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Is it a good sign when Social Security Disability sends you to a doctor?I was that doctor, doing exams for Social Security as a part-time activity for a decade or so, and I also had a medical practice in which some of my patients might be applying for Social Security Disability.Being sent to a doctor for an exam is not a “good sign” or a “bad sign.” It is what happens if the information that the doctors and other decision-makers at Social Security looked at was inadequate for determining whether or not you qualify.Your information might be inadequate because you don't see doctors. One person I evaluated was clearly dying and would have had no problem qualifying for immediate acceptance, if there had been a medical record to review. I wrote up the case emphasizing that eligibility. A few weeks later, I was contacted by the coroner to certify that the death didn't require an autopsy, because there was no other doctor to ask.Many of the cases I examined had medical records focusing on diagnosis and treatment but with little or no detailed information on strength, mobility, or other factors that would affect ability to work. The Social Security Disability exam has a very different perspective from the usual clinic visit. In my own practice, I was aware of what Social Security would need for making a decision, and I made sure to include that information in my notes. Not every doctor does that.Some cases are sent for examination because of reports to Social Security that the person might be making a fraudulent claim. An ordinary medical record rarely contains the information that a reviewer needs to determine whether this is likely. Both in my Social Security exams and in writing clinic notes for my own patients, I recorded my observations supporting or not supporting the patients’ claims.Some conditions are not addressed in Social Security's guidance for determining disability. I did one exam for excessive sweating and was able to report that the patient (who was otherwise in reasonable physical and mental condition) left a large pool of sweat on the exam table and needed to drink liquids during the exam to keep up with the water and electrolyte losses.Some exams are required in Social Security regulations, even if they seem ridiculous. I did quite a few exams on people with congenital disabilities or disabilities that simply wouldn't be expected to ever change. I assume that the reason for those exams is to determine whether the person receiving the payments still exists.Combinations of different disabling conditions complicate Social Security's decision-making process and can lead to a request for an examination. I would often do exams on people with a congenital disability that might not even be under active medical treatment, along with a new medical problem that wouldn't be disabling on its own, or on someone with two or more diseases that were being treated by different doctors whose records might completely fail to mention each other's areas of concern.There's a new area of trouble for patients in the era of electronic medical records. I stopped doing Social Security exams and then retired before this plague was really bad, but I wouldn't be surprised if it is causing more and more problems. That's “templating.” Electronic records make it easy to record all the parts of the physical exam that are required for payment from the insurer by just importing a description of the routine exam (the stuff that is just incidental to whatever the doctor was actually looking at, but which needs to be mentioned anyway). I have seen the eye exam reported as normal on a patient with a glass eye, and many cases of joint problems simply not noticed in templated notes.So don't take it as a good or bad sign if you are required to go for a Social Security Disability exam. Most of the reasons for requiring those exams don't have much to do with you, but have a lot to do with how medical records are kept.

Depends on where you get them (or the exam).A mall eye wear outlet may stock a variety of lenses and frames AND have the equipment tooling in house to shape them to fit their stock of frames. Maybe in about an hour depending on how busy they are.An optometrist with his own office may be able to order them and get delivery in one to two weeks in the frames of your choosing.I was once sent to the business that fabricates the lenses due to my poor vision. I kept my existing frames and had new lenses installed. The fabricator did not have the template required to shape my lens so they needed the frames to ensure a good fit. Had to take another afternoon from work to do that, but it only took about two hours to get it done.

Let’s call him A. Roll number – 29. And I was number 30. This meant that during exams he’d be on the seat ahead of me. Every single exam, all three semesters, every year, for three years.He and I, we were friendly classmates – like whenever there was a difference of opinion or a cold war or a fight, we were always on the same side. There was competition, but not enough to affect our friendship. I liked him. Enough to deliberately avoid tying a Rakhi [1]on his wrist, every year. Hoping nobody noticed. Sort of hoping he did. Or I don’t know. I didn’t know shit back then!If you’ve ever written an exam, you know how the pressure builds when other people ask for additional sheets or are done with their exam while you hurriedly scribble into your answer sheet. He’d bring me a lot of nervousness by doing just that. Although it wasn’t deliberate. I remember him smiling at me, with some mischief, every time as he waited for the teacher to get to his seat with an additional sheet.He had a distinct style of writing the last few words on paper. He’d sit up straighter (he was tall and he always sat up straight maybe because there wouldn’t be any room for his legs if he sat any other way). His posture would change, become more alert and he’d sort of hurriedly write the last few words down. Almost as if he was holding his breath for them. And then when he was done, he’d always turn and smile. And I’d groan.He’d be done with his exams before most of us and have plenty of time to spare. In that time, he’d look around for some time then put his head down and look to the sides and then he’d turn his head back and look at me. And keep looking. And smiling.It wasn’t as strange as it sounds. It wasn’t weird or creepy. It was just sweet. Sweet enough for me to be writing about it almost 18-19 years later. I wish I could describe it better or just know the words to express how those moments felt.Those moments are one of those for me that are frozen in my mind just because I have gone back to them so many times.If you think of it, I may just be thinking too much. It was just a kid passing time.But it was never just that. It never felt that way.I felt special. I felt important. I felt beautiful. I felt noticed. I felt seen. Although I was too young to put those feelings into words back then, I am the same person. And I still remember how it felt. It felt amazing!This one time, I too had finished my paper early and then I put my “head down”. That was the term the teachers used. Of resting your head on your folded hands on the desk. It was their equivalent of a ‘hands up’, I guess.I put my head down and looked straight ahead. He was looking at me. And I didn’t look away. I don’t know why I did that. It was unlike me. But it didn’t feel wrong at all.We kept looking into each other’s eyes. I don’t remember for how long. But it was quite a long time. I remember that because after some time I was afraid the invigilator would come up to scold me. I was anticipating scolding. Thankfully that didn’t happen. And thankfully we didn’t stop looking into each other’s eyes either.We weren’t winking or passing any messages or even trying to communicate. We were just looking into each other’s eyes for a very long time. Without hatred. Or competition. Or nervousness. Or some overt form of love. At that age, even if love smacked me in the face I wouldn’t have recognized it. Looking back, a part of me wonders what if that was exactly what had happened.“What if?” [2]We just looked at each other and it was soothing. Words didn’t seem necessary, even to a chatterbox like me. Just looking into his eyes seemed enough. I didn’t have any questions that I was seeking answers to. My stories were in no hurry. There was nothing going on in my head. I wasn’t even wondering what he could be thinking. I didn’t look away. I felt so accepted that nothing else mattered.That is what this video [3] reminded me of. I am so glad I wrote it down. Until now, it was just a memory. I don’t know if it would have faded with time. I doubt I would forget something so profound. Who knows, I could have, even without knowing. But I am thankful I didn’t. And I am really happy I put it in words so that I can come back to it whenever I want.If not having a listener to my stories distresses me the most, being scared of losing my memories comes a close second.Watching the video for the first time was a profound experience. I could relate to those people. I remembered the one and only time when I had looked into someone’s eyes for so long, in silence. It felt great to watch a video and not die a little bit inside as I add it to my mental list of relationship ‘goals’- as people call it or wishes- as I think of them.In my memories, he’s still the school kid. I am sure he’s very different from that now. But in spite of trying to imagine him as a grown man, with/ without beard.. – I can’t seem to find a mental template to associate him with.So, I go back to the image that is still so well preserved in my mind and hold on to it. Did I preserve it or had it been in a tiny little corner of my mind all this while? A corner no one else had ever been in, a corner no one has since been in.Footnotes[1] Raksha Bandhan[2] Sophie's Letter to Claire[3] How To Connect With Anyone