OPM Disability Retirement: The Netherworld between Sleep and Wakefulness

There is that moment of haziness, where sleep has not yet overtaken and consciousness has not yet been fully lost, where the philosophical abyss of Kierkegaard’s Either/Or stands in relation to knowledge, truth, insight and puzzlement, and where questions abound concerning the relationship between words and the objective reality of constellations clashing amidst bursting stars and black holes.

Sleep is a realm sought after; restorative sleep, a state of being which, without explanation or cause, we accept as a necessity of life’s conundrums.  Without it, or because of a lack thereof, functionality deteriorates, awareness becomes overwhelming, and the capacity to tolerate a normal level of life’s stresses becomes an issue of sensitivity and tearful breakdowns.  Sleep brings us to the other side of darkness; wakefulness, this side of paradise.

Whether because our genetic code has not yet adapted fully through the evolutionary process of survivability, or that technology outpaces the capacity of human intelligence to withstand the constant bombardment of stimuli upon organic receptors devised merely for hunting or gathering, we may never figure out.  Regardless, many are like the sleeping dead, where the netherworld between sleep and wakefulness remain unchanged, and profound fatigue, daily exhaustion and untenable mental fogginess and loss of intellectual acuity impacts one’s daily ability and capacity to make a living.

For Federal employees and U.S. Postal workers who must contend with such an exacerbating and complex state of health, the reality of going through the day, of coming home exhausted and forlorn, yet unable to turn that profound fatigue into a period of respite and restorative sleep, is a reality faced with the concerns of being able to continue in one’s Federal or Postal career.

Sleep disorders are often secondary medical and health issues, following upon primary physical and psychiatric disabilities; but they can also be a primary basis for preparing, formulating and filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, whether the Federal or Postal employee is under FERS, CSRS or CSRS Offset.

Whether diagnosed as Sleep Apnea, Insomnia, or a more generalized diagnosis of Sleep Dysfunction or Sleep Disorder, the impact upon one’s cognitive acuity as well as the physical exhaustion felt, which can lead to creating a hazardous workplace phenomena, the Federal or Postal employee who finds that the impact prevents him or her from performing one or more of the essential elements of one’s Federal or Postal positional duties, should consider that the health issue itself is a valid one, and a firm basis for preparing, formulating and filing for Federal Disability Retirement benefits through OPM.

One may, here and there, experience the phenomenon of entering that netherworld between the dark chasm of sleep and the full orientation of wakefulness, and know that drifting between one and the other is likened to the necromancy of human complexity; but when such a condition remains a constancy in one’s life, then it may be time to consider filing for a Federal Disability Retirement annuity, lest the sorcery of life’s dreamworld waves the wand which withers the soul.

Sincerely,

Robert R. McGill, Esquire

 

OPM Disability Retirement Lawyer: The Recurrent Nightmare

Perhaps it is explicit, of images which repetitively beat the drum of constancy; or, sometimes, despite every effort, one cannot recall the harrowing particulars of a nighttime of eternity filled with dissipation of fear and loathing.

Restorative sleep is lacking; whether from pain, nightmares or paralyzing panic attacks; and the medical designation of insomnia, Obstructive Sleep Apnea, or psychiatric conditions of Generalized Anxiety Disorder, intrusive nightmares; or perhaps it is much more direct and simple:  pain which prevents getting into a comfortable position in order to drift off into the dreamland of serenity, and where the sharpness compels one to awaken with a scream, only to find that it is the silence of one’s aloneness which permeates the quietude of the voice which no one hears.

The next morning, the profound fatigue and exhaustion, beyond the mere ache of tiredness, with residual cognitive dysfunctions,follows one throughout the day, like a scent of undefinable and unidentifiable aura, always there but never quite connected, either in location, distance or substantive content.  For Federal employees and U.S. Postal workers who experience a semblance of such a state of being, it becomes like a recurrent nightmare, and work becomes impacted in so many different ways.

In physical-intensive jobs, in the greater potentiality for mistakes and accidents; in cognitive-focused positions, in analytical miscues and inability to focus and concentrate.  Perhaps it all becomes reflected in one’s performance review, or one becomes placed on a “Performance Improvement Plan” (a PIP); or even be handed an Agency’s Proposed Removal; whatever the cost, for the Federal or Postal worker, it is time to consider preparing, formulating and filing for Federal Disability Retirement benefits, whether the Federal or Postal worker is under FERS, CSRS or CSRS Offset.

No, Federal Disability Retirement is not the “be all” and “end all” of solutions; but it is an option which should always be considered when once the recurrent nightmare engulfs the Federal or Postal worker with consequences of adverse actions imposed upon a fragile state of being ready to crack under the weight of a chronic disease or medical condition of such seriousness and sufficiency as to have impacted one’s capacity to perform all of the essential elements of one’s positional duties.

