Basic Stuff
- Name: ABC
- Country: United States
- State: Ohio
- City: Mount Vernon
- Gender: Female
- Age: 44
- Education: Jr. College
- Primary Illness: Dysautonomia/postural orthostatic tachycardia syndrome (POTS)
- Diagnosis:
- Postural Orthostatic Tachcycardia Syndrome (POTS)
- Migraine
- Mast Cell Activation Syndrome (MCAS)
- Year Illness Began: 2019
Functioning Interrupted
Former Level of Functionality: 90
(No symptoms at rest; mild symptoms with activity; normal overall activity level; able to work full-time without difficulty.)
Current Level of Functionality: 20
(Moderate to severe symptoms at rest. Unable to perform strenuous activity; overall activity 30%-50% of expected. Unable to leave house except rarely; confined to bed most of day; unable to concentrate for more than 1 hour a day.)
Work Interrupted
- Years of Work Lost: 4
- Current Work Status: Not working now (not on disability)
Income Interrupted
-
Minimum Current Annual Income Loss:
$69,928
- Total Projected Economic Losses For Years Not Worked:
$257,601
Other Interruptions
Certified Disabled: No
