Ideas for sweet-talking my doctors into cooperation?

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Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 3/19/2009 9:57 AM (GMT -7)   
This is kind of off-topic, but...

I have several issues, chronic pain (diabetic neuropathy) the main one.

I'm applying for SSDisability, and need my doctors' cooperation to fill out some forms for my attorney. Without the doctor filling out the form, I probably lose. Heck, I'm not even asking them to fill it out how I want them to fill it out.

I'm up for anything that will get them to just cooperate in filling out the form; they don't even have to support me getting Disability. I even offered to fill it out for them (with their answers- not mine) and then they just sign.

Anyone been through this? Anyone got any ideas?
Wife: Liz
Dogs: Koshka & Chomp


mom9mom
Regular Member


Date Joined Sep 2008
Total Posts : 489
   Posted 3/19/2009 10:41 PM (GMT -7)   
Dr. have to fill out these kind of papers all the time what is the problem with your Dr`s ??????
Lost half of my small intestineJan.2008.Ilieostomy for 5 months then reverst in June 2008,Nerve damage to right leg,part of my right hip bone removed Jan. 2008,Cronic pain,hernia,infection in my back called discites,and depression.Gallbladder removed Nov,2008.Surgery to fuse L3 and L4 vertabra Dec. 31,2008.Mother to 9 kids 7 boys 2 girls and 1 stepson.4 grandsons,9 grandaughters.4 of my grandkids I inherited from my twin sister who passed away 6 1/2 years ago from a blood clot after surgery.God has given me my life back after I almost lost it.Even though its a painful and sometimes hard road to walk I take it one step at a time and give thanks to god for every step I take.


Chutz
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Date Joined Jan 2005
Total Posts : 9090
   Posted 3/19/2009 10:55 PM (GMT -7)   
I agree with mom9. I don't think it's an option, the paperwork is sent to them and they need to fill it out promptly and return it. Have you talked to them? Why do you think there will be a problem?

I do personally know of people who's doctor didn't get it back in time and they were denied, of course. But since then they have completed the paperwork and things are moving along now. Remember that somewhere between 75-80% of people are denied to start with. IMHO it seems like a badge of honor for them to knock off so many people. It's a shame since many eventually get approved and are in desperate need of the help. I have just started the paperwork myself and my doctor volunteered to fill out the papers when needed.

Good luck and keep us posted.
Chutz
Co-Moderator Fibromyalgia & Chronic Pain Forums
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Rosie the riviter
New Member


Date Joined Mar 2009
Total Posts : 3
   Posted 3/19/2009 11:31 PM (GMT -7)   
Tony,
I've been through getting disability...my advise....I did it myself without an attorney,,,,,fill out everything they ask you to and keep a copy for your records, as far as the doctor filling it out..each office is different.The pain clinic said the doctor just signs it after the CPA fills it out....and of course it got lost 3 times, keep on them, find out who fills the paperwork out, keep their name and phone#.Ask them when you can come in and pickup the paperwork...then make a Dr.'sappt. and tell him or her you are there to get the paperwork, tell them you need thepaperwork for your disability income. Don't give up! Get someone in that office to commit to filling out the paperwork. The pain Clinic even told me they were going to charge me a couple hundred dollars to fill it out, I said fine..but they never did.Perseverance is the key, and don't accept no for an answer..Remember, your Doctor gets paid plenty every time you see him or her...don't be afraid of him. You will probabley have to tell them it has to be filled out. As far as your paperwork, be detailed, and answer all their questions. There are forms for a relative to fill out too, tell them to be complete,& make sure they know what you can and can't do. I was shocked when I got my determination letter because my lawyer had said that I shouldlet him know when i'm turned down, that everyone is turned down the 1st time. Be persistant, be complete, answer all questions, and don't take no for an answer.You might have to come out and ask him who fills these papers out?or, do I need to get another doctor?
Good luck!
Rosie

straydog
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Date Joined Feb 2003
Total Posts : 13455
   Posted 3/20/2009 12:53 AM (GMT -7)   
Tony what is the drs reason for not filling out the form. Did you make an appt and go in with the form and explain what its for? Susie


bluejet2
Regular Member


Date Joined Feb 2009
Total Posts : 487
   Posted 3/20/2009 6:40 PM (GMT -7)   
I, too, have been through this process and I truly believe that they overwhelm you and your doctor with so much paperwork, hoping that you will give up. If it's Social Security Disability you are trying to get, they do hold you responsible if the doctor does not do the paperwork on time. You do have to keep on top of the doctors office, but if it looks like they are not going to get it done on time, I would suggest calling Social Security and tell them and they will note it in your file.

