Tag Archives: your medical application has to be based on the nexus and not necessarily on the seriousness of your medical conditions

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

 

Identifying the Right Bridge to Reach Your Destination: Federal Employee Disability Retirement

When considering filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, whether one is under FERS or CSRS, the natural inclination is to ask the seemingly primary question of: Does medical condition-X qualify as a disability? But such a question is in actuality secondary; it is the reverse-order and counterintuitive process which is often confusing for the Federal and Postal Worker who is contemplating filing for Federal Disability Retirement benefits.

The primary question, making the previously-stated questions secondary, is to ask: Does medical condition-X prevent one from performing one or more of the essential elements of one’s job?  By inverting the primary-secondary sequence, one can then attain a better level of understanding as to the administrative process of filing for Federal Disability Retirement benefits.  Further, such a switch in sequence of questions-to-answers allows for an important paradigm shift.  For, in the very asking of the proper question, one can reach a level of understanding to such a stage of comprehension that the question almost answers itself.

Medical conditions in and of themselves do not necessarily qualify the Federal or Postal Worker who is otherwise age or service-eligible for Federal Disability Retirement benefits; it is the nexus which must be established between one’s position and the medical conditions one suffers from.  It is the crossing of that bridge which will reveal the extent of success or failure in attempting to go down this path; but first, the Federal or Postal Worker must correctly identify which bridge to cross, before even starting the long and arduous trek of filing for Federal Disability Retirement benefits.

Sincerely,

Robert R. McGill, Esquire

The Basic Question Of “What?” during the Federal Disability Retirement Application and Process

“Why” evinces a quality of curiosity, and perhaps of disbelief; “who” indicates a need to establish an identity and source; “how” demonstrates a pragmatic approach in determining a future course of action; and “what” reveals the yearning to unravel the foundations of basic principles, as in Aristotle’s methodology in his Metaphysics.

Before the first storyteller or shaman put on a mask to enhance the mysteries of healing and divination; long before the wide-eyed children gathered with the adults around the village center where the bonfire roared with flickering shadows of unknown powers beyond the periphery of the fireflies beaming in the distant darkness of dangers beyond; and well preceding the written account of human history, where anthropology and narrative fantasy melded to provide reminiscences of prehistoric days created in the imaginations of youth, the question of “what” was uttered in innocence.

What is the meaning of X? What happened? What makes a thing become itself? What is the essence of being?  Thus for any entrance into a fresh endeavor, the human need for satisfying the “what” of a matter is the prefatory step towards progress.

For the Federal and Postal Worker who is contemplating filing for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, whether under FERS or CSRS, the initial question might be: What constitutes a “disability”?  In that question is the key which often opens wide the conventional confinement which so many people are locked into.

For, in the traditional sense, the focus of the answer to such a question is contained in the definition and diagnosis of a medical condition.  For FERS and CSRS Federal Disability Retirement, however, the expansion of the answer goes well beyond the strictures of a diagnosis.  It is the nexus, or the connection, between the medical condition and symptoms, on the one hand, and the positional requirements (whether physical, mental or emotional) of one’s Federal or Postal work, which establishes the answer.

Once the Federal and Postal employee gains an understanding of this differentiating concept, then the doors open wide beyond the confinement of OWCP benefits or Social Security Disability benefits.  Thus does one approach Federal Disability Retirement with trepidation in asking, What qualifies as a disability?  For, contained within the question is the implicit and unspoken answer: such a query already implies a problem, and the problem likely is an impact already being felt upon one’s inability to perform one or more of the essential elements of one’s positional duties of one’s Federal or Postal employment.

As with the first causative rumblings deep in the consciousness of one’s soul, as a child first begins to question the complexity of the universe surrounding the inner self of the “I”, the question uttered alters the relationship between the being of “I” and the objectivity of “others” in a perplexing world of unanswered questions; but in the end, the “what” is a first step, and so it is also for the Federal and Postal employee who is considering filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether you are under FERS or CSRS.

Sincerely,

Robert R. McGill, Esquire

Federal Employee Medical Retirement: A Bridge Too Far

It is an indelible comment in history, marking a failure of calculations resulting in catastrophic consequences in the unwise attempt to quickly end the war.  As a tactical consideration, the attempt to outflank German defenses by securing key bridges in order to isolate the enemy, constituted a brilliant idea; in practical application, the unconfirmed attribution of the comment that the Allied Forces may be going “a bridge too far” proved to be the very downfall of such a bold military strategy.

M-2 Treadway Pontoon Bridge under construction across the Po River near Ostiglia (National Archives)

M-2 Treadway Pontoon Bridge under construction across the Po River near Ostiglia (National Archives)

Bridges represent vital and necessary supply lines between two entities, organizations, populations, and even ideas.  They allow for the free flow of supplies and communication; they constitute the “lifeline” between two otherwise disparate groups.  It is such a bridge, or “nexus”, which is similarly of great importance in all formulations of Federal Disability Retirement applications. For the Federal or Postal Worker who is preparing to submit a Federal Disability Retirement application through one’s agency (if still employed by the Federal Agency or the U.S. Postal Service, or otherwise separated but not more than 31 days since the effective date of separation), and ultimately to the U.S. Office of Personnel Management, making sure that the “bridge” between one’s medical condition and the impact upon the positional duties of one’s job is a vital and necessary part of the process.

