Inability to Ambulate

   Claimant must use a walker to stand up and support his body.  If he lets go of the walker with either his left or right hand he will fall to the floor. 

  Claimant can only ambulate with the use of two canes/walker/wheel chair.  Indeed, he had to appear at the hearing in his wheelchair and walker in case he had to rise.

   Claimant must have “full time companion assistance to and from a place of employment” 

As such he meets a listing for disability.  I would invite your attention to the Social Security Blue Book for Medical Experts:

1.0     Musculoskeletal System B.2.b (and referred to through the Blue Book as the definition)

What we mean by inability to ambulate effectively.

(1) Definition. Inability to ambulate effectively means an extreme limitation of the ability to walk; i.e., an impairment(s) that interferes very seriously with the individual's ability to independently initiate, sustain, or complete activities. Ineffective ambulation is defined generally as having insufficient lower extremity functioning (see 1.00J) to permit independent ambulation without the use of a hand-held assistive device(s) that limits the functioning of both upper extremities. (Listing 1.05C is an exception to this general definition because the individual has the use of only one upper extremity due to amputation of a hand.)

(2) To ambulate effectively, individuals must be capable of sustaining a reasonable walking pace over a sufficient distance to be able to carry out activities of daily living. They must have the ability to travel without companion assistance to and from a place of employment or school.

Therefore, examples of ineffective ambulation include, but are not limited to, the inability to walk without the use of a walker, two crutches or two canes, the inability to walk a block at a reasonable pace on rough or uneven surfaces, the inability to use standard public transportation, the inability to carry out routine ambulatory activities, such as shopping and banking, and the inability to climb a few steps at a reasonable pace with the use of a single hand rail. The ability to walk independently about one's home without the use of assistive devices does not, in and of itself, constitute effective ambulation.

  Claimant must use two canes/a wheelchair/a walker to ambulate. He must also have a full time assistant to travel. Therefore, claimant cannot sustain substantial gainful activity and thus should be found disabled.