ALZHEIMER’S DISEASE & WINNING SSD

WHAT IS ALZHEIMER’S DISEASE?

Alzheimer’s disease is a brain condition that damages memory, thinking, and behavior. It progresses over time and makes it hard for you to lead a normal life and to work. Alzheimer’s disease is the leading cause of dementia. It accounts for almost 60-70% of all cases. Learn about other forms of dementia.

Alzheimer’s disease primarily affects older adults. However, it can start in people who are in their 40s and 50s. The disease was first described by German doctor Alois Alzheimer in 1906. Dr. Alzheimer reported “A peculiar severe disease process of the cerebral cortex” at a meeting with other doctors.

He described a 50 year old woman that treated for five years for paranoia, memory problems, and confusion, until her death. His report noted plaques and neurofibrillary tangles in the brain. Alzheimer died in 1915, at age 51, long before his name became a household word.

Alzheimer’s disease causes abnormal protein deposits to grow in the brain. Amyloid plaques and neurofibrillary tangles are two important features of the disease. Amyloid plaques are clumps of amyloid protein that builds up between nerve cells. While the tangles are twisted fibers of the protein that build up within nerve cells.

Alzheimer’s disease disrupts neurotransmitters that send signals between nerve cells in the brain. Neurotransmitter are crucial for memory and learning. When they don’t work, the symptoms of Alzheimer’s disease follow.

RISK FACTORS FOR ALZHEIMER’S DISEASE

Several factors contribute to the risk of developing Alzheimer’s disease. Age is the main risk factor. For example, the chances of getting the disease increase after the age of 65.

Family history also plays a strong role in whether you will develop the disease. Those individuals with close relatives who have Alzheimer’s are at a higher risk. Certain genetic factors can also increase your chances.

Additionally, your gender may be a factor, as women are more likely than men to develop Alzheimer’s. Lifestyle choices, including heart health, physical activity, and diet, can also increase your risk. Conditions such as diabetes, high blood pressure, and head injuries may also contribute to your chances of developing Alzheimer’s disease.

Famous individuals with Alzheimer’s disease include country music star Glen Campbell. He continued to perform his music while ill. But, he died from the disease in 2017. President Ronald Reagan also had Alzheimer’s disease. He claimed he could not remember the details of the Iran-Contra affair.

Rita Hayworth and Tony Bennett are two other famous people who died from Alzheimer’s disease. Interestingly, Mr. Bennett had trouble carrying on conversations. But, he had no trouble with lyrics when he sang.

Justice Sandra Day O’Conner left the Supreme Court to care for her husband who had Alzheimer’s disease. She is the only Justice who ever left the Court to care for a spouse. For 15 years after Mr. O’Conner’s diagnosis, the couple carried on a normal life. But by early 2000, Mr. O’Conner could not be left alone. So, as the New York Times states, Justice O’Conner began bringing him to her chambers. He would spend the day sitting quietly in her office. Sadly, Justice O’Conner died in 2023, also due to dementia.

THE STAGES AND TREATMENT FOR ALZHEIMER’S DISEASE

Alzheimer’s disease progresses in stages. In the early stages, you may have mild memory issues. These issues may only be noticed by you. But, as time goes on, the symptoms of the disease become more severe. For example, the symptoms will start impacting your daily life and ability to work. In the later stages, you may become completely dependent on others for care.

There is currently no cure for Alzheimer’s disease. However, there are treatments. For example, there are medications that can help manage symptoms. They can also slow the progress of the disease for some people.

In terms of medications, scientists are taking aim at the amyloid plaques in the brain that are a symptom of the disease. Some medicines mimic the antibodies your body naturally makes to stop the plaques from forming.

Likewise, some medications are being used to boost the performance of chemicals in the brain that carry information from one brain cell to another cell. However, this  medication, while it may improve memory loss, does not stop the decline and death of brain cells. As more cells die, the disease gets worse. Other scientists think that reducing inflammation may help the immune system protect the brain from harmful proteins.

