AF | PDBR | CY2012 | PD 2012 00066
The chronic low back pain with degenerative disc disease was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.The MEB also identified and forwarded six other conditions(bilateral knee pain, sleep apnea, hypertension, dyslipidemia, delayed PTSD and adjustment disorder) all meeting retention standards for PEB adjudication.The Informal PEB adjudicated “degenerative arthritis of the spine”as unfitting, rated at 20%.The remaining conditions were determined to be not unfitting.The CI...
AF | PDBR | CY2012 | PD 2012 00169
Chronic Back Pain Condition. A 15 February 2007 physical medicine examination for persisting right leg pain recorded normal gait and posture and no physical disability was observed. At the C&P examination, almost 2 months after separation, 30 May 2007, the CI reported radiating pain into the right leg constantly and a sharp stabbing pain in lower back. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination,...
AF | PDBR | CY2012 | PD 2012 00191
The CI was then medically separated with a 20% combined disability rating. A C&P examination on 15 April 2006, 6 months after separation, for the ankles and knees noted that the CI had most of his pain in the knees and ankles, but that the hips and back were also involved. The Board determined that the MEB examination and ROM better fit the condition of the CI at the time of separation.
AF | PDBR | CY2012 | PD 2012 00284
The rating for the unfitting low back pain with radiculopathy (which includesany associated sciatic nerve pain) is addressed below;no additional conditions are within the DoDI 6040.44 defined purview of the Board. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the adjudication.The Board did not surmise...
AF | PDBR | CY2012 | PD 2012 00400
The contended conditions adjudicated as not unfitting by the PEB were hyperlipidemia, hypertension, sleep apnea and anxiety NOS (PTSD). The Board noted that the anxiety NOS (PTSD) condition continued to improve by evidence of better sleep with treatment from May 2008 until separation according to the record. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD...
AF | PDBR | CY2012 | PD 2012 00421
(2) is limited to those conditions which were determined by the PEB to be specifically unfitting for continued military service; or, when requested by the CI, those condition(s) identified but not determined to be unfitting by the PEB. The ratings for unfitting conditions will be reviewed in all cases. Post-Separation) All Effective Date 20050102 Condition Code Rating Condition Code Rating Exam Large arteriovenous (AV) malformation of the brain 7199-7113 0% NO VA ENTRY Hearing Loss Not...
AF | PDBR | CY2012 | PD 2012 00427
Pre -Separation) Condition Code Rating Condition Code Rating Exam AV Block, 2nd Degree Pacemaker 7015 10% Mobits Type II Heart Block S/P Pacemaker Placement 7015 60% 20050727 No Additional MEB/PEB Entries Other x 4 20050727 Combined: 10% Combined: 70% Derived from VA Rating Decision (VARD) dated 20061222 (most proximate to date of separation [DOS]). The Board concluded that the evaluation done by the cardiologist as part of the MEB exam, a month prior to separation, was the most probative...
AF | PDBR | CY2012 | PD 2012 00428
The ratings for the unfitting LBP and chronic neck pain w/tension headache conditions are addressed below. Post-Separation Condition Code Rating Condition Code Rating Exam Low Back Pain 5299-5237 10% Lumbosacral Disc Disease L4-5 5299-5242 10% 20050126 Chronic Neck Pain w/ Tension Headache 5299-5237 10% Cervical spondylosis 5299-5237 10% 20050126 Tension Headache - Muscle Spasm 8199-8100 10% 20050126 Mild gastritis/Esophagitis Not Unfitting NO VA ENTRY No Additional MEB/PEB Entries Other...
AF | PDBR | CY2012 | PD 2012 00443
The Board noted that the PEB combined the bilateral knee and ankle pain as a single unfitting condition coded 5003 and rated 10%. The Board first considered the knees and ankles to determine if they were separately unfitting and, if so, the appropriate rating. At the VA C&P examination, 4 months after separation, the CI reported bilateral ankle pain and intermittent swelling.
AF | PDBR | CY2012 | PD 2012 00444
The Physical Evaluation Board (PEB) adjudicated the right ankle pain; common peroneal partial neuritis, moderate condition as unfitting, rated 20%. The PEB rated that at 0%. However, the unfitting condition was right ankle pain a separate rating would be based on the same impairment used to adjudicate a rating under the nerve code used by the PEB and is prohibited by §4.14 (Avoidance of pyramiding).
