Mason’s Mission

Congratulations to the Gaffney’s for organizing a successful fundraiser! The Gaffney’s decided to start fundraising after their son Mason was diagnosed with Chiari at six months of age. They created their own web site www.masons-mission.com and this past September hosted the First Annual Family Fun Day. With over 100 people in attendance, the event was a big hit and featured an indoor play center, a DJ, chair massages, art and music classes for the kids. There was plenty of great auction items and altogether the event raised over $6000.

If you would like information on how to organize a fundraiser in your hometown, contact Patrice Schaublin at Patrice_Schaublin@asap.org

Walking for Research Dollars

Jaxon EilersJaxon Eilers may someday be a doctor but today he just wants to be like his friends.Jaxon's Walk

As 7-year-old Jaxon watched neighborhood kids going door-to-door selling magazines and delivering Cub Scout popcorn, he wanted to do a fundraiser, too.

His parents helped turn is dream into reality. Jaxon’s Quest for a Cure, an awareness walk for Chiari malformation, was held October 10 at Noelridge Park in Cedar Rapids, Iowa.

Besides raising awareness, the event generated $3,975 for research.

For details on how to organize your own walk, contact info@asap.org

Cruisin’ For Chiari

Cruisin For ChiariIt was nothing but smooth sailing for the First Annual Cruisin’ for Chiari, held on August 30th in Brielle NJ.
Over 75 guests boarded the River Queen, a traditional paddle boat that sails the Manasquan River, Point Pleasant Canal, Barnegat Bay and Metedeconk River. Guests enjoyed a 3 hour cruise that included a buffet lunch, silent auction, music and raffle.

Joining us for the event were ASAP members traveling from 5 different states, CEO Mike Scarpone, Board member Patrice Schaublin, the Livingston family, their friends, family and the guest of honor, 3 yr old Gabriel Livingston.

Cruisin For Chiari CakeThe event was a tremendous success and we were able to raise over $10,000 to be donated to ASAP’s research fund.

We thank all that attended and supported the event, as well as JR Warnet of Nevermore Photography, DJ Johnny’s Magic Moments, Payton Livingston and the many businesses that made generous donations.

Planning for the Second Annual Cruisin’ for Chiari has already begun, so we hope to see more of you out there next year!

National Coins for The Cure Day

Volunteers from across the nation came together to spread awareness and raise funds for Chiari and syringomyelia on October 10, 2009 for ASAP’s Annual Coins for the Cure Day. Weather ranged from bright and sunny, to cold, rainy and even snowy, but volunteers didn’t let that get in the way of their goal making CM and SM a household name.

Participants came up with lots of creative ideas to get the word out. Locations varied from festivals, malls, schools, grocery and shopping stores even a plane—yes, that’s right, a plane flight from Raleigh to Philadelphia served as a Coins for The Cure site!

The event was so popular, we’ve decided to add a spring date. Stay tuned for more details on how you can participate.

Weekend Camp for Kids Won’t Be Forgotten

ASAP and Miracle Wish for Chiari joined together to send children with Chiari malformation and syringomyelia along with their families to Victory Junction Camp in North Carolina this past November.

Complete with riding stables, a 4-lane bowling alley, water park, auditorium, indoor kickball and wiffle ball park (including night lights and score board),  Victory Junction is not just a camp, but an opportunity  for children and families  to escape the day to day struggle of health challenges. 

But just in case health problems creep up, no fear. The medical facility (called the Body Shop) is a miniature hospital.  They have all the necessary equipment, including a full pharmacy, to ensure every child’s needs are met. A total feeling of safety and security prevails throughout Victory Junction. 

Twenty three families attended the weekend. Some highlights included: a three-hour sit-down session with geneticist Dr. Allison Ashley-Koch as well as pediatric neurosurgeon, Dr. Fuchs; communal dances after every meal; a skit featuring all 23 families; and a full video crew was on hand to film the entire weekend and provide each family with their own DVD.

It was a weekend that laid the foundations for lifelong friendship and priceless memories. One child said it best, “I don’t want to go home.”

Special thanks to Victory Junction, Miracle Wish for Chiari and ASAP for making it happen.

