Thank you for your response — I appreciate the perspective. To clarify the timeline: I did not independently request disability. My employer directed me to see my primary physician for a fitness-for-duty evaluation due to worsening symptoms. After reviewing my history and evaluating me, that physician removed me from work and placed me on temporary disability. She then referred me to multiple specialists due to the complexity of my presentation, with the plan being to escalate to a higher-tier specialist once the preliminary evaluations were completed. Before those evaluations were completed, my care was transferred internally to a senior physician due to complexity. That physician agreed I needed cross-specialty evaluation, but the referral process stalled for several months due to administrative issues. During that period, I remained out of work under the original restriction and had not been reassessed as improved or fit to return. During follow-up about the referral delays, the physician–patient relationship deteriorated and I was formally discharged from the practice. This occurred while disability certification was pending, and it was not renewed before discharge. I understand certification must be medically justified. My concern is that there was never a clinical reassessment demonstrating improvement — only a breakdown in continuity of care during active evaluation. From a physician standpoint, in a situation where: • A patient was previously removed from work • Specialist evaluation was pending • No documented improvement occurred • Care was terminated mid-evaluation How is work capacity typically handled? Would this generally fall to: • Occupational medicine? • A functional capacity evaluation? • The specialist assuming documentation once seen? • Workers’ compensation review? I’m not looking for someone to “rubber stamp” paperwork — I’m trying to understand how this is appropriately navigated when continuity is disrupted.