Federal Employee Disability Information: OPM’s Methodology

There may be a single criteria to meet, with subsets of requirements that must be complied with; yet, multiple methodologies in approaching the singular.  How can that be?  Isn’t it all simple, where you read what is required, then gather up all of the evidence that appears to meet it and simply send it all in?  That is the “volume methodology”.

Can a single sentence in a medical report ever meet the legal criteria in an OPM Disability Retirement case — i.e., a “qualitative” methodology, as opposed to a quantitative one?  Sometimes.

Isn’t the law clear in what is required, and isn’t it a matter of just amassing the medical evidence to meet the requirements as stated?  Hmmm…. For Federal employees and U.S. Postal workers who suffer from a medical condition such that the medical conditions prevent the Federal or Postal employee from performing one or more of the essential elements of one’s Federal or Postal job, it is important to understand, somewhat, OPM’s Methodology in reviewing and deciding upon a case.

First of all, not all medical conditions are equal.  Perhaps that is self-evident, but for the Federal or Postal employee who suffers from one or another medical condition, and must endure the daily pain, restriction and limitations imposed thereby, it may not be so self-evident.

Second, OPM is not some “neutral” Federal Agency that reviews a Federal Disability Retirement application with dispassionate objectivity, ready to grant an “approval” because you “believe” your medical evidence is “sufficient” to meet the legal requirements as stated.  Sufficiency is the gatekeeper that denies many a Federal Disability Retirement case — and it is not a methodology that is satisfied by quantitative (volume) means, not even necessarily by qualitative standards; rather, it is the reviewer (i.e., the “Medical Specialist” at OPM) who determines by some unknown and unknowable standard when the goal-post has been crossed.

Thus, in an OPM Disability Denial Letter, one may read a reference to one’s doctor’s note or a quotation from a medical report from one’s doctor, and think, “Good, this is very supportive” —then, with an appended end to the paragraph stating, “Such medical evidence does not sufficiently meet the standards to qualify for OPM Disability Retirement”.  Huh?

Think about it this way: “Sufficiency” may mean different things to different audiences; for example, what is a “sufficient” amount of food for a lion, as opposed to a domesticated kitten?

OPM’s methodology is, at best, malleable, as language in law is likewise changeable.  It is good to know this for Federal and Postal employees who are either getting ready to file for Federal Disability Retirement benefits, or who are in the middle of a fight to obtain it; for, in the end, consulting with an OPM Disability Retirement lawyer allows you to arm yourself with knowledge for the battle that OPM’s Methodology in determining Federal Disability Retirement cases must be prepared, like any legal battle that involves “criteria” to be interpreted.

Sincerely,

Robert R. McGill, Esquire

 

Attorney Representation for OPM Disability Claims: Ends and beginnings

It is the linear manner in which we perceive the world; of straight lines as opposed to circular figures; of two points or perhaps three, then again lines of intersection and connecting the dots, instead of arcs that waver and detour beyond the directional certainty of point A to Point B and beyond.  “Ends” we recognize by the symphony that crescendos and the credits that scroll down and display the accomplishments unto the “Assistant to the Assistant director of Operational Assistants”; or, at least when the black screen declares, “The End”.

And of beginnings?  Other than the first breath taken, the consummation of love’s forlorn initial encounters and the memories of childhoods harkening back to hazy summer evenings that may be real or mixed with what was told about you when you were young; perhaps beginnings can never be ascertained with as much certainty as the endings that suddenly come upon us.

We tend to bifurcate our lives with straight and intersecting lines; “Here is when X happened”; “Over there, that is when Y began.”

For Federal employees and U.S. Postal workers who began their careers with the hopes and dreams of all who enter the workforce, full of vigor and enthusiasm, coopted by the “mission of the agency” or the team spirit reinforced by the accolades given in performance reviews, bonuses granted and promotions within sight of tomorrow – the slow deterioration of a medical condition can come to one’s realization as a devastating recognition that an “end” is coming, without the concomitant accompaniment of the clear “beginning” to follow.

Where does something “end”, and something else “begin”?

Preparing, formulating and filing an effective Federal Disability Retirement application, to be submitted to the U.S. Office of Personnel Management because the Federal or Postal employee is no longer able to perform one or more of the essential elements of the Federal or Postal position is indeed an “end” of sorts, but it must also be viewed as an important “beginning”.

