Alleged disability: Chronic fatigue, Epstein Barr syndrome, fibromyalgia, degenerative disc disease, irritable bowel disease. He reported that he currently was a pastor and was able to work depending upon his energy and pain levels.
Education: Four or more years of college (1990).
Work experience: Financial representative (financial institution (1997-2004), communication coordinator (religious organization 2004-present), and customer service (retail store 2014-2016).
Decision under Review:
Per the Disability Determination (11/03/2016), the claimant was not disabled. The primary diagnosis was diabetes mellitus. The secondary diagnosis was chronic fatigue syndrome.
However, this determination was flagged …show more content…
During the assessment, the claimant reported a history of suicide attempts; however, he did not have a high risk for suicide, did not feel hopeless, helpless, or trapped by his circumstances, and did not endorse suicidal thoughts or impulses. His risk for suicide was not elevated.
Per medical records (2016), the claimant was recently diagnosed with diabetes type 2. He attended diabetes education classes, complied with diet and exercise, lost some weight, and his blood glucose improved significantly. His eye exam was negative for diabetic retinopathy.
Although he reported “some neuropathy” in the soles of his feet, he also reported that it was not bothersome to him. The complete diabetic foot exam (07/2016) was grossly normal; it did not show any neurovascular changes. The claimant reported a history of back pain; however, he did not want to take medications for pain control or for foot neuropathy. The laboratory reports did not show evidence of organ involvement.
The medical records available did not support the level of disability alleged by the claimant. It seemed that the claimant’s allegations were partially