How To Lose Your Case In 12 Easy Steps

Written by R. Steven Shisler, Esq. for the RSDSA blog.

Frequently, I receive telephone calls from potential clients who have, frankly, severely damaged their ongoing claims or lawsuits. When you pursue legal claims, whether they involve social security, workers’ compensation, medical malpractice, or other types of personal injury claims, remember that these common mistakes could lose your case.

1. Do it Yourself
Representing yourself is definitely not advisable because you don’t have the knowledge, skills or the experience of a practicing attorney who specializes in medical claims. This is especially true for social security and workers’ compensation matters. Many claimants think they will receive benefits by simply completing application forms. To be successful, retain counsel before you begin the application process.

2. Delay or Fail to Take Action
I had a client who sought representation for a workers’ compensation claim. Although he had been receiving workers’ compensation for a job- related injury that had occurred 11 years earlier, His employer’s insurance carrier wanted to revoke the client’s benefits. Unfortunately, when the accident happened, the client was afraid he would lose his job if he sued his employer.

Unfortunately, he discovered, too late, that his best opportunity for compensation would have been a products liability claim against the manufacturer of the defective machine that had caused his injury.

The products liability claim would have been worth hundreds of thousands of dollars. His workers’ compensation claim amounted to a relatively small sum.

3. Retain the Wrong Attorney
The best way to find an attorney is to ask people you know. Good attorneys get most of their clients by word of mouth, as opposed to those who advertise on television or in the Yellow Pages. A general practitioner probably lacks the knowledge to handle cases involving CRPS that involve highly specialized areas of the law.

Hire an attorney who comes highly recommended from a source you trust, and then research his (or her) background. Do not be afraid to ask the attorney about his level of experience with your type of case. Ask for names and telephone numbers of references. Find out his success rate. Look him up in the Martindale Hubbel law directory or other directories of attorneys.

Trust your instincts; first impressions are critical. If the attorney does not impress you at the first meeting, what kind of impression do you think he is going to make on a judge or jury? Additionally, never be reluctant to fire your attorney if you lose confidence in him, but find new counsel first so there is no gap in representation.

4. Hire and Fire Multiple Counsel
Most attorneys will not be concerned if you want to fire your current counsel and hire a new one, unless you have gone through three or four attorneys. This shows the attorney that you are most likely the problem.

5. Be Cheap
You get what you pay for. If the case needs specialized knowledge, the fee will be higher. For an attorney to handle an CRPS case, he must have knowledge of the particular area of the law involved, knowledge of medicine generally, and knowledge of CRPS in particular. Medical malpractice cases and product liability cases are particularly complex and involve a great deal of work as well as specialized knowledge. Ask what the customary fee is for your type of case.

In Philadelphia, the standard fee for a medical malpractice, products liability, or personal injury case is a 40% contingent fee. If you win, the attorney gets 40% of the gross recovery. If you lose, you pay nothing. In Pennsylvania, the maximum fee for a workers’ compensation case is 20% and or a social security disability case, 25% of any past due benefits with a maximum fee of $4,000.

6. Treat with Multiple Medical Providers
One of the biggest problems with CRPS cases is the damage that is done when the client jumps from doctor to doctor in that pain driven, panic-stricken search for the miraculous cure. If you have CRPS, you have a horrible condition that is likely to be permanent. Your goal should be to reduce your pain and improve the quality of your life .Going from doctor to doctor creates a number of problems. The defense can argue that you really do not have a case, but simply changed doctors until you found one who would report what you wanted. You might be portrayed, for example, as being emotionally unbalanced. To insurance claims representatives companies, voluminous records from many medical providers raises a flag.

Multiple medical providers may result in duplications of treatment that negatively influence juries and judges, and increase your costs.

Medical experts charge substantial sums to testify and reimbursement of these expenses is deducted from your recovery.

If your insurance coverage has been exhausted or if there is an insurance subrogation lien, you may have to pay the doctors.

7. Fail to Communicate with Your Doctor
Tell the doctor when you have new symptoms and about your limitations. If you testify regarding certain complaints or limitations and these are not addressed in the medical records, your testimony lacks support. Do not be macho and omit complaints or symptoms in your discussions with your doctor.

8. Be a Motor Mouth
One of the most damaging things that clients do is talking too much to the wrong people. While it is important to communicate clearly to your doctors, other medical providers, and lawyers, talking too much to others is dangerous. Be alert all the time, and remember that all those “nice” people you talk to might be recording everything for their records.

