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AF | BCMR | CY1999 | 9802599
Original file (9802599.doc) Auto-classification: Denied

                            RECORD OF PROCEEDINGS
             AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS

IN THE MATTER OF:      DOCKET NUMBER:  98-02599
                             INDEX CODE: 108.00

                             COUNSEL:  DAV

                             HEARING DESIRED:  No


_________________________________________________________________

APPLICANT REQUESTS THAT:

Her involuntary disability discharge be changed to a medical retirement.

_________________________________________________________________

APPLICANT CONTENDS THAT:

While on active duty she developed a severe liver  disease  and  within  one
year of her release from  active  duty,  the  Veterans  Administration  (VA)
established a 30 percent disability for cirrhosis of the  liver  (not  liver
infection).   She  continues  to  have  flare-ups  and  set  backs  due   to
increasing symptoms of the liver.

In support of the appeal, applicant submits a statement  from  the  Disabled
American Veterans, a  letter  from  the  Mayo  Clinic,  a  letter  from  the
Gastroenterology Associates, and medical documentation.

Applicant's complete submission is attached at Exhibit A.

_________________________________________________________________

STATEMENT OF FACTS:

Applicant enlisted in the Regular Air Force on 26 August 1986 in  the  grade
of airman basic for a period of 4 years.

On 6 October 1992, applicant was presented to  a  Medical  Evaluation  Board
(MEB) at Carswell AFB, TX which referred her case to the  Informal  Physical
Evaluation  Board  (IPEB)  with  a  diagnosis  of  Hepatitis,   undetermined
etiology.

On 22 October 1992,  the  IPEB  found  the  applicant  unfit  for  continued
military service for a diagnosis of hepatitis with an undetermined  etiology
and  recommended  temporary  retirement  with  a  30  percent  rating.   The
applicant did not agree with the findings and recommended disposition.

On 15 December 1992, the applicant was placed on  the  Temporary  Disability
Retired List (TDRL) with a 30 percent disability rating.

On 22 June 1994, the applicant underwent a  TDRL  reexamination.   The  IPEB
recommended permanent retirement at 30 percent with  a  diagnosis  of  signs
and symptoms consistent with chronic cholangitis and pericholangitis  and  a
granulomatous hepatitis.  The applicant did not agree with the findings  and
recommended disposition.

On 20 October 1994, the formal PEB (FPEB) recommended that the applicant  be
retained on the TDRL at 30 percent rating.

On 24 January 1996, the applicant underwent a  TDRL  reexamination  and  her
condition was found to have now stabilized.

On 8 February 1996, the IPEB recommended discharge with severance pay at  10
percent rating with a diagnosis of  Category  I;  History  of  granulomatous
hepatitis,  etiology  inactive  sarcoidosis  vs.  idiopathic   granulomatous
hepatitis with associated fatigue.  The applicant did not  concur  with  the
recommended findings and requested a FPEB.

On 28 March 1996, the FPEB recommended discharge  with  severance  pay  with
10% rating and a diagnosis of Category I: Compensable and ratable.   History
of granulomatous hepatitis, etiology  inactive  sarcoidosis  vs.  idiopathic
granulomatous hepatitis with associated  fatigue.   The  applicant  did  not
agree and submitted a rebuttal for consideration by  the  Secretary  of  the
Air Force Personnel Council.  They  subsequently  reviewed  and  upheld  the
previous boards’ findings and recommendations and directed  the  applicant’s
discharge with severance pay and a  disability  rating  of  10  percent  for
physical disability.

Applicant was discharged on 1 June 1996, in the grade  of  sergeant  with  a
honorable discharge, under  the  provisions  of  AFI  36-3212  for  Physical
Disability with entitlement to disability severance pay.  She had  completed
9 years, 9 months and 6 days  of  total  military  service  with  disability
severance pay.

On  27  April  1995,  the  Veterans  Administration  evaluated   applicant’s
disability of hepatitis at 30 percent, effective 8 September 1994.