They recently asked me for a list of dates for every doctor's visit, test, scan, procedure, surgery, hospitalization, and prescription I have had filled for the last 2+ years. It was a massive undertaking! They never informed me to keep a record of any of this stuff, so initially I tried getting this information from each doctor, hospital, and pharmacy individually, until someone suggested that I call my insurance company which is split into two parts, one that covers doctor's visits, out-patient testing, and prescriptions, & the other covers surgeries and hospitalizations. Because I needed more than 18 months worth of information, I had to make a request in writing which they "did not get or lost" twice, until I sent it registered mail, return receipt requested & it still took them about 3 months to get the information to me - Social Security had given me 30 days to get it all and get it sent to them.

I called the insurance company once a week until I got what I needed (make sure you get the name & extention of the person you talk to), and every other week or so I would call Social Security and let them know what was going on.

I would also suggest being very detailed when answering questions on any paperwork they send you, and definitely keep copies of everything because if you are approved, approximately every two years they will "re-evaluate" your condition, and they will ask you the same questions again and it helps to know what you wrote before so you can be specific about what has remained the same and what may have gotten worse, etc.

They will ask you what you do every hour of the day, every medication you have ever been on and if you stopped taking it they want to know why. The last "re-evaluation" they did on me they sent me 25 pages worth of questions, and sent each doctor 18 pages worth.

It is overwhelming, but not impossible. I was approved on my first attempt at getting Soc. Sec. Disability, which they say is almost impossible. I hope these tips will be helpful.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 3/20/2009 6:50 PM (GMT -7)   
Tony I would take the forms in personally to your Doctor have them in an lage envelope, with your name and address on it and have a cover page with your written request that you want your doctor to fill out and complete and sign the attached forms, and when he/ she has done so and they are ready, ask them to contact you and that you will pick them up in person! ( that way they can't tell you that they are in the mail or they must have got lost or what ever!) After you pick them up make sure you have copies of all of them and then give the originals to your SS. SSD is famas for rejecting the first time or two so like Rosi said just be persistent! If rejected the first time I do think I would hire a Lawyer that does this type of thing on a regular basis, allot of them will take their payment after it is approved and since allot of times SSD is approved as retro-active to the time of original application or original time of disability, you could possibly get a pretty sizeable starting payment, and Lawyers will some times accept their payment from that! It might be worth your time checking into it anyway!

Good Luck to You

White Beard
 

I'm Retired USAF, went back to school and became an RN, and now am on ful disalbility!

Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!)

Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 3/20/2009 8:01 PM (GMT -7)   
Tony,

I'd suggest that you make an appointment with this doc & at that time, bring him all of your forms & detail what you would like done. Also bring with you any other necessary paperwork, and prepaid envelopes for where you would like the forms sent after they have been completed. I know from having doctors in the family that some docs will only fill out SSD, etc, forms if you first make an appointment with them to discuss the paperwork. Otherwise, they tend to be so busy that the paperwork just goes onto their big stack of papers & it may not get done in the time frame that you need, as it will not be of the highest priority. However, if you take the time to sit down with the doc, give them a heads up, and really help them out by doing your part & bringing them EVERYTHING that they will need from you, they will do everything they can to get the paperwork back to you asap & will really make it a priority to get it completed & back to you.
Good luck!

Skeye

BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 3/21/2009 1:25 AM (GMT -7)   
For the 5-bucks-a-page form fee, my doctor will sign any form put directly front of him.

