Tag Archives: thoracic discogenic pain syndrome and the federal worker

Federal Disability Retirement Attorney: Qualia & First Person Attribution of Mental States

Private, subjective mental states are unique by self-definition; they become public knowledge only when shared with deliberate intent, revealing the inner thoughts, private conceptual pondering, and narrative voices of the subjective “I”. Pain is similar in form, in that one can mask and keep private the experiential factor of pain, just as one can remain hidden in the private thoughts one engages.

Qualia, in philosophy, has to do with the subjective experience of one’s encounter with the greater world; and the first person attribution of a mental state encompasses the “I” in the midst of that universe of contained subjectivity. The problem always is how one can and should relate the private experience when a public narrative of that subjectivity is required.

For Federal and Postal employees who must file for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, the problem of conveying in persuasive form and argumentation, of transversing the chasm between the “qualia” of one’s subjective mental state into the foray of medicine, diagnostic testing, clinical encounters with medical professionals, and the entire compendium of what constitutes the “objective” world, is a necessary prerequisite where the incommensurable wall must be overcome.

An effective OPM Disability Retirement application under FERS, CSRS or CSRS Offset, is like watching a gymnast on a balance beam; overstating the subjective may result in loss of that balance.  Federal employees and Postal workers who suffer from those specific medical conditions which are considered “unverifiable” through normal channels of diagnostic methodologies — Fibromyalgia, chronic fatigue, chronic and intractable pain, etc. — must find ways where the public description goes beyond the qualia of private mental attributes.

In many ways, we have progressed culturally; and such progressivism is found in the diminishment and near-extinguishment of that dualism between the cognitive and the physical, and this is established by the general acceptance of psychiatric conditions as being just as “valid” as physical maladies. But old haunts and biased perspectives still abound, and during such times of transition, one must still take care in how one approaches subjectivity in the wake of the yearning for objectively verifiable evidentiary components.

Like the public who watches the graceful movements of a gymnast on a balance beam, it is the roar of the crowd in appreciation one seeks, and not the gasp of disappointment when lack of balance results in a sudden and unexpected fall.

Sincerely,

Robert R. McGill, Esquire

 

Federal and Postal Disability Retirement: A Reminder of Sorts

Pain is a reminder of sorts; but then, so are alarm clocks, speed bumps and the presence of law enforcement personnel.  All around us, through signs, advertisements, smart phone apps, and sticky notes which we write to ourselves, we are surrounded by reminders.

The plethora and abundance of such reminders have never been the issue; rather, it is the responsiveness, or lack thereof, which determines the future course and orientation of one’s life. And so it is with the signals which are transmitted through out biological system; of that nagging hip pain which won’t simply go away; of increasing panic and anxiety attacks which paralyze one with physical manifestations of chest pains, difficulty breathing, etc.

Doctors can treat the symptoms; sometimes, medicating the symptoms lessens the strength of signals; the weakened reminders try desperately to find an alternate route to raise the alerts in more poignant and insistent form; but we humans are adept at ignoring such signage and alarms.

For Federal and Postal employees who have come to a point where the reminders can no longer be ignored, Federal Disability Retirement is an option to pursue.  It is available for all Federal and Postal employees under FERS or CSRS, and where it can be established that the medical condition prevents one from performing one or more of the essential elements of one’s job, there is the likelihood of a successful outcome.

Reminders?  The Federal and Postal Worker has already long been aware of them, through the personal experience of one’s medical condition.  It was never a question of whether there were reminders; it was always the “when” — when would we finally acknowledge and respond?  It is, and always was, just a matter of time.

Sincerely,

Robert R. McGill, Esquire

Federal Gov. and USPS Disability Retirement: Pain as a Reminder

Pain is a reminder that the physiological state of one’s body is in need of rest or repair; it is tantamount to an error message on the computer, with the analogy of our brain being the software component.  Chronic pain thus constitutes a system shutdown; continued non-response and delay will either result in systematic error messages or progressive deterioration where the entire system will begin to be impacted with reverberating consequences.

It is well that the largest organ of our body is our skin; for, as a concealing covering, it contains the inner workings — and malfunctions — of our other organs and systems.  But within the constellation of the composite of organs and systems functioning in coordinated fashion to keep us alive, the “software system” allows for error messages to be relayed to important information centers, of warnings meant to be heeded.

Pain is such an error message; chronic pain is the heightened alert system to keep us informed.

For the Federal or Postal worker who experiences such continuous and persistent relays of error messages, the failure to heed merely delays the necessity of responding to the system shutdown.  Federal Disability Retirement is meant to be a compensatory system whereby a restorative period of recuperation is allowed for, with the possibility of engaging in employment in a different capacity without losing one’s base annuity.  It is a long and involved administrative process.  Such preparations must be submitted through the U.S. Office of Personnel Management, whether you are under FERS or CSRS; further, if you are a separated Federal or Postal employee, you have only up until one (1) year to file from the date of separation.

