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Sample Lawyer Copy: Search Engine Marketing (Case 110, Page 2)

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This piece is a sample case result that an attorney may benefit from on their legal website.

Disabilities: Cervical spine congenital canal stenosis with cord compression; bilateral neural foraminal stenosis; lumbar spondylosis; lumbar radiculopathy; herniated lumbar disc status post-lumbar discectomy; carpal tunnel syndrome; atelectasis; cardiomegaly; recurrent migraine headaches; depression; and obesity

Notice of Decision: Fully Favorable
Administrative Law Judge: (Insert Judge's Name)
Office of Disability Adjudication & Review (ODAR): (Insert Name of Hearing Office)

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On July 30, 2007, Dr. Zaslow performed a lumbar discectomy at the L4-5 due to a herniated disc and low back pain syndrome (Exhibit 23F). However, despite surgery and ongoing medical treatment the claimant has continued to suffer from a severe back condition. On January 29, 2008, state agency consultative examiner Afzal Khan, M.D., conducted a consultative examination and the request of the Social Security Administration (Exhibit 12F) Dr. Khan concluded that the claimant suffered from chronic back pain with a decreased range of motion of the lumbar spine.

A February 4, 2008, MRI of the cervical spine was read by Alexander Van Der Ven, M.D., as showing mild congenital canal stenosis with superimposed degenerative changes causing cord compression and a high cord signal at the C5-6 level. This stenosis was assessed as moderate-tosevere (Exhibit 17F/54-55). Also, the images were interpreted as showing lumbar spondylosis with neural foraminal narrowing, and a stable nasopharyngeal soft tissue prominence. In addition, a CT scan of the claimant's cervical spine, dated December 7, 2008, revealed multilevel degenerative disease and congenital canal stenosis, (Exhibit 22P).

Medical records from Jackson Memorial Hospital for the time period from June 19, 2008 to February 4, 2009 (Exhibit 22F) document treatment for and/or diagnoses of right thumb trigger finger and left long trigger finger, status post-carpal tunnel release surgical procedure, degenerative change of the second distal interphalangeal joint of the right hand, multilevel degenerative disc disease and mild-to-moderate congenital canal stenosis, cervical spondylosis. These records document that the claimant underwent finger surgery on November 17, 2008, but that as of February 4, 2009, the claimant was still having hand problems.

On May 2, 2008, a residual fucntioanl capacity questionnaire was completed by treating physician Yeny Castillo, M.D. (Exhibit 15F). Dr. Castillo indicated that the claimant suffered form congenital cervical canal stenosis with spinal cord compression. Dr. Castillo indicated that the claimant could sit, stand, and walk for less than two hours out ofan eight-hour day, and could only occasionally lift/carry up less than ten pounds. In addition, Dr. Castillo indicated that the claimant would need to use a cane while engaging in occasional standing and walking, and she would be able to use her arms 25% ofthe time and her hands 75% of the time; taking at least hourly unscheduled breaks lasting 15 minutes each. Further, Dr. Castillo indicated that the claimant could rarely stoop, crouch, or kneel, and never climb the stairs. Finally, Dr. Castillo indicated that the claimant would be expected to miss work more than four days a month as a result of her impairments.

As already stated, no formal hearing was conducted as Dr. Cloninger did not have access to the operative reports regarding the claimant's laminectomy and the claimant's July 20, 2007 carpal tunnel release procedure, or records of the follow up care on these procedures at the time of the scheduled hearing on March 4, 2009.

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