It is the beginning of attending to the priorities of life; of starting to focus upon one’s health and well-being; of recognizing that others at the Federal agency or the Postal service have seen the “end” of your career.

Yet, perspectives matter, and how we view things do make a difference, and it is the “beginnings” that come after the “end” that matters.  For, the “Assistant to the Assistant director of Operational Assistants” hopefully did not end his or her career with that final credit noted at the end of that B-rated movie; hopefully, he became the director of Operational Assistants, or perhaps the director himself or herself.

Sincerely,

Robert R. McGill, Esquire

 

 

OPM Disability Retirement: Outward appearance, inward thoughts

It is, of course, the core of Western thought, originating from Socratic arguments against placing one’s faith in the “appearance” of things as opposed to the Platonic Forms that represent true Being; and through Aristotelian arguments of a “substratum” that underlies the outward appearance, to the certitude of Cogito, ergo sum; then, the inner reliance where subjectivity and objectivity coalesce and the distinctions became undoable by Wittgenstein’s standards of banishing all Philosophical problems to mere linguistic confusion, and the belittling scoffs of Russell’s mischievous analysis; these, and many more in the history of contemplative reflection that has haunted the aggregate of outward appearance versus inward thoughts.

All of which brings us to the core of so many medical conditions – where so much cannot be seen and we often have to “exaggerate” just to get people to believe us.  Take “pain”, as an example – one can be in excruciating pain, and yet remain unemotional about it.  Even if an MRI result shows that there is a physical basis for which the pain is experienced, nevertheless, pain by definition is a subjective component, and cannot publicly be quantified.

That is why conditions such as Fibromyalgia, Chronic pain syndrome, Failed Back Syndrome, not to even mention Major Depression, Anxiety, panic attacks, etc. – how does one persuade others of the “real-ness” of the condition?  Broken bones, malignant tumors, catastrophic injuries; these, inward thoughts (believability) are consistent with outward appearance.

There is, in the end, a distinction with a difference that must be acknowledged, between “having a medical condition” and “proving a medical condition” – especially when it comes to preparing, formulating and filing an effective Federal Disability Retirement application.  There are, moreover, certain factors that “favor” the Federal Disability Retirement applicant – such as the standard of proof (Preponderance of the Evidence, as opposed to higher legal standards out there); the weight and validity of a treating doctor’s opinion; and certain clinical evidence that moves the chess pieces beyond mere subjective opinion, thereby bridging the gap between outward appearance and inward thoughts.

Preparing an effective Federal Disability Retirement application requires more than just gathering a pile of medical documents and submitting it. In the end, the Federal Disability Retirement applicant must PROVE one’s case, in order to get beyond mere outward appearance and inward thoughts.

Sincerely,

Robert R. McGill, Esquire

 

Medical Retirement from Federal Employment: The informed paradigm shift

Often, in ages older and generations beyond, it somehow becomes more difficult to be malleable and bend with the times, circumstances and turmoil of the day.  Does staid decay by refusal to adapt become a law of sorts for the aged?  Is it only youth that can change, or bring about pliable lives, or can the irrelevancy of old men and women be altered with an informed paradigm shift?

There is always a tautness and tension between generational divides; youth believes in beginning over again, to invigorate all plans and prospects of accomplishments – even of reinventing the wheel by trial and error.  And of the old, whose wisdom is never accessed, whether because of pride of youth of an arrogance fraught with silliness, it matters little.  The pendulum that swings between the two extremes, must by law of gravitational pull come to rest somewhere in the middle.

Paradigm shifts come about so infrequently, but there is often an underlying reason:  Just as wholesale genetic overhauls rarely strengthen a Darwinian foundation for survival, so the principles upon which one lives one’s life should not be abandoned after a lifetime of experiences in learned cynicism.  The fact is, it is always difficult to change when circumstances dictate.

Somehow, we believe ourselves to be the masters of our own destinies; and whether the fate of a generation is collectively overpowered by a consciousness of unfathomable mysteries, or each of us must singularly carry the burden of our future lives as isolated pockets without friendship or love, we like to think that we can control our future.  But there are events and circumstances beyond our control, transcending fault or personal responsibility; and the social contract of good citizenry – of abiding by the laws, following the normative constructs of societal acceptability, etc. – follows upon that path of accomplishment.