9. Thinking About Your Actions on a “Good” Day
CRPS pain waxes and wanes. There are bad days, and then there are good days when the pain, although severe, is more bearable. The private investigator who may have you under surveillance will not document anything that supports your claim. Be especially careful on the good days, enjoy yourself, but be aware that if you are outside, you may be under surveillance. That videotape will be shown to a jury after you testify about your difficulty walking, reaching, using your injured hand, and so on.

10. Disregard Your Attorney’s Instructions
If you have chosen the right attorney, he has a great deal of knowledge and experience. If you do not trust his opinions and his instructions, then hire someone else.

If you really want to lose your case, disregard your attorney’s instructions and speak with insurance company representatives when they telephone you. Later you can tell your attorney that you only answered a few questions, and they were not damaging, in your opinion. That way, your attorney will be surprised when he receives a copy of your damaging statement. Better yet, communicate with the representative of the insurance company but never tell your lawyer about it.

11. Lie
A great way to lose your case is to lie. Lie or exaggerate to your doctor about your symptoms and complaints and your responses during his examination. That way the medical records will be contradictory and easy for the defense to challenge. Lying during the “independent” or defense medical examination is also a great way to lose your case. Then the defense doctor can testify that none of your symptoms made sense, that they did not follow neurological patterns, that you are exaggerating, or can otherwise damage your credibility.

You can destroy your case by lying to your attorney. A lie is especially effective if you completely change your story at trial from what you have previously represented in your pleadings, deposition, and medical records. There is never a reason to lie.

12. Don’t Do Your Homework
You win a case because you have the best lawyer, you are well prepared, you testify appropriately, and you have the best evidence. The case is always won in preparation, long before trial. Keep appointments with your doctors to provide evidence of consistent medical treatment without unusual gaps in treatment. Listen to your attorney’s instructions during preparation for defense medical examinations, depositions and hearings or trials. Do your “homework,” such as reviewing your medical treatment and other subjects.

Conclusion

Hopefully, by showing you how to lose your case, you will think about how you can win because the weakest part of the case is often the client. Be aware of your role and the impact of your choices and actions on the outcome of your case. Think, be selective, communicate about your injuries and your case  th only the appropriate people (your lawyer and your doctor). Be aware of the things you say and do in public. Take an active role in your case, follow instructions, and work closely with your attorney for that successful outcome.

R. Steven Shisler, Esquire is an attorney whose practiceconcentrates in plaintiffs’ medical malpractice, products liability and other personal injury matters involving nerve injuries and reflex sympathetic dystrophy. He is an RSD survivor.

If You Feel Pain, You’re Alive. If You Feel Other People’s Pain, You’re a Human Being.

Remarks by Sheryl Selena via the 2022 CRPS Awareness Month Awareness Resolution Passing in the Town of Brookhaven, NY

This past year, has been a very difficult one for me. I have been in undated with new symptoms and co-morbidities. Medical appointments and needed rest have occupied much of my time. As such, I have borrowed much of what I am going to speak about today from the internet.

CRPS is a rare disease, and patients are known as zebras thanks to Nobel Prize Nominee, Theodore E. Woodward and renowned University of Maryland, Baltimore researcher in the field of Medicine who is credited with the phrase, “When you hear hoof beats behind you, don’t expect to see a zebra.” This causes most medical providers to look for a common diagnosis for the symptoms they are given instead of the possibility of it being a rare case. That thought process can delay treatments.

We are also known as spoonies. Spoon Theory was coined by Christine Miserandino to describe how she felt having Lupus. It has been adopted by those of us with other chronic illnesses. The Idea behind this theory is that we all wake up with a certain amount of energy, represented by spoons. A person with chronic illness usually wakes up with less spoons. Some days you may have more spoons if you wake up on a good day. Each activity you do during the day requires a spoon to complete. A healthy person may only require one spoon to shower. The healthy person may even gain a spoon if the shower revitalizes them. A spoonie may lose two or more spoons by that same shower. Spoon theory shows how we must pace our days and prioritize what is most important to complete each day before we run out of our spoons for the day.

There is a meme that makes its way around the internet from time to time which more or less sums things up. It says, I’m not a morning person or a night owl. I’m some form of permanently exhausted pigeon.

