
In the 80's it was Dire Straits and "I want my MTV." Now is it "Get my SSI?" I was driving down the interstate the other day and saw the billboard with the law firm advertising and promising SSI disabilty benifits to those who had been denied. Their motto or slogan was "Get My SSI!"
I work and take care of patients in the emergency department. The other day I was taking care of a healthy looking 23-year old female with "chronic" low back. This was by her account, she had never seen a doctor before, she had no history of back pain, cancer, scoliois or anything else that would cause "chronic" low back pain. Anyway, my exam was normal, her xrays and lab were normal and when I explained the results to her, she simply said, "that's okay, my lawyer said I'll still get my SSI." WTF?!?!
Of course she had multiple tattoos, body piercings and reeked of Marlboro Reds, and spent the majority of my history taking and exam on her cell phone. Yes I am judging her... by her presentation, chief complaint, and her comments regarding SSI disabilty benifits and the fact that she jumped up from the exam table and walked without difficulty out of the ER on high heels. People with serious back pain don't jump... and walking on high heels would be torture.
Over the years spent in the emergency department I have see some ridiculous... sometimes just downright pathetic reasons for people to be on disability. Don't get me wrong, if you deserve it and need it, then fine... you should have that kind of support. It's the characters that abuse the system that I'm talking about.

I have included below my top 10 list of the top offenders and, in my opinion, the biggest losers abusing the system. These were former patients I saw, interviewed and examined in my emergency department. Enjoy! :)
TOP 10 LOSERS (in my book) on disability:

1) 21-year old male, never had a job, on no medications, spent most of his time smoking marijuana and playing video games, was not getting counseling, did not have a doctor and was on disability for being depressed.
2) 25-year old female, obese without history of thyroid problems, cholesterol problems, digestion or GI problems, no history of diabetes, eating a bag of chips in the exam room and in the ER to get her oxycontin refilled... on disability for being overweight. On no medications except oxycontin (for her feet?).
3) 49-year old male, smoker (2 packs a day for 32 years), with history of a "heart attack" in the past (normal coronary angiogram 1 month ago), on no meds, takes no aspirin, still smokes 2 packs a day and on disability for a "bad" heart.
4) 30-year old female, diabetic on insulin (and it works, no hospital admissions, no problems, no complications), no other medical problems and no other meds, on disability for being a diabetic.
5) 29-year old female with history of anxiety, takes xanax and abuses narcotics... has been arrested for selling her prescriptions, on disabilty for her "nerves." She also has 4 kids in DHS custody.
6) 28-year old male, has history of kidney stones and no other medical problems, on no meds, has no doctor and has not had a kidney stone in over 6 years (in fact, after some checking I found out he had only 2 stones in the past), on disability for... you guessed it, kidney stones!
7) 32-year old female with history of pelvic inflamatory disease (PID - you get it from having sex without protection and you get an STD - sexually transmitted disease), she had multpile visits to the ER and community clinic for PID and STD's, but still kept getting them again... I wonder why? She had previous CT's and ultrasounds that were normal. Anyway, she was on disability for chronic "pelvic" pain.
8) 24-year old male with psoriasis... wait a minute, isn't that just a rash? I believe it is not painful, just a little uncomfortable... anyway, this guy was on disability for his "rash."
9) 54-year old female with emphysema, you know, the chronic lung disorder characterized by wheezing and caused by being a long-time smoker. Well, she still smoked... a lot, and was on disability for "lung" problems.
Drum roll please...
10) 28-year old male with history of... well, nothing. No previous medical record, no history of surgeries, no history of trauma, no mental health history, no medications, no doctor, and also... no clue as to why he was on disability. When I asked him why he was on disability he just shrugged his ahoulders and said, "I don't know? My momma got me on disability when I wuz a kid." WTF? Sheeeesh!!!
So, where's my SSI? I have back pain, I get depressed, I have a history of addiction, I have stress in my life, I've paid into social security for over 25 years... I want my SSI!!!
(DISCLAIMER: I do not support cuts to entitlement programs, period. I do support finding ways to reduce and eliminate the fraud and abuse of a system intended to help those in need. Whether you are a doctor, a lawyer or a patient… if you are abusing the system, you should be brought to justice.)



