RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2009-00799 COUNSEL: NONE HEARING DESIRED: NO _________________________________________________________________ APPLICANT REQUESTS THAT: She be given a medical retirement. _________________________________________________________________ APPLICANT CONTENDS THAT: She was not given adequate consideration for a medical retirement and her headaches were overlooked in her disability computation at the time of her discharge. Appropriate consideration of her headaches, with a rating comparable to the 30 percent assigned by the Department of Veterans Affairs (DVA) within nine months of her discharge, along with the 10 percent for her Dsythymic Disorder, would have made her eligible for a medical retirement. Her headaches were listed as a condition which was incurred while entitled to basic pay and did not exist prior to service and the headaches were noted several times in her Medical Evaluation Board Narrative Summary; however, her AF Form 356, Findings and Recommended Disposition of USAF Physical Evaluation Board, fails to ascribe a disability rating for the issue clearly identified in the reports. In support of her request, the applicant provides copies of her AF Form 356, dated 13 Jan 03; AF 618, Medical Board Report, dated 24 Sep 02; Medical Evaluation Board Narrative Summary, dated 20 Sep 02; and DVA rating decision, dated 11 Dec 03. The applicant's complete submission, with attachments, is at Exhibit A. _________________________________________________________________ STATEMENT OF FACTS: The applicant entered her second term in the Regular Air Force on 31 Jul 00 and was discharged on 10 Mar 03. On 24 Sep 02, the applicant underwent a Medical Evaluation Board (MEB) where it was determined she was fit for continued military service. In an undated letter to the MEB and Informal Physical Evaluation Board (IPEB), the applicant’s commander recommended her discharge, citing her diagnosed depression and insomnia, duty profile restriction, and disqualification from worldwide deployments. On 4 Oct 02, the IPEB found the applicant unfit and recommended discharge. On 9 Oct 02, the applicant disagreed with the findings and requested a hearing before the Formal Physical Evaluation Board (FPEB). On 29 Oct 02, the FPEB recommended discharge. The applicant disagreed with the findings and appealed to the Secretary of the Air Force Personnel Council (SAFPC) and requested to be returned to duty, allowed to cross-train, or be allowed to receive separation pay. On 13 Jan 03, SAFPC directed the applicant’s discharge with severance pay and a ten percent disability rating. SAFPC noted the applicant had a previous successful enlistment in the Air Force, without emergence of any mental impairment or therapies, which resulted in an honorable discharge in 1997. Also noted in the SAFPC decision, was her frequency of mental health interventions during portions of 2001 and much of 2002, in addition to her need for a non-rotating duty schedule. The DVA is authorized to offer compensation for any medical condition determined service-incurred or aggravated, without regard to its proven or demonstrated impact upon a service member’s retainability or ability to perform military service. The DVA is also empowered to periodically re-evaluate veterans for the purpose of adjusting the disability rating as the level of impairment or severity of a given medical condition may vary (worsen or improve) over time. _________________________________________________________________ BCMR MEDICAL CONSULTANT’S EVALUATION: The BCMR Medical Consultant recommends denial and states the applicant has not met the burden of proof that warrants a change in her records. Although there is evidence the applicant was treated for headaches during the course of her military service, there is insufficient evidence that it was, or should have been, a stand- alone cause for deficient duty performance or career termination; as would otherwise have been demonstrated through performance reports, sufficient medical evidence of lost duty time due to treatment of headaches (e.g., recurring emergency treatment), profile restrictions directed at the headaches which impact worldwide qualification of sufficient level of restriction, e.g., “P4,” commander’s assessments, and medical progress notes. Further, in accordance with Department of Defense Instruction 1332.38, Enclosure 3, Part 3, E3.P3.3.4, Cause and Effect Relationship, regardless of the presence of illness or injury, inadequate performance of duty, by itself, shall not be considered as evidence of unfitness due to physical disability unless it is established that there is a cause and effect relationship between the two. The BCMR Medical Consultant finds insufficient evidence of a cause and effect relationship specifically between the applicant’s headaches and an impairment of duty performance; and finds insufficient evidence that this particular condition was separately unfitting at the time of the applicant’s evaluation and separation. The complete BCMR Medical Consultant’s evaluation is at Exhibit C. _________________________________________________________________ APPLICANT'S REVIEW OF BCMR MEDICAL CONSULTANT’S EVALUATION: A copy of the BCMR Medical Consultant’s evaluation was forwarded to the applicant on 8 Jan 10 for review and comment within 30 days (Exhibit D). As of this date, this office has not received a 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 error or injustice. We took notice of the applicant's complete submission in judging the merits of the case; however, we agree with the opinion and recommendation of the BCMR Medical Consultant and adopt his rationale as the basis for our conclusion the applicant has not been the victim of an error or injustice. 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 Docket Number BC-2009-00799 in Executive Session on 4 March 2010, under the provisions of AFI 36-2603: , Panel Chair , Member , Member The following documentary evidence was considered: Exhibit A. DD Form 149, dated 17 Mar 09, w/atchs. Exhibit B. Applicant's Master Personnel Records. Exhibit C. Letter, BCMR Medical Consultant, dated 31 Dec 09. Exhibit D. Letter, SAF/MRBR, dated 8 Jan 10. Panel Chair