[CIS-PAGID] disability for adults with immune deficiency

Hare, Nathaniel D NHare at Cheshire-Med.COM
Thu May 17 14:14:41 EDT 2012


Thank you for the comments!

Nathan

Nathaniel D. Hare MD
Allergy & Immunology
CMC - Dartmouth Hitchcock Keene
Keene, NH 03431

ph (603) 354-5496
fax (603) 354-5498
-----Original Message-----
From: pagid-bounces at list.clinimmsoc.org
[mailto:pagid-bounces at list.clinimmsoc.org] On Behalf Of Riedl, Marc
Sent: Thursday, May 17, 2012 10:11 AM
To: pagid at list.clinimmsoc.org
Subject: Re: [CIS-PAGID] disability for adults with immune deficiency

Agree with Charlotte and Richard. Have encountered this rarely, but in
each case due to the long-term effects of CVID-associated conditions
(advanced chronic lung disease, longstanding inflammatory arthritis,
etc.). There are certainly a subset of less-ill patients that consider
themselves "disabled". I too avoid going down the road to disability
with these individuals, though some teachers/day-care providers have
done dramatically better after changing positions to reduce infectious
exposures.

From: <Cunningham-Rundles>, Charlotte
<charlotte.cunningham-rundles at mssm.edu<mailto:charlotte.cunningham-rundl
es at mssm.edu>>
Reply-To: pagid listserve
<pagid at list.clinimmsoc.org<mailto:pagid at list.clinimmsoc.org>>
To: pagid listserve
<pagid at list.clinimmsoc.org<mailto:pagid at list.clinimmsoc.org>>
Subject: Re: [CIS-PAGID] disability for adults with immune deficiency

Yes, I have, and got it, but not for the immune defect itself...... I
have had a few with terrible lungs when discovered and in some of
these, no education so they could not qualify for work aside from
outside construction or road work, or cleaning the subway ( one
woman was offered that job.)


On 5/16/12 7:45 PM, "drrichwasserman at gmail.com"
<drrichwasserman at gmail.com> wrote:

In 30 years I can only think of one patient for whom I supported
disability and the major reason that I did was that disability got him
coverage for his IgG therapy. He had CVID that presented as ITP and
several other autoimmune disorders that interfered with his life much
more than infection. There are some "chronically ill" sinusitis patients
with antibody deficiency and limited objective findings other than poor
vaccine response who consider themselves disabled. I have not gone down
that road.
Richard Wasserman
Dallas


On Wed, May 16, 2012 at 4:24 PM, Hare, Nathaniel D
<NHare at cheshire-med.com> wrote:
If I could pose a quick question, aimed at those who take care of adults
with immune deficiency (and primarily in the US), how do you handle the
question of putting them on disability, if it comes up? I have never put
anyone on long term disability for immune deficiency - it never seems to
inhibit their ability to do their job, unless they keep getting sick.
They may have to change their jobs to reduce exposure. In my mind
though, it does not warrant disability in most cases. However, the
question almost always seems to come up.

Thanks!

Nathan Hare


Nathaniel D. Hare MD
Allergy & Immunology
CMC - Dartmouth Hitchcock Keene
Keene, NH 03431

ph (603) 354-5496 <tel:%28603%29%20354-5496>
fax (603) 354-5498 <tel:%28603%29%20354-5498>



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