As CRPS patients, we recognize Rare Disease Awareness in February and August, Neuropathy Awareness in May, Chronic Disease Awareness in July, Chronic Pain Awareness in September, Dysautonomia and Invisible Disabilities Awareness in October, and in November we recognize Color The World Orange Day and CRPS Awareness.

All of this awareness is terribly important, because it enables some of us to go into remission if treatment is started early. Some of us are still able to work with proper continued care, and some of us have had to become professional patients. We spend hours on the phone trying to coordinate care and seeing countless specialists, because, as I have said in years past, CRPS can spread.

While CRPS is a huge part of us we are still not just our diseases. We are strong. We are fighters. We are warriors. We have to be just to wake up and battle this disease every day. We have to be to raise awareness through large walks and conferences in person and online from our homes, beds, and wheelchairs, and even on a cot in front of Congress in Washington DC. We have to be to reach out to our elected officials all year long. We have to be to be here to thank you and the CRPS community for your support.

I’m going to leave you today with a quote from Leo Tolstoy. “If you feel pain, you’re alive. If you feel other people’s pain, you’re a human being.”

Be well, and stay human. Thank you.

Please consider making a donation to RSDSA today!

When I Close My Eyes

Written by Lexi Uslu via The Coalition Against Pediatric Pain

When I close my eyes, I grow wings and fly; I use my wings to fly towards the sky. I abandon my reality of chronic illness as I soar towards freedom. Tonight, I am safe in my bed – away from it all… Away from my dreaded wheelchair and even more, away from the pain of living a difficult life. I fly to unknown places, and I meet new people; I have places to be, and I have people to see. My adventure comes to an end with the sound of my alarm clock piercing through the silence. It is morning now and my eyes are open. The adventure is over although one thing remains the same. I have places to be, and I have people to see.

My mother helps me out of bed, and I fall into my wheelchair. This is the beginning of what I know will be a difficult day. I am ten years old, and my connective tissue disease is misdiagnosed as a psychological illness. Pain pierces holes everywhere in my body every single day and I am told that it is my fault. School begins in an hour and the time is 6:45. I don’t eat breakfast because my stomach hurts. I am wheeled towards the car and lifted into the front seat. I look into the side mirror of the passenger side to see my reflection, but I quickly look away as I don’t want to see the sad girl who is looking back. When we arrive at the school, I wait for my mother to get my wheelchair out of the car. She wheels it over t0 the passenger’s side and I hop in. She pushes me up the ramp and into the nurse’s office to meet my student aide (Mrs. Read). Mrs. Read takes me to the classroom and all the other children are already there. They look at me and I am reminded I am different from their stares. I begin to get dizzy, so I must go to my “special room.” I have been having fainting spells and seizures that are predicted by my dizziness. The school’s solution to this is to make a quiet space where I can go, and the nurse checks up on me there and not in the office with the hope that no other child might see me have a seizure and become frightened. I truly wish I could be there; more than anything I want to be home. I feel so sick, but my doctor’s say I am fine and that for my “psychological wellbeing” I must attend school. Today is a bad day and I ask to go home. My dad picks me up about ten minutes later and says to me “I don’t know why they expect you to go to school.” I look down at the ground in embarrassment and never again go home early.

I was forced to join a program for children with mental illness. Mental illness was very poorly understood in 2010 (and still unfortunately is…). Due to their lack of knowledge in the condition they misdiagnosed me with, they treated me very poorly, and after three months (thankfully) my insurance refused to pay for the hospitalization based on the fact that I was getting worse, not better. I was told word for word:

“This is not real, it’s all in your head.”
“If you tried harder you could control your seizures.”
“Why are you doing this to your family?”

The list goes on and on… During those six months, I experienced an overwhelming amount of physical and mental pain, but I never stopped living and I never surrendered my voice. My wheelchair wasn’t a cage; it was a speed bump. It slowed me down, but it didn’t stop me. I went on so many adventures and did so many things. My body was no longer reliable, and I was upset the doctors didn’t know what was wrong with me. I was upset instead of diagnosing me, they blamed something that really nobody can understand (especially at that time when mental illness was very much misunderstood). Life was miserable and hard, but every day, I challenged myself to find joy in my life. The sunshine in the blue sky, the birds who sing their beautiful melodies, laughter that rings through the air and smiles that can brighten the night… No matter how bad life gets, there are always these joyful things. No matter how sick, and no matter how sad, I have always at least attempted to find joy in some shape or form. Tragedy and illness are miserable; I know that well, but in my darkest days, I hide behind joy and small (but amazing) adventures.

