RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2009-00978 COUNSEL: NONE HEARING DESIRED: NO _________________________________________________________________ APPLICANT REQUESTS THAT: His disability rating be increased. _________________________________________________________________ APPLICANT CONTENDS THAT: The Air Force wrongly rated his lumbar and spine injury at 20 percent. He requests his condition be reviewed and corrected to show the actual condition to be far more disabling and rated at a higher percentage. In support of his application, applicant provides a personal statement and documents extracted from his military personnel and medical records. Applicant's complete submission, with attachments, is at Exhibit A. _________________________________________________________________ STATEMENT OF FACTS: On 7 Aug 80, the applicant contracted his initial enlistment in the Air Force Reserves. He was progressively promoted to the grade of master sergeant having assumed the grade effective and with a date of rank of 1 May 04. On 13 Nov 08, he was permanently retired with a 60 percent disability rating for Nonepileptiform Seizures and Chronic low back pain. The remaining relevant facts pertaining to this application, extracted from the applicant's military records, are contained in the evaluation prepared by the BCMR Medical Consultant. _________________________________________________________________ AIR FORCE EVALUATION: The BCMR Medical Consultant recommends denial. The Medical Consultant states the applicant has presented a valid concern regarding the currency of medical information utilized by the Formal Physical Evaluation Board (FPEB) in making its determination. However, the Medical Evaluation Board (MEB) addendum comment, dated 12 Feb 08, entered into the applicant's narrative summary, indicated his medical condition had been unchanged since his initial MEB assessment. While not recorded in degrees, the Medical Consultant opines that the applicant's demonstrated ability to forward flex, presumably with hands reaching the level of the ankles, likely far exceeds the "30 degrees or less" thoraco-lumbar motion required in order to qualify for an increase in rating to 40%. The record does not contain alternative range of motion data that may be utilized to justify an alternative disability rating determination, nor is there evidence of a cumulative period of incapacitating episodes during the 12 months preceding the applicant's MEB/PEB actions that warrant a change in the combined disability rating computation. The applicant has not contested the 50% disability rating received for his seizures in the current appeal application. With reference to his employability, the Medical Consultant is aware that 100% disability ratings are offered by the Department of Veterans Affairs (DVA) for individual unemployability, when a veteran cannot be reasonably expected to sustain substantially gainful employment. However, such a determination may be temporary, and not reflective of a lifelong impediment to employment resulting from a given medical condition. Based upon the evidence provided, the Medical Consultant found no basis in range of motion or episodes of incapacitation to justify a change in the disposition of the applicant's retirement. The applicant may present new evidence, e.g., range of motion physical assessments conducted in proximity to his date of retirement or evidence of incapacitating episodes of 4 or more weeks duration (cumulative) for the 12 months preceding his MEB/PEB assessments, for a reconsideration of his case. The MDES is established to maintain a fit and vital fighting force and can by law, only offer compensation for those service incurred (or aggravated) diseases or injuries which rendered a member unfit for continued active service, or were the cause for career termination; and then only for the degree of impairment present at the time of separation, and not on any projected future worsening of the condition or planned treatment. To the contrary, under Title 38, the DVA is authorized to offer compensation for any service connected medical condition, as established by medical records documentation, without regard to its proven or demonstrated impact upon a service member's retention or ability to perform the mission. More importantly, the DVA may periodically reevaluate veterans for the purpose of adjusting the disability rating awards, as the severity of a particular medical condition may vary (worsen or improve) over the lifetime of the veteran. The BCMR Medical Consultant's complete evaluation is at Exhibit C. _________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: A copy of the Air Force evaluation was forwarded to the applicant on 31 Jul 09 for review and comment within 30 days. As of this date, this office has received no response. _________________________________________________________________ THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was not timely filed; however, it is in the interest of justice to excuse the failure to timely file. 3. Insufficient relevant evidence has been presented to demonstrate the existence of an error or injustice. The applicant’s contentions are duly noted; however, we agree with the opinion and recommendation of the AFBCMR Medical Consultant and adopt his rationale as the basis for our conclusion that the applicant has failed to sustain his burden of proof of the existence of either an error or injustice. We believe the processing under the medical disability evaluation system was appropriate and accomplished in accordance with Air Force policy. We note the applicant currently has a combined DVA disability rating of 60 percent. However, former servicemembers are authorized treatment from the DVA under the provisions of Title 38, USC. Title 38, allows the DVA to provide compensation for servicemembers who incur a service-connected medical condition while on active duty and to increase or decrease the disability rating based on the seriousness of medical condition throughout the former servicemember’s life span. Therefore, in the absence of evidence to the contrary, we find no basis to recommend granting the relief sought in this application. _________________________________________________________________ THE BOARD DETERMINES THAT: The applicant be notified that the evidence presented did not demonstrate the existence of material error or injustice; that the application was denied without a personal appearance; and that the application will only be reconsidered upon the submission of newly discovered relevant evidence not considered with this application. _________________________________________________________________ The following members of the Board considered AFBCMR Docket Number BC-2009-00978 in Executive Session on 12 Nov 09 under the provisions of AFI 36-2603: , Panel Chair , Member , Member The following documentary evidence was considered: Exhibit A. DD Form 149, 26 Feb 09, w/atchs. Exhibit B. Applicant's Master Personnel Records. Exhibit C. Letter, BCMR Medical Consultant, dated 28 Jul 09. Exhibit D. Letter, SAF/MRBR, dated 31 Jul 09. Panel Chair