To whom it may concern;

Jim Doe has been my patient since November 10, 1981 when he was admitted to Bethesda Hospital with weakness in his extremities which prevented ambulating in less than 5 hours, an absence of feeling from T-4 downward, non functioning bladder and bowels and acute pain at the T-4 level. He underwent diagnostic tests and it was found that he was suffering from Acute Transverse myelitis. Mr. Doe has made a greater recovery than others but still has significant limitations. (The physician can easily write a better admitting history and course of treatment).

According to the Social Security’s Listing of Impairments, Specifically 11.00c state that there

Must be :

C. Persistent disorganization of motor function in the form of paresis or paralysis, tremor or other involuntary movements, ataxia and sensory disturbances (any or all of which may be due to cerebral, brain stem, spinal cord, or peripheral nerve dysfunction) which occur singly or in various combination, frequently provides the sole or partial basis for decision in cases of neurological impairment. The assessment of impairment depends on the degree of interference with locomotion and/or interference with the use of fingers, hands, and arms.


11.01 Category of Impairments, Neurological


11.04 Central nervous system vascular accident. With one of the following more than 3 months post-vascular accident:

B. Significant and persistent disorganization of motor function in two extremities, resulting in sustained disturbance of gross and dexterous movements, or gait and station (see 11.00C).


11.14 Peripheral neuropathies.

With disorganization of motor function as described in 11.04B, in spite of prescribed treatment.

I am of the opinion that Mr. Doe, within reasonable medical probability, meets the aforementioned listings and should be considered permanently and totally disabled from sustained remunerative work activity.

Very Truly Yours

Dr. Smith

I believe that the listings as noted above could be incorporated into a letter which should allow for the granting of benefits at the time of the first application.