AF | PDBR | CY2012 | PD 2012 00450
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200450 SEPARATION DATE: 20080531 BOARD DATE: 20130208 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SSG/E-6 (63D30 / Field Artillery Mechanic), medically separated for bilateral knee and left hip pain from conditions that occurred before entering the Army (EPTS [Existed Prior to...
AF | PDBR | CY2012 | PD 2012 00458
The lumbar spine condition, characterized as “myofascial low back pain (LBP) syndrome” and “degenerative arthritis of the lumbar spine,” were forwarded to the Physical Evaluation Board (PEB).The MEB also identified and forwarded one other condition“moderate obstructive sleep apnea,” as medically acceptable,IAW AR 40-501. RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination. Physical Disability Board of Review
AF | PDBR | CY2012 | PD 2012 00460
She was then medically separated with a 10% disability rating for SVC syndrome secondary to fibrosing mediastinitis. RATING COMPARISON: Service FPEB Dated 20030729 VA * All Effective Date 20030924 Condition Code Rating Condition Code Rating Exam SVC Syndrome, Secondary to Fibrosing Mediastinitis 7199-7120 10% Fibrosing Mediastinitis with DVT and S/P stenting of SVC and R/Main PA 6899-6817 60% *STR Combined: 10% Combined: 60% *No C&P Exams in Record ANALYSIS SUMMARY: The Board noted that...
AF | PDBR | CY2012 | PD 2012 00480
The PEB adjudicated the chronic pain (of the) neck, left shoulder, upper back and both knees and chronic migraine headache (after heavy lifting) conditions as unfitting, rated 20% and 0% respectively, with application of the US Army Physical Disability Agency (USAPDA) pain policy. At the VA C&P examination, she noted bilateral knee pain since 1986 and that she had had arthroscopy in 1987. RECOMMENDATION: The Board recommends that the CIs prior determination be modified as follows; and,...
AF | PDBR | CY2012 | PD 2012 00492
Asthma. In the matter of the asthma condition and IAW VASRD §4.97, the Board unanimously recommends no change in the PEB adjudication at either the time of TDRL entry or at the time of TDRL exit and permanent separation from service. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING TDRL PERMANENT Asthma 6602 30% 0% COMBINED 30% 0% The following...
AF | PDBR | CY2012 | PD 2012 00503
Should the Board judge that any contested condition was most likely incompatible with the specific duty requirements, a disability rating will be recommended IAW the VASRD and based on the degree of disability evidenced at separation. The range-of-motion (ROM) of the feet was noted to be good. X-rays were normal other than bilateral mild hammer toes of the second and third digits; this is a separate condition from the bilateral hallux valgus. RECOMMENDATION: The Board recommends that the...
AF | PDBR | CY2012 | PD 2012 00508
Chronic Neck Pain Condition: The PEB determined this condition was unfitting but was also EPTS and not aggravated by service. Both prior service and service disability ratings are determined IAW the VASRD §4.3 (reasonable doubt) standard and the final disability percent rating is determined by deducting the prior service rating from the service rating. The C&P examination used to determine the 30% disability rating was based on an exam completed more than a year prior to separation and the...
AF | PDBR | CY2012 | PD 2012 00517
Pre-Separation) All Effective Date 20040319 Condition Code Rating Condition Code Rating Exam Left upper extremity lymphedema s/p radical mastectomy w/reconstruction after stage 3 breast cancer dx 7627-7199- 7121 20% Residuals of carcinoma of left breast w/Lymphedema LUE 7627- 7121 60%* 20040115 Left Radical Mastectomy 7626 50% 20040115 Asthma Not Unfitting Asthma 6602 30% 20040115 Abdominal and low back pain Not Unfitting Low Back Pain NSC 20040115 Bilateral upper extremity weakness Not...
AF | PDBR | CY2012 | PD 2012 00525
The Informal PEB (IPEB) adjudicated right Achilles tendon avulsion as unfitting rated 20% with likely application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). The PEB characterized the condition as right Achilles tendon avulsion with surgical repair and coded it as 5271 (ankle, limited motion of). A rating higher than 20% under this code (for moderate ankle disability) would require a characterization of the ankle disability as marked. With relatively normal gait...
AF | PDBR | CY2012 | PD 2012 00537
The Informal PEBadjudicated “chronic pain, both heels, due to bone spurs and Achilles tendonitis”as unfitting, rated at 10%,citing criteria of the US Army Physical Disability Agency (USAPDA) pain policy.The CI made no appeals and was medically separated. The PEB rated the bilateral Achilles tendonitis, heel spurs, and chronic heel painat 10% (Veterans Affairs Schedule for Rating Disabilities [VASRD] code 5003; degenerative arthritis) citing slight/frequent pain IAW USAPDA pain policy. The...
