Connective Tissues in Federal Disability Claims

In biology, they are often discussed in contrast to epithelial tissues, which are closely packed cells for dense, often protective purposes.  As the attribution implies, the primary purpose of such tissues is to connect other tissues or organs, for the coordinated and compound workings of the entirety of the organic system.

It is that very connection which allows for the coordination of the whole, and while each individual organ or aggregate of cells may be vital to the life of the entity, without the connective tissues, such individual significance would never reach a level of integral compound complexity of a working singularity.  Individual significance, without the connective support, would result in independent value; and it is the dependency of individual values which in their “togetherness” work to constitute an integrated system.

We can learn much from biology.

In preparing, formulating and filing for Federal Disability Retirement benefits through the Disability, Reconsideration & Appeals Division (U.S. Office of Personnel Management), whether the Federal or Postal employee is under FERS or CSRS, it is important to always recognize the connective tissues which must be carefully recognized and evaluated for their integrated purposes.  For, in the end, that is what the reviewing agency of all Federal Disability Retirement applications — the U.S. Office of Personnel Management, or OPM — does. OPM reviews and evaluates all Federal Disability Retirement applications with a particular view towards analyzing the connective tissues, for integration, consistency and lack of contradiction.

While each “organ” of a CSRS or FERS Disability Retirement application may be vital to the entirety of the administrative process, it is precisely the connective tissues which, if diseased, will determine the viability of the working whole.

Sincerely,

Robert R. McGill, Esquire

 

Disability Retirement for Federal Government Employees: The Theory of Correspondence

20th Century Philosophy has witnessed the steady progression of deconstruction; of centuries of attempting to answer age-old questions which challenged the mind, only to be declared that it was, all throughout, the question which was the problem, and the imprecise manner of communication through language difficulties and conceptual confusions that created the unfathomable difficulties, and that therefore there are no substantive problems in philosophy to solve.

Bertrand Russell, the entire tradition of English Empiricism, and long comes Wittgenstein; and any theory of correspondence between language and the “objective” world was cast aside as being impractical, unendurable, and in the end, untrue — though, as truth itself became an empty concept, it remained a puzzle as to how such a declarative end could be proposed.

But it was ultimately the devaluing of correspondence which became most troubling; for, now, as there was and is no connection between language and reality, so an individual can do and say one thing, and be and remain another. Perhaps that is why Facebook, Twitter and electronic media are so popular; we have become who we merely declare we are.

That is often the insidious nature of a medical condition; when once it becomes known, we want to ignore it, conceal it, and think it away; but somehow the physical reality of one’s life cannot be erased so easily as words on paper, or through the use of a ‘delete’ button.

Medical conditions really do impact us; and if the Federal or Postal employee finds him/herself beset with a medical condition such that it prevents one from performing the essential elements of one’s job, then the reality of a career’s end and a change of vocation is one which is beyond mere words. But words and completing forms are what must be performed in formulating, preparing and filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, whether one is under FERS or CSRS.

So, in the end, the integrity of correspondence occurs, despite what modern philosophy says — there is still, and will always be, a connection between language and reality, and that is clear and unavoidable for the Federal and Postal employee who must attempt to maneuver one’s way through the bureaucracy and administrative procedures of a Federal Disability Retirement case.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Workers: Insular Worlds

The private domain of individual, insular worlds always remain unknowable and profoundly unreachable. We can extract common linguistic signposts to have some superficial encounters, with at least a semblance of comprehension; but in the end, can one ever “know” the sensation of pain which another experiences? Or the extreme emotional turmoil that a person who suffers from schizophrenia or Bipolar Disorder; the diffuse pain of a person suffering from Fibromyalgia; or the cognitive dissonance of one beset by Major Depression, uncontrollable anxiety or panic attacks?