Another interesting treatment is being studied which links heart and blood vessel health to the risk of developing Alzheimer’s disease. Damage to the heart, including high blood pressure, heart disease, stroke and diabetes may create a greater risk of developing the disease. For example, the Mayo Clinic reports that some medications that reduce high blood pressure  may also benefit people with Alzheimer’s disease. Additionally, scientists have found that cognitive and physical exercise can benefit those with the disease.

NEW DRUG APPROVED TO TREAT ALZHEIMER’S DISEASE

On July 2, 2024, the Food and Drug Administration approved a new drug for Alzheimer’s disease. The drug is the latest in a class of treatments that is giving people some hope. The drug will be sold under the brand name Kisunla. Studies show that the drug slows the pace of cognitive decline in early stages of Alzheimer’s. However, there are also significant safety risks. For example, it can cause the brain to bleed and swell.

Kisunla is made by Eli Lilly. It is similar to another drug, Leqembi. Both are intravenous infusions that attack a protein involved in Alzheimer’s disease. Both drugs can slow the progress of dementia by several months.  However, Kisunla has a significant difference that may appeal to patients and doctors: the patient can stop taking the drug after it clears the protein which creates the plaques in the brains of people with Alzheimer’s disease.

Being able to stop taking the drug could help reduce the cost of the drug. The price for Kisunla will be $32,000 for a course of therapy lasting a year. Leqembi, by contrast, costs $26,000 per year. However, it is not stopped after amyloid is cleared. The higher price of Kisunla, according to Eli Lilly, reflects the expectation that the patients can stop taking the drug after their plaques clear up. Either way, a patient must be able to afford the high cost of the drugs. They must also be willing to suffer the side effects. Some question if it is worth the money and the brain symptoms when it only slows the disease by only a few months.

THE RISING NUMBER OF PEOPLE WITH ALZHEIMER’S DISEASE

According to statistics from the Word Alzheimer Report, over 55 million people were living with dementia in 2020. This number will nearly double every 20 years, reaching 78 million in 2030 and 139 million by 2050. The fastest growth in the elderly population is taking place in China and India.

The rising number of people with Alzheimer’s disease worldwide is due to several factors:

1. AGING POPULATION: Alzheimer’s primarily affects older adults and global life expectancy is increasing. Therefore, as people live longer, the prevalence of Alzheimer’s naturally rises.
2. POPULATION GROWTH: With the world’s population increasing, particularly in countries with large numbers of aging people, the number of people at risk for the disease grows proportionally.
3. MEDICAL DIAGNOSIS: Advances in medical awareness of Alzheimer’s disease means that cases are identified and reported now more than in the past.
4. LIFESTYLE FACTORS: Modern lifestyles, including poor diets and higher rates of obesity, diabetes, and heart disease, contribute to cognitive decline.

Although the number of people with Alzheimer’s is increasing, this is partly due to more people living longer. However, addressing other risk factors through healthy living and early intervention could slow the growth of cases in the future.

HOW THE SSA LOOKS AT ALZHEIMER’S DISEASE

The Social Security Administration (SSA) recognizes that Alzheimer’s disease is a severe medical condition that keeps you from working. To qualify for SSDI benefits, you will need to prove a number of symptoms. For example, your medical records will need to show you are having problems with your:

• Ability to remember or learn new things
• Ability to communicate or use words correctly
• Social behavior issues
• Thinking errors and problems planning
• Physical abilities

Since Alzheimer’s disease gets worse over time, there is usually not a question about whether the disease will continue for 12 months or longer. In order for the SSA to pay you benefits, your medical condition must last at least 12 months. Instead, the only real question is whether your symptoms meet an SSA listing under step three. Or, if you do not meet or equal a listing, then the SSA will want to know if your symptoms prevent you from working a 40 hour work week.

The listing the SSA uses for Alzheimer’s disease is Listing 12.02.  To meet Listing 12.02, you will need medical evidence showing significant decline under the Part A criteria. Next, you will need your doctor to explain in writing that you have one extreme or two marked impairments under Part B. Learn how to prove the Part B criteria. In the alternative, you can also win SSD benefits by meeting the Part C criteria.

THE DIFFERENCES BETWEEN SSDI AND SSI BENEFITS

If you have Alzheimer’s disease, then you should apply for SSDI and SSI benefits. The following paragraphs explain the differences between SSDI and SSI benefits.

