “I didn’t realize I was so bad off, until I read through the prepared packet.”  While I have not personally experienced the medical conditions of my many clients over the years, I have the experience of having spoken to them, and have learned about the symptoms, the words which best describe the pain, the impact, and the symptoms which are experienced on a daily basis. 

That is why it is an absurdity for the Office of Personnel Management, for example, to continually and redundantly refer to Fibromyalgia cases as ones with symptoms which “wax and wane”.  Or, with severe Major Depression, Anxiety and panic attacks, the Office of Personnel Management will systematically deny many such claims by stating that there is no “objective medical evidence” to show that the individual is unable to continue to provide efficient service in a cognitive-intensive job.  It is the job of the attorney, in a Federal Disability Retirement case, to be the one who projects the experience of the disabled Federal or Postal employee.  The attorney does not have to personally experience the medical condition in order to properly and descriptively convey the impact of the symptoms and debilitating conditions; however, it is helpful if the attorney has had a wide range of experience — by having spoken to multiple individuals over the years who have personally experienced such conditions.  In this way, the attorney can obtain the experience to express the medical experience of the applicant.

Sincerely,

Robert R. McGill, Esquire

Federal & Postal Disability Retirement: OPM's Words

It is a frightening thought that there may be a percentage of Federal or Postal Federal Disability Retirement applicants who read an initial denial from the Office of Personnel Management, and take their words at face value.  From statements such as, “Your doctor has failed to show that your condition is amenable to further treatments” (by the way, when did the Office of Personnel Management obtain a medical degree or complete a residency requirement?) to “you have not shown that you are totally disabled from performing efficient work” (hint:  this is not Social Security, and the standard is not “total disability”), to a full spectrum of error-filled statements in between, one may suspect that there may be a knowing strategy in rendering a denial, knowing that a small percentage of the corpus of disability retirement applicants will simply walk away and not file a Request for Reconsideration. 

Further, I suspect that this occurs more often with certain more “vulnerable” medical conditions — Fibromyalgia, Chronic Fatigue Syndrome, Major Depression, PTSD, anxiety, panic attacks; Chemical Sensitivity cases, etc.  Why do I suspect these?  Mostly because such cases are attacked for “lacking objective medical evidence” (see my articles on Vanieken-Ryals v. OPM, and similar writings) and failing to provide “diagnostic test results”, etc.  There was a time, long ago, when it used to mean something when someone said, “The Government says…”  In this day and age, I would advise that you take it to an attorney to review whether or not the words of the Office of Personnel Management are true or not.

Sincerely,

Robert R. McGill, Esquire