One of my greatest adventures was the RSDSA fundraising walk in New York City. This adventure came at a horrible time in my life, but maybe that was the best thing about it. The walk gave me something to be excited about, and it was the perfect distraction to be able to fundraise from my wheels. Adventures are best with company, and for this adventure, I had plenty. We were the “Mothers Against Chronic Pain” and we had spent the past year preparing for this fundraiser. We had emailed all of our friends and family members. We stood outside of grocery stores and in busy parking lots; my wheels were not shy to the many miles bestowed upon them during our days of fundraising. The Mothers Against Chronic Pain was a friend group formed by parents from all over the country who connected through one commonality – all of their kids were sick and diagnosed with Complex Regional Pain Syndrome, aka CRPS/RSD. We raised money for a wonderful organization called RSDSA. RSDSA supports patients, families, and doctors associated with those who suffer from CRPS. I was first diagnosed with CRPS at the age of 7 and I have been delightfully involved with RSDSA since that time (I am now 22 years old). The Mothers (and others) against chronic pain were ready; we piled into our cars and we brought our walking shoes to NYC. My wheelchair had not stopped me from fundraising for this walk. That speed bump of a wheelchair barely slowed me down, and I raised over $3,000 (in the days before social media)). Now.. After raising all this money, I had one more job to do that was to complete the walk. The walk that I looked forward to for almost a year… Before I was in the wheelchair I had been determined to run, but that day, I brought my wheels. I completed the entire 3 mile walk by pushing my own wheelchair. I was determined that nobody would push my wheelchair besides me. Those wheels raced through those three miles. Something that I don’t tell very many people is that Prince Harry was at the walk and saw me struggling to push myself. His security guard went up to my mother and asked if he could push me. I took a breath as I was out of breath from racing my wheelchair and shouted. “Only I can do this!” Even at ten years old, I knew who Prince Harry was, but it didn’t mean a thing to me. What meant the world to me was completing that adventure on my own. When I finished the walk on that day, I was very proud of myself. I was proud not only because I had done something that even Prince Harry thought I couldn’t do, but more importantly, I made a difference. I raised $3,000 dollars to help people with the same chronic illness as me.

As I mentioned earlier, I loved my MACP family. This family consisted of moms and dads that were desperate to help not only their kids, but every child suffering in pain. Three years after the walk, the MACP family had grown beyond the original mothers and our name was changed to The Coalition Against Pediatric Pain (TCAPP). Although the name changed, the mission did not. Thirteen years later, our TCAPP family is still together. We are different now, but our mission remains the same… To help all children suffering from chronic pain.

As to my story… I was finally properly diagnosed with a disorder of the nervous system called Autonomic Failure. Finding this diagnosis took one new neurologist who took my blood pressure as I tried to stand and simultaneously fainted on the floor.

When I close my eyes, I grow wings and I fly. When I open my eyes, my wings, and my legs disappear one thing remains the same though… Life is to be lived and hope is to be had.

Please consider making a donation to RSDSA today!

FAQs – RSDSA’s Treating the Whole Person: Optimizing Wellness Conference – 2022

The RSDSA team is excited to have you join our third virtual conference from September 12th through September 15th, 2022 Below are a few FAQs to ensure you have an amazing experience!

Q. Is the conference free?

The conference is 100% free to join.

Q. When does registration close?

Registration does not close! You can register at anytime, even once the sessions have started.

Q. What time does the conference begin?

On Monday, September 12th, our first session begins at 12p noon Eastern / 9a Pacific due to our presenter’s time zone.

After that, the conference officially begins with networking and our expo hall at 6:30p Eastern / 3:30p Pacific each night. Sessions begin at 7p Eastern / 4p Pacific each night. On Monday,

Q. Which browser should I watch the conference on if I’m on a desktop or laptop?

Our 2022 platform, Airmeet, recommends using Google Chrome (version 79 or higher) on laptop or desktop. All versions of MS edge, Firefox (version 76 or higher), Brave, and Safari (with limited access & known compatibility issues) will also work with Airmeet.

Q. Can I watch the conference from a mobile device?

Yes! Airmeet does have iPhone and Android apps. Learn more about Airmeet on mobile here.

Q. Where can I find the event schedule?

The event schedule can be found on the registration page here.