Social Security Disability Insurance (SSDI):  

SSDI benefits are for those who have worked and can no longer work at any job due to their medical condition. The amount of money you will receive from SSDI benefits is based on how much Social Security tax you have paid during your work history.

To qualify for SSDI, you must have earned enough “work credits” to qualify. A work credit is an amount of taxable income. You can earn up to 4 work credits per year. The amount of work credits you will need will depend on how old you are when you apply. If you haven’t earned enough work credits for your age at the time you apply, then you can only file for Supplemental Security Income benefits.

SSDI benefits come with Medicare benefits. Review information about Medicare benefits.

Supplemental Security Income (SSI):  

SSI is a needs based benefit. It is for those people with little to no income, such as children and the elderly. Anyone who makes more than a certain amount of money per month cannot receive SSI benefits. The SSA counts the income of those in your house, not just your income and assets.

If you have a spouse who earns more than $5000 a month, for example, then that income will prevent you from getting SSI benefits. You cannot be paid SSI benefits, no matter how severe your medical condition, if you do not meet the income and asset rules. SSI benefits come with Medicaid. Learn information about Medicaid benefits.

You can file an application for both SSDI and SSI benefits on Social Security’s website. Applying is easy to do. However, if you need help, then we can help you. Find out how to file for SSD benefits.

THE SYMPTOMS OF ALZHEIMER’S DISEASE

The symptoms of Alzheimer’s change based on whether you have “early onset” Alzheimers or the later stages of the disease. Early symptoms can be seen in a number of ways. For example, you will have trouble with abstract thinking and making decision. Additionally, you may have emotional behavior, memory problems and trouble with perception. Even your personality may change.

Alzheimer’s disease gets worse over time. As the symptoms become more serious it affects your ability to perform basic tasks. For example, you may have trouble paying your bills. Or, you might lose interest in your favorite hobbies.

Additionally, you might struggle to follow instructions, learn new information, or complete tasks at work. Given time, your symptoms will become worse. Finally, as the disease advances you will no longer be able to work.

If you have Alzheimer’s disease, then you qualify for Social Security benefits under Blue Book Listing 12.02 for Mental Disorders. The Blue Book lists physical and mental conditions for which the Social Security Administration (SSA) will pay benefits.

YOUR RESIDUAL FUNCTIONAL CAPACITY 

In many cases, Alzheimer’s affects your ability to perform your job duties. However, sometimes having Alzheimer’s disease is not enough to automatically qualify for Social Security  benefits. Instead, the SSA will examine how the disease impacts your residual functional capacity (RFC).

To define your RFC, the SSA will examine your medical records. They will take into account what your doctor states in your medical records about your condition. Also, the SSA will review any statements from your doctors about your ability to work.

Additionally, they have their own doctors that review your medical records. These doctors never meet or examine you. They are paid by the government and work for  the state agency who reviews all cases. The SSA will take the medical opinion of these doctors into account. Likewise, they may send you to a free exam with one of their doctors. Learn what to expect at SSA’s doctor exam.

The SSA will also consider descriptions about your limits from your family and friends. Find out what types of evidence the SSA must consider in your SSD case. For example, your family or friends could write a statement about your memory problems. Or, they could discuss your moments of confusion and inability to follow instructions. Learn how your RFC, along with age, can prove you cannot work. Also, learn about SSA’s Medical Vocational Guidelines.

COMPASSIONATE ALLOWANCE FOR EARLY ONSET ALZHEIMER’S DISEASE

Early onset Alzheimer’s Disease (AD) is Alzheimer’s disease that occurs in a person younger than age 65.  Five to ten percent of all patients with Alzheimer’s disease are early onset cases.

The beginning of early onset Alzheimer’s disease is subtle. Memory problems are usually the first sign. The next symptoms are learning and language issues. Because people with early onset AD are often working, it is not unusual for symptoms to impact their job.

Additionally, depression is a common complaint. In later stages, there are other severe symptoms. For example, you may experience personality and mood changes. Also, you may experience behavior changes, like periods of anger or wanting to withdraw from others.

