When living with a high-output ostomy and a parastomal hernia, applying for Social Security Disability Insurance (SSDI) can be a challenging process. This guide offers some practical advice and insights to help strengthen your disability claim.

1. Consider using a specialized disability law service or attorney:
- These professionals are skilled at handling the details of your application, which can significantly improve your chances of approval.
- They can help you avoid common pitfalls, such as missing or rescheduling mandatory consultative exams, which can lead to denials.
- Many people have found success in getting approved on their first try with the help of legal representation.

2. Be prepared for an initial denial and ready to appeal:
- Statistics suggest that about 65% of initial claims are denied, with 85% denied at reconsideration. However, at the Administrative Law Judge (ALJ) hearing stage, 45-50% of claims are approved.
- Persistence is key, so be prepared to continue through each level of appeal if necessary.

3. Understand the factors the Social Security Administration (SSA) will assess:
- They will look at the underlying medical condition that led to your ostomy, such as cancer or Crohn’s disease.
- They will consider complications that directly affect your ability to work, like high stoma output, frequent restroom needs, parastomal hernia, supply overuse, and fatigue.
- Your age and overall vocational profile will also be taken into account.

4. Explore the Ticket to Work program:
- If you are already receiving SSDI, this SSA program can help you re-enter the workforce without immediately losing your benefits.

5. General tips to strengthen your claim:
- Keep detailed medical records that document your output volume, hernia complications, supply usage, and any work limitations.
- Avoid missing or rescheduling SSA-scheduled examinations unless absolutely necessary.
- If your claim is denied, file appeals promptly and adhere to all deadlines.

These steps can help you navigate the SSDI application process more effectively, increasing your chances of a successful claim.