Q. How does the networking feature work?

Airmeet’s networking feature aka the “lounge” allows you to have conversation with other CRPS Warriors, medical professionals, caregivers, support group leaders, and sponsors.

Once you enter the event, you will see tables for the lounge that correspond to your each of the 50 states (as well as Washington DC) or your ticket type. Feel free to join the table that you are most interested in so you can connect with other Warriors.

Once our sessions begin, the lounge will close, but it will reopen for 30 more minutes after our sessions end

Q. Can I watch the sessions later? Are they being recorded?

Each session will be recorded and you’ll be able to watch the presentations once we upload them to the RSDSA YouTube Channel here.

Q. What should I do if I have a question that is not listed here?

Comment below or send us an email at [email protected]!

Laura’s Path to Pain Relief

Written by Laura Low for the RSDSA blog. Submitted by Abbott, a sponsor of RSDSA.

In January 2018, my world was turned upside down after doctors told me I had a ganglion cyst on my foot. Prior to that, my life was adventurous and, in a word, awesome! As a wife, mother of twins and having a fun job of being a travel agent, things were going well.

Once I was diagnosed, my foot doctor insisted I have the cyst removed right away and schedule the procedure. After the surgery, I was in pain and was not healing well. I was left bed-bound, without being able to put any pressure on my foot. I could not wear a sock, shoe, or have my sheets touch me.

I had planned a trip to Disney for my twins’ 10th birthday and to run the Disney 5K through Magic Kingdom but had to cancel it and was heartbroken. Having to tell them I had to cancel their 10th birthday plans was horrible. My kids could see that I was broken, and, physically and mentally, I was.

I went to all types of special doctors to find out what could be done for me. After lots of appointments, I finally found out I had CRPS II, also known as post-surgical causalgia, following the cyst removal. I tried physical therapy, mental therapy, and mirror therapy. I was on so many medications, taking more than 20 tablets daily, I had to have a doctor help manage them for me.

The pain caused me to be a shell of who I was. I lost people I thought were friends, my kids accepted the fact that I was not their fun mom anymore, and, during all of this, I lost my job.

In June 2019, I had a spinal cord stimulator implanted. After recovering from the procedure, I was able to walk from my front door to my mailbox, which was HUGE for me. I felt like I was given a break. However, I still lived with the pain from CRPS and was not living my full life.

It wasn’t until two years later when I was at a follow up with my doctor for a steroid injection in my lower back that he mentioned dorsal root ganglion (DRG) stimulation. He told me it would be able to address a specific bundle of nerves in my spine which could give me more direct coverage1. I was willing to try anything that would offer me any type of relief.

This was especially important, because at the same time, my husband was preparing to donate a kidney to our brother-in-law. This life changing surgery had a large impact on our family, and I wanted to be able to distract my kids from everything that was going on.

When I was getting ready for the surgery, the medical team asked me my level of pain and what I hoped it to be after. I explained to them that it was more than just a number, it was about my quality of life. I wanted to be able to wear socks and shoes, walk around my block, have sand on my feet, and enjoy things I did before my pain started. These things are little to so many people and are taken for granted, but for me, they were everything.

After recovering from the surgery, I am happy to say that I have walked on the beach in Mexico, gone ziplining, and have had other fun adventures with my kids. I have felt my personality come back, but the best part is that my family feels that way too! My kids and my husband feel that their FUN mom is back!

When my husband was still in the hospital, I was able to take my kids to the zoo and walked around for five and a half miles. ME – the same person that three weeks before could not walk around a store, or the block, could now walk for hours and miles!

I can’t say that the DRG stimulator is going to work for everyone, but honestly, it really changed my life for the better. I wish, hope, and pray that anyone that tries it is as successful as I have been.

Learn more about DRG therapies and how to find a pain specialist near you.

If you think neurostimulation might be right for you, consult your doctor to discuss the risks and benefits. This story represents one patient’s experience with neurostimulation. While most patients experience at least some reduction in pain, the amount varies among individuals. The surgical placement and use of a neurostimulation system pose risks, which also vary by individual.

MAT-2208350 v1.0 2022

1Deer TR, Levy RM, Kramer J, et al. Dorsal root ganglion stimulation yielded higher treatment success rate for complex regional pain syndrome and causalgia at 3 and 12 months: a randomized comparative trial. Pain. 2017; 158(4):669-681. (n=152)

Surviving CRPS Through Peer Advocacy

CRPS Warrior Melissa Wardlaw joined Melissa Adams on the “I Am Not My Pain” podcast on an episode titled, “Surviving CRPS Through Peer Advocacy.”