The SSA grants these cases under their special program that allows for a quicker case review. If you have early onset Alzheimer’s Disease, then contact our law office. We will make sure the SSA processes your case quickly. Also, we will get the medical evidence they need to grant benefits.

WHAT WE DO TO HELP YOU WIN SSD BENEFITS

If you have Alzheimer’s disease, you do not need to try to win SSD benefits by yourself. We can help file your SSD application. Also, we can help you appeal every SSA denial. For example, our attorneys and staff can:

• Send you the paperwork and forms you need to become our client
• Help you file your application for SSD and SSI benefits
• Inform the SSA they should pay your benefits under the Compassionate Allowance Rules
• Request an appeal if you receive a denial
• Help you confirm your SSA doctor exam
• Request a Hearing with an Administrative Law Judge
• Prepare you to testify at your ALJ hearing
• Represent you at your SSD hearing and question the expert witnesses
• Read about job expert testimony
• Learn about medical expert testimony
• Request review of an SSA decision with the Appeals Council
• Request review of an Appeals Council denial in Federal Court

If you file your application for benefits on Social Security’s website, then you have 6 months to complete it. Do not to take that long to finish it. Once you submit your application online, the SSA sends you an application summary in the mail. You must sign the summary and mail it back. If you need help to file your application, then we will help you.

IS IT WORTH THE ATTORNEY FEE TO HIRE AN SSD LAWYER?

It isn’t easy to get Social Security benefits and the application process can be frustrating for most people. But, having an attorney throughout the five step SSA review process can make it easier. When you have a law firm with experience handling your Social Security claim, the SSA follows their own procedures.

Additionally, when you have an attorney with legal experience, they will have access to Social Security’s decisions throughout the process. They can also submit medical evidence that may be missing from your case.

Hiring an attorney with the proper legal experience triples your chance of winning SSDI benefits. It is also smart to hire an attorney to help you during your hearing. After all, you are the star witness. If you hire an attorney with experience, they can prepare you to testify. Learn how to prepare for your SSD hearing.

HOW WILL YOU PAY THE ATTORNEY FEE?

We will use our legal skills to help you through the Social Security appeal process. It is our goal to win your case. But, it also our goal to make the appeal process easier for you.

We offer a free review of your case. If you call, then there is no pressure to become our client. You ask questions, we answer.

It also doesn’t cost you any upfront money to hire us. Why? Because you only pay us an attorney fee if we win your case. If we win, then the SSA pays us out of your back benefits. Learn how to win past due SSD benefits. If you do not win, then you do not pay an attorney fee.

How much is the attorney fee? The attorney fee is whatever is less between 25% of your back benefit and the fee cap. This is best understood through an example. If your back benefit is $10,000, then your attorney fee would be $2500.

However, if your past due benefit is $100,000, then you would not pay 25% or $25,000 in attorney fees. Instead, you would pay the amount of the fee cap. The fee cap is currently $9200. Therefore, if we win your case, then you do not pay more than the fee cap.

Regardless, you pay whatever amount is less between 25% of your back benefit and the fee cap. Additionally, you only owe an attorney fee if we win your case. Find out what it will cost to hire an SSD attorney.

WIN SSD BENEFITS FOR ALZHEIMER’S DISEASE

Under SSA’s rules, each mental condition has its own listing. To meet a listing, the SSA considers only the elements under that specific listing. If you meet the listing, then you should win benefits. Equaling the listing, however, allows the SSA to consider the combination of all of your severe conditions, including physical conditions. If you have Alzheimer’s disease, then you will have a combination of both mental and physical symptoms. You need the SSA to review all of your symptoms.

Hire us. We know how to prove to the SSA that you should be paid benefits. Our legal team prepares you for success. During your case, we collect your medical records. All you have to do is get ongoing treatment from your doctor. Medical records from your treating sources will prove you deserve benefits. Because your medical records and the support of your doctor proves your case.

We know you need monthly SSD benefits to replace your income. Over the past 30 years, we have won over 20,000 SSDI and SSI cases. We want to win your case too. Contact us today. Ask for a free review of your SSD case. Let us help you win SSDI and SSI benefits for Alzheimer’s disease.