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

 

Federal Employee Disability Retirement: Twilight’s Landing

Sleep is often the category of escape; restorative sleep, a palliative prescription for a medical condition.  Upon closing one’s eyelids, the images which pervade from the day’s stimuli slowly recede as the dark chasm of one’s own consciousness begins to fade, and sleep begins to overtake, leading us into that shadow of twilight’s landing.

It is when chronic pain, discomfort, and the gnawing neurons which fail to relax but continue to send signals of dismay and distress, that the world of wakefulness and the dawn of sleep fail to switch off; or the continuing anxiety, depression or panic attacks control and jolt one into the awareness of darkness.  Medical conditions have an impact not only upon the daytime soul, but in the sleeplessness of non-sleep as well.

For Federal and Postal workers who are formulating a Federal Disability Retirement application and preparing one’s Statement of Disability on SF 3112A, one aspect of the descriptive narrative which is often overlooked, both by the doctor as well as the Federal or Postal applicant, is the role that profound fatigue plays upon performing the essential elements of one’s job.  While often implicitly stated or otherwise inferentially contained, explicit extrapolation is important in order to convey all of the elements of one’s medical condition and their impact upon the Federal or Postal employee’s inability to perform one or more of the essential elements of one’s positional duties.

Perhaps one was reprimanded or suspended for “sleeping on the job”.  Was it mere laziness, or was the underlying medical condition the intermediate cause of an act or event otherwise seen as an insubordinate statement of defiance?  Reasons and rationales provided make all the difference in this very human universe of language games and counter-games.  For, in order to effectively submit a Federal Disability Retirement application through the U.S. Office of Personnel Management, whether the Federal employee or the U.S. Postal Worker is under FERS, CSRS or CSRS Offset, the important thing is to make sure and sufficiently describe and delineate the primary and secondary causes of one’s underlying medical conditions. This includes the inability to have restorative sleep, the profound and intractable fatigue one experiences, impacting upon one’s daily cognitive functions, etc.

Otherwise, the medical conditions are not adequately conveyed, and when one goes back to sleep in attempting to reach that twilight’s landing, the difficulties of the world will be magnified by another potential problem — a denial from the U.S. Office of Personnel Management, of one’s Federal Disability Retirement application.

Sincerely, Robert R. McGill, Esquire

Federal & Postal Disability Retirement: Restorative Measures

Sleep obviously has an evolutionary purpose.  Anxiety, stress, negative thoughts and perspectives; aggressive behavior, combativeness (otherwise known to spouses as “being grumpy”); inability to maintain one’s focus, concentration, attention to detail; all of these, and much more, can often be ameliorated by a good night’s sleep.

Stress is the overarching component which becomes exacerbated by lack of sleep; it feeds upon all other aspects of the human body, by impacting physical endurance and stamina, by increasing one’s cognitive dysfunctions and capacity to process the quantitative and qualitative amassing of information; and it is thus the vicious cycle of lack-of-sleep leading to greater-stress resulting in increased inability to attain a state-of-restorative sleep. Throughout, stress can be the invisible thread which ties the binds of cyclical ruination and self-destruction.

For Federal and Postal employees who find that a medical condition has impacted one’s ability to maintain a continuity of restorative sleep, consideration in filing for Federal Disability Retirement benefits, filed through one’s agency if one is still employed or not separated for more than thirty one (31) days, or filed directly to the U.S. Office of Personnel Management if separation has already occurred but one still falls within the 1-year timeframe of the Statute of Limitations, must always be an option.  Federal Disability Retirement allows for one to reach that plateau of self-restorative venues, by having the time and proper perspective to seek out effective medical treatment, not otherwise distracted by the countless demands of one’s Federal or Postal job.

Stress is the silent robber who stealthily destroys one’s health by a thousand cuts; lack of restorative sleep is the subtle, pernicious and progressively deteriorating condition which turns slowly into a crumbling foundation; and failure to act upon correcting the steady onslaught of self-decomposition will only lead one to a state of paralysis, where the shifting plate tectonics will one day reach a crisis point of collision, in the convergence of stress, anxiety, physical collapse, and self-ruination; all because we couldn’t get a good night’s sleep.

Sincerely,

Robert R. McGill, Esquire

Federal Disability Retirement: Restorative Sleep & a New Day

For whatever evolutionary reasons, the necessity of sleep is apparent to anyone who lacks it.  On just a basic level of understanding, one assumes that the extent and level of daily activities results in the corresponding necessity of one’s sleep pattern; but one sees certain individuals do next to nothing, who seem to need a vast amount of sleep, and conversely, those who expend a tremendous level of energy who seem to thrive on minimal periods of somnolence.

The necessity of sleeping is a given; when interrupted patterns occur, and identifiable sleep disorders intervene, including insomnia and sleep apnea, then we begin to recognize the differentiation between mere ‘sleep’ and the concept of ‘restorative sleep’.  The former is simply the state that one finds one in; it is the latter which is the more meaningful state.

