This in regards to Mrs. Caretaker’s medical impairments. Mrs. Caretaker has a stabbing, pulsating sensation in her lower back. The pain is along her waist-line and radiates down her right buttock to her toes. The feeling is stabbing, burning, and pulsating. She always feels a pulsating, throbbing pain in those areas. She also complains of pain in her right hip. Mrs. Caretaker’s neurosurgeon, Dr. Thor Lumbar, suspects that she has nerve root compressions, one in her neck and one in her lower back. He wants to do another MRI, because he is worried that her delay in the surgery will permanently damage her spinal cord. Spinal cord or nerve root lesions, due to any cause with disorganization of motor function which is also described in (Disability Evaluation Under Social Security, n.d.)11.04B that states Significant and persistent disorganization of motor function in two extremities, resulting in sustained disturbance of gross and dexterous movements, or gait and station (Social Security Medical/ Professional Relations, n.d.). Persistent disorganization of motor function in the form of paresis or paralysis, tremor or other involuntary movements, ataxia and sensory disturbances (any or all of which may be due to cerebral, cerebellar, brain stem, spinal cord, or peripheral nerve dysfunction) which occur singly or in various combinations, frequently provides the sole or partial basis for decision in cases of neurological impairment. The assessment of impairment depends on the degree of interference with locomotion and/or interference with the use of fingers, hands and arms. Mrs. Caretaker has also mentioned that she has pain in her upper back radiates from her neck to the tips of her fingers. Her fingers and arms periodically feel numb. She states that at times she drops things and she is unable to reach above her head or out in front of her. If she tries the pain in her arms quickly becomes unbearable.

Mrs. Caretaker also states that she has been depressed since she stopped working and also became severely depressed when her husband died of a heart attack. She feels suicidal and has days where she can’t even manage to get out of bed. She has a hard time focusing and concentrating. Two to three times each week, she simply lies in bed. Her children have to coax her to get out of bed. Her primary care physician, Dr. Robert Prime, has prescribed her anti-depressant medications and recommended that she see a therapist and psychiatrist. In 12.04 the affective disorders Mrs. Caretaker has described some of these issues that she is dealing with. Characterized by a disturbance of mood, accompanied by a full or partial manic or depressive syndrome. Mood refers to a prolonged emotion that colors the whole psychic life; it generally involves either depression or elation (Social Security Medical/Professional Relations, n.d.). Medically documented persistence, either continuous or intermittent, of one of the following: Depressive syndrome characterized by at least four of the following: Anhedonia or pervasive loss of interest in almost all activities; or Appetite disturbance with change in weight; or Sleep disturbance; or Psychomotor agitation or retardation; or e. Decreased energy; or Feelings of guilt or worthlessness; or Difficulty concentrating or thinking; or Thoughts of suicide (Disability Evaluation Under Social Security, n.d.). These issues have effected Mrs. Caretaker’s daily living and has been seeking medical treatment for this as well and there are days her children have to coax her to get out of the bed.
I believe the issues stated above are relevant to the issues Mrs. Caretaker is going through. Mrs. Caretaker is seeking medical attention for these medical impairment issues that she is going through and she also states the medical expenses are costing too much to keep having test done as her doctor is recommending for her to have done that is due to her impairments.

Crystal Whybrew
Attorney for Mrs. Caretaker