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

Federal Employee Medical Retirement: Preexisting Conditions

The Office of Personnel Management will sometimes make the following fallacious argument:  “Because your medical condition appears to have preexisted the time of your Federal Service, and you have been able to perform your job, you are not entitled to Federal Disability Retirement benefits.”  

This argument may take on various forms, with embellishments on the language used, but the argument as quoted represents the essence of what OPM will often state.  While the argument itself makes one scratch one’s head, there are implicit sub-arguments which, if extracted, extrapolated and projected/assumed, may bring one to a better understanding of what OPM is trying to say, and thereby be able to rebut and address such an argument.  The expanded version of the argument goes as follows:  “You had a diagnosed medical condition X prior to beginning your career with the Federal Service (often evidenced by a VA disability rating, or an MRI showing such).  You were placed in job Y, which you were able to do all of these many years.  From the time of your Federal Service to the present, there has been no defining moment or event which reveals that your condition worsened; only that you now state that you cannot perform your job.”  

This expanded version is what OPM is often attempting to argue.  Inasmuch as “pre-existing conditions” are not supposed to be a factor in Federal Disability Retirement cases (as opposed to being one in FECA cases), how does one address it?  By pointing out to the progressively deteriorating nature of the medical condition; by having a discussion with the treating doctor that, over time, a chronic condition can progressively deteriorate the human body, through fatigue, longevity, and chronicity of pain (or a chronic nature of Major Depression, Anxiety, stress, etc.), and such progressive deterioration often arrives at a critical point where, once passed, there is a sudden decline in the ability of a Federal or Postal worker to continue to perform a certain type of work.  

The key to an argument is to reframe the argument, so that one may understand and address it.  Only upon understanding the argument, can one begin to address it.

Sincerely,

Robert R. McGill, Esquire