Like physical bridges which connect various populations, the nexus which brings together the Federal Disability Retirement application in a FERS or CSRS submission, will determine the very persuasiveness of one’s presentation to the U.S. Office of Personnel Management.  A bridge which is inadequate will fail to establish that the medical condition impacts one’s capacity to perform the essential elements of one’s Federal position; and one which overextends itself may raise red flags of overreaching and exaggeration, undermined by a Supervisor’s Statement or the Agency’s contention that they have attempted to accommodate an individual to a legally viable degree.

While a 1-to-1 ratio of a medical condition-to-an-essential element is unnecessary in establishing eligibility for Federal Disability Retirement benefits (see my multiple articles on the Henderson case), nevertheless, a linguistic construction of an adequate bridge between the two must be firmly established.

In the end, as with the Allied attempt to swiftly conclude the war resulted in the unnecessary cost of human lives, so one must take care in preparing, formulating and filing for Federal Disability Retirement benefits, such that one does not go “a bridge too far” in making one’s case in a Federal Disability Retirement claim.

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

OPM Disability Retirement: Horns & Whistles

Acoustic signaling devices and technological innovations in repackaging information can convey a sense of “newness” and a refreshing sort of alternate sensory perception; however, ultimately, the substantive information which must be presented will require tackling the hard elements of a case.

In presenting a Federal Disability Retirement case to the Office of Personnel Management, whether under FERS or CSRS, it is important to distinguish between the foundation of the case, as opposed to the “extras” which one may add.  It is like the analogy of the great and master chef who thinks so highly of his or her own skills, that the preparation of the main meal of a course is done without the primary ingredient.  Even the most unrefined and coarse connoisseur can recognize when the steak is missing from a steak dinner.

Thus, in a FERS or CSRS Disability Retirement case, while one’s statement of disability may be persuasive; while “other evidence” by the agency, coworkers, etc. may establish a perspective of medical disability, the foundation of the nexus between one’s medical condition and the positional duties required must be established by the substantive essence of the case — the medical evidence itself.

Don’t mistake the periphery for the center; don’t be fooled by horns and whistles; much noise does not make up for the central requirement in any endeavor.

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

OPM FERS/CSRS Disability Retirement: The Law & Life’s Pragmatic Reality

In a Federal Disability Retirement case, one of the ways to establish the nexus between one’s medical condition and the inability to perform one or more of the essential elements of one’s job, is to show a “service deficiency”. But as most Federal and Postal employees systematically receive satisfactory or higher ratings of workplace appraisals, and are passed through without thought in order for managers and supervisors to avoid contentiousness and adversarial encounters with their employees, it is rare that anyone can show poor performance and tie such a service deficiency to one’s medical condition.

Does one need to go to the supervisor and point out the service deficiencies and ask that the supervisor rate him or her as sub-par?  No.

Does one have to grieve or contest a superior appraisal?  Again, the answer is, No.

The intersecting contradiction between law and life often manifests itself in such circular absurdities.  But how the law is read; the knowledge of a myopic understanding of the law without the greater context of the entirety of the evolution of case-law opinions and further expansive interpretation of the originating statute, can leave one to believe that the law makes no sense, and fails to reflect the pragmatic issues of reality.

Hint:  Most Federal and Postal employees do not have a service deficiency; but since Federal Disability Retirement rules, regulations and statutes require that one’s medical condition must last for a minimum of 12 months, does that mean that one must show a devastation of one’s work ethic for a full year before you can even file?  No.

The conflict between law and the pragmatic reality of life is merely an apparent one; once the truth is unraveled, there really is no conflict at all, internal, apparent, or otherwise, and Medical Retirement applications submitted to the U.S. Office of Personnel Management, whether under FERS or CSRS, in fact reflects the reality of life quite well.  One needs to merely figure out and think away any such apparent self-contradiction.

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

Medical Retirement Benefits for US Government Employees: Lexical Nexus

The lexical expansion of the English language and the evolution of meaning, the transition of words and application, is a subject worth investigating.  One needs only to read a Shakespeare play to recognize that language refuses to remain static; and a culture which desires to progressively develop and advance will systematically reflect the changes of a society’s culture, ethos and normative infrastructures.

There is something to be praised for a static society — one which steadfastly refuses to alter its traditional ways; but as technology is the force of change, and as capitalism is defined by progressive advancement of development at all costs, so we are left with a Leviathan gone berserk and unable to be stopped, and language reflects such revolutionary upheaval.

For the Federal or Postal employee suffering from a medical condition, one needs only to pick up an old medical dictionary to realize the exponential explosion of identified medical conditions.  Yet, the interesting aspect of comparative historical analysis, even on a superficial level, is that the symptoms described in an old dictionary prompts recognition of all such “new” medical conditions.

This leaves one to believe that the reality of the world does in fact remain static; it is only our language which must adapt and reflect in order to adequately account for the reality of the physical universe.

In preparing a Federal Disability Retirement application with the U.S. Office of Personnel Management, whether under FERS or CSRS, the inadequacy of one’s lexical universe may be a hindrance to the proper formulation and delineation of the nexus which must be created between one’s medical condition and the impact upon one’s job.  It is thus the lexical nexus (if one may coin a unique phrase) which must be created in order to effectively prevail in a Federal Disability Retirement application.

While having a medical dictionary may aid one in such an endeavor, the better approach is to first understand that it is not the correspondence between language and reality which matters, but that language is a universe unto itself in which man is the ultimate master of such, caught in that unreality which Heidegger attempted to unravel, and which Kant successfully bifurcated.

Sincerely,

Robert R. McGill, Esquire