AF | PDBR | CY2012 | PD 2012 00544
Any conditions or contention not requested in this application, or otherwise outside the Boards defined scope of review, remain eligible for future consideration by the Army Board for Corrections of Military Records. The PEB and the VA both rated the condition 10%, but under separate codes. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD...
AF | PDBR | CY2012 | PD 2012 00552
Post-Separation) Condition Code Rating Condition Code Rating Exam Pain Residuals, Fascial Release, Right Lower Leg 5099- 5003 0% S/P Fasciotomy, Right Lower Extremity 5314 10% 20061120 No Additional MEB/PEB Entries S/P Fasciotomy, Left Lower Extremity 5314 10% 20061120 Combined: 0% Combined: 20% Derived from VA Rating Decision (VARD) dated 20070116(most proximate to date of separation [DOS]). In the matter of the right leg condition, the Board unanimously recommends a disability rating of...
AF | PDBR | CY2012 | PD 2012 00577
The other conditions forwarded by the MEB and adjudicated as not unfitting by the PEB were left ankle instability s/p modified Brostrom procedure, left ankle Achilles tendonitis s/p Achilles tendon debridement, recurrent and chronic left ankle synovitis, and chronic left ankle pain. Left Achilles Tendonitis s/p Debridement;Left Ankle Synovitis;Chronic Left Ankle Pain .None of these conditions were separately profiled while on LIMDU, implicated in the commander’s assessment, or noted as...
AF | PDBR | CY2012 | PD 2012 00585
The PEB found the left knee condition unfitting, and rated it 10%, with likely application of the VA Schedule for Rating Disabilities (VASRD). Left Knee Condition . RECOMMENDATION : The Board, therefore, recommends that there be no re-characterization of the CI’s disability and separation determination.
AF | PDBR | CY2012 | PD 2012 00586
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200586 SEPARATION DATE: 20060711 BOARD DATE: 20130220 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SGT/E-5 (11B, Infantryman) medically separated for chronic neck pain. Chronic neck pain. Therefore, both of the ROM exams meet VASRD criteria for a 10% rating.
AF | PDBR | CY2012 | PD 2012 00649
The Physical Evaluation Board (PEB) combined the two MEB conditions and found the CI unfit for military service due to back pain and moderate limitation of lumbar range-of-motion (ROM). The Army PEB and the VA used different coding and rating options for the LBP condition. Service Treatment Record Exhibit C. Department of Veterans Affairs Treatment Record xxxxxxxxxxxxxxxxxxxxxxxx, DAF Director of Operations Physical Disability Board of Review SFMR-RB MEMORANDUM FOR Commander, US Army...
AF | PDBR | CY2012 | PD 2012 00671
(2) is limited to those conditions which were determined by the PEB to be specifically unfitting for continued military service; or, when requested by the CI, those condition(s) identified but not determined to be unfitting by the PEB. The ratings for unfitting conditions will be reviewed in all cases. Asthma. The PEB and VA both rated the asthma condition 10% code 6602, asthma.
AF | PDBR | CY2012 | PD 2012 00680
Bilateral Groin Pain. The profile further recommended a MOS/Medical Review Board (MMRB). He was evaluated and found to have multiple painful lymph nodes and otherwise his extensive workup did not reveal an etiology for his symptoms.
AF | PDBR | CY2012 | PD 2012 00682
An outpatient note (15 February 2001) reported a normal X- ray of the left knee. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING Left Retropatellar Pain Syndrome 5299-5003 10% COMBINED 10% The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120608, w/atchs Exhibit B. Service Treatment Record Exhibit C. Department of...
AF | PDBR | CY2012 | PD 2012 00686
Chronic Low Back Pain due to Degenerative Disc Disease and Bertotollis Syndrome Condition. The remote from separation, VA exam in November 2006, documented slight pain-limited ROM and the VA continued their 10% rating based on that exam. The exams were about the same time prior to and after separation.
AF | PDBR | CY2012 | PD 2012 00691
TDRL RATING COMPARISON: Final Service PEB - 20021105 VA (12 months prior to separation) Effective 20020311 On TDRL - 20010512 Code Rating Condition Code Rating Exam Condition TDRL Sep. SLE 6350 60% 10% SLE 6350 60%* STR from 20020311 to 20021220 and Civilian records from 20030103 to 20031215 All others x 4/ Not Service Connected X 3 Combined: 60% . The Board also agreed the rating at the time of TDRL placement is consistent with a 60% rating for an unstable condition that had resulted in...