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 3/21/2009 8:20 AM (GMT -7)   
Tony I wanted to says thank you for a response to my post..Start sweet talking the nurses first
and ask if the Doctor has a charge for typed paper work, my daughter has a heart condition and
every school year we needed typed up paperwork from the doctor and he started charging $ 20.00
a page for typed medical forms 2 years ago. The nurses would know this info that's why I say
to start sweet talking with them first and then make your appointment with the doctor and have all
your forms ready at your appointment...
Hope this helps..
Good Luck and sure hope it can help you...
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Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 3/22/2009 5:51 AM (GMT -7)   
Well, I'm overwhelmed with gratitude to everyone who has responded. Your suggestions are each one taken to heart, and I'll immediately act on them - particularly the 'do the work for them' which I offered when I hand carried the questionnaire to each doctor's office last week.

I apologize for taking so long to get back here. But Friday I lost the whole day due to taking too many doses at once; I was evidentily on autopilot in the morning and took lunch/dinner/bedtime doses all at once. I was zoned out, zonked out and wiped out. Got the shivers, headache and wasn't sure I was going to make it. I guess I basically did and overdose of my medications (lyrica/cymbalta/methadone/morphine); 3 doses of each. That's the first time for anything like that, and my wife and I have done everything we can think of to prevent me doing that -- even when zoned out. We're even looking at fish food timed release thingies that dispense fish food dosages based on time of day and whatever you put in them for the time of day. All electronic, and then I can only get whatever is appropriate for the time of day.

As to why I think the doctors might not sign the paperwork, I had already told both the primary care and pain management doctors that I was applying to SSA for disability and asked how they felt about supporting me in my application. One said "That kind of thing normally goes to a specialist who will test you; I don't get involved" and the other said "They don't usually contact us and ask for that kind of thing" and then wouldn't discuss it further.

I would change doctors, but I'm so far down the line I'm afraid to change in the middle of things. I'm particularly not happy with my PC doctor as far as attitude goes. I keep mentioning issues, and MONTHS later I'm complaining about the same thing and he sends me off to another specialist - who EVERY TIME has found what I complained about: 2 MRIs, 2 neurologists, and upper GI and surgery have resulted - after each thing being poopoo'd by the doctor and later relented on.

Anyway, as I said I am overwhelmed and grateful with the responses here.

Time is the one commodity that each of us has that is absolutely limited, and I appreciate that you have chosen to spend some of yours helping me. Thank you.
Wife: Liz
Dogs: Koshka & Chomp


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 3/22/2009 6:46 AM (GMT -7)   
Thinking about this more, isn't it wrong for the doctors not to complete those forms? I would think that their job description would include filling out something that pertained to their patients' wellbeing - whether in the patient's favor or not.

And I'm not telling them I want it only when in my favor. Simple honest responsesl Kinda like a teacher's responsibility to fill out a report card on their students when asked.
Wife: Liz
Dogs: Koshka & Chomp


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 3/22/2009 11:20 AM (GMT -7)   
Tony,
I get the same responses from some of my doctors. Truth is some of them don't want to get iinvolved in the paperwork, and that's their way of avoiding it. Although I will say as far as your PCP goes, it probably is better it comes from a specialist. My hunch would be that SSD would use that as an excuse to deny you, and want more evidence from relevant specialists of disability. PCP's actually don't have that level of knowledge in a lot of cases, although if you have documents from other specialists, having a PCP involved probably would be ok. I just thought I'd chime in that I've had the same reluctance. My neurologist, for example, has said he'd put it in his records, but he generally doesn't fill out the forms (i think that's B.S. - but he's the same one who doesn't want to prescribe me any pain meds.). I think the pain meds issue is another reason. If you're going to be a long term pain patient, probably only the doctor prescribing the meds is going to be willing to help out with the actual forms.

I think they don't want the hassle of having to deal with SSD any more than we do. They know they'll likely be asked for more info. down the line, as claims are denied. I can imagine it does become a lot of paperwork for them, too, when we're repeatedly denied and have to go back to them for clarifications, etc. A no win situation all around. Probably why attorneys end up getting involved.

PaLady

Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 3/23/2009 5:23 AM (GMT -7)   
Thank you for chiming in, PaLady.

What I did is take the questionnaire specific to the pain stuff to the Pain Management doctor and the generic questionnaire to the Primary Care doctor. Sounds like the same general idea you are talking about. I consider that a good sign :).