Yet, it is a necessary step in preparing, formulating and submitting a Federal Disability Retirement application to the U.S. Office of Personnel Management, whether under FERS or CSRS, to have the ability to convey, delineate and describe the nexus between one’s experiential phenomena of the insular world of a medical condition, and one’s external encounter with the Federal position in the work-world.

The private chaos of one’s medical condition must be linked to the public display of one’s physical or mental capacity and capability in the employment with the Federal Sector or the U.S. Postal Service; how one makes that connection, the manner of the description, and the characterization of the impact of the former upon the latter, will make all the difference in the world whether or not that unique universe of insularity can be protected from the progressive harm of one’s job.

For, in the end, it matters not whether one can adequately relate to another’s medical condition; it is enough to know that the private domain of one’s life is that which makes human consciousness the unique mystery peculiar to the human animal.

Sincerely,

Robert R. McGill, Esquire

Federal Disability Retirement: The Magnifying Event

The notable characteristic of a medical condition is that they rarely go away via wishful thinking and, moreover, while rest may provide a restorative period of relief, the return to performing activities which further exacerbate one’s condition further magnifies not only the chronicity and severity of the condition, but the need for additional restorative periods of relief.

That is why, in a Federal Disability Retirement case, the focus is upon the nexus between one’s medical condition and the essential elements of one’s job.  For the former, the nexus pinpoints the type of medical condition by focusing upon the primary aspects of the work; for the latter, that very connection between the former and latter magnifies the impact of the medical condition and why it is that Federal Disability Retirement benefits are needed and justified.

Whether a person is on furlough during this temporary period of insanity, or whether one has previously taken an extraordinary amount of Sick Leave, Annual Leave, or Leave without Pay, is an irrelevant issue in the end; for, the very need to take such excessive time off, as well as the inverse issue of growing work performance questions, both are magnifying events of the same revelation:  the medical condition is further exacerbated by the continuation of certain activities, and the activities are progressively prevented by the medical conditions.

Preparing the steps to formulating an effective Federal Disability Retirement application with the U.S. Office of Personnel Management, whether under FERS or CSRS, begins with the recognition that the ultimate answer lies not in the temporary and palliative nature of a week’s time off, but in the realization that one is no longer able to perform one or more of the essential elements of one’s job, for the long term.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement for Federal Workers: Correlation, Correspondence & Causation

How we assert and connect disparate facts reveals the extent of one’s understanding of the conceptual distinctions to be made between correlation, correspondence and causation.

Correlation, in its normative usage, refers to the relationship between two or more things, and will often involve statistical dependence between entities.

Correspondence, on the other hand, will entail the agreement of one or more things with one another, or encapsulate similarities and reflective agreement.  Thus, one may discuss Russell’s and Moore’s “correspondence theory of truth“, for instance, where the proposed argument would involve the “agreement” between what one says, and its reflection upon the objective world which it is attempting to describe.

Causality, as a distinctive concept from the other two Cs, involves the sequential occurrence of one event followed by another, where the second event is accepted as a consequence of the first.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, it is important to understand the conceptual distinctions between these words, precisely because the Federal and Postal employee formulating the nexus between one’s medical condition and one’s position description must show the relationship between the two.

Thus, one may argue that a correlation exists between poor performance and one’s medical condition; or one may establish that the corresponding actions on the part of the agency involved references to medical reports and records; or that the position itself caused the exacerbation of the medical condition — although, the latter may be more relevant in a Federal Worker’s Comp case.

In arguing for eligibility for Federal Disability Retirement benefits, use of all of the linguistic tools available will provide a decided advantage; but usage must be preceded by understanding, and understanding must involve the careful analysis of the specialized application of conceptual constructs.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Government Employees: The Nexus

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, it is the nexus — the connections which are made between any two or more issues, concepts, evidence, etc. — which raises a Federal Disability Retirement application to meet the standard of required proof under the law. Such connections to be made are vital, and determine the success or failure of a Federal Disability Retirement application.