AF | PDBR | CY2012 | PD 2012 00704
Left Knee Condition . The joint motion documented in examinations did not attain a minimum rating under VASRD diagnostic code5260 (limitation of flexion) or 5261 (limitation of extension). Board members agreed that there was sufficient evidence of pain with use prior to separation, as well objective examination and imaging findings, to support a 10% rating considering functional loss and painful motion (§4.40, §4.59); however, no route to a higher rating was found.After due deliberation,...
AF | PDBR | CY2012 | PD 2012 00723
The CI was medically separated with a 10% disability rating. Post-Separation) All Effective Date 20020412 Condition Code Rating Condition Code Rating Exam Chronic Thoracic Back Pain w/ Scheuermann's Kyphosis 5285-5299 5295 10% Scheuermanns Disease of The Thoracic Spine 5285-5291 10%* 20020304 .No Additional MEB/PEB Entries. Chronic Thoracic Back Pain with Scheuermann's Kyphosis Condition.
AF | PDBR | CY2012 | PD 2012 00725
The Physical Evaluation Board (PEB) adjudicated the chronic back pain condition as unfitting, rated 10% with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD). Post-Sep (20071213)p.168 Flexion (90 Normal) 45 (65, 46, 43) 65 75 Ext (30) 20 (23, 21, 18) 25 20 R Lat Flex (30) 20 (20, 20, 17) 20 30 L Lat Flex (30) 30 (30, 31, 32) 25 30 R Rotation (30) 30 (23, 23, 36) 30 30 L Rotation (30) 30 (35, 42, 36) 30 30 Combined (240) 175 185 215 Comments Limited by pain No...
AF | PDBR | CY2012 | PD 2012 00726
In consideration of the unequivocal evidence, and IAW DoDI 6040.44, the Board must recommend a separation rating of 50% for the OSA condition. Bilateral Knee Pain Condition. Under the authority of Title 10, United States Code, section 1554(a), I approve the enclosed recommendation of the Department of Defense Physical Disability Board of Review (DoD PDBR) pertaining to the individual named in the subject line above to recharacterize the individuals separation as a permanent disability...
AF | PDBR | CY2012 | PD 2012 00734
Post-Separation) Effective 20020807 Condition Code Rating Condition Code Rating Exam Asthma 6602 10% Asthma 6602 10%* 20030114 .No Additional MEB/PEB Entries. Both the Army PEB and the VA coded the asthma condition 6602, and rated it 10%. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING Asthma 6602 10% COMBINED 10% The following documentary evidence...
AF | PDBR | CY2012 | PD 2012 00737
RATING COMPARISON: Service IPEB Dated 20030520 VA Service Treatment Records (STR) and Civilian Records* Condition Code Rating Condition Code Rating Exam Bilateral Foot Pain, Surgical Residuals 8799-8725 10% Bilateral Tarsal Tunnel Syndrome 8525 NSC STR/Civilian 10% No Additional MEB/PEB Entries Other x 1 Also Not Service Connected (NSC) STR/Civilian Combined: 20% Combined: NSC *Derived from VA Rating Decision (VARD) dated 20040930. Bilateral Feet Pain Condition. Service Treatment...
AF | PDBR | CY2012 | PD 2012 00762
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200762 SEPARATION DATE: 20030509 BOARD DATE: 20121114 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E-5 (95B10, Military Policeman), medically separated for chronic right knee pain status post arthroscopic surgery. The MEB physical exam noted tenderness, a trace effusion and no...
AF | PDBR | CY2012 | PD 2012 00763
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200763 SEPARATION DATE: 20030703 BOARD DATE: 20130213 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty SPC/E-4 (52D10/Power Generation Mechanic), medically separated for chronic low back pain (LBP). The MEB forwarded no other conditions for Physical Evaluation Board (PEB) adjudication. The...
AF | PDBR | CY2012 | PD 2012 00766
Left Shoulder Condition. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING Condition 5099-5003 10% COMBINED 10% The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120610, w/atchs Exhibit B. Service Treatment Record Exhibit C. Department of Veterans Affairs Treatment Record XXXXXXXXXXXXXXXXXXXXX, DAF Acting...
AF | PDBR | CY2012 | PD 2012 00767
The Physical Evaluation Board (PEB) adjudicated neck and shoulder pain with degenerative cervical spondylosis as unfitting and rated 0% IAW the US Army Physical Disability Agency (USAPDA) pain policy. ANALYSIS SUMMARY: The Boards authority as defined in DoDI 6040.44, resides in evaluating the fairness of Disability Evaluation System (DES) fitness determinations and rating decisions for disability at the time of separation. RECOMMENDATION: The Board recommends that the CIs prior...
