THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700


S U M M A R Y


DIARY: November 6, 1999 08:05 AM Saturday; Rod Welch

Called Kathleen to get Bob's medical history.

1...Summary/Objective
2...Review the Record for Orientation on Status and Planning
3...Medicare - Filing for Retroactive Coverage
4...Assembling Evidence of Disability
5...Research Social Security Disability Filing Procedures
6...Call Social Security about Disability Claim for Bob

ACTION ITEMS.................. Click here to comment!

1...Might wind up getting a professional to talk to Bob at the hospital
2...To file for social security disability we need a history.
3...Second, we need a medical history. Apart from the current situation,

CONTACTS 

SUBJECTS
Kathleen and Bob
Social Security Disability

0504 -    ..
0505 - Summary/Objective
0506 -
050601 - Follow up ref SDS 25 0000, ref SDS 22 0000.
050602 -
050603 - Developed planning to assemble evidence for social security
050604 - disability claim.
050605 -
050606 - Submitted ref DIT 1 0001 linked to this record for support in
050607 - developing evidence to file a claim for Bob.  Linked to discussion
050608 - with Kath yesterday on planning for bringing Bob home. ref SDS 23 5022
050609 -
050610 -     [On 991109 Kathy and Amy visited Bob today. ref SDS 30 0001]
050611 -
050612 -
050613 -
0507 -
0508 -
0509 - Discussion
0510 -
051001 -  ..
051002 - Review the Record for Orientation on Status and Planning
051003 -
051004 - Kathleen was resting from having been at the hospital all night.
051005 - Talked to Patty.  She visited Kathy and Amy, and stayed with them last
051006 - night. per planning yesterday. ref SDS 23 1127
051007 -
051008 - Sometime today and tomorow review the record for orientation on events
051009 - yesterday.  DO NOT FOLLOW every link and DO NOT FOLLOW links deeply.
051010 - Below the first link in an SDS record, if you click on one at the next
051011 - level, read only a para or at most 2, then click back and continue
051012 - reading at the main level.  Make a full read at the primary level,
051013 - then decide if you want more information on any particular link.
051014 -
051015 -     1.  Kath and Patty working with Bob at hospital. ref SDS 23 0001
051016 -
051017 -     2.  Estate planning with counsel, Patty's meeting. ref SDS 24 0001
051018 -
051019 -     3.  Medicare entitlement research. ref SDS 25 0001
051020 -
051021 -
051022 - Advise of any corrections or clarifications needed.
051023 -
051024 -
051025 -
051026 -  ..
051027 - Medicare - Filing for Retroactive Coverage
051028 -
051029 - Follow up ref SDS 25 4866, ref SDS 22 4866.
051030 -
051031 - We need to develop a medical history for Bob in order to file for
051032 -
051033 -
051034 -            retroactive determination of medicare disability
051035 -
051036 -
051037 - ... under social security.  It seems to turn out that this is similar
051038 - to the work Peter Brixie did for Kathleen, except we do not have any
051039 - formal medical history.
051040 -
051041 -    [On 991107 indication doctor reports Bob has suffered disability
051042 -    from cancer for the past year. ref SDS 26 2850]
051043 -
051044 - ..
051045 - Peter offered yesterday to assist in making this filing, and has
051046 - suggested that the family obtain forms for social security disability.
051047 - ref SDS 25 3713
051048 -
051049 -    When he helped Kathleen file for disability, did Kath submit forms,
051050 -    or did Peter handle everything?
051051 -
051052 -    Does Kathleen have a copy of the filing Brixie made in her case?
051053 -
051054 -      [On 991108 forms were for an appeal. ref SDS 27 2205]
051055 -
051056 -
051057 -    What was the approxmiate total cost for Peter's services and over
051058 -    what period of time did he work, a month, 6 months, etc?
051059 -
051060 -      [On 991108 report cost was $4K. ref SDS 27 2205]
051061 -
051062 - ..
051063 - Preliminary Basis of Filing...
051064 -
051065 - Research on 991104 indicates Medicare benefits before age 65 require
051066 - determination of disability 24 months prior to payment of benefits.
051067 - ref SDS 25 7350  If this is so, then need facts to cover 2 years of
051068 - disability.
051069 -
051070 -    1.  Bob's cancer is a qualifying disability.  We need evidence
051071 -        from the physician on the approximate period this affliction
051072 -        has been disabling.
051073 -
051074 -           [On 991107 report Bob has suffered disability from cancer
051075 -           for a year. ref SDS 26 2850]
051076 -
051077 -           [On 991108 called Doctor Fogelberg to request a statement.
051078 -           ref SDS 27 0504]
051079 -
051080 -        The record over the past few days indicates that, as a result
051081 -        of continuing physical infirmities, perhaps dating from birth,
051082 -        Bob's natural high strung emotional character has created in
051083 -        later years a qualifying disability that rendered him unable to
051084 -        hold a position beginning sometime within the past few years,
