I went on STD after I had a fistula surgery, it would not heal for month’s. I couldn’t sit due to the pain, I leaked post BM and was very depressed. Mind you, I lived for years with belly pain, urgency, dria,fistula, arthritis, depression and all the other lovely Crohn’s gifts. It’s the fistula surgery (fistulatomy) that put me over the edge.
When my STD ended, HR at my last employer (I worked for the same company for over 10 years) send my file over to LTD (Prudential). Prudential sent me and my doc’s daily regiment questioner/form. I told then the truth - Because of my situation at time – non healing fistula, leaking post BM, unable to sit for any prolong time, depression, fatigue, arthritis I can’t be in the office and do my job. I also worked in IT and was responsible for business critical applications. Not being 100% 24/7 pretty much made me useless in that capacity. In that form I had to document my typical daily: How long I typically sleep, how is my sleep, do I wake up during the night to go the restroom due to my pain, etc. Then what do I do after I wake up: how many and what types of pills I take, do I forget to take pills, how often I forget, Do I have depression, how does it affect my cognitive and mental ability, do I feel confused and unable to concentrate. Can I make my own breakfast, how many times per week can I make my own breakfast. Can I do any chores and what type I can do in the house, can I drive myself to the doctor, how long can I sit in the car, can I take a walk outside, how often and how long, etc. Basically I described my worst day as that were most of my days per week anyway – some days I feel better and I can make breakfast, take a walk with my dog for one hour, then I need to lay dawn due to pain, dizziness, etc
I went to all the hospitals I was admitted for the past year and had them make me a copy of my records (some I had to pay 10c per page) that showed my surgeries, infections, complications, etc. I also got copies of my record from my surgeon, my GI, my family doc, my therapist, my second and third opinion surgeons and GI’s. All that info was added to the package and sent to Prudential. All my docs were on board with me and agreed to fill in their parts in the forms. Then my wife got a form to fill up because I listed her as a person I live with that helps me on daily basis. She described my worst day and my best day – I am able to do few things 2 times per week, the rest of the week she does house chores, walks the dog, etc.
Can’t stress enough how important documentation is – that is all that I had to prove that I AM UNABLE TO WORK. It's been now 3 years and few more hospital stays, fistulas, remicade, humira and now MTX. Most days I am ok - I learned to deal and live with my issues, but NO WAY I am able to go back to the stress and daily grind of work. I am very lucky that I have a wonderful wife that has been with me for 30 years. We had many great years and many terrible years, and I am not talking just about my Crohn’s – many deaths in the family, addiction, financial trouble, marriage issues.
All the best to you all!