tdiu My Smc Math - Am I Close & Is There A "correct" Order?

[FormerMember]

I'm not seeing the LOU of both buttocks. SMC K is very explicit on that one. I think I see them aiming towards SMC L 1/2 with fecal incontinence with a K for LOU of creative organ.

(3) Both buttocks.

(i) Loss of use of both buttocks shall be deemed to exist when there is severe damage by disease or injury to muscle group XVII, bilateral, (diagnostic code 5317) and additional disability making it impossible for the disabled person, without assistance, to rise from a seated position and from a stooped position (fingers to toes position) and to maintain postural stability (the pelvis upon head of femur). The assistance may be done by the person's own hands or arms, and, in the matter of postural stability, by a special appliance.

[GlassRose1500]

Thanks for posting the language on the buttocks - the Rater asked the C&P Examiner to answer the question, but it was based on my loss of sensation - I have no, er, sensation related warning of incontinence, and over sensation - often my cheeks are on fire as if I was sitting in hot water, or buring with pain. Interesting.

[GlassRose1500]

Did some research - cases mainy.

I meet this : "impossible for the disabled person, without assistance, to rise from a seated position and from a stooped position (fingers to toes position) and to maintain postural stability (the pelvis upon head of femur)." (can't get up fm seated position without assistance from another, can't touch my toes anyways, and require stabalization for the brief time I stand while transfering)

But it is because of derangement of the nerves and atrophy / reduction of strength through lack of use, not:"severe damage by disease or injury to muscle group XVII"

It seems in some of the appeal cases I read this type of derangement, atrophy, weakness, and loss of sensation is accepted as "disease," so I understand why the LOU buttocks inquiry was included by the Rater in the Examination Request. I'll let you know how it turns out.

[FormerMember]

You never know until you try. You create lovely precedence for those who follow in your footsteps. Always remember that.