Whether because of chronic pain which, throughout the period of attempted sleep, interrupts the pattern of relief sought through sleep; or severe psychiatric conditions which require lengthy periods of quietude; mere sleeping does not necessarily result in the state sought — of restorative sleep, in order to wake up to a “new day”.  Without that level of restorative sleep, the human mind and body is unable to perform at the peak level which must be attained, in order to thrive in the technologically challenging work environment of modern day.

For the Federal and Postal Worker who must face such a challenge daily, where one’s medical condition begins to impact the ability to perform all of the essential elements of one’s job, consideration must be given to filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management.  Whether under FERS or CSRS, Federal Disability Retirement allows for the Federal or Postal Worker to enter into a period of interlude in order to attain that sought-after restorative sleep.

The respite from the turmoil of work and responsibilities is often the recipe needed, and until the Federal or Postal Worker acknowledges the need, that proverbial “new day” may never arrive, and one may find that sleep is not a friend of the night, but an adversary to be battled within the darkness of one’s mind.

Sincerely,

Robert R. McGill, Esquire

OPM Disability Retirement: When Once Sleep is No Longer Restorative

Sleep is more than the cessation of activities; it is a state of slumber and dormancy, when one can effectively escape from the daily stimuli of variegated bombardments; as an escape, it allows for the mind to suspend the frantic functioning of communicating and conveying the billions of information bits which must be perceived, processed, bundled, interpreted, and delivered to the destination needed for instantaneous response and decision-making.

Such a complex, subconscious and underlying process may be comprised of a simple act as mundane as scratching an itch located in one’s lower extremity; or it may be to respond to an emergency of epic proportions involving countless lives.  But for each response and particularized stimuli, the multitude of processing venues which the mind must filter requires a time of restorative relief, known variously as that state of “sleeping”.

Thus, for the Federal and Postal employee — whether in law enforcement in tracking down criminals and drug cartels; or for Federal prosecutors who must weave a complex web of details to put together a case; or for the window clerk at the Postal Service who must respond to multiple queries from customers on an hourly basis; all are subjected to varying degrees of information processing by the brain, which requires complex connections occurring beneath the skin, within the protective skull of our brains, and sent to destinations throughout our bodies.

At the end of the day, sleep becomes a necessity, for purposes of restorative value, to rejuvenate mind, body, and the classic “ghost in the machine” — the human soul.  But when sleep is no longer restorative; when the chronic pain interrupts the required time of suspended dormancy; or when the anxieties of the human psyche overwhelm us with uncontrollable ruminations of fears both real and created — then sleep itself becomes an enemy of our own making.  Without that period of restorative suspended dormancy, the very lack of sleep exacerbates those other medical conditions which dominate our daily lives.

Federal Disability Retirement, whether under FERS or CSRS, through the Office of Personnel Management, allows for the Federal or Postal employee to escape that vicious cycle of medical condition/lack of sleep/progressive deterioration/work/back to the constancy of the debilitating medical condition.  Perhaps it is time to rethink the paradigm.

Federal Disability Retirement is a step forward for Federal and Postal employees, in order to reach that point of restorative sleep needed, for the health of the human psyche.

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

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

OPM Disability Retirement: The Case of Fibromyalgia

Fibromyalgia is one of those medical conditions that the Office of Personnel Management systematically “targets” as a condition which is prima facie “suspect”. This is despite the fact that there are cases which implicitly “admonish” OPM from engaging in the type of arbitrary reasoning of denying a disability retirement application because they “believe” that “no objective medical evidence” has been submitted, or that the “pain” experienced (diffuse as it might be) is merely “subjective”, or that the chronicity of the pain merely “waxes and wanes”, and a host of multiple other unfounded reasonings. Yet, cases have already placed a clear boundary around such arbitrary and capricious reasonings.

A case in point, of course, is Vanieken-Ryals v. OPM, a U.S. Court of Appeals for the Federal Circuit case, decided on November 26, 2007. In that case, it clearly circumscribes the fact that OPM can no longer make the argument that an Applicant’s disability retirement application contains “insufficient medical evidence” because of its lack of “objective medical evidence”. This is because there is no statute or regulation which “imposes such a requirement” that “objective” medical evidence is required to prove disability. As long as the treating doctor of the disability retirement applicant utilizes “established diagnostic criteria” and applies modalities of treatment which are “consistent with ‘generally accepted professional standards'”, then the application is eligible for consideration. Further, the Court went on to state that it is “legal error for either agency (OPM or the MSPB) to reject submitted medical evidence as entitled to no probative weight at all solely because it lacks so-called ‘objective’ measures such as laboratory tests.” Statues are passed for a reason: to be followed by agencies. Judges render decisions for a reason: for agencies to follow. Often, however, agencies lag behind statutes and judicial decisions. It is up the an applicant — and his or her attorney — to make sure that OPM follows the law.

Sincerely,

Robert R. McGill, Esquire