Allowing the error message to be sent repetitively and ignored out of hand may constitute malpractice on the part of the recipient — the Federal or Postal Worker who does nothing but continue to be dedicated to one’s job, while ignoring the basic rule of life:  self preservation.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Workers: Pain and the Fallacy of Objectivity

Pain by definition is “subjective”, if by it one means that the experiential verification of the condition is uniquely possessed by the “I”, or the subject of the experience.  By contrast, that which is deemed “objective” is presumably validated by more than the possessor of the experiential condition — i.e., by third parties; by testing for the validity and verification of an event through means other than the personal narrative of a singular subject.  Yet, if verification of an experience is accepted merely by sheer volume of a collective consensus, then most scientific revolutions in advanced discoveries would never have survived.

In Federal Disability Retirement law, it is often the argument of the U.S. Office of Personnel Management that the Federal or Postal applicant has failed to provide “objective” medical evidence in presenting his or her case.  The narrative of having a condition of “chronic pain”, or “severe pain” — being “subjective” by definition — is not deemed “objective“, and therefore cannot be the valid basis alone for a Federal Disability Retirement case (or so the argument by OPM is often presented).  Even the results of an MRI will not necessarily satisfy the scrutiny of OPM; for, ultimately, an MRI can only reveal an observable abnormality — not that a person experiences “pain”.

Fortunately, there are a number of cases in law which rebut OPM in their attempt to bifurcate between “objective” and “subjective”, and such legal tools should always be cited and applied in any Federal or Postal Disability Retirement application.

While pain may indeed be subjective by definition, the objectivity of a Federal Disability Retirement application should never be based upon what OPM deems as sufficient; rather, it is the law and the long history of legal guidance by the courts which should mandate how OPM acts.  Indeed, if we let OPM’s subjective determinations rule the day, we would all be left in an existential state of pain — one which would then result in a collective consensus which may be deemed objective in nature.

Sincerely,

Robert R. McGill, Esquire

OPM Disability Retirement: Plantar Fasciitis, Rotator Cuff, Extremity Injuries, etc.

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, it is often the case that Federal and Postal workers (and the general population) tend to “pigeonhole” medical conditions, injuries and disabilities.  Certain medical conditions are considered “causally related” to certain types of jobs, and this type of relational categorization is often true in Worker’s Compensation claims, or other benefits sought in other areas of law. 

Thus, Plantar Fasciitis is often closely associated with Postal Workers who must remain on their feet throughout the day; Rotator Cuff injuries are often associated with the repetitive physical use of upper extremities; Shoulder Impingement Syndrome, Cervical, Lumbar & Thoracic pain, degenerative disc disease, etc., are all categorized and pigeonholed into physical types of jobs.  Yet, chronic pain of one’s extremities, joints, musculature, etc. can often severely impact more sedentary types of jobs, precisely because of the high distractability of such chronicity of pain.  Additionally, one often overlooks the excessive amount of repetitive “micro-movements” one engages in while on a computer — of the thousands of dexterous manipulations of the fingers and the concomitant engagement of the shoulder muscles, etc., in the very act of typing on a keyboard. 

Pigeonholing a medical condition to a specific type of job is a dangerous endeavor of dismissing a viable Federal Disability Retirement application under FERS and CSRS.  Careful thought and consideration should be given for each medical condition, especially when attempting to ignore the impediment it is causing in performing the essential elements of one’s job does not make the pain go away.  “Out of sight” does not mean “out of mind”, especially when dealing with pain and the underlying medical condition.

Sincerely,

Robert R. McGill, Esquire

Back Pain and Disability Retirement for Federal Workers

Back pain — diagnosed by many different designations and causes, including Degenerative Disc Disease, Spondylolisthesis, spinal arthritis, multi-level disc bulges, disc impingement upon the thecal sac, sciatica, failed back syndrome, etc. — presents a variety of interesting dilemmas and creative solutions when formulating, preparing and constructing a narrative to describe and delineate the impact upon one’s Federal Disability Retirement application under FERS or CSRS.

What is interesting is how back pain — chronic cervical, lumbar or thoracic pain, often with accompanying radiating features which include symptoms of numbness, tingling and pain to the extremities — can impact both one’s sedentary job, or one’s very physical job.  Both can be equally and severely impacted.

Then, of course, there is the conundrum of the “catch-22” — without pain medications, one has such a high distractability of pain that one cannot perform either the sedentary job or the very physical job; yet, with pain medications, the sedation which results prevents one from performing the essential elements of one’s job.  Either way, back pain presents a serious medical issue in filing for Federal Disability Retirement benefits under FERS or CSRS.

For Federal and Postal employees contemplating filing for Federal Disability Retirement benefits under FERS or CSRS, back pain is a serious medical condition which is a valid and viable basis for an effective application, if formulated and presented properly.

Sincerely, Robert R. McGill, Esquire