OPM Accepted Medical Conditions

The problem with “lists” is that, the moment one realizes that one is not on the list, the tendency is to simply give up and go home.  But lists are rarely exhaustive; rather, most are merely to provide a “paradigm” or “type”, as opposed to exclusionary intent by failing to specify or name.

PTSD

Federal Civilian employees with PTSD may qualify for OPM Disability Retirement depending upon the circumstances.  There is no need to prove that this condition is pre-existing or job-related

Thus, for Federal employees and U.S. Postal workers who are considering preparing, formulating and filing for OPM Disability Retirement benefits, whether the Federal or Postal employee is under FERS, CSRS or CSRS Offset, the critical issue to recognize is threefold:  First, becoming qualified for Federal Disability Retirement benefits through OPM is not dependent upon having an officially identifiable diagnosis which matches a “list” compiled at OPM; Second, in some ways, the symptoms manifested are just as important as the underlying diagnosis, precisely because what the Federal or Postal employee “suffers from” is what impacts the capacity and ability of the Federal or Postal employee in performing the essential elements of one’s positional duties; and Third, because Federal Disability Retirement is based upon the nexus between one’s medical condition and the positional duties required in one’s job, there is a requirement of showing the “connection” between the Federal or Postal job and the manifestation of the diagnosed medical condition(s).

Sleep Apnea

Obstructive Sleep Apnea (or Apnoea) may also qualify for OPM Disability Retirement if this condition causes fatigue and sleepiness in such a way that it interferes with work productivity

Thus, while a 1-to-1 ratio between a medical condition and an “essential element” of one’s positional duties is not required (the recent Henderson case reiterated that issue), a showing of incompatibility between the medical condition and the positional requirements is enough to establish eligibility for OPM Disability Retirement Benefits.  In the end, providing a “list” is somewhat more of a disservice than not, because no list would ever be complete, and an incomplete list has a tendency to dishearten and dissuade.

Sciatica and Low-back pain

Sciatica is a type of pain affecting the sciatic nerve, often as a result of repetitive strain injury.  U.S. Postal employees are especially vulnerable to low back pain and repetitive strain injuries when pulling “cages” (Mail Handlers); standing, twisting, turning, and bending when working with Flat Sorting Machines (Distribution Clerks); standing for long hours (Windows Clerks); and when sitting in mail trucks and carrying heavy mailbags on their shoulders for several hours (Letter Carriers)

That being said, there are overarching “types” of medical conditions in either categories:  of Psychiatric (Major Depression, Generalized Anxiety, Anxiety, panic attacks, suicidal ideations, Paranoia, Schizophrenia, Bipolar Disorder, Psychosis, ADD, ADHD, OCD), but which also fall under the general aegis of “cognitive dysfunctions” as well; and of Physical (Chronic Pain, Degenerative Disc Disease, Cervical degeneration; disc bulges and herniations; disc impingements; RSD; chemical-sensitivity issues; Asthma; pulmonary issues; anatomically-targeted issues involving hands, wrists, knees, feet, etc.; as well as GERD, Sleep Apnea, Profound Fatigue; IBS; residual effects from treatment regimens; symptoms which impact, directly or indirectly, the ability and capacity to perform the essential elements of one’s Federal or Postal positional duties); and many, many more.

Doctors' OPM narrative

Doctors are usually familiarized with SSDI rules, not with OPM Disability law; so, even if they are willing to help, they will be typically unable to do so

There:  the disservice has been accomplished; like being back in elementary school where the “list” for the most popular, the coolest and the best dressed did not recognize your name, for Federal and Postal employees, the focus needs to always be upon that “secondary” issue of the 2-part nexus: Whatever the “it” is, is it impacting your ability or capacity to perform one or more of the essential elements of your job?

Sincerely,

Robert R. McGill, Esquire

Federal Disability Attorney

FERS & CSRS Disability Retirement: External-Internal Linkage

Thoreau’s observation that the mass of men lead “lives of quiet desperation” holds a profound place in daily acquiescence to the stresses of modernity; the influence and linkage between the internal workings of biology, psychology and the interplay upon health and wellbeing, and the greater macro-impact from the inevitable encounters with the external, objective world of phenomena, cannot be ignored or otherwise avoided.

The rise of self-help methodologies, of yoga, meditation, exercising and diversionary activities, is merely a reflection of the exacerbation of the internal connection as directly impacted by the external world; the linkage is there; we simply fail to otherwise recognize or acknowledge it.  Stress in the workplace is an accepted part of one’s employment; it is when stresses rise to the level of a hostile workplace that the law allows for some form of alleviated responsiveness.

But filing lawsuits, confronting the obvious, and publicly decrying boorish behavior and actions constituting illegal harassment often compounds the internal turmoil fraught with stresses upon one’s psyche; and one wonders in the end, who wrote the laws governing the litigation of such employment disputes, as special interests from trial lawyers to employers, union conglomerates to corporate lobbyists all had a hand in writing up a statute to protect the singular employee of limited means.

“Quiet desperation” infers resignation and defeat; and for many, the image of the rugged individual who stands alone to fight until death or destruction is the standard to compare one’s own limited power and actions to be employed.  But as the internal linkage to the external world cannot be denied, so health and well-being can be destroyed by the interplay with a continuing hostile workplace.

For Federal and Postal employees who suffer from a medical condition, such that the medical condition prevents one from performing one or more of the essential elements of one’s Federal or Postal job, insistence upon continuing one’s chosen career is often a choice to the detriment of the internal affairs of man, with little impact upon the macro-efficiency of the agency.

Federal Disability Retirement is an option of choice for the Federal or Postal worker who is under FERS, CSRS or CSRS-Offset, and is often mandated by the deteriorating health of an individual (internal), necessitated by the inability to perform all of the essential elements of one’s positional duties (external), and by showing by a preponderance of the evidence that the former impacts the latter (linkage), one can qualify for the benefits and salvage the quiet desperation enveloping and engulfing the insular life of an individual seeking help in the dark meanderings of a lonely outpost, where the echoing howl of a single wolf reaching out to the eclipsed moon on a cold and windy morning represents not an animal in distress, but a recognition that the wider world out there is part of man’s destiny for things greater than showing up for work to follow the demands of a bureaucracy lacking of empathy or concern.

Sincerely,

Robert R. McGill, Esquire