051085 -        as related by Kathleen on 991103. ref SDS 20 4015
051086 -
051087 -           [On 991109 initial report from clinical psychologist advises
051088 -           a number of disabilities fit Bob's symptoms. ref SDS 28 5776
051089 -
051090 -           [On 991109 counsel cites authority that may support Bob's
051091 -           entitlement. ref SDS 29 5610]
051092 -
051093 -           [On 991111 counsel indicates recovery for Medicare in Bob's
051094 -           case has not previously been accomplished, recommends filing
051095 -           for Medi Cal. ref SDS 31 3135]
051096 -
051097 -    2.  Age, which brings increased physical impairment, also causes
051098 -        decreased ability to tolerate ordinary interplay among people
051099 -        that occurs on the job.  My impression over the years has
051100 -        always been that Bob is a salt-of-the-earth person, who loves
051101 -        to help people, loves to work and get things done.  He has a
051102 -        sharp mind and winning personality.  He also seems to get
051103 -        excited and become emotional quickly.  Like all of us in
051104 -        advancing years, pent up feelings about frustrations dealing
051105 -        with life boil over in Bob, even more quickly than most.
051106 -
051107 -        I could be wrong, because of limited time being around Bob, but
051108 -        that is my impression.
051109 -
051110 -        On 990801 Bob brought their computer here for service and
051111 -        configuration.  I noticed that joy and strong disappointment
051112 -        are pronounced, and escalated quickly during computer games.
051113 -        One example is using excessive force striking the keyboard.
051114 -        ref SDS 4 5310
051115 -        ..
051116 -    3.  The combination of increasing physical and emotional
051117 -        impairment, and decreased tolerance, due to age, has made Bob
051118 -        more suspicious than normal of the "system," and reluctant to
051119 -        rely, for example, on normal medical treatment.  One result is
051120 -        having waited too long to seek treatment for cancer, reported
051121 -        on 991102. ref SDS 19 3150,
051122 -
051123 -           [On 991107 report Bob has suffered disability from cancer
051124 -           for a year. ref SDS 26 2850]
051125 -
051126 -        On 991104 report that Bob was usual self, uncomfortable and
051127 -        impatient waiting for surgery, and he evidently asked Rita to
051128 -        leave so he could be with his family. ref SDS 21 2340  This is
051129 -        normal for anyone facing critical surgery that has been
051130 -        delayed.  The report, however, that this is Bob's "usual self"
051131 -        shows an emotional toll on Bob the past year or so that has
051132 -        hampered his ability to function normally with people, as set
051133 -        out on 991103. ref SDS 20 4015
051134 -        ..
051135 -        Another indicator of being overly emotional, may be the
051136 -        doctor's decision yesterday to change standard procedure for
051137 -        telling patients their prognosis.  Thursday night the doctor
051138 -        said this would be done, ref SDS 21 4899; yet, yesterday
051139 -        decided against it, ref SDS 23 3182, probably due to Bob's
051140 -        difficult emotional night. ref SDS 23 8769  This reflects
051141 -        awareness that Bob needs different treatment because his
051142 -        emotional state is "different" from most other patients in the
051143 -        same predicament, or, stated another way, abnormal.  This may
051144 -        be a qualifying disability.
051145 -
051146 -           [On 991108 Bob had further emotional problems. ref SDS 27
051147 -           5328]
051148 -        ..
051149 -        Patty noted this morning that the nurses caring for her
051150 -        Dad have commented that he is an emotional person.  This is
051151 -        different from simply being a difficult patient, or "crochity"
051152 -        senior.
051153 -
051154 -           [On 991111 nurses getting frustrated. ref SDS 32 5328]
051155 -
051156 -
051157 -  ..
051158 - Assembling Evidence of Disability
051159 -
051160 - On 991105 research on the Internet yielded a list of evidence we need
051161 - for making a claim. ref SDS 25 3816
051162 -
051163 - Mrs Stevens with the social security office further explained
051164 - information to submit for a determination of social security
051165 - disability. ref SDS 25 0744
051166 -
051167 - She advised that Bob's current doctor can provide a statement to
051168 - support a finding of disability. ref SDS 25 7918
051169 -
051170 - We need to discuss with the doctor getting a statement on why normal
051171 - procedure was not followed with Bob, as related by Patty Thursday
051172 - night. ref SDS 21 4899 It seems obvious that the doctor has recognized
051173 - in treating Bob that he does not tolerate emotional situations well.
051174 - He reacts faster and stronger than most.  The doctor should be able to
051175 - write a letter stating that fact, and we need to support the doctor in