Questions about Social Security Determination

2009 Conference Presetation provided by: Connie Valt and Bob Hunt

Social Security Administration

Connie DaValt
connie.davalt@ssa.gov

WI Disability Determination Bureau

Bob Hunt
Robert.L.Hunt@ssa.gov

SSDI & SSI Disability Overview

Both programs make payments to people with disabilities.
SSD1

Social Security Disability Insurance (SSDI)

Provides benefits to disabled or blind people who are “insured” by workers’ contributions to the SSA trust fund.

Supplemental Security Income

Makes cash assistance payments to the aged, blind and disabled who have limited income and assets.

Who Can Get Social Security Disability Benefits?

Young Family

Worker

Must have paid into Social Security five out of last 10 years.

Spouse

At age 62
At any age if caring for child under 16 or disabled
Divorced spouses may qualify

Child

Not married under 18 (under 19 if still in high school)
Not married and disabled
before age 22

SSDI

When do benefits begin?

  • The disability board determines a date of onset that the condition begins.
  • SSDI can be paid retroactively up to 12 months prior to the date the claim was taken
  • 5 month waiting period when no benefits are payable
  • Checks are paid the month after they are due (Feb check paid in March)

Who Can Get SSI?

  • Age 65 or older
  • Blind – any age
  • Disabled – any age
  • Limited income
  • Limited resources

Eligibility can begin the month after Social Security is contacted (but we still need to wait for a medical decision). Checks come on the 1st of the month for that month.

SSI Financial Eligibility
2009 Rates

Have low income and savings

  • “Countable” income:
    • Less than $674.00 per month (individual)
    • Less than $1011.00 per month (couple)
  • “Countable” assets:
    • $2,000.00 for single person
    • $3,000.00 for couple

Health Insurence

SSDI

Medicare coverage – after 24 months of benefits

SSI

Medical Assistance coverage – in Wisconsin, comes automatically with SSI federal benefits

Method of Application

  • Online at www.socialsecurity.gov
  • telephone appointment (1-800-772-1213)

Application Process

  • Paperless, no claims signature
  • Signature needed on medical release
  • Prepare for claim
  • Complete pre-interview guide – worksheet
  • Enter disability info on internet

Disability Determination Services

Each State has its own DDS – a state agency that contracts with SSA to make disability determinations for SSDI and SSI.

Each DDS applies the same rules for disability determination, based on SSA laws and regulations.

Individual determinations are team decisions made by a disability examiner and one or more medical consultants (MDs and PhD Psychologists)

The Disability Determination

Sequential Evaluation steps:

  1. Are you performing substantial gainful activity (earning at least $980/month)?
  2. Is your condition “severe”?
  3. Does your condition meet a Listing?
  4. Can you still perform past relevant work?
  5. Can you perform other less strenuous or less stressful work?

SSA’s Listing of Impairments

Find them at: http://www.ssa.gov/disability/professionals/bluebook/ If a Listing is met (or equaled), and the applicant is not performing Substantial Gainful Activity, the finding will be “disabled” based on medical considerations alone.
If no Listing is met/equaled, evaluation moves on to the past/other work steps.

Listing 11.19 Syringomyelia

Syringomyelia with:

A. Significant bulbar signs;
B. Disorganization of motor function (i.e., significant and persistent disorganization of motor function in two extremities, resulting in sustained disturbance of gross and dexterous movements or sustained disturbance of gait and station).

When a Listing Isn’t Met/Equaled

The disability examiner determines the applicant’s “residual functional capacity” (RFC), considering:

  • the medical findings
  • details about daily activities
  • effects of pain and other symptoms
  • the opinions of treating and examining doctors
  • any other relevant information

RFC is then used at the past/other work steps

Capacity for Physical Work

  • Exertional capacity – sedentary, light, medium, heavy
  • Ability to stand, walk, sit, lift, carry, handle, reach, crawl, see, hear, communicate
  • Endurance for a 40 hour work week
  • Ability to perform work functions without frequent rest break

Capacity for Mental Work

  • Ability to understand, remember, and follow directions independently
  • Ability to respond appropriately to supervisor, co-workers, and usual work situations
  • Ability to cope with routine changes or stresses in the work setting
  • Ability to concentrate and complete tasks in a timely manner

