Secondary diagnosis: Affective/mood disorders.
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The claimant was a 50-year-old man.
Alleged disability: Crushed lower left leg, bipolar disorder, back and spine pain, and human immunodeficiency virus (HIV) positive. He believed that the screws were coming out of his left leg; he reported constant neck and back pain, and had severe mood swings.
Education: General Education Development (GED) completed in 1981. Certified electrician 1981, certified graphic arts 1990, certified frame carpenter 1998.
Work experience: Electrician for electricity companies (20 years), and box stacker and line worker for food manufacturer companies (two years). He also worked as a telemarketer with an insurance company in 2009. He stopped working on 04/30/2014. …show more content…
The primary diagnosis was symptomatic human immunodeficiency virus (HIV). The secondary diagnosis was affective/mood disorders.
Per medical records, the claimant had multiple health issues. His left lower extremity was pinned between two vehicles in 2013; sustained a fracture and required surgery with hardware placement. He complained of back and neck pain and left lower extremity pain.
He had a history of mental issues such as depression (versus bipolar disorder) and suicidal attempts. He reported abusing drugs and tobacco. He was HIV positive; however, there was no documentation of opportunistic infections, cancer, fever, malaise, involuntary weight loss, or other symptoms of advanced illnesses related to the progression of HIV.
Radiologic examination (06/2016) of the lumbar and cervical spine were negative for fracture, subluxation, or acute changes. Physical examinations did not show signs or symptoms of advanced HIV.
The medical vocational rule 203.21 was used as a framework to make the disability