AF | PDBR | CY2012 | PD 2012 00787
Moderate To Severe Obstructive Sleep Apnea Requiring Nightly Use of CPAP Condition. In consideration of this evidence, and IAW DODI 6040.44, the Board must recommend a separation rating of 50% for the OSA condition. RECOMMENDATION: The Board recommends that the CIs prior determination be modified as follows; and, that the discharge with severance pay be recharacterized to reflect permanent disability retirement, effective as of the date of his prior medical separation: UNFITTING...
AF | PDBR | CY2012 | PD 2012 00795
Pre-Separation)ConditionCodeRatingConditionCodeRatingExam Chronic Low Back Pain5299-529510%Chronic Low Back Pain523710%20030415Other x 1 (Not in Scope)Other x 120030415 Rating: 10%Combined: 10% Derived from VA Rating Decision (VARD)dated 20040128 ANALYSIS SUMMARY : The Board acknowledges the sentiment expressed by the CI regarding the impairment with which his condition continues to burden him, and the significant impact it has had on his quality of life. The VASRD coding and rating...
AF | PDBR | CY2012 | PD 2012 00796
The ROM showed a restriction to flexion of 40 degrees vice the normal 90 with painful motion. The CI was determined to have an unfitting asthma condition at TDRL entry and rated at 10% disability. The Board noted that the PEB and VA both coded the asthma condition as 6602, but rated it at 10 and 30%, respectively.
AF | PDBR | CY2012 | PD 2012 00799
RECORD OF PROCEEDINGS PHYSICAL DISABILITY BOARD OF REVIEW NAME: XXXXXXXXXXXXXXX BRANCH OF SERVICE: ARMY CASE NUMBER: PD1200799 SEPARATION DATE: 20011114 BOARD DATE: 20130305 SUMMARY OF CASE: Data extracted from the available evidence of record reflects that this covered individual (CI) was an active duty, E1/PVT, Initial Entry Trainee, medically separated for exertional rhabdomyolysis with myoglobinuria with renal failure and coagulopathy. The MEB forwarded no other conditions for Physical...
AF | PDBR | CY2012 | PD 2012 00800
The CI was medically separated with a 10% disability rating. The PEB rated the CI chronic LBP 10% under code 5299-5237 (lumbosacral strain) citing the ROM examination from the 21 July 2003 reported in the MEB NARSUM showing flexion greater than 60 degrees. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD CODE RATING Chronic Low Back Pain, Secondary to Degenerative...
AF | PDBR | CY2012 | PD 2012 00809
The CI was then medically separated with a 10% disability rating. All records and exams refer to bilateral lower leg pain. In regards to the bilateral leg conditions combined under a single 5003 rating by the PEB, the Board unanimously recommends that each leg be individually unfitting and individually rated.
AF | PDBR | CY2012 | PD 2012 00822
Chronic Right Shoulder Pain Condition. Chronic Right Elbow Pain Condition. RECOMMENDATION: The Board recommends that the CIs prior determination be modified as follows, effective as of the date of his prior medical separation: UNFITTING CONDITION VASRD CODE RATING Chronic Right Knee Pain 5003 10% Chronic Back Pain without Neurologic Abnormality 5299-5237 10% COMBINED 20% The following documentary evidence was considered: Exhibit A. DD Form 294, dated 20120606, w/atchs Exhibit B.
AF | PDBR | CY2012 | PD 2012 00825
The Board then considered its rating recommendation for the condition at the time of separation. The Board then considered its rating recommendation for the condition at the time of separation. RECOMMENDATION: The Board recommends that the CIs prior determination be modified as follows, effective as of the date of his prior medical separation: UNFITTING CONDITION VASRD CODE RATING Chronic Low Back Pain 5237 10% Chronic Neck/Upper Back Myofascial Pain Syndrome 5099-5021 0 COMBINED 10% The...
AF | PDBR | CY2012 | PD 2012 00836
The knee condition, characterized as “shrapnel injury to right knee,” was the only condition forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501. BOARD FINDINGS : IAW DoDI 6040.44, provisions of DoD or Military Department regulations or guidelines relied upon by the PEB will not be considered by the Board to the extent they were inconsistent with the VASRD in effect at the time of the adjudication.As noted above, PEB reliance on the USAPDA pain policy was operant in this case and...