We'll see how it turns out. But I think avoidance is exactly the issue. But I tried to give them the best of all worlds in that I'd even show up for an appointment and write down their responses to the questions so that they'd get paid for the work. I doubt that'll be good enough, but I'm near the point of dropping at least the PCP anyway.

Again, thank you.
Wife: Liz
Dogs: Koshka & Chomp


edt
Veteran Member


Date Joined Dec 2008
Total Posts : 773
   Posted 3/23/2009 6:07 AM (GMT -7)   

Tony,

When I applied for SSD,  my PM Dr. filled out the forms.....he also sent me to a Neurologist and attached his Consult letter to the forms as well.  I seem to remember, my portion being very detailed and told to be careful in how I answered my ability to do certain personal functions, it was a sure denial if you were able to shower and care for yourself without help.  I was lucky (ha) and was approved the 1st try.  I agree with everyone that your PCP may not be a good choice to do this for you.  PMD's are the experts and deal with SSD everyday.  I also attached a letter from my employer stating that I worked until I couldn't....he also stated that it was his saddest day watching this happen to me!

Good luck! 

Patti

 


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 3/23/2009 7:59 PM (GMT -7)   
Here is another catch 22 on the PCP. Tony if your PCP has treated you alot for your illness, then yes you do need his help because he is a vital part of the paper trail, known as medical records. Good luck, Susie


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 3/24/2009 9:54 PM (GMT -7)   
Well, I bit the bullet as I said - called and set an appointment for 1:30 today.

Went in, and the dr immediately opened on the paperwork saying he couldn't really fill it in since much of it required specialized equipment and such. I figured what the heck, no sense being at odds with my PCP, so I let him off the hook. We went on with the rest of the appointment.

The appointment was stretching out, since I wanted to get everything covered - and it was all legitimate.

"Well, so, let's see about this form" he says, and pulls out the paperwork - then begins reading the questions aloud. I indicated my preferred answer, and he used it or compromised if he didn't agree. Before long we were at the back page and he was signing it with just a few questions not answered.

And while I 'forced' the issue, I did so with your support and suggestions. I wish to thank everyone who participated on this thread. Everyone kinda helped to put this one together, and gave me the support I needed to carry through on this.

Thanks to each, one and all. My appreciation abounds. (If that makes sense.)
Wife: Liz
Dogs: Koshka & Chomp


mom9mom
Regular Member


Date Joined Sep 2008
Total Posts : 489
   Posted 3/25/2009 12:43 AM (GMT -7)   
Glad that you got what you needed,Good job asking for what you needed.
Lost half of my small intestineJan.2008.Ilieostomy for 5 months then reverst in June 2008,Nerve damage to right leg,part of my right hip bone removed Jan. 2008,Cronic pain,hernia,infection in my back called discites,and depression.Gallbladder removed Nov,2008.Surgery to fuse L3 and L4 vertabra Dec. 31,2008.Mother to 9 kids 7 boys 2 girls and 1 stepson.4 grandsons,9 grandaughters.4 of my grandkids I inherited from my twin sister who passed away 6 1/2 years ago from a blood clot after surgery.God has given me my life back after I almost lost it.Even though its a painful and sometimes hard road to walk I take it one step at a time and give thanks to god for every step I take.


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 3/25/2009 2:40 AM (GMT -7)   
Hi Tony so glad your dr came thru for you. Susie


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 3/27/2009 10:29 AM (GMT -7)   
Well, PCP came thru.

Went to see PM this morning. Fessed up to taking too many doses due to 'black out'. I was seeing 2ndary doctor, and she was AOK with it. But demanded I work out a way that the same cannot happen again.

Also informed me of the absolute that the PM doctor WILL NOT fill out or have anything to do with Social Security paperwork.

So, I'll let SS deal with the PM if they want to.

Side note: our pharmacy is starting a plan similar to WalMart's for drugs. Should save me a bundle. Looks like all of the pharmacies are being forced into accepting a similar plan - look for your pharmacy to start soon. (Brought up in case you do most stuff without going inside and may not see signs to take advantage of such a plan - ASK!)
Wife: Liz
Dogs: Koshka & Chomp

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