We have all encountered eccentric individuals in our lifetimes — whether of the proverbial “batty-aunt” who talks incessantly about things which nobody understands; or the “flighty friend” who can talk a mile-a-minute about a thousand disconnected issues all in one breath; or perhaps it is a chance-meeting with a stranger who, after a long conversation, one realizes didn’t make a bit of sense in anything that was said.  In conversation, one can engage in such language games which have little to no correspondence to reality, and not have to pay a price for such engagement.

In the world of Federal Disability Retirement, failing to make the necessary connections will most certainly lead to a denial of a Federal Disability Retirement application.  Thus, the persuasive connection between one’s positional duties and the medical conditions; the argumentative connection between the prevailing law and one’s factual statements; the impacting connection between the medical reports and the entirety of the submitted case; and multiple other connections — each must be carefully crafted.

In a world where we come upon a “noumenal” world (as Kant would state), and where our cognitive categories organize the disparate world we discover, establishing the necessary nexus between X, Y & Z is something which the Federal Disability Retirement applicant should never overlook.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement for Federal Workers: Extending the Bridge

In formulating a Federal Disability Retirement application under FERS or CSRS, it is always important to think of the “nexus”, or the bridge which one constructs between the positional duties of one’s job with the Agency, and the medical conditions which prevent the Federal or Postal Worker from performing one or more of the essential elements of those positional duties, as a continuum, as opposed to a singular event.

Thus, during the waiting period once the Office of Personnel Management assigns a CSA Number, and the issuance of a decision (whether an initial approval or a denial; if the latter, then one should obviously file a Request for Reconsideration within the allotted 30-day time period), there is always an opportunity to file additional and supplemental medical and other supporting documentation, in order to “extend” or reinforce that bridge.

Such documentation could include continuing treatment & office notes; any updated diagnostic testing results; any actions by the agency which would imply or otherwise reveal an increasing severity of the medical condition and the acknowledgment by the agency of the medical conditions, including the results of “Fitness for Duty” examinations, letter of proposed removal, withdrawing of medical certification, etc.; and other supporting documentation.

Of course, the general rule is that one cannot “add” to the identified medical conditions which one has established in the Applicant’s Statement of Disability (SF 3112A); however, one can reinforce and extend the strength of the bridge.

Remembering this distinction can help to solidify and exponentially increase the chances of an initial approval from the Office of Personnel Management, in the period of waiting for that decision.

Sincerely,

Robert R. McGill, Esquire

Federal Employee Medical Retirement: Describing One’s Medical Conditions

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS from the Office of Personnel Management, the conundrum which one faces immediately is to attempt to overcome the seeming inability of third parties (OPM Personnel included) to understand, comprehend, relate to, and ultimately “feel” a sense of empathy and compassion for the particular genre of medical conditions a Federal or Postal worker suffers from.  

While the entire administrative process of filing for Federal Disability Retirement benefits is based upon a legal criteria, with a standard of proof set by law — that of “preponderance of the evidence” (which, simply put, means that one must prove that something is “more likely” the case than not — a relatively low standard of proof in the potential options of applying various legal standards) — it nevertheless comes down to having a fellow human being review, analyze, assess and evaluate one’s Federal Disability Retirement application at the Office of Personnel Management.  

Yes, there is an applicable legal criteria which is applied by the Office of Personnel Management.  Yes, there is a set of conforming documentation which must be submitted.  Yes, there are Standard Forms to be completed.  Yet, as with all processes of review, no evaluative process can be merely characterized as an objective calculus; otherwise, the eligibility requirement of a Federal Disability Retirement application should be able to be determined by a computer program.  

While such a possibility may well occur in the not-too-distant future, for the present, an actual person (although this is sometimes questioned, also, based upon the unresponsiveness of OPM and the voicemail messages one encounters) at the Office of Personnel Management must review, evaluate, and determine the viability of a Federal Disability Retirement application.  As such, part of the key to the success of the administrative process must be in the descriptive narrative of one’s medical conditions, their impact upon one’s ability/inability to perform one or more of the essential elements of one’s job, and the qualitative and quantitative impact, direct or otherwise, upon one’s life.  

Here again, a cold, objective calculus should not be the only approach.  The “human factor” should be included — and to do so, one must extrapolate and apply all of the descriptive tools available in the English language.  

Sincerely,

Robert R. McGill, Esquire

OPM Disability Retirement: Distinguishing between Diagnoses and Symptomatologies

In preparing, formulating and filing a Federal Disability Retirement application with the Office of Personnel Management, whether under FERS (Federal Employee’s Retirement System) or CSRS (Civil Service Retirement System), in preparing and formulating the Applicant’s Statement of Disability on Standard Form 3112A, it is important to distinguish between the medical conditions which are diagnosed, from the symptoms which are experienced by the Federal or Postal employee.  The focus is often upon the latter (the symptoms) as opposed to the former (the officially diagnosed medical conditions), as it should be because of the nature of the requirements in proving a Federal Disability Retirement case with the Office of Personnel Management.

By that is meant the following: Because one must prove by a preponderance of the evidence that one is eligible and entitled to Federal Disability Retirement benefits from OPM, by exhibiting a nexus between one’s medical conditions and one’s medical inability to perform one or more of the essential elements of one’s job, the descriptive analysis of such bridging between one’s medical condition and the impact upon one’s ability/inability to perform the essential elements of one’s particular job, is quite naturally focused upon the symptomatologies which one experiences.

The blurring of the lines between the “official” medical condition as itemized in a list of diagnoses, as opposed to the descriptive delineation of the exhibited symptoms, or the symptoms which are subjectively experienced and (often) correlated by objective radiological reports, is a natural occurrence. Often, the two are (and should be) deliberately intermingled in the narrative description of the Applicant’s Statement of Disability. However, one should always write the narrative portion of the SF 3112A with the view towards the future potential issues which may arise: that of being “disabled” for a specifically-identified medical condition.

Sometimes the OPM Representative will specifically identify a medical condition; sometimes, no such identification will occur. Then, there are times when the lines between “diagnosis” and “symptoms” naturally crosses — as in, “Chronic Pain Syndrome” as distinguished from “chronic pain”. Blurring the lines in a discussion is expected and should be applied in formulating one’s Applicant’s Statement of Disability; but such blurring should occur with deliberation and purpose, and not just because one does not recognize the distinction between the two.

As with everything in life, the consequences of doing something by accident are quite different from that which results from a purposive and deliberate action.

Sincerely,

Robert R. McGill, Esquire

FERS & CSRS Disability Retirement for Federal and USPS Workers: Applicant’s Statement — from the Generic to the Specific

In preparing, formulating, finalizing and filing a Federal Disability Retirement application under FERS or CSRS, one must (of course) describe and delineate the “bridge” between one’s medical condition(s) and how it impacts or prevents one from performing one or more of the essential elements of one’s job.  This is done on the Applicant’s Statement of Disability (Standard Form 3112A, both for Federal and Postal employees under FERS or CSRS).

In formulating and describing the impact upon the essential elements, or core job duties, of one’s position, it is often an intelligent approach to begin with the generic, then to provide some specific examples.  This is more of an issue of “form” over “substance”, of course, but is often effective, nonetheless.

By way of this approach in describing one’s medical conditions and their impact upon the essential elements of one’s job, it provides a clarity of understanding for the clerk at the Office of Personnel Management — of first being provided with an “overview” of what the job entails, then to be given specific examples within the context of the overview.

Ease of understanding and a compelling force in telling a narrative story of one’s personal experience in having a medical condition, and its impact upon one’s professional life, will enhance the chances of an approval at the First Stage of the process in fling a Federal Disability Retirement application under FERS or CSRS, at the Office of Personnel Management.

Sincerely,

Robert R. McGill, Esquire