Melissa was diagnosed with CRPS type 2 as a result of a non-paralyzing injury. She learned early the value of being her own advocate, but she also realized the tremendous gap in support, which is why this fierce warrior spends her time providing free peer counseling and advocating for CRPS and chronic illness awareness.

Listen to Melissa share incredible insight into CRPS as well as offer valuable advice for living with a chronic illness on Spotify and Apple.

If you are interested in online peer counseling with Melissa or if you live in the Metro Atlanta area and want to attend her in-person empowerment group for CRPS/RSD, chronic illness and pain, contact Melissa at [email protected].

Please consider making a donation to RSDSA today!

My Faith Has Helped Me Through This Journey

Written by Brittany Foe for the RSDSA blog.

My name is Brittany Foe. I was just 12 years old when my first flare reared its ugly head in 2006. I was frightened, not knowing what was happening. The roller coaster of emotions over the next two years were daunting. In 2008 I heard the words that changed my life, “You have RSD”. At this point I was wheelchair bound, had been in and out of school on homebound, and had been told numerous times that I was faking it.

From 2008 to 2016 I had several lumbar injections, the first had got me out of the wheelchair. I was on several different medications and eventually had the spinal cord stimulator implanted. In 2016 I became pregnant with my rainbow baby. I had to detox off of ALL of my medications. This took several weeks and many tears.

My daily life now is a far cry from what it was 16 years ago. Over the years I have learned several coping skills that have helped me personally. I now have two beautiful children who keep me busy and am on no pain medication! I help run our family farm and although it is hard it is rewarding. In my spare time I have published a book, trying to spread awareness and hope.

My faith has helped me through this journey. I have been stubborn since birth and I suppose that has helped too. My pain has not mysteriously vanished and I still have days that are worse than others. I remember to give myself grace. I remember that hard times don’t last forever and there is always a light at the end of the tunnel.

To my fellow warriors, you are not alone. There is always someone to listen, someone to lean on. You are stronger than anyone can imagine and if you haven’t heard it lately, you’re doing an amazing job. It is okay if the only thing you do in a day is survive, tomorrow will be better!

Please consider making a donation to RSDSA today!

Moving Forward Has Not Been Easy, but Necessary

Man in a blue shirt smiling in the woodsWritten by Dwain A. Vaughns, II for the RSDSA blog.

How and when did you develop CRPS/RSD?

I broke my foot in 2016 and I was diagnosed four months later.

What has daily life been like since your diagnosis?

Since being diagnosed, daily life has taken many forms. In the beginning, dealing with the pain was one thing, but also dealing with the grief over losing my “previous life” was immeasurable at times. I was an airline pilot, a career that I worked on since I was eight years old. In addition, I was accustomed to living a very active life. Moving forward has not been easy, but necessary. Throughout all of my journey so far, as hard as some days are, I have been gifted an amazing support system, great medical care, and I am now working on rebuilding myself.

What is one thing you wish those without CRPS/RSD would understand?

Living with CRPS, I often feel that I operated within two worlds (The Abled vs The Disabled World). Fluctuating between the two offers me great perspective.  As a person with a disability and having accessibility needs, I can say the world does not see us. Please try to see things differently, and if possible be another voice.

What advice would you give to newly diagnosed Warriors?

Safety. Build safety. Create the best support system you can. Family, friends, others in the CRPS community, and your medical team. And trust yourself.

What encouragement would you give to Warriors who have had CRPS/RSD for many years?

If you have been managing your CRPS/RDS for years you have likely put in an extreme amount of work. Daily life can make us sometimes feel like we have made no progress, but we are so powerful. Despite our pain many in our community still have full time jobs, raise children, have marriages, help others, and so much more. For me your journey, your fight, your courage is my fuel. If no one has told you, your fight helped save my life. Thank you.

Man in a purple and white shirt holding a camera

What activities or treatments have helped you find temporary or long term relief?

I have tried pretty much all recommend treatments. For me the best have been CALMARE therapy, combined with Neuro/Biofeedback, seeing a trauma specific therapist, and psychiatrist. I have also combined my biofeedback into bird watching and photography. 

Anything else you would like to add?