Information the Applicant can Provide

  • When and where treatment has been provided (at least during the past year)
  • Details about how the condition affects daily activities (in SSA’s Function Report)
  • Details about the impact of pain and other symptoms
  • If possible, a letter from a treating doctor – listing specific limitations and the supporting medical findings

Consultative Examinations

  • If insufficient information is available from treating sources, a CE may be scheduled.
  • If so, attendance is very important. Failure to attend will likely result in a denial of the claim for insufficient evidence.
  • If unable to attend, contact the disability examiner right away so that other arrangements can be made.

For More Information

Visit Social Security’s website at: http://socialsecurity.gov/
While there, locate the nearest SSA office by clicking on the “Find a Social Security Office” link, then enter your ZIP code. Call Social Security’s toll free number: 1-800-772-1213

Syrinx Shunts

by John Jane Jr., MD

What are the different types of syrinx shunting procedures?

In general, a “shunt” is any procedure that diverts fluid from one space to another. For a syrinx shunt, the fluid is diverted from the syrinx into another space where the fluid can be absorbed. What distinguishes one shunt from another is the location of that space. The space may be in subarachnoid space (the space surrounding the spinal cord immediately outside the syrinx), the lung lining (or pleural space), or the abdomen (or peritoneal space). Physicians name the shunts based on where they start and end. Therefore, the shunt may be a syringo-subarachnoid shunt, a syringo-pleural shunt, or a syringo-peritoneal shunt. The decision to use a shunt depends greatly on the clinical situation and the surgeon’s preferences.

When is it indicated?

In most circumstances, a syrinx is considered to be a side effect of another problem (i.e. Chiari malformation, tethered spinal cord, post-traumatic spinal cord injury). Surgeons treat the primary cause of the syrinx first before performing a direct operation on the syrinx.

In the setting of a Chiari I malformation, a syrinx shunt is not the first procedure that is performed. Most often, the Chiari decompression will effectively treat the syrinx. If the Chiari decompression fails to decrease the syrinx size, the surgeon may consider whether the decompression was inadequate, whether there is evidence of a tethered cord, or whether there is hydrocephalus. If these situations are either not present or have already been addressed surgically, then the surgeon may consider performing a syrinx shunt as a last resort.

Similarly, in the setting of a tethered cord that is associated with a syrinx, the surgeon will most often perform a tethered cord release first. If this fails to decrease the syrinx and there are no other potential causes of the syrinx, the surgeon may consider performing a syrinx shunt.

Post-traumatic syringes can be difficult to treat surgically. Surgeons often will attempt to treat the scarring that is present around the spinal cord first. Should this fail to treat a progressively enlarging and symptomatic syrinx, the surgeon may consider performing a syrinx shunt.

What are the possible complications?

In order to place the shunt into the syrinx, an incision must be made in the spinal cord. Whenever an incision is made in the spinal cord there is a risk of injury and therefore paralysis but more often there is minor sensory disturbances resulting from shunt placement. When possible the surgeon will make an incision at a level that is below the nerves that go to the arms. This is generally below the first thoracic vertebra. One of the more common complications of a shunt is that it can fail after a period of time working. Shunt failure can occur because of scarring, or the catheter may become clogged and is no longer able to divert fluid from one space to another.

Shunt failure may not cause symptoms (asymptomatic) and may only be apparent when an MRI is performed and shows that the syrinx has refilled or enlarged. When symptomatic, it typically presents with a return of the symptoms that were occurring before the shunt was inserted.

There is some debate about whether any restrictions are needed in patients who have shunts. Some surgeons prefer patients to not perform contact sports or activities that may cause twisting that could put tension on the shunt. However, other surgeons place no specific restrictions on patients with shunts.

“Celebrity” Celebration

Date: July 21-25, 2010
Time: 7:00 PM
Location: Damani’s
638 North 66th Street
Philadelphia, PA 19151
Join us for a unique evening of fun and good food for a great cause! Enjoy dinner, dancing, a silent auction and lots of entertainment! Tickets are $35 per person/$60 couple. For more info call Patrice at 585-747-9651