051176 - framing a constructive letter.
051177 -
051178 -    [On 991107 Bob's doctor has indicated he suffered disability from
051179 -    cancer for over a year. ref SDS 26 2850]
051180 -
051181 - We need the doctor's name and phone number -- email address would be
051182 - perfect, but that might be stressful for the doctor, based on work
051183 - with Kaiser. ref SDS 10 9130
051184 -
051185 -    [On 991108 called Doctor Fogelberg to request a statement.
051186 -    ref SDS 27 0504]
051187 -
051188 - Kathleen mentioned on 991103 that Bob suffers from digestion problems
051189 - and headaches. ref SDS 20 4015
051190 -
051191 - These can be related to an easily irritated frame of mind.  Advancing
051192 - age brings increased physical problems and reduces tolerance for
051193 - emotional disruption, ref SDS 0 1512, as recognized by the attending
051194 - physician and the nurses, per above, ref SDS 0 5580, that have, in
051195 - combination, disabled Bob from holding a steady job for at least the
051196 - past few years.
051197 -
051198 - Might wind up getting a professional to talk to Bob at the hospital
051199 - so we can get a letter on this aspect of disability.
051200 -
051201 -     Did Peter Brixie support this evidence gathering for Kathleen when
051202 -     she filed for disability?
051203 -
051204 -     Should we have Peter make this arrangement?
051205 -
051206 -     [On 991108 Angela Curaele prefers to work through Peter Brixie.
051207 -     ref SDS 27 2000]
051208 -
051209 -
051210 -  ..
051211 - To file for social security disability we need a history.
051212 -
051213 - Don't worry about not having good records and cannot remember
051214 - everything.  We will just start with what we have...
051215 -
051216 -     1.  Work history.
051217 -
051218 -     2.  Names of firms, phone numbers, names of bosses, if we have
051219 -         them, and
051220 -
051221 -     3.  Names of co-workers, possibly friends on the job, if we have
051222 -         them.
051223 -
051224 -         Include family and friends with phone numbers who can be
051225 -         contacted about submitting corroborating letters on Bob's
051226 -         condition.
051227 -
051228 -  ..
051229 - Second, we need a medical history.  Apart from the current situation,
051230 - what medical problems have occurred and has there been a pattern of
051231 - increased severity.
051232 -
051233 -          [On 991107 letter from Kath says doctor indicates Bob has
051234 -          suffered from cancer for a year. ref SDS 26 5037]
051235 -
051236 -     1.  When was the last time Bob went to the doctor, the time
051237 -         before, etc., to the extent you remember.
051238 -
051239 -         Formal medical history is useful.
051240 -
051241 -         Formal medical history, however, is not critical to our claim.
051242 -         We are probably going to claim that failure to seek treatment
051243 -         is evidence of entitlement.
051244 -
051245 -     2.  Chronology of ailments.
051246 -
051247 -         Kathleen mentioned on 991103 that Bob suffers from digestion
051248 -         problems and headaches. ref SDS 20 4015
051249 -
051250 -         Try to construct a list something like this...
051251 -
051252 -              1974 hurt his back
051253 -              1977 digestion problems began
051254 -              1983 headaches
051255 -              1985 digestion, taking stronger medication
051256 -              1987 hurt back again, left work
051257 -              1994 left work due to headaches
051258 -
051259 -         Something like the above listing is helpful, if we can
051260 -         assemble it.  Don't work too hard at this.  Just put down
051261 -         whatever comes to mind.
051262 -
051263 -         If some major events occurred explain them.
051264 -
051265 - Kathleen mentioned that Bob in recent years can only do sales work,
051266 - why is that...
051267 -
051268 -
051269 -
051270 -  ..
051271 - Research Social Security Disability Filing Procedures
051272 -
051273 - Follow up ref SDS 25 3953.
051274 -
051275 - Does Kathleen have the filing that was made on her behalf by Peter
051276 - Brixy, per above. ref SDS 0 2205
051277 -
051278 -
051279 - Call San Francisco Neighborhood Legal Assistance Foundation
051280 -
051281 -
051282 -                       415 982 1300
051283 -
051284 -
051285 - These people are closed today.
051286 -
051287 - Started some research on Kaiser's web site using the discussion
051288 - forum at...
051289 -
051290 -                     http://www.kponline.org
051291 -
051292 -
051293 - ...accessed from the record on 991028. ref SDS 15 0001
051294 -
051295 -
051296 -
051297 -
051298 -  ..
051299 - Call Social Security about Disability Claim for Bob
051300 -
051301 - Follow up ref SDS 25 0744.
051302 -
051303 - Social security       800 772 1213
051304 -
051305 - Call and request an application for disability entitlement.
051306 -
051307 -
051308 - These people are also closed today.
051309 -
051310 -
051311 -
051312 -
051313 -
051314 -
051315 -
051316 -