With my platform that has been created through my photography I am using it to create awareness about CRPS/RSD and the importance of addressing disability and accessibility needs. In my recent gallery exhibition, I worked with the gallery to ensure that the exhibition met and exceeded ADA requirements. One specific focal point we worked on together was ensuring that the photographs were placed in such a way that everyone, even those requiring mobility assistance, had an optimum viewing angle.

Learn more about Dwain on the North Gwinnett Voice and Birdability.
Connect with Dwain via GawwnOutdoors.com and on Instagram at GawwnOutdoors.

Please consider making a donation to RSDSA today!

Finding a Lawyer For a Social Security Disability Case

If you are seeking legal advice on a worker’s compensation case, please see “Finding a Lawyer for a Worker’s Compensation Case.” If your case is not related to Social Security or workers comp, please read “Finding a Lawyer” which provides information about finding a lawyer in general.

Although not everyone needs a lawyer for a Social Security disability case, lawyers who specialize in such cases can be helpful, particularly if you have already applied for disability because of complex regional pain syndrome (CRPS) and been denied. CRPS disability cases where the cause of disability is pain can be complicated because pain itself is complicated-and hard to measure. Thus a lawyer with appropriate experience can help make a clearer case and take away complications. In addition, any disagreement among your doctors about the effect of CRPS can make your case even more difficult, so a knowledgeable lawyer can help you through these difficulties. Moreover, the Social Security Administration recently began to change the disability application process with its Disability Service Improvement (DSI) initiative.

The DSI initiative has now been rolled out in only one region of the country (the states of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont), and it is not yet known whether or not you are more or less likely to need a lawyer under this new system. (See Benefits for People with Disabilities for more information about the initiative.) In general, if you are confused about the requirements or have any trouble applying for disability – under the new system or the old – a lawyer’s advice and guidance may benefit you.

When looking for a lawyer to represent you in a disability case related to your CRPS, first ask your friends, colleagues, family members, fellow support group members, or neighbors for recommendations. Word of mouth is often the best way to find a good attorney, especially if you get the same recommendation from more than one person. Another source of recommendations is through an Internet chatroom or bulletin board support group.

If you cannot find an attorney for your case through personal connections, several organizations have referral services. The National Organization of Social Security Claimants’ Representatives (800.431.2804) can refer you to an attorney specifically for a disability determination through Social Security.

The American Bar Association (ABA) has a referral service by state. (On the same page, the ABA also provides several helpful publications, such as “Hiring a Lawyer,” “Paying a Lawyer,” “Finding Free Help,” and “Legal Terms.”) Some links let you search for a lawyer by specialty (such as Social Security and disability law as well as medical malpractice, personal injury, etc.).

In addition, there are many state and local bar association with directories of their members, often listed by specialty; you may contact those associations for suggestions. To find local bar associations in your state, see the ABA’s State and Local Bar Association Directory, or check your telephone book for their numbers.

One commercial website, lawyers.com, lets you search for a lawyer by specialty and gives you information about the firm’s size and whether or not the firm offers a free initial (or first) consultation. (Keep in mind that the order in which the lawyers are listed on some web sites may be due to fees the lawyers have paid to the site.) You can also find an attorney through the listings in the business pages of your local phone book under the subject area “lawyers” or “attorneys.” Still, remember that it is often better to find a lawyer-like any other professional you may hire-on the basis of a personal recommendation from someone you trust who knows the attorney’s skills and abilities.

You may end up with more than one attorney, especially if your case is complex. Sometimes the other lawyer (the co-counsel) is an expert in one part of your case but is not licensed to practice law in your state and thus works with your attorney who is licensed to practice law in your state.

If you do not have much income, LawHelp at lawhelp.org may be able to help you find a free or low-cost legal aid program to help with your disability case. You may also find a legal aid clinic in the phone book or through a bar association. Some bar associations may be able to refer you to lawyers who may help you for reduced fees if your income is limited.

If you decide that you definitely need an attorney for your disability case, it is generally a good idea to speak with a few lawyers before deciding which lawyer to hire or to retain. You may want to have a friend or family member-someone whose opinion you value-come to the meeting with you. Then asking the lawyers questions, such as those below, may help you make a good choice.

  • What do you charge, if anything, for the first or initial consultation? Most representatives will offer a free initial consultation.

Do you accept cases on a contingency* basis or only on a fee basis? Social Security determines the fee that any representative or organization can charge for SSDI representation. Currently, under the SSA’s fee agreement approval process, it is 25% of the retroactive dollar amount awarded, not to exceed $6,000. You do not pay anything until you are approved for SSDI benefits. For more information on how SSDI representation works, visit bit.ly/TrueHelpAwarded

What do you estimate your fees for your services will be?

