K.B. was employed as a television executive producer for over 17 years before she began suffering from pustular psoriasis and lesions, a skin condition, which affected the palms of her hands and the bottoms of her feet. The severity of the skin impairment and the pain associated with it made it impossible for her to remain employed. SSA denied K.B. disability four times before Mr. Borgia was able to get K.B. a lump sum award consisting of four years of retroactive disability benefits, future monthly Disability Insurance Benefits and immediate enrollment in Medicare at the age of 46.