_________________________________________________________________

AIR FORCE EVALUATION:

The Chief, Medical Consultant, BCMR, reviewed this  application  and  states
that all indications at the time of the  applicant’s  separation  were  that
the liver disease had stabilized, all liver function tests had  reverted  to
normal, and the only residual was persistent fatigue.  There is no  evidence
to support a higher  rating  at  the  time  of  separation.   Her  case  was
properly evaluated, appropriately  rated  and  received  full  consideration
under the provisions of AFR 35-4.  Action and disposition in this  case  are
proper and reflect compliance with Air Force directives which implement  the
law.  The BCMR Medical Consultant is of the opinion that no  change  in  the
records is warranted and the application should be denied.

A complete copy of the evaluation is attached at Exhibit C.

The  Chief,  Special  Actions/BCMR  Advisories,  USAF  Physical   Disability
Division,  AFPC/DPPD,  reviewed  this  application  and  states  that   USAF
disability boards must rate disabilities based upon the  member’s  condition
at the time of evaluation; in essence a snapshot of their condition at  that
time.  Under Title 38, USC, the DVA may rate a  member’s  medical  condition
based upon future employability  or  reevaluate  based  on  changes  in  the
severity of a condition.  This often results in  different  ratings  by  the
two agencies.  This, in itself, is not sufficient to  warrant  a  change  in
the rating assessed under Title 10, USC.   All  pertinent  medical  evidence
establishes that the applicant was properly found unfit  for  military  duty
and awarded an appropriate rating for her disability  at  the  time  of  her
disability discharge.  A thorough review of  the  AFBCMR  file  revealed  no
errors or irregularities in the processing of the  applicant’s  case  within
the military disability evaluation  system.   She  was  appropriately  found
unfit for continued  military  service  and  properly  rated  under  federal
disability rating guidelines.  The applicant has not submitted any  material
or documentation to show she was inappropriately rated  or  processed  under
disability laws  and  policy  at  the  time  of  her  disability  discharge.
Therefore, they recommend denial of the applicant’s request.

A complete copy of their evaluation is attached at Exhibit D.

_________________________________________________________________

APPLICANT'S REVIEW OF AIR FORCE EVALUATION:

A complete copy of the Air Force evaluation was forwarded to  the  applicant
on 21 December 1998, for review and response.  As of this date, no  response
has been received by this office.

_________________________________________________________________

THE BOARD CONCLUDES THAT:

1.    The applicant has exhausted all remedies provided by existing  law  or
regulations.

2.    The application was timely filed.

3.    Insufficient relevant evidence has been presented to  demonstrate  the
existence of probable error or injustice.  After  thoroughly  reviewing  the
documentation submitted with this application, the Board is of  the  opinion
that the applicant was afforded  all  rights  she  was  entitled  under  the
disability law and departmental policy.  The applicant was found  unfit  for
continued military service and was rated based on her condition at the  time
of her disability evaluation.  The Board notes  that  at  the  time  of  her
separation, all indications at that time were that  the  liver  disease  had
stabilized, all liver function tests had reverted to normal,  and  the  only
residual was  persistent  fatigue.   The  Air  Force  is  required  to  rate
disabilities in accordance with the  VA  Schedule  for  Rating  Disabilities
while the VA operates under a  totally  separate  system  with  a  different
statutory basis.  In this respect, we note that the VA  rates  for  any  and
all service connected conditions, to the degree they interfere  with  future
employability, without consideration of  fitness.   Whereas  the  Air  Force
rates a member’s disability at the time of separation.  Therefore,  we  find
no basis upon which to recommend favorable action on the relief requested.

_________________________________________________________________

THE BOARD DETERMINES THAT:

The applicant be notified that the evidence presented  did  not  demonstrate
the existence of probable 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 this application in  Executive
Session on 17 June 1999, under the provisions of AFI 36-2603:

           Mr. Terry A. Yonkers, Panel Chair
           Mrs. Margaret A. Zook, Member
           Ms. Leta L. O’Connor, Member
           Ms. Gloria J. Williams, Examiner (without vote)

The following documentary evidence was considered:

      Exhibit A. DD Form 149, dated 9 Sept 98, w/atchs.
      Exhibit B. Applicant's Master Personnel Records.
      Exhibit C. Letter, BCMR Medical Consultant, dated 2 Nov 98.
      Exhibit D. Letter, AFPC/DPPD, dated 1 Dec 98.
      Exhibit E. Letter, AFBCMR, dated 21 Dec 98.





                             TERRY A. YONKERS
                             Panel Chair



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