What do you estimate your expenses will be?

How long have you been practicing law and how much success have you had with Social Security disability cases, particularly those for CRPS?

How much do you know about CRPS?

Have you attended any relevant seminars or courses?

What do you think my chances of success are?

How long do you think it will take to resolve my case?

What paralegals or other lawyers, if any, will work with you on my case, and who will be my primary contact?

Do you have malpractice insurance?

Can I review your attorney-client contract that I would be expected to sign? (It is a good idea to take it home with you to review carefully before signing.)

You may also want to call the Better Business Bureau to see if any complaints have been filed against the attorneys you are considering. The lawyers’ associations and some states also keep a record of attorneys against whom complaints have been filed or legal action has been taken, but these lists vary by state. If you still are not sure about your choice of attorneys, ask for another meeting. Make sure you feel comfortable with your decision before you agree to hire anyone.

If you become unhappy with your attorney, you do not have to have that person continue to represent you. You may simply inform the lawyer, in writing if you prefer, that you wish to hire other legal counsel. However, you should expect to pay for the services provided up to that point and for the time that it will take for the next attorney to become familiar with your case. The representative will still only be paid if the person is awarded benefits, and only if he/she does not waive his/her fee. Generally, your legal file belongs to you.

RSDSA has additional resources for you on its website. One resource on lawsuits in general is the RSDSA newsletter article “How to Lose Your Case in 12 Easy Steps” by R. Steven Shisler, Esq. You might want to also review The Social Security Ruling on CRPS.

If you have other concerns about a disability related to the CRPS, before you spend any money on legal fees, keep in mind that some government agencies may provide you with the appropriate information and channels to resolve a problem. For example, if you have a question about your rights at work, you may find the answers on the Justice Department’s Americans with Disabilities Act website or on the website of the Equal Employment Opportunity Commission. The Job Accommodation Network (JAN), part of the U.S. Department of Labor’s Office of Disability Employment Policy, also provides information about employment for people with disabilities on its website. You can also call JAN at 800-526-7234 to get advice, at no charge, about your employment situation.

* If a lawyer takes your case on a contingency basis, you generally do not pay the lawyer anything until and unless you win the case. Then, generally, a lawyer will be paid one-third of your award plus expenses. (If you have switched lawyers and then win your case, the lawyer who actually won the case may have made an arrangement with the previous lawyer[s] to give them a portion of what you have been awarded in the case. In some states, a former attorney who took a contingency case can take you to court to get reasonable compensation, i.e., payment, for any time and expenses the lawyer had spent. ) However, some lawyers will charge you for their expenses related to your case even if you lose your case. The attorney-client contract should tell you what charges you must pay.

Steven Shisler
1515 Market Street, Suite 810
Philadelphia, PA 19102
Tel: (215) 564-4080
[email protected]

I Give Because It Is My Heart’s Desire

Written by Laura Hinkle for the RSDSA blog.

When I was told that I had RSD, I was in a failing marriage. It was not long before I was hit with needing a way to financially provide for two children and myself. I attempted to get a job, but because of my RSD pain, I could not hold on to one. It then became time to swallow my pride.

Grocery shopping was through food banks. Clothes shopping was a trip to the Salvation Army. Utilities were usually paid by my church. I even discovered the “Giving Tree” as a way to provide Christmas gifts to my kids. And when each of my children turned 14, they got an after-school job to help support us.

Flash forward 28 years, I still have RSD and I am still not able to be “gainfully employed.” I will never forget my early struggles with bills that others helped me muddle through. Now, I am richly blessed with my son taking care of my financial needs. Occasionally, I get my own money from such things as my birthday or Christmas. I have chosen to use that money to give back to others with RSD. My “gifts” aren’t “big” by others’ standards, but they have a note attached to them, to please go to a fellow Warrior with RSD.

I know firsthand that RSD is often financially debilitating as well as physically debilitating. This can create a life of extreme hopelessness. I give because it is my heart’s desire to lessen some of that despair for just one person at a time. I have even put RSDSA as my Smile donation with Amazon. I do not have to be financially rich to do any of this, because I know from my own life, that the littlest thing, can put a smile on someone’s face.

Please consider making a donation to RSDSA today!