That is true of a medical condition – for, when a medical condition begins to impact major life activities of a person, an informed paradigm shift must by necessity occur.  It is not a matter of bad fate or unfortunate luck; it simply is, and the sooner one becomes “informed”, the better the paradigm shift for one’s future.  For Federal employees and U.S. Postal workers who suffer from just such a medical condition, where the medical condition or event begins to impact one’s ability and capacity to perform the essential elements of one’s Federal or Postal positional duties, is may well be time to consider a paradigm shift.

Preparing, formulating and filing an effective Federal Disability Retirement application with the U.S. Office of Personnel Management, whether the Federal or Postal employee is under FERS, CSRS or CSRS Offset, often requires just such a paradigm shift – a pliability in one’s thinking, and an alteration based upon the information (i.e., being “informed”) presented; and the next step once a cognitive paradigm shift has occurred, is to reach out in order to begin the administrative process of engaging the expertise needed in order to weather the trials of tomorrow.

Sincerely,

Robert R. McGill, Esquire

 

Federal Employee Disability Retirement: Comfort in regularity

There are those who relish the seas of daily change and the excitement of altered circumstances in daily discourse.  But as the rhythms of a seasonal perpetuity teach us of Nature’s need for regularity, so the biorhythms imparted can often form avenues of predictable patterns.  There is comfort in regularity (no, for those with singular minds, we are not here referring to the constancy of utilizing bathroom facilities; although, there is also some truth in that perspective, as well); of engaging in the monotony of expectations, unchanging circumstances and boredom of daily redundancy.

If we interpreted Bishop Berkeley’s philosophy to the extreme, each time we were to leave a room, the physical world we left behind would vanish; upon our re-entrance into the “same” room, it would again materialize, but who knows if the armchair in the corner with the slight tear in the seam of the cushion has not been moved several inches to one side or the other?

Wasn’t that always the fear in Star Trek, when Scotty would push the lever for the transporter, and the molecular deconstruction of the individual would occur – but the danger involved the potential interference within that short timeframe, when the reconstitution of matter might bring about a missing limb, a lesser intellect, or leave on the dinner table in the previous location one’s eyes, nose or mouth?  But the digression into science fiction merely points out the obvious; whether via molecular transporter or physically walking from one room into another, the expectation of “sameness” is what we rely upon, in order to maintain a sanity which otherwise would be lost in a sea of constant change.

It is, ultimately, the paradigmatic confrontation between the age-old perspective of two old philosophical grouches – of Parmenides and Heraclitus; of permanence seen in a world of a singular whole as opposed to the constancy of an ever-changing universe.  Note that, in either perspective, there is a regularity that is sought and discovered:  the expectation of consistent change constitutes that regularity we seek; and the regularity of a singularity of permanence reinforces that comfort in the same.  That is what we forever sought and continue to seek – and it is in the comfort of regularity that we maintain our balanced perspective.

That is why the turmoil of change is often devastating for Federal employees and U.S. Postal workers who suffer from a medical condition, such that the medical condition begins to prevent the Federal or Postal employee from performing one or more of the essential elements of one’s Federal or Postal position.  The inability to perform all of the essential elements of one’s positional duties is frustrating enough; such alterations often require accommodations, but when such requests are rejected, it is like a verdict upon one’s worth by the agency or the Postal facility:  You are not worth the trouble of change.

Yet, that change or alteration in the schedule, flexibility of attendance, or other minor adjustments, are often of no greater effort by the Agency than Scotty pushing the lever to initiate the power of the transporter.  But, then, Captain Kirk was quite good at making adjustments and ad-libbing as he went along – something that most Federal agencies and the Postal Service are unable to do; and that is when preparing, formulating and filing an effective Federal Disability Retirement application becomes an ever-present need that will ensure the comfort in regularity of purpose, goals and future security.

Sincerely,

Robert R. McGill, Esquire

 

Disability Retirement from Federal Employment: Magnum Opus

It is applied as the masterpiece and pinnacle of achievement, but is more generally referred to as the identifying crown for an individual of some notable accomplishment in the various fields and disciplines.  There are looser forms of using the term, of course, in common parlance, in a half-joking, half-serious manner; as in referring to one’s spouse with greater humility, or events that occurred with greater consequences than expected or foreseen.  Like Mozart’s Requiem Mass in D Minor or Van Gogh’s “Starry Night”, the Magnum Opus represents the pinnacle of one’s achievement in the career of a chosen field, or within a discipline one was merely destined for.

Most of us, of course, never reach that height of human achievement recognized and lauded by a standard of excellence the world around; mediocrity is the lot of most, and that is okay, so long as the achievements made within the confines of private lives are accorded a similar standard striving to reflect the apex of human worth.  For, the Magnum Opus can be in the simple act of kindness in daily living – of bringing in the garbage can of an elderly neighbor too frail to wander out on a snow-fallen morning, or giving a shelter animal a chance at some semblance of happiness and contentment, and diminishing the violent memories of prior mistreatment and maltreatment.

In the end, it is not the marking of graves with epitaphs of grandeur that matter – though we may fantasize of jealousy and envy overwhelming relatives we disliked, visiting the tombstone of our own creation and smirking at the largesse accorded by a public never quite knowing but the public figure of accomplishments we deign to applaud – but of unmarked ones that are visited by a family left behind, empty with an aching heart for the laughter that we brought, the joy we helped enliven, and the fleeting moment of happiness that encompassed the otherwise dreary lot of a population confused between sex and love.

For the Federal employee and U.S. Postal worker who has believed that the Magnum Opus of one’s fortunes were somehow tied up inextricably in the career path of a Federal agency or Postal facility, rethinking the paradigm is tantamount to a heretical utterance of unfathomable delay.  There is life beyond a Federal agency’s mission (though you may not discern it well from the attitudes of coworkers and Supervisors), and there is importance and relevance beyond the Postal facility one has worked for.

When a medical condition comes to a point where one cannot meet the expectations of that grand “mission” that has been a constant drone of contention, it might be time to consider preparing, formulating and filing for OPM Disability Retirement benefits, whether the Federal or Postal employee is under FERS, CSRS or CSRS Offset.  Don’t let the Magnum Opus of one’s career be on the downturn of one’s accomplishments because blind fealty to an agency or the U.S. Postal Service has stopped any forward progress; instead, it may be for the next phase of one’s life that the unmarked grave is visited upon with an epitaph still to be written.

Sincerely,

Robert R. McGill, Esquire

 

Federal Disability Retirement: Exchanging pleasantries

Some possess the greater patience for it, and enthusiastically embrace the inherent gamesmanship and accompanying pleasures derived therefrom; while others merely forego even the most basic of such prefatory considerations and condescending patronization that commonly attaches.  Still others mechanically, thoughtlessly and with automated responsiveness, emit the utterances with aplomb and a wave of hands, never pausing to even consider the discourteousness of violating that fragile sheen of neighborly discourse.

— “Hello, how are you.”
An introductory glance inviting suspicion and possible rebuttal

—  “Fine weather, isn’t it?”
Can a mere nod be sufficient?

—  “Hello!”

Can we get by this person with silence?

Have we become more cynical as a whole, and have the constant warnings by governmental agencies concerning scams, frauds and insincere malfeasance taken its toll?  Or, are there still visiting angels among us, whom we ignore at our own peril?

Are there exceptional salutations that demand a presence of mind, or do they all fit into a mold of complacent irrelevancy?  “Merry Christmas”, or its more neutral form of “Happy Holidays”, and even “Happy New Year” – is it the occasion itself which is evocative of a positive response, or does the Scrooge that lives within each of us allow for a grunt and a nod?  When exchanging pleasantries becomes reduced to a mere foresight of impending hostility, does it lose its efficacy, or is the “break-down” of superficial civility revealed in the acrid intonation of a voice which fails to match the salutation itself?

For Federal employees and U.S. Postal workers who have come to expect the common resources of exchanging pleasantries, the line of demarcation where civility devolves into acrimony and harassment often boils to the surface when the Federal or Postal employee begins to become less productive as a result of a medical condition that prevents one from performing one or more of the essential elements of one’s Federal or Postal positional duties.  Whether under FERS, CSRS of CSRS Offset, it is often a good indicator of things to come, and thus it is important to gain a “step ahead” by preparing an effective Federal Disability Retirement application, to be filed with the U.S. Office of Personnel Management.

Time was that exchanging pleasantries was always taken for granted; but for the Federal or Postal employee who is witnessing the deterioration not just of one’s own health, but the superficial health of common decency and discourse with coworkers, managers and supervisors – it may be time to exchange those pleasantries with a reality check, and begin preparing, formulating and filing for Federal Disability Retirement benefits.

